SignalRAY+ - Adding clinical history to refine clinical answers

SignalRAY+

Adding clinical history to refine clinical answers

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Introducing SignalRAY+

We are excited to introduce a new concept in radiology interpretation – SignalRAY+

SignalRAY+ is an innovative AI solution for the veterinary community, combining medical history and digital imaging in a way never before possible, providing clinicians with important information on treatment decisions and next steps for companion animal radiographs.

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How does it work?

Upon taking a radiographic study, SignalRAY results are received. Your technician adds additional clinical information and the patient's clinical predictions appear within minutes.

Step 1

Take a radiographic study

Step 2

Receive SignalRAY results

Step 3

Add the additional clinical information

Step 4

Clinical predictions appear within minutes

What outcomes can DVMs expect with RAY+ ?

SignalRAY+ is more than just a product. It is a decision support tool, a means to utilize the information you have available in the most comprehensive way possible.

RAY+ increases clinician efficiency and assists in finding the best possible ways to treat your patients. It reduces interpretation time, increases the confidence of your medical team, and speeds up work. SignalRAY+ has mastered the science of radiograph interpretation, allowing you to focus your time on treatment and next steps.

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SignalRAY+ Results

CARDIOPULMONARY PANEL
Cardiac disease with LAE and CHF (canine)
Cardiac disease with LAE and CHF

Description of the result
SignalRAY tests indicate the presence of cardiac disease with decompensation and failure. Treatment of congestive heart failure should be pursued based on collective data including patient status, pharmacologic history, and response to treatment. Additional diagnostics including echocardiography may be indicated for definitive diagnosis.

Cardiac disease with LAE and no CHF (canine)
Cardiac disease with LAE and no CHF

Description of the result
SignalRAY tests indicate the presence of heart disease with left atrial enlargement. Evidence of congestive heart failure, recognized as perihilar pulmonary edema, has not been identified in this patient.Additional diagnostics including echocardiography may be indicated for further characterization of heart disease.

Cardiac disease and CHF (feline)
Cardiac disease and CHF

Description of the result
SignaRAY tests indicate potential cardiomegaly and accumulation of fluid which may be interpreted as congestive heart failure. Correlation of clinical signs, patient status, exam findings, SignalRAY results, and possibly additional diagnostic tests is necessary to determine treatment for suspected congestive heart failure.

Cardiac disease and no CHF (feline)
Cardiac disease and no CHF

Description of the result
SignalRAY tests indicate presence of cardiomegaly but have not detected evidence of congestive heart failure. Additional diagnostics such as echocardiography may be considered to make a definitive diagnosis

No evidence of cardiac disease or failure
No evidence of cardiac disease or failure

Description of the result
SignalRAY tests have not determined cardiac disease to be the cause for any respiratory signs in this patient. Echocardiography should be considered to definitively rule out heart disease. Further diagnostics may be indicated to obtain a definitive diagnosis.

MUSCULOSKELETAL PANEL
Definitive finding
Definitive finding

Description of the result
SignalRAY has identified a radiographic signal that could be the cause of the reported clinical findings. It is necessary to confirm the localization from your clinical exam with the SignalRAY findings.

No definitive SR finding
No definitive SR finding

Description of the result
No definitive musculoskeletal finding was identified coordinating with the clinical findings provided. Clinical reassessment should be considered to evaluate for swelling, instability, neurologic deficits, and/or discomfort.

GASTROINTESTINAL PANEL
Surgical intervention- GDV
Surgical intervention- GDV

Description of the result
SignalRAY findings have identified the presence of gastric dilatation and volvulus. GDV is a life threatening emergency where gastric decompression and surgical intervention is necessary. As with all cases, consider patient status and review radiographs to confirm agreement with SignalRAY findings before pursuing surgical intervention.

Surgical intervention- Linear foreign body
Surgical intervention- Linear foreign body

Description of the result
SignalRAY has identified a pattern in the small intestines typical of plication. This is indicative of the presence of a linear foreign body. Surgical intervention should be pursued.

Surgical intervention- obstruction
Surgical intervention- obstruction

Description of the result
SignalRAY has identified radiographic signals that warrant the need for special attention. Two populations of small intestine most commonly represent a mechanical obstruction for which surgical intervention is indicated. In other cases it may represent a severe enteritis which would require additional imaging or clinical follow up assessment. As with all cases, correlate radiographic signals and clinical findings including patient status to determine the best course of action. Next steps may include surgical intervention, abdominal ultrasound, medical management and follow up radiographs.

Inappropriate presence of gastric material
Inappropriate presence of gastric material

Description of the result
SignalRAY has identified the presence of gastric material despite reported vomiting or anorexia. It is abnormal for ingesta to remain in the stomach for longer than 6 hours after a meal. If it has been confirmed that the patient has not eaten in the last 6 hours, the presence of gastric material may indicate outflow obstruction of the stomach. Consider rechecking radiographs after 6 hours of confirmed fasting, additional imaging such as abdominal ultrasound, or surgical intervention.

No indication for surgical intervention
No indication for surgical intervention

Description of the result
SignalRAY tests have not identified any abnormalities which would predict an immediate need for surgical intervention. Treatment and/or additional diagnostics should be determined based on patient status, clinical findings or response to conservative treatment.

SignalRAY+ Example Cases

Clinical Case 1

1-year-old MC Lab Retriever with a history of eating the stuffing out of his toys and a one-day history of vomiting.

The physical exam is unremarkable. Radiographs are performed to rule out a small intestinal obstruction or gastroenteritis. SignalRAY results show abnormal test results for SFB, circling a few areas in the small intestine where small metal opacities are observed. RAY+ results show "No indication for surgical intervention." The clinician can feel comfortable electing conservative management for the patient.

Clinical Case 2

5 year old MC DMH with a history of what the owner describes as episodes of trouble breathing.

Physical exam shows a possible heart murmur and gallop rhythm and increased respiratory rate. Radiographs are performed to determine if these episodes are secondary to cardiac disease or pulmonary disease. SignalRAY results show abnormal test results for BPP and VHS. RAY+ results come back as "Cardiac disease with no congestive heart failure." Given this information, the clinician can feel comfortable scheduling an echo for the patient and implementing treatment for asthma.

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From The SignalPET Community

Read Dr. Hurley's Story

"When I first looked at SignalPET, I thought this is going to be revolutionary. We now have a service that reviews all of our X-rays and provides better care for our patients."

Dr. Brian Hurley, DVM

Gardner Animal Care Center

"All the veterinarians and staff really, really liked SignalPET and we were really pleased with the ease of the software. We found that it added incredible value for our radiology services. Our patients are now able to get care faster, and our clients are really really pleased to see all the good test results."

Dr. Kerry Peterson, DVM

Pet Wellness Clinics

Read Dr. Certa's Story

"We take the x-rays and wait for the SignalPET reports to come in before we call the clients just to get that second confirmation. And the reports come back really quickly. I think the clients really like that; where they can see where the problems were."

Dr. Brooke Certa, DVM

Coastal Animal Clinic

Read Dr. Nair's Story

"It's definitely not a replacement for a radiologist, but it serves a very important like kind of stepping stone function, helping you decide what cases actually need that escalation to that radiologist or which cases you can deal with yourself in house that you don't need a specialist to come in and read out."

Dr. Vijay Nair, VMD

Veterinary Emergency Center

Read Dr. Vineyard's Story

"As a practice owner, having SignalPET for my other doctors is really nice. One of them is a new grad and so, when she's working, SignalPET is able to give her that assurance if I'm not on site; she has something to back her up."

Dr. Sarah Vineyard, DVM

Owner, Colony Veterinary Hospital

Read Dr. Lawnichak's Story

"SignalPET makes technology a little bit easier, especially for those who are not as technologically advanced as others."

Dr. Tyler Lawnichak, DVM

St. Augustine Regional Veterinary Emergency Center

"Our practice has been using SignalPET since day one of their launch. The AI technology is absolutely amazing and it has raised our level of confidence reading radiographs immensely with little additional cost to the client. We utilize SignalPET for every radiograph we take regardless of how simple the case may be. Many times SignalPET has found signals that we would surely have missed in our busy day practice such as tiny uroliths, pulmonary masses, and subtle orthopedic abnormalities to name a few."

Dr. Howard J. Small, VMD

Forest Lakes Animal Clinic

"We have had an excellent experience thus far and are very excited to integrate the SignalPET format into both practices. We have found the format to be easy to use and very helpful in interpreting our radiographs."

Dr. Gaines White, DVM

Conyers Animal Hospital

Read Dr. Bradley's Story

"To me, the biggest thing is being able to show my clients the value they are getting. With SignalPET, I can send the client the "client friendly" report and with that, they can see for themselves the value of the money they spent on those X-rays. I think that's very important and invaluable.."

Dr. Karen Bradley

Owner, Onion River Animal Hospital

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