There are many possible reasons why a veterinarian might need a portable x-ray machine. This is especially true for mobile or farm call practices, which must perform diagnostic procedures on-site.

Even a brick-and-mortar practice might occasionally need portable x-ray capabilities, for example, to perform horizontal beam shots.

How much to invest, which features to look for, and other purchasing requirements vary from practice to practice. Here are 10 factors to help a busy practice decide which veterinary portable DR machine or system might best suit their needs…

1. Cashflow/return on investment plan. An equine specialist who takes frequent, detailed images of the limbs and hooves might want a top-of-the-line machine. On the other hand, a small animal house call practice that specializes in hospice and end-of-life care might not perform nearly as many x-rays.

Think about how often your practice performs radiographs, and whether this number is expected to increase due to demand. Do clients in your area expect radiographs, and what is the going rate for x-ray studies?

Once expected income from the equipment is known, that can help determine how much a practice should spend on its new system.

1. Imaging requirements. Which patients will your practice see and take radiographs on? Which types of studies will be performed? 

Look at imaging capabilities and technical specifications to determine which portable x-ray machines can get the job done. Ask to take the machine on a trial run for different size patients (or body versus extremity shots, etc.) to make sure it provides the level of detail required on different types of studies.

1. Durability. Conditions outside the clinic are not nearly as controlled in terms of temperature, movement/transport in a truck or van, accidental drops, and elements like dust, dirt, humidity, or precipitation. This is especially true for farm calls or remote destinations in hot or cold climates. 

If this sounds like your practice, it’s important to make sure your x-ray system stands up to all these conditions, lasts long enough to make your investment worthwhile, and still delivers results without malfunction or loss of diagnostic quality. Protective cases and screens, especially waterproof ones, can also be a necessity.

1. Warranties. Even with a durable machine and good protective measures, accidents happen. Ask about warranties—is one in place, what it covers, how long it last, and how much it costs to extend? 

2. Support and maintenance. Ask about routine maintenance, what’s included, and any additional costs. Even brand-new machines need proper maintenance to keep running at their best.

Also, is there a 24/7 tech support line available?

Finally, many veterinarians inquire if a loaner x-ray system is available should their equipment need to be sent back to the manufacturer for time-consuming repairs. That way, a practice can stay up and running in the meantime.

1. Cords or cordless/wireless. Unlike large machines that must be installed in a standing facility, some veterinary portable DR systems are wireless. 

This could mean “cordless,” in terms of having a rechargeable battery so the generator doesn’t need to be plugged in. This is advantageous at locations where there’s not a convenient electrical hookup inside a barn. On the other hand, some vets note a battery might not last the whole day if they have a lot of appointments or drive long distances.

It could also mean “wireless” in terms of sending images from the sensor to a digital reader/storage software through a wireless internet connection. This can be convenient because there are less wires that could be tripped over or damaged. On the other hand, it could be a disadvantage in places with reception issues.

1. Ease of use. Although there’s a learning curve for any new veterinary equipment, some machines are much easier than others to learn. 

Look for intuitive interfaces that will be easy for the team to start using right away. Presets for different types of species and x-ray studies are also very helpful, potentially reducing errors and saving time.

Additionally, something that is lightweight, compact, ergonomic, and easy to hold and operate will help reduce the risk of drops or other accidents.

1. Digital veterinary software compatibility. It’s common to integrate DR images directly into practice management, image viewing and sharing, or electronic medical record software. To avoid headaches and extra work, make sure the portable veterinary x-ray system you are purchasing is compatible with your practice’s software. 

To avoid future expenses as much as possible, ask if software upgrades are included and if tech support or a guarantee is provided in case of any malfunctions. 

Finally, ask about the privacy/security of the software.

1. Where to purchase. Consider speaking to vendors you know and like. It might make sense to bundle purchases (such as an x-ray system and laboratory equipment) together for a discount. Just check the fine print, as some of these deals tie a veterinarian to a contract for minimum ongoing purchase requirements (for example, a minimum number of lab tests per month).

Other sellers, including used equipment sellers, can also offer some great deals. Look for reviews, reputability, and specifications of the equipment. Ask colleagues for their recommendations, too.

1. Financing and money considerations. Is purchasing the equipment outright an option? Or does financing make more sense in terms of cash flow? Remember to check on tax benefits as well. 

Research and discuss everything with decision-makers at the practice.

Consider including team members who would be using the portable veterinary x-ray system—they might have very valuable input for what would improve efficiency.

Consult business, tax, or financial professionals as needed.

Although a large equipment purchase is a significant investment, it can also be a way to bring new income to the practice—not to mention boost patient care and improve workflow and efficiency. 

Written by: Dr. Tammy Powell, DVM