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Transcript of CT clinical booklet
Excellence in CT image quality
Not for circulation in the United States
CT images
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination cover_090315.indd 1-2 9/3/15 6:07 pm
Content
Clinical images using IMR 7 - 26
Diverse Clinical CT Images 27 - 42
IntelliSpace Portal & selected CT applications 43 - 51
Not for circulation in the United States
Innovations in CT technology
Not for circulation in the United States
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CTDose Management Timeline
2005 20092007 20112006 20102008 2012 2013
2014
2005Introduction of Tach II Detector Technology, our first ever CT with fully digital imaging chain, which helps manage image quality and dose exposure
2012Introduction of IMR – knowledge-based iterative reconstruction technique – to the market
2012Introduction of iDose4 and soon after of the iDose4 Premium Package.
2007Introduction of Clear Ray Anti Scattergrid and Eclipse Collimator, managing patient dose whilst maintaining diagnostic confidence
2013Introduction of Philips IQon Spectral CT*.The IQon Spectral CT is not yet CE marked. Not available for sale in all regions.
2012Introduction of iPatient, a software that allows hospitals to plan results,instead of acquisitions
iDose4
Not for circulation in the United States 2Excellence in CT image quality.
1998 2002 2013
NanoPanel EliteContinuing our leadership in meaningful innovations that provide low dose, low energy and low noise with outstanding results, Philips CT is pleased to announce the Ingenuity Elite. The foundation of the Ingenuity Elite is the NanoPanel Elite – engineered for low-dose, low-energy and low-noise imaging.
Philips was first to bring integrated, modular CT tile detector technology to the market in 2007. With thousands of NanoPanel-based systems installed globally, Philips continues to be a leader in CT detector design with the introduction of the NanoPanel Elite – our latest tile-detector and a 4th generation solid-state detector.
Image noise measured in a 40 cm water phantom at low energy (80 kVp). Introduced in 2007, Philips NanoPanel demonstrated less noise than our prior-generation detectors. The NanoPanel Elite continues to set the pace in CT detector technology by demonstrating further improvements in image noise at low energy, an even more impressive accomplishment. This low-noise performance is further enhanced when combined with IMR.
Traditional detector technology NanoPanel Elite
Tube current (mA)
Noi
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tand
ard
devi
atio
n in
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)
100 200 300 400 500 600
200
100
150
250
50
NanoPanel
NanoPanel Elite
NanoPanel Elite with
Elite detector technology
• Reduces image noise at low energy and low dose • Direct integration technology• Miniaturization and integration provide low-noise, high-fidelity signal • Marked image noise improvement
Detector innovation2007
NanoPanel
Not for circulation in the United States3 Excellence in CT image quality.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 3-4 9/3/15 6:07 pm
IMR - Iterative knowledge-based reconstruction technique
A new era of CT image quality and low dose
IMR sets a new direction in CT image quality with virtually noise-free images and industry-leading low-contrast resolution. Long associated with MRI (Magnetic Resonance Imaging), this improvement in low-contrast resolution is a breakthrough made possible through Philips’ first iterative reconstruction built on a knowledge-based model. In addition to these image quality benefits, for the first time, physicians are also able to simultaneously combine these improvements with lower doses1.
• Industry-leading low-contrast resolution• Significantly lower dose while simultaneously improving image quality2
• Significantly improved image quality (reduced noise, improved low contrast, improved resolution)3
• Majority of reference protocols < 3 min recon4
• First knowledge-based iterative reconstruction for gated acquisitions = IMR Platinum4
• Integrated design with minimal siting impact
1) In clinical practice, the use of IMR may reduce CT patient dose depending on the clinical task, patient size, anatomical location, and clinical practice. A consultation with a radiologist and a physicist should be made to determine the appropriate dose to obtain diagnostic image quality for the particular clinical task. Lower image noise, improved spatial resolution, improved low-contrast detectability, and/or dose reduction were tested using reference body protocols. All metrics were tested on phantoms. Dose reduction assessments were performed using 0.8 mm slices, and tested on the MITA CT IQ Phantom (CCT183, The Phantom Laboratory), using human observers. Data on file.2) In clinical practice, the use of IMR may reduce CT patient dose depending on the clinical task, patient size, anatomical location, and clinical practice. A consultation with a radiologist and a physicist should be made to determine the appropriate dose to obtain diagnostic image quality for the particular clinical task. 3) Lower image noise assessed using a Reference Chest Protocol; Improved spatial resolution using Reference Abdomen and Thorax Protocols; Improved low-contrast detectability using a Reference Abdomen Protocol; and dose reduction using a Reference Abdomen Protocol. All metrics tested on phantoms. Data on file.4) Requires IMR Platinum: IMR Platinum has the additional benefit of reconstructing gated acquisitions (ECG- and pulmonary-gated) - IMR Cardiac
Key benefits43% - 80%Improved
LCD1
70% - 83%Lowernoise1
60% - 80%Lowerdose1
IMR is the first knowledge-based solution that overcomes the motion-sensitivity associated with traditional model-based solutions; allowing it to be used in even the most advanced acquisitions, such as Cardiac CTA. Enabled by next-generation RapidView hardware and reconstruction algorithm innovation, its reconstruction speed allows IMR to be used in even the most time demanding applications, such as trauma.
Not for circulation in the United States 4Excellence in CT image quality.
1) Lower image noise assessed using a Reference Chest Protocol; Improved spatial resolution using Reference Abdomen and Thorax Protocols; Improved low-contrast detectability using a Reference Abdomen Protocol; and dose reduction using a Reference Abdomen Protocol. All metrics tested on phantoms. Data on file.
IMR - Knowledge-based iterative reconstruction technique
Confidence
Personalize your control with iPatient and IMR
Personalize your control with iPatient and IMR
Fast time to diagnosis, with reconstruction under 5 minutes
Speed
IMR breaks the linkage between noise and dose1, allowing for virtually noise-free images through 70% - 83% noise reduction, giving you the confidence to visualize previously hidden information. IMR provides significant improvements in low contrast (resolution and detectability)1.
No two patients are identical, and truly focusing on the patient requires the ability to personalize your control. This means consistently achieving high image quality and managing dose appropriately every day. When iPatient and IMR work together, you have new methods that facilitate patient-specific dose management and increase diagnostic confidence.
When you’re truly in control, new opportunities can emerge. In control means a multitude of ways to facilitate patient-centered imaging. It means that although every day may be different, you’re confident the results can be consistent. It’s having the knowledge to define what you need in terms of image characteristics, and allows you to adjust the settings automatically.While you’re working to boost return on investment now, you’re also accessing a flexible platform that will support future innovations.
iPatient helps simplify complex procedures by automating routine tasks so you can focus on what is more advanced and challenging. You save time, too, because with iPatient, scan times are automatically reduced and exam times are shortened, in some cases up to 24%.* With innovations in hardware and the reconstruction algorithm, IMR can be used in the most demanding applications with a reconstruction time of less than five minutes for the majority of reference protocols. Together with iPatient and IMR you can achieve fast time to diagnosis.
Innovations in hardware and the reconstruction algorithm result in a reconstruction speed – less than 3 minutes for the majority of reference protocols – that allows IMR to be used in even the most demanding applications.
* In a study done using multiphasic liver CT exams, the iPatient software platform reduced time-to-results by 24% and clicks per exam by 66%. Impact of workflow tools in reducing total exam and user interaction time – 4 phase liver computed tomography exams Nicholas Ardley – Southern Health, Kevin Buchan – Philips Healthcare, Ekta Dharaiya – Philips Healthcare.
Not for circulation in the United States5 Excellence in CT image quality.
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Customer feedbacks on IMR
“Iterative reconstruction techniques are rapidly evolving from hybrid- to model-, and now towards knowledge-based, helping us reveal new information. Our use of IMR shows significant improvements in the key components of image quality metrics, even when compared to previous generation reconstruction techniques. We believe this to be the future of CT.”
“We have been using IMR for routine body imaging, and are extremely excited about the virtually noise-free benefits of improving lesion conspicuity and anatomical detail. This new technological development provides diagnostic images that helps us increase our confidence in making a diagnosis. These significant benefits are likely to help strengthen CT’s position as the backbone of radiology.”
“I have used IMR for several months under various clinical conditions. I think that IMR changes the face of MDCT in many ways. It improves the image quality by reducing the noise and increasing low contrast detectability even at low radiation dose. It permits the use of thin slice imaging with improved high-resolution, improved low-contrast and low-dose in any organ and therefore also improves the workflow by reducing the number of CT reconstructions.”
Yoshinori Funama, PhD, Professor, Department of Medical Physics,Kumamoto University Faculty of Life Sciences, Japan
Barry Daly, MD, FRCR, Professor of Radiology, University of Maryland School of Medicine, Chief of Abdominal Imaging and Vice Chair for Research,University of Maryland Medical Center, USA
Emmanuel Coche, MD, PhD, Professor, Head of CT Unit, Department of Medical Imaging, Cliniques Universitaires St-Luc, Belgium
Not for circulation in the United States 6Excellence in CT image quality. Not for circulation in the United States
Clinical images using IMR
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 7-8 9/3/15 6:07 pm
Not for circulation in the United States 8Excellence in CT image quality.
• Increased diagnostic confidence and reduction for stress of diagnosis.
• We used FBP image as 3mm slice thickness for diagnosis before launching IMR.
• IMR as 2mm slice thickness can supply fewer noise images even 40% dose reduction compared with FBP1.
• Due to the fact that IMR can reduce noise, we are considering that we use IMR image less than 1mm slice thickness for improvement in resolution.
• The image of liver cancer compares FBP 3mm slice thickness with IMR 2mm slice thickness
• The number of images for interpretation is increased compared with conventional workflow.
FBP 3mmPlane
Artery phase
Portal phase
IMR 2mmPlane
Artery phase
Portal phase
iCT Elite, 256 slice, 120kV, 491mA, 158mAs, 10.9mGy
Clinical images using IMRHCC dynamic70 years old, male, liver cancer caused by hepatitis C. TAE, RFA therapy were performed several times but cancer recurred.
Image Courtesy : Obihiro Kosei Hospital, Japan.
1) In clinical practice, the use of IMR may reduce CT patient dose depending on the clinical task, patient size, anatomical location, and clinical practice. A consultation with a radiologist and a physicist should be made to determine the appropriate dose to obtain diagnostic image quality for the particular clinical task.
Not for circulation in the United States9 Excellence in CT image quality.
3mm
Plane Plane
Artery phase Artery phase
Portal phase Portal phase
2mm 2mm
Plane
Artery phase
Portal phase
iCT Elite, 256slice, 120kV, 491mA, 158mAs, 10.9mGy
Clinical images using IMRHCC dynamic
Image Courtesy : Obihiro Kosei Hospital, Japan.
Plane
Artery phase
Portal phase
FBP 3mm
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 9-10 9/3/15 6:07 pm
Not for circulation in the United States 10Excellence in CT image quality.
iCT 256, 100kV, 0.27 sec/rot, 64.2 DLP, 0.9 mSv
Image Courtesy : Amakusa Medical Centre, Japan.
FBP
Clinical images using IMRUltra-low dose cardiac CTA
Not for circulation in the United States11 Excellence in CT image quality.
Image Courtesy : Chung Ang University Hospital, a Republic of Korea.
iCT 256
80 kV
50 mAs
0.27 sec/rot
DLP 14.7
O.2 mSv
Ultra-low dose cardiac CTAClinical images using IMR
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 11-12 9/3/15 6:07 pm
Not for circulation in the United States 12Excellence in CT image quality.
Image Courtesy : Chung Ang University Hospital, a Republic of Korea.
iCT 256
80 kV
50 mAs
0.27 sec/rot
DLP 34.8
O.48 mSv
Scan length 242mm
FBP
Low dose gated chestClinical images using IMR
Not for circulation in the United States13 Excellence in CT image quality.
Image Courtesy : Chung Ang University Hospital, a Republic of Korea.
iCT 256
80 kV
80 mAs
0.27 sec/rot
DLP 23.5
0.32 mSv
Ultra-low dose cardiac CTAClinical images using IMR
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 13-14 9/3/15 6:07 pm
Image Courtesy : Monash Medical Centre, Australia.
iCT 256, 100kV, 382mAs, 32 x 0.625, 561 DLP
Low dose post-contrast brain imageClinical images using IMR
Not for circulation in the United States 14Excellence in CT image quality.
Image Courtesy : Seirei Yokohama Hospital.
iCT, Acquisition:256slice, Small focal, 100kV, 29mAs, CTDI:1.0mGy, DLP:62.7mGy*cm, 0.88mSv
FBP
Low dose lung scanClinical images using IMR
Not for circulation in the United States15 Excellence in CT image quality.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 15-16 9/3/15 6:07 pm
Image Courtesy : Seirei Yokohama Hospital.
iCT, 256slice, Helical Scan, 120kV, 225mAs,Length: 187.6mm, CTDI:28.3mGy
Chest examsClinical images using IMR
Not for circulation in the United States 16Excellence in CT image quality.
IMR 2mm
FEP0.67mm
IMR 2mm
IMR 0.67mm
iCT, 256slice, Helical Scan, 120kV, 225mAs,Length: 187.6mm, CTDI:28.3mGy
iCT, 256slice, Small Focus, 100kV, 99mA,56mAs, 2.2mGy
Low dose brain routine Chest image
FBP 32mm 2mm 2mm
Image Courtesy : Seirei Yokohama Hospital, Japan.
Clinical images using IMR
Not for circulation in the United States17 Excellence in CT image quality.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 17-18 9/3/15 6:07 pm
iCT, 256slice, Scan time:4.06sec, 120kV, 174mAs, CTDI:11.2mGy
Ground glass opacity
FBP FBP5mm 0.67mm 0.67mm
Clinical images using IMR
Not for circulation in the United States 18Excellence in CT image quality.
iCT, Acquisition:256slice, Table Speed:183mm/sec, Scan time:2.8sec, 120kV, 24mAs, CTDI:1.6mGy, 0.8mSv
iCT, 256slice, 100kV, 378mA, 188mAs, 7.6mGy
1mm
iDose4 2mm iDose4 0.67mm iDose4 1mm
1mm
IMR 2mm IMR 0.67mm IMR 1mm
FBPChronic pancreatitis
Image Courtesy : Serei Yokohama Hospital, Japan.
Clinical images using IMR
Not for circulation in the United States19 Excellence in CT image quality.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 19-20 9/3/15 6:07 pm
iDose4 2mm
iDose4 0.67mm
iDose4 2mm
IMR 2mm
IMR 0.67mm
IMR 2mm
iCT, 256slice, 100kV, 400mAs, 556mAs, 16.2mGy
FBP 0.67mm 0.67mm
Kidney imaging & pancreas imaging
Image Courtesy : Serei Yokohama Hospital, Japan.
Clinical images using IMR
Not for circulation in the United States 20Excellence in CT image quality.
1mm 1mmwith O-MAR 1mm with O-MAR 1mm
iCT Elite, 256slice, Table Speed:182.8mm/sec, Scan time:4.52secLength:685mm,120kV, 240mAs, CTDI:16.2mGy
iCT, 256slice, Large focal, 100kV, 313mAs, CTDI:12.7mGy,
FBP FBP
Metal artifact reduction
Image Courtesy : Obihiro Kosei Hospital, Japan. Image Courtesy : Iwata General Hospital, Japan.
Clinical images using IMR
Not for circulation in the United States21 Excellence in CT image quality.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 21-22 9/3/15 6:07 pm
IMR
FBP
FBP
FBP
IMR
iCT, Small Focus, 120kV, 361mA, 450mAs, 28.9mGy
Abdomen CTA
Image Courtesy : Kurume university Hospital, Japan.
Clinical images using IMR
Not for circulation in the United States 22Excellence in CT image quality.
iCT, Small Focus, 120kV, 361mA, 450mAs, 28.9mGy
0.67mm
0.67mm
0.67mm
0.67mm
Abdomen CTA
Image Courtesy : Kurume university Hospital, Japan.
Clinical images using IMR
Not for circulation in the United States23 Excellence in CT image quality.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 23-24 9/3/15 6:07 pm
Lv4 Lv4
iCT, 256slice,Helical Scan, 80kV, 410mA, CTDI:17.1mGy, 3.6mSv
Low dose cardiac (Helical)
FBP FBP
Image Courtesy : Serei Yokohama Hospital, Japan.
Clinical images using IMR
Not for circulation in the United States 24Excellence in CT image quality.
System: iCT, Acquisition:256slice, Step & Shoot, 100kV, 110mAs, CTDI:5.2mGy, 0.8mSv
System: iCT, Acquisition:256slice, Body weight:76kg, 100kV, 224mAs, CTDI:11.4mGy,
1.0mm 1.0mm 1.0mm 1.0mm
1.0mm
1.0mm
1.0mm
1.0mm
1.0mm
Lv4FBP FBP
Low dose cardiac and abdominal imaging
Image Courtesy : Amakusa Medical Center, Japan.
Clinical images using IMR
Not for circulation in the United States25 Excellence in CT image quality.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 25-26 9/3/15 6:07 pm
Clinical images using IMR
Diverse Clinical CT Images
iCT, Acquisition:64slice, Helical scan(64x0.625), 120kV, 103mAs, CTDI:61.2mGy
FBP
IMR
FBP
IMR
Stroke
Image Courtesy : Amakusa Medical Center, Japan.
Not for circulation in the United States 26Excellence in CT image quality. Not for circulation in the United States
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 27-28 9/3/15 6:07 pm
kVp - 100
mAs - 91
Coverage - 25.3 cm
Scan time - 25.1s
Weight - 51 kg
iDose4 - Level 5
CTDIvol - 3.7 mGy
DLP - 130.6 mGy×cm
Effective Dose* - 1.9 mSv
iCTScan Parameters
Image Courtesy : CHRU Lille Huriez.
CTA of renal arteries, large renal calculusGeneral clinical CT images
Not for circulation in the United States 28Excellence in CT image quality.
General clinical CT images
kVp - 100
mAs - 210
Coverage - 14.7 cm
Scan time - 7.3s
Heart Rate 52 BPM
iDose4 - Level 4
CTDIvol - 10.3 mGy
DLP - 150.7 mGy×cm
Effective Dose * - 2.1 mSv
iCTStep & Shoot CardiacScan Parameters
Cardiac IMR
Cardiac CTA step & shoot technique
Not for circulation in the United States29 Excellence in CT image quality.
Image Courtesy : Logan Hospital, QLD, Australia.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 29-30 9/3/15 6:07 pm
Image Courtesy : Chung Ang University HospitalRepublic of Korea.
kVp - 80
mAs - 50
Coverage - 12 cm
Heart Rate 61 BPM
iDose4 - Level 4
DLP - 14.7 mGy×cm
Effective Dose * - 0.2 mSv
iCTStep & Shoot CardiacScan Parameters
Cardiac iDose
Cardiac CTA, 80 KV, submillisievert doseGeneral clinical CT images
Not for circulation in the United States 30Excellence in CT image quality.
Image Courtesy : Utrecht, Netherlands.
kVp - 120
mAs - 150
Coverage - 18.6 cm
Scan time - 4.9s
iDose4 - Level 3
CTDIvol - 10.2 mGy
DLP - 189.7 mGy×cm
Effective Dose * - 0.4 mSv
iCTScan Parameters
Brain
Circle of willis CTA of an aneurysmGeneral clinical CT images
Not for circulation in the United States31 Excellence in CT image quality.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 31-32 9/3/15 6:07 pm
Image Courtesy : SH Changhai Hospital.
kVp - 120
mAs - 219
Coverage - 18 cm
Scan time - 18.5s
CTDIvol - 37.7 mGy
DLP - 1399.2 mGy×cm
Effective Dose * - 4.3 mSv
MX16 EVO
Scan Parameters
Vessels
Carotid CTAGeneral clinical CT images
Not for circulation in the United States 32Excellence in CT image quality.
Image Courtesy : Fletcher Allen, University of Vermont.
kVp - 100
mAs - 90
Coverage - 30.7 cm
Scan time - 4.7s
iDose4 - Level 3
CTDIvol - 4.0 mGy
DLP - 122.8 mGy×cm
Effective Dose - 1.7 mSv
iCTScan Parameters
Lung
Lung density package/emphysemaGeneral clinical CT images
Not for circulation in the United States33 Excellence in CT image quality.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 33-34 9/3/15 6:07 pm
Image Courtesy : Shanghai Pulmonary Hospital.
kVp - 120
mAs - 122 mAs (Average)
iDose4 - Level 2
Coverage - 76.7 cm
Scan time - 20.66s
CTDIvol - 7.62 mGy
DLP - 610.7 mGy×cm
Effective Dose - 9.16 mSv
Ingenuity Flex 32
Scan Parameters
Femoral CTAGeneral clinical CT images
Not for circulation in the United States35 Excellence in CT image quality.
Image Courtesy : Wuxi Number 3 Hospital.
kVp - 80
mAs - 100
Coverage - 12.5 cm
Scan time - 3.7s
Heart Rate 67 BPM
iDose4 - Level 4
CTDIvol - 2.3 mGy
DLP - 28.7 mGy×cm
Effective Dose* - 0.4 mSv
iCTScan Parameters
RCA cardiac stentGeneral clinical CT images
Not for circulation in the United States 34Excellence in CT image quality.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 35-36 9/3/15 6:07 pm
Image Courtesy : Shanghai Pulmonary Hospital.
kVp - 120
mAs - 127
Coverage - 16.2 cm
Scan time - 13.98s
CTDIvol - 8.76 mGy
DLP - 158.5 mGy×cm
Effective Dose - 2.2 mSv
Ingenuity Flex 32
Scan Parameters
Pulmonary CTAGeneral clinical CT images
Not for circulation in the United States 36Excellence in CT image quality.
Image Courtesy : GD General Hospital , China.
kVp - 80
mAs - 10
Coverage - 13.4 cm
Scan time - 4.3s
Heart Rate - 82 BPM
Age - 20 month old
iDose4 - Level 6
CTDIvol - 0.42 mGy
DLP - 5.8 mGy×cm
Effective Dose* - 0.15 mSv
iCTStep & Shoot Cardiac Scan Parameters
Cardiac
20 month old baby - Pulmonary CTAGeneral clinical CT images
Not for circulation in the United States37 Excellence in CT image quality.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 37-38 9/3/15 6:07 pm
Total body scanning
Total body scanning
1. AVM
2. Pulmonary Emboli
3. Upper limb angiography
4. Trauma CTA
1.
2.
3.
4.
General clinical CT images
Not for circulation in the United States39 Excellence in CT image quality.
Image Courtesy : PAH, QLD, Australia.
kVp - 120
mAs - 216-26
iDose4 - Level 3
CTDIvol - 9.5 mGy
DLP - 1236.5 mGy×cm
iCTScan Parameters
Femoral CTA with hip implantGeneral clinical CT images
Not for circulation in the United States 38Excellence in CT image quality.
Image Courtesy : Philips Australia.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 39-40 9/3/15 6:07 pm
kVp - 120
mAs - 179
iDose4 - Level 3
CTDIvol - 22.11 mGy
DLP - 312.2 mGy×cm
iCTScan Parameters
Pediatric head scanGeneral clinical CT images
Not for circulation in the United States41 Excellence in CT image quality.
Image Courtesy : Philips Australia.
Ingenuity CTScan Parameters
iDose4 - level 3
kvp - 100
mAs - 40
Virtual colonoscopy - large sigmoid polypGeneral clinical CT images
Not for circulation in the United States 40Excellence in CT image quality.
Image Courtesy : Philips Australia.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 41-42 9/3/15 6:07 pm
IntelliSpace Portal & selected CT applications
Not for circulation in the United States
General clinical CT imagesKnee replacement with O-MAR
Scan Parameters
kvp - 120
Mas - 120
iDose4 - level 2 (high resolution scan)
Not for circulation in the United States 42Excellence in CT image quality.
Image Courtesy : Philips Australia.
PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 43-44 9/3/15 6:07 pm
CT Acute MultiFunctional Review (AMFR)Streamlined tools for trauma assessment and surgical planning
SummaryNow you have one place to access advanced tools for enhanced diagnostic confidence.The CT Acute Multifunctional Review application (CT AMFR) can streamline image review by allowing easy access to necessary tools to view and analyze CT datasets to assess for trauma and to plan surgery. It offers several analysis stages dedicated to certain functional or anatomical areas in the trauma patient:
1. Viewing- rule out the most serious injuries
with the ease of tunable viewing protocols.
2. Rapid vascular assessment for trauma.
3. Auto-spine for trauma and chronic conditions
4. MSK and surgical planning
Benefits• Confirm or exclude vascular pathologies such as aneurysms, occlusions, stenosis, dissection, or filling defects within contrast-enhanced vessels.• Automatically generates MPR along spinal cord as well as along disk spaces, allowing for a single image along the entire spine quickly and without interoperator variability.• Easily save key images to the Findings Navigator, which allows user to save snapshots of images with additional information content such as arrows, measurements, and region of interest to a depository for easy retrieval or integration into preliminary or final reports.• Real-time bone disarticulation and surgical planning tools for surgical planning with interactive segmentation of multiple bony structures.
Not for circulation in the United States45 Excellence in CT image quality.
Say hello to the Intellispace Portal 7.0. It combines high quality mages, advanced analysis and workflow efficiency tools into a single advanced analysis solution. Get a unified view of your patient’s condition all on one screen to answer questions fast.
IntelliSpace Portal -All your advanced analysis needs; one integrated solution
* CAD functionality not available for sale in the US** Web Collaboration enables viewing and sharing with tablets and smartphone devices – not intended for diagnosis*** Only available for sale in the US**** Not available for sale in the US
MI
MR
US
Multi-modality (MM)
CT
Enhanced
New
NM NeuroQ
NM NeuroQ Amyloid
NM Astonish Reconstruction
CT Bone Mineral Analysis
CT Viewer
CT Cardiac Viewing
CT Dynamic Myocardial Perfusion
(DMP)
Corridor 4DM V4.0
2013
Emory Cardiac Toolbox
2013
NM JETPack Application
Suite
CT Comprehensive Cardiac Analysis
(CCA)
CT Calcium Scoring
CT TAVI Planning
CT COPD
CT Dental Planning
Corridor 4DM CFR
NM EQuAL
NM NeuroQ EQuAL
CT Brain Perfusion
CT Lung Nodule
Assessment (LNA)
CT MultiFunctional
Assessment
CT Liver Analysis
CT PAA*
NM Enhanced DVD Viewer
NM/CTA Cardiac Fusion
NM Review
CT Virtual Colonoscopy
CT Cardiac Plaque
Assessment
MR Spectroview
Collaboration Viewer**
Multi Modality
Tumor Tracking (MMTT)
Cedar Sinai Cardiac Suite
2013
CT/NM Viewer
NM Processing Application
Suite
CT EP Planning
CT Myocardial Defect
Assessment
CT Body Perfusion
CT-MI MPI Cardiac Fusion
US Q-App MVI
US Q-App EQ****
US Q-App EA***
MR Cardiac Analysis
MR Perfusion Diffusion Mismatch
MR Cardiac Viewing
MR Cardiac Whole Heart
US Viewing (in MMV)
iXR Viewing (in MMV)
US Q-App ROI
US Q-App VPQ
MR Spatial Enhancement
CT Acute MultiFunctional Review (AMFR)
CT AVA Stent Planning
MR Subtraction
MR QFlow
Multi Modality Viewer (MMV)
DXR Viewing (in MMV)
MR MobiView
MR Echo Accumulation
MR T2*(Neuro)
Perfusion
MR Cardiac Temporal
Enhancement
MR Cardiac Functional
Analysis
MR IViewBOLD
US Q-App GI 3DQ
US Q-App IMT
MR Diffusion
MR T1 Perfusion
MR Cartilage Assessment
MR PremeabilityMR FiberTrak
MMAdvanced
Vessel Analysis (AVA)
Not for circulation in the United States 44Excellence in CT image quality.
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SummaryCT Liver Analysis automatically identifies the liver from a portal venous phase of a tri-phase liver scan, and then semi-automatically segments the liver for a comprehensive analysis and quantification of clinical information. Semi-automatic and manual editing tools are available to fine-tune the segmentation if necessary.
Benefits• Zero-click automatic segmentation of of the liver parenchyma and vessel structures. • Quick and Easy 3D semi automatic segmentation of the liver and lesions in the liver.
Customer testimonial“The automatic segmentation of the liver and the blood vessels is very reliable. In cases of irregular liver cases the software offers very efficient tools for editing purposes. The software has a direct benefit in clinical routine whenever volumetry is required. e.g. pre-surgical or interventional planning, tumor staging.”
CT Liver AnalysisQuick and easy assessment of the liver for follow up treatment plan
Dr. med C. Sommer
Dept of Radiology – University of Heidelberg, Germany
Not for circulation in the United States47 Excellence in CT image quality.
SummaryCT TAVI Planning is an application providing model-based segmentation of the aortic valve, ascending aorta and left ventricle, semi-automated detection of the coronary ostia, semi-automated planes detection and dimensions measurements of the aortic annulus, left ventricular outflow tract, sinotubular junction, sinus of valsalva, ascending aorta and distance to coronary ostia for TAVI-device sizing, and provides a reasonable starting angle for C-arm position in the catheterization laboratory to the Interventional team performing the procedure (to be used during the procedure itself).
Benefits• Automatic detection with manual correction capability of: the annulus plane, Left Ventricular Outflow Tract (LVOT) plane, sinotubular junction plane, sinus of valsalva plane, ascending aorta plane, with easy to use editing/correction tools.• Robust, customer-configurable measurements available for each plane and distance from the annulus plane to each coronary ostia for TAVI-device sizing.• Automatic generation of standard catheterization laboratory views (right coronary cusp in center) with interactive selection/display of desired angle(s) defined by the three cusp nadirs along the annulus plane.
CT TAVI PlanningBringing precision to aortic valvereplacement planning
* Not available for sale in the USA.
Not for circulation in the United States 46Excellence in CT image quality.
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SummaryLung Nodule Assessment (LNA) is an advanced imaging package for segmentation and quantification of pulmonary nodules. This application uses the volume measurements of physician-identified nodules as a reliable evaluation method for diagnosis and follow-up. Application performs automatic registration of follow-up datasets, thereby, simplifying the workflow by automatically matching nodules. A single click on the identified nodule calculates the volume and displays it entirely on a (hi-res) 3-D or maximum intensity projection (MIP) image.
Benefits• Single-click segmentation enables quick lung nodule assessment.• CAD* software has shown to be effective as a second reader by improving the sensitivity of the radiologist in detecting pulmonary nodules**• Real-time display of slab-MIP or MPR data provides for volume visualization.• Quantitative volume results provide detailed study information, including doubling days, percentage growth (volume), effective diameter, minimum, mean and maximum HU.
CT Lung Nodule Assessment (LNA)Assess lung nodules over time
**: Charles S. White, Robert Pugatch, THomas Koonce, Steven W. Rust, Ekta Dharaiya. Lung nodule CAS software as a second reader: a multicenter study. Academic
Radiology, Vol 15, No3,march2008.
* Not for sale in the United States
Not for circulation in the United States49 Excellence in CT image quality.
SummaryExclusive to Philips, CT Virtual Colonoscopy with Perspective Filet View allows clinicians to perform a “virtual dissection” of the colon by unfolding or unrolling along the centerline and displaying a portion of the colon for inspection, providing a 100% view of the surface of the colon with a single uni-directional review, reducing need to review in both antegrade and retrograde directions.
Benefits• Philips unique Perspective filet view: unfolds colon and displays it flat like a landscape over which the user can scroll. Research shows that with using 3D virtual dissection, radiologist can interpret CT colonographic data in a time-efficient manner without sacrificing diagnostic performance. Average reading times are routinely less than 10 minutes*• Residual liquids or fecal matter can lead to missed lesions. Using the Electronic Cleaning algorithm in the VC software can reduce the effect of these materials by “tagging” these materials via contrast-enhancement which then allows the user to automatically segment and subtract these residual materials.• The perspective filet view significantly improved the sensitivity for polyp detection of novice reader.**
CT virtual colonoscopyReducing reading times in virtualcolonoscopy*
* Source: Two- versus Three-dimensional Colon Evaluation
with Recently Developed Virtual Dissection Software for CT
Colonography,” Se Hyung Kim, Jeong Min Lee, Hyo Won Eun,
Min Woo Lee, Joon Koo Han, Jae Young Lee, and Byung Ihn Choi.
Radiology 2007;244 852-864
** Aslam R, Niusha R, Yee J, Polyp Detection Accuracy Using The
Dissection View Compared To Axial Images On CT Colonography,
The 8th International Boston VC Symposium, 2007
Not for circulation in the United States 48Excellence in CT image quality.
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SummaryCCA is based on a robust automatic model based whole heart segmentation and zero-click coronary artery segmentation, enabling automatic extraction and visualization of the entire coronary tree. A quick measurement of the luminal percent diameter and percent area stenosis is available using Coronary Analysis where the vessel and lumen contours are displayed. Analysis also provides ventricular functional analysis and 3D heart chamber and valve morphology, including a dynamic cine mode.
Benefits• CCA with the CT-NM MPI Fusion* allows loading the following NM datasets simultaneously with the CT data: rest, gated and un-gated as well as stress, gated and un-gated. The applications display NM images in the short axis and two long axis planes. The axes definition is derived from the CT study.• Cardiac Plaque Assessment* permits quantification and analysis of coronary plaque. It uses a combination of proprietary algorithms, sophisticated editing tools, and advanced segmentation of coronary vessels and lesions, to characterize the lesion composition.• Myocardial Defect Assessment* provides visual and quantitative assessment of segmented, low- attenuation defect areas of coronary vessels and lesions in order to characterize lesion composition.• New measurements include: Regurgitation volume and fraction index, RV/LV Early and Late (active and passive) filling volumes, Early/late LV filling ratio.
CT Comprehensive Cardiac Analysis (CCA)Zero click model-based whole heart segmentation, four chambers, coronary arteries and the great vessels for comprehensive cardiac analysis.
* OptionalNot for circulation in the United States 50Excellence in CT image quality. Not for circulation in the United States
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