Magnetic Resonance Imaging - SNUH
Transcript of Magnetic Resonance Imaging - SNUH
Magnetic Resonance Imagingfor Pre-clinical Applicationspplications
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Applications
Brain Diffusion Tensor Imaging at 9.4T
Data courtesy: Laboratory of Functional and Metabolic Imaging,
Ecole Polytechnique Fรฉdรฉrale de Lausanne, Lausanne, Switzerland.
k-t SENSE Cardiac Imaging at 9.4T
Data Courtesy: CABI, University College London,
and BIC Imperial College London, UK
Sodium MRI of Kidney at 9.4T
Data Courtesy: Indiana University School of Medicine
Agilentโs range of MRI systems are used in a variety of
applications. Each system is carefully confi gured to meet
your requirements and your demands, while offering the best
performance of that system.
Some of the pre-clinical applications include:
โข Brain and organ imaging
โข Cardiac investigation
โข Tumour assessment
โข Investigation of contrast agents
โข Magnetic resonance spectroscopy
We understand that data and image acquisition can be time
consuming and labor intensive. Therefore, our systems are
designed to improve throughput, increase effi ciency and
improve accuracy, allowing you to collect high quality data.
9.4T (above) and 14.1T (right) Brain Spectroscopy
Data courtesy: Laboratory of Functional and Metabolic
Imaging, Ecole Polytechnique Fรฉdรฉrale de Lausanne,
Lausanne, Switzerland.
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Complete, Flexible MRI Systems
Agilent offers a complete range of pre-clinical MRI systems.
Each Agilent MRI system includes the DD2 console, a
high fi eld or ultra-high fi eld magnet, gradient and RF coils,
VnmrJ 3.1 software, and a selection of sample handling
options to meet your specifi c needs.
Working together with a range of clients, Agilent is able to
produce high fi eld magnetic systems exhibiting very high
stability and consistency. The architecture of the Agilent DD2
console allows superior performance on multiple channels.
Our VnmrJ 3.1 Software supports an extensive library of 2D,
3D and advanced MRI pulse sequences.
Data courtesy: Center for Magnetic Resonance Research, University of Minnesota,
Minneapolis, MN, USA.
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High Field MRS4.7-9.4T Horizontal Bore Magnet Systems
9.4T/310mm
7T/210mm
Specifi cations for Horizontal Bore Magnet
Product
MRBR MRBR MRBR MRBR MRBR MRBR MRBR MRBR MRBR
4.7T/310 7.0T/160 7.0T/210 7.0T/310 7.0T/400 9.4T/160 9.4T/210 9.4T/310 9.4T/400
ASR ASR ASR ASR ASR ASR ASR ASR ASR
Operating fi eld (T) 4.7 7 7 7 7 9.4 9.4 9.4 9.4
Bore Size excl RT shim and Gradients (mm)
310 160 210 310 400 160 210 310 400
Homogeneity volume (mm DSV) 150 80 80 140 200 80 80 140 200
Homogeneity: fully shimmed peak to peak (ppm) / (mm) DSV
<ยฑ5ppm / 150mm
ยฑ2ppm / 80mm
ยฑ2ppm / 80mm
ยฑ2.5ppm / 150mm
ยฑ2.5ppm / 200mm
ยฑ2ppm / 80mm
ยฑ2ppm / 80mm
ยฑ2.5ppm / 140mm
ยฑ2.5ppm / 200mm
Homogeneity: superconducting only peak to peak (ppm) / mm DSV
ยฑ5ppm / 80mm
ยฑ4ppm / 80mm
ยฑ10ppm / 150mm
ยฑ10ppm / 200mm
ยฑ4ppm / 80mm
ยฑ4ppm / 80mm
ยฑ10ppm / 140mm
<10ppm / 200mm
System length (mm) 1280 1012 1280 1636 1998 1224 1420 1704 2286
Minimum ceiling height (mm) 3150 3130 2485 3030 3033 3300 3030 2990 3530
System diameter (mm) 1360 1350 1250 1655 2171 1500 1655 1740 2708
Zero boil-off Yes Yes Yes Yes Yes Yes Yes Yes Yes
Fringe fi eld (5 Gauss)(Axial x Radial) (m)
2.3 x 1.5 2.1 x 1.1 1.5 x 1.4 2.6 x 1.2 4.2 x 2.3 2.4 x 2.0 3 x 2 3.6 x 2.2 5 x 3.6
Pre-Clinical MRI at its Best
High Field MRI Systems
Available in a range of bore sizes from 160-900mm and in
fi eld strengths from 4.7-9.4T, Agilent's high fi eld magnets
are renowned for their market leading performance. Most
systems are available with active shielding technology. The
proton operating frequency of each system is dependent upon
fi eld strength.
The core products in the range comprise two MRI systems.
The Agilent MRI System is an adaptable MR imaging platform
that can be utilized in many MRI applications well as in the
development of novel research processes.
The Discovery MR901 System is a complete pre-clinical MRI
system operating on a clinical environment interface facili-
tated by GE Healthcare.
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Ultra High Field MRI11.7-18.8T Horizontal Bore Magnet Systems
11.74T/160mm
16.4T/260mm
Meeting our Customersโ Needs
Agilentโs Ultra High Field MRI magnets adopt the same high
standards and practices as the high fi eld magnets. In fi eld
strengths of 11.7T to 18.8T, and with bore sizes 160-400mm,
these cutting-edge designs take into account every aspect
of a clientโs needs, including ease of use, running cost and
space constraints.
We incorporate market-leading superconducting technology
to meet even the most demanding requirements and techno-
logical specifi cations.
And with each one being built for individual purposes and
customer requirements, you can be confi dent of superb MRI
performance every time.
Specifi cations for UHF Horizontal Bore Magnet Systems
Product
MRBR MRBR MRBR MRBR MRBR MRBR MRBR MRBR
11.7/160 11.7/210 11.7/310 11.7/400 14.1/260 16.4/260 17.6/210 18.8/210
Active Active Passive Passive Passive Passive Passive Passive
Operating fi eld (T) 11.7 11.7 11.7 11.7 14.1 16.4 17.6 18.8
Operating temperature (K) 4.2 2.3 2.3 2.3 2.3 2.3 2.3 2.3
Bore Size excl RT shim and Gradients (mm) 160 210 310 400 260 260 210 210
Homogeneity volume (mm DSV) 80 100 150 200 130 100 100 100
Homogeneity fully shimmedpeak to peak (ppm /mm DSV)
ยฑ2.5ppm / 80mm
ยฑ2.5ppm / 100mm
ยฑ2.5ppm / 150mm
ยฑ2.5ppm / 200mm
ยฑ2.5ppm / 130mm
ยฑ4ppm / 100mm
ยฑ2.5ppm /100mm
ยฑ2.5ppm /100mm
Homogeneity super conductingonly peak to peak (ppm /mm DSV)
ยฑ10ppm / 80mm
ยฑ10ppm / 100mm
ยฑ5ppm /100mm
ยฑ5ppm /100mm
ยฑ10ppm /130mm
ยฑ10ppm / 100mm
ยฑ5ppm /100mm
ยฑ5ppm /100mm
Minimum Hold Time between Helium refi lls (days) 365 365 50 50 50 50 32 32
Minimum Hold Time between Nitrogen refi lls (days) N/A N/A 8 8 14 14 14 14
System length (mm) 1400 1680 2240 2600 2132 2572 2572 2920
Minimum ceiling height (mm) 2950 3030
System diameter (mm) 1840 1690 2100 2380 1820 2100 2100 2380
In vivo brain phase imaging at 14.1T
Data courtesy: Laboratory of Functional and Metabolic Imaging,
Ecole Polytechnique Fรฉdรฉrale de Lausanne, Lausanne, Switzerland.
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Gradient CoilsHigh Duty Cycle Gradient Coils
Nested Gradients
Agilent 205/120 HD gradient,
including cutaway 3D CAD
Agilentโs latest generation of high performance gradients has
been designed and developed by MR scientists to address the
most challenging techniques and applications at the highest
magnetic fi elds.
Features include:
โข Excellent heat extraction, providing industry-leading
high duty cycle performance
โข Improved peak strength with short rise times
โข Microgroove technology for superior magnetic shielding
โข High slew-rates
โข Superior gradient linearity
โข High strength room-temperature shims
โข HD 305/210 and HD 205/210 now rated to 300A peak
current providing increased gradient strength performance
Specifi cations for Gradients
Outside diameter: 395mm 305mm 205mm 156mm 156mm 115mm
Inside diameter: 290mm 210mm 120mm 100mm 90mm 60mm
Peak Current: 300A 300A 300A 200A 200A 200A
Peak Voltage: 500V 500V 500V 300V 300V 300V
Gradient sensitivity: 0.333mT/m/A 1.0mT/m/A 2.0mT/m/A 2mT/m/A 3.75mT/m/A 5.0mT/m/A
Maximum gradient strength: 100mT/m 300mT/m 600mT/m* 400mT/m 750mT/m* 1000mT/m*
Maximum slew rate: >380T/m/s >700T/m/s >4444T/m/s >3000T/m/s >5770T/m/s >7690T/m/s
Maximum DC current in all 3 axes simultaneously, I
DC Max
100A 75A 75A 55A 45A 50A
Duty cycle @ IMax
: 11.1% 6.25% 6.25% 7.6% 5.1% 6.25%
Minimum inductive rise time: 162ฮผsec 229ฮผsec 38ฮผsec 50ฮผsec 54ฮผsec 16ฮผsec
Gradient sub-system rise time: 260ฮผsec 425ฮผsec 135ฮผsec 130ฮผsec 130ฮผsec 130ฮผsec
Linearity (% over DSV): <5 %/200mm <5 %/120mm <5 %/80mm <5 %/75mm <5 %/60mm <5 %/40mm
Number of shims: 9 (including gradient shims)
Shim strengths:
Z0 348mG/A 380mG/A 530mG/A 470mG/A 505mG/A 510mG/A
Z2 16.6mG/cm2/A 29.7mG/cm2/A 87mG/cm2/A 89.7mG/cm2/A 127mG/cm2/A 157mG/cm2/A
ZX, ZY 5.1mG/cm2/A 12.2mG/cm2/A 41mG/cm2/A 62mG/cm2/A 73.5mG/cm2/A 124mG/cm2/A
2XY, X2-Y2 2.5mG/cm2/A 5.6mG/cm2/A 12.7mG/cm2/A 16.8mG/cm2/A 23.5mG/cm2/A 40mG/cm2/A
Shim algorithm 3D Automatic
Shim algorithm Manual Interactive
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A key feature of Agilentโs complete range of RF coils is the
high level of RF homogeneity and stability, which is vital to
effective imaging, whether in the transmit or receive phase,
while maintaining excellent signal to noise ratios.
We have an extensive catalogue of RF coils, which fall into
fi ve key categories central to MRI applications. These are:
โข Millipede: Suitable for whole body scanning and micro-
imaging, these coils produce consistent imaging with
reduced potential systematic errors
RF Coils
โข Volume: suitable for all pre-clinical applications, the sample
fi ts fully inside the coil, minimizing the distance between
the coil body and the sample surface.
โข Surface: ideal for oncology, surface coils enable increased
signal-to-noise ratios.
โข Phased Array: ideal for neurological, spinal and cardiac
imaging, these coils are available in a variety of anatomical
spatial arrangements.
โข Dual-tuned: these can increase your productivity by a signif-
icant amount, because they capture data at two different
frequencies at the same time. Volume and surface coils are
available in dual-tuned format.
For Every Application
Selection of Phased Array RF Coils and support devices.
Millipede RF Coil
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Sample HandlingSample Positioning System
Cart Option
SPS 60 for use with the
60mm inner diameter
gradient coil SPS 100
LITE version of
sample handling for
small lab settings
Table Top Sample
Handling System
Detail of Table Top Option
Cradle OD
Nominal Sample weight
RF coil Positioner confi guration Magnet bore size for 4.7T โ 11.7T
mm Up to gmVolume/
phased arrayMillipede Brain Cardiac Surface LITE Table Cart
RF shielding Option
160mm 210mm 310mm 400mm
29 25 โ โ โ โ โ โ โ
33 25 โ โ โ โ โ โ โ
38/39 30 โ โ โ โ โ โ โ โ
62 30 โ โ โ โ โ โ โ โ โ โ
71 300 โ โ โ โ โ โ โ โ โ โ โ โ
138 300 โ โ โ โ โ โ โ โ โ
148 300 โ โ โ โ โ โ โ โ โ
Designed for Ease-of-use
Agilentโs sample handling products are able to meet customer
demands, whatever the specifi cations. Each is made to a very
high standard, and greatly improve ease of sample handling
and image quality.
We offer two options: the LITE system for unscreened rooms,
and either the table top or cart system for screened rooms. .
Features and Benefi ts
โข Fine adjustment from the end of the positioner ensures
repeatable placement of your sample in the iso-centre.
โข Positioners and sample cradles are available across our
entire range of gradients.
โข Easy adjustment of the table height seamlessly accomo-
dates sample preparation and insertion.
โข The large fl at surfaces of the table and cart allow conven-
ient access to additional equipment.
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SoftwarePulse Sequence Library
FSEMS protocol
GEMS protocol
Agilent Pulse Sequence Library
The Agilent MRI sequence library is constantly being revised,
updated, and enhanced. The sequences are fully parameter-
ized for maximum fl exibility.
โข VnmrJ 3.1 Software
โข Standard 2D Imaging Sequences
โข Diffusion-weighted 2D Imaging Sequences
โข Standard 3D Sequences
โข Advanced MRI Sequences
โข Magnetic Resonance Spectroscopy (MRS) Sequences
โข Shimming
Standard 2D Imaging Sequences
All standard 2D sequences described below are designed for
ease of use.
โข SEMS โ A 2D spin-echo MRI
โข MEMS โ A 2D multi-echo MRI
โข GEMS โ A 2D gradient-echo MRI
โข MGEMS โ A 2D gradient-echo MRI with multi-echo
acquisition
โข GEMSIR โ An inversion recovery MRI with 2D gradient-
echo - can be used for T1map
โข FSEMS - A 2D Fast Spin Echo MRI
โข FLAIR โ Fluid-attenuated inversion recovery MRI
โข Echo Planar 2D Imaging Sequence - Designed for use by a
non-MRI expert using a simple setup pre-scan for routine
EPI imaging
Advanced MRI Sequences
โข Cardiac MRI โ for looking at phases of the cardiac cycle
and reconstruction of the images for creating CINE views of
the beating heart
โข Arterial spin labeling MRI โ for measuring perfusion
โข EPI-FAIR โ slice-selective inversion recovery pulse on the
imaging slice. The control is a non-selective inversion
recovery pulse.
โข EPI-STAR โ slab-selective inversion recovery pulse applied
below the imaging slice. The control is above the imaging
slice.
โข EPI-PICORE โ slice-selective inversion recovery pulse
applied below the imaging slice. The control is a non-
selective inversion recovery pulse.
โข SSFP โ A steady-state free precession MRI
โข Localized Spectroscopy - LASER, SPECIAL, Short Echo
STEAM
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Site Planning
Pre-clinical 9.4T/160
imaging suite with
preparation area
Pre-clinical 7T/310
imaging suite with
separate preparation room
Your Partner in Planning
Evaluating and deciding on the right MRI system takes time,
but it is just the beginning of our relationship with you the
customer.
Here at Agilent, we know that our role doesnโt stop when
your system is ready. Site planning, and ensuring the correct
pre-requisites are in place, are just as important as helping
you select which system meets your research needs.
We will be on hand to help you plan and prepare the loca-
tion for the installation of your new imaging equipment. This
includes an additional site survey to identify and eliminate
potential issues that could impact operation of the magnet
once it is energized.
Maximum Capability, Minimum Footprint
All of our systems are designed to have the smallest
physical footprint possible, while providing you with
maximum imaging capability.
We recommend you have 3-4 rooms dedicated to your new
MRI system, but we will work with you to fi nd a solution to
whatever space constraints you may have.
Implementation Timeline
The implementation of our system is designed to be as effi -
cient as possible, allowing you to continue with your research
quickly.
The four key dates of the system implementation timeline are:
โข Start of the project
โข Build of the installation environment
โข Delivery and installation of magnet system
โข Commission and hand-over to the customer
Protecting Your Assets
RF shielding is an available option
with all of our systems, giving you
peace of mind that your installation
will provide a safe working environ-
ment for all personnel who come into
contact with the equipment.
The RF room is a custom, insulated,
turn-key magnet room, which includes
effective sound proofi ng designed to
shield the roomโs exterior, while an
oxygen monitor gives you clear indica-
tion of the working conditions inside.
1111
Agilent is a name that is synonymous with measurement.
With expertise that spans electronic measurement, chemical
analysis and the life sciences, you can be sure that our prod-
ucts will meet your toughest requirements.
We pride ourselves on providing the worldโs most complete,
most reliable laboratory productivity solutions, optimized for
your applications and workfl ows. Through a combination of
industry-leading instruments, accessible scientifi c expertise,
The Measure of Confi dence
Discovery MR901 (7T/310)
Agilent's magnet facility in Yarnton, UK.
9.4T/310mm magnet
easy-to-use software and a full range of global support
services, we are committed to delivering better results, faster
than ever.
Our MRI systems are no different. Our extensive expertise
dates back to the founding of Magnex Scientifi c in 1982. As
a result, our customers have benefi tted from the experience
and knowledge of our design teams and scientists, who bring
a wealth of information into the design of each and every
system we build.
www.agilent.com
Product specifi cations and descriptions in this document are subject to change without notice.
ยฉ Agilent Technologies, Inc., 2011Published in USA, July 01, 2011Publication Number 5990-8104EN
At a Glance
We have provided this table so that you can compare our
best selling systems at a glance. Further information can
be found inside this brochure, or by contacting us using
the information on this page.
For more information
Learn more:
www.agilent.com/chem
Find an Agilent customer center in your country:
www.agilent.com/chem/contactus
U.S. and Canada
1-800-227-9770
Europe
Asia Pacifi c
Contact the MRI team
Magnet System 7T (300MHz) 9.4T (400MHz)
Bore size 210 310 210 310
Length 1280mm 1636mm 1420mm 1719mm
Width 1200mm 1690mm 1690mm 1740mm
Min. ceiling height 3125mm 3030mm 3030mm 2990mm
Homogeneity (ppm/DSV)
Fully shimmed < ยฑ2 / 8cm
< ยฑ2.5 / 15cm
< ยฑ2 / 8cm
< ยฑ2.5 / 14cm
Superconducting only < ยฑ4 / 8cm
< ยฑ10 / 15cm
< ยฑ4 / 8cm
< ยฑ10 / 14cm
Fringe Field (5 Gauss line)
Radial 1.5m 2.1m 2m 2.2m
Axial 1.4m 2.6m 3m 3.6m
Main Gradient
Outside diameter 205mm 305mm 205mm 305mm
Inside diameter 120mm 210mm 120mm 210mm
Peak current 300A 300A 300A 300A
Max. gradient strength 600mT/m 300mT/m 600mT/m 300mT/m
Sample Positioning (optional)
Trolley
OD of optional positioners available
N/A 210mm N/A 210mm
120mm 120mm 120mm 120mm
60mm 60mm 60mm 60mm
Table
OD of optional positioners available
N/A 210mm N/A 210mm
120mm 120mm 120mm 120mm
60mm 60mm 60mm 60mm
LITE
OD of optional positioners available
N/A 210mm N/A 210mm
120mm 120mm 120mm 120mm
100mm 100mm 100mm 100mm
90mm 90mm 90mm 90mm
60mm* 60mm* 60mm* 60mm*
* No additional cradles are required for use with this positioner
Applications of RF Coils
SurfaceDual-Tuned
VolumePhased Array
Millipede
Oncology โ โ โ
Spectroscopy โ โ โ
Neurology (Brain and Spinal)
โ โ โ โ
Cardiac Scanning โ โ
Micro-Imaging โ โ
Whole Body Anatomic Scanning
โ โ
VisualSonics
Vevo2100 System& Vevo LAZR Image
System
SI healthcareJangwoo Cho
v1.0
<High frequency Preclinical Ultrasound System & Photoacoustic Image
System>
Functional/Physiological
Anatomical
Contrast
Image-Guided
Techniques
One Platform, Multiple Applications
High frequency Preclinical Ultrasound System
Superior resolution and image
uniformity throughout the Entire
field of view
30 micron resolution
Wide field of view
Medical grade monitor provides
higher resolution,
non-glare view from any angle
Photoacoustic Imaging Platform
Technical Specifications:
โข Real-time, in vivo imaging of deep tissue
(up to 1 cm)
โข Integrated, 20Hz tunable laser
(680-970 nm)
โข Resolution down to 45 ยตm
โข Imaging through endogenous
hemoglobin signal
โข High optical contrast co-registered with
high-resolution imaging
Imaging station
Mouse & Rat Table
Temperature controlled platform maintaining
optimal physiological conditions for small animals
Integrated & displayed physiological monitoring โ
ECG, heart rate, core temperature,
respiration
Transducer mounting system โ for precision,
accuracy and hands โ free scanning
3D positioning system
Accessory
Anesthesia System for Animal
Image Acquisition
Vevo MicroScan
MS700 : 70 MHz MicroScan transducer
- Broadband Frequency: 30 MHz - 70 MHz
- Applications: mouse embryology, epidermal imaging, superficial
tissue, subcutaneous tumors (< 9 mm), mouse vascular, ophthalmology
- Max Frame Rate: 476 fps
- Image Width: 9.7 mm, Image Depth: 12 mm
- Image Axial Resolution: 30 ๏ฟฝm
Vevo LAZR
LZ250 : 13-24 MHz Integrated Fiberoptic Transducer
- Integrated fiberoptics for pulsed laser light delivery
- 256 sensitive piezoelectric elements for acoustic detection
- Broadband Frequency: 13 MHz - 24 MHz
- Image Width: 23 mm, Image Depth: 30 mm
- Image Axial Resolution: 75 ๏ฟฝm
LZ550 : 32-55 MHz Integrated Fiberoptic Transducer
- Integrated fiberoptics for pulsed laser light delivery
- 256 sensitive piezoelectric elements for acoustic detection
- Broadband Frequency: 32 MHz - 55 MHz
- Image Width: 14.1 mm, Image Depth: 15 mm
- Image Axial Resolution: 40 ๏ฟฝm
โข LV Function
โข Cardiac Output
โข FractionalShortening
โข VTI Interval
โข Valvular Stenosis
โข Vital Signs/BP integration
โข RespiratoryGating/ECG
โข Embryon lethal viability
โข Great Vessels image and Dopplermeasurement
โข Monitor Surgical sutures/hypertension
โข Plaqueprogression
โข Renal insuffiency
โข Targetedcontrast to VCAM, P-Selectin
โข Tumor size volumes
โข Quantify relative vascular flow
โข Monitor tumor metastasis
โข TargetedMolecularImaging
โข VEGFR2
โข 3-D Modeling
โข Injections
โข Track Pharmaco-dynamic effects of novel compounds in real time
โข Organ System Imaging
โข Organ Blood flow at 30 microns
โข Evaluate Path physiologiceffects of novel compounds
โข Cardiac Function
โข Renal Function
โข Inflammation with molecular targets
โข Injections and biopsy
โข Tissue stiffness with DRF
โข MonitorInflammation with molecular targets
โข Injections
โข Image joints
โข QuantifyExpression with targetedcontrast from biotinilatedligand of choice
Ultrasound
Cardiovascular Oncology Metabolic Toxicology Immunology
Bridging Multiple Therapeutic Areas
Embryo through to adulthood
AdultEmbryo
Phenotypic Screening from Embryonic Stage to Adulthood
Video Loops
Overview of Research Areas
โข Cardiovascular Researchโข Cancer Researchโข Abdominal & Reproductive Imagingโข Developmental Biologyโข Photoacoustic Imaging
Cardiovascular Research
Parasternal Long Axis
Video Loop
Parasternal Short Axis
Video Loops
Carotid Artery
Video Loops
10 w ApoE/LDLr DKO mouse CCA
80 w ApoE/LDLr DKO mouse CCA
1 mm
40 w ApoE/LDLr DKO mouse CCA
Image sequence courtesy of Gan et al, University of Gothenburg, Sweden
Plaque Build-up in Carotid Arteries in Adult Mouse
Cancer Research
โข Screen for pre-palpable tumorsโข Quantification in 2D and 3Dโข Quantification in vascularity using
๏ฟฝ Color Doppler๏ฟฝ Power Doppler๏ฟฝ Contrast Agents (MicroMarker)
โข Quantification of Biomarkers (VEGFR2, Integrinsโฆ)
Cancer ImagingOrthotopic Tumor โ B-Mode Imaging
*Images and histology courtesy of Dr. Marris & Nick Rhodin, Children's Hospital of Philadelphia
Pre-PalpableTumor (60 mm3)
Earliest PalpableTumor (180 mm3)
Cancer ImagingSubcutaneous Tumor โ 2D B-Mode Imaging
Cancer ImagingSubcutaneous Tumor โ 3D B-Mode Imaging
Volume = 115.95mm2
Video Loop
Vevo MicroMarker Contrast Agents
Exclusive Partnership:Bracco Group
Joint development and manufacturing of MicroMarkerโข kits
Video Loop
Abdominal & Reproductive Imaging
โข Midline Abdominal Landmarks โข Adrenal Glandsโข Kidneyโข Pancreasโข Ovary
Midline Abdominal Landmarks
Video Loop
Adrenal Gland
Video Loops
Mouse Left Kidney
Video Loop
Developmental Biology
1 mmAmnioticCavity
CoelomicCavity
EctoplacentalCavity
Atlas of Mouse Development, MH KaufmanFoster FS et al., Ultrasound in Med and Biol, 28:1165-1172, 2002
Embryonic Mouse Development at E7.5
Sagittal Profile at E12
Video Loop
Color Doppler in Placenta at E12
Video Loop
Injection into brain at E12
Video Loop
Profile at E17
Video Loop
Color Doppler demonstrating blood flow through the umbilical cord
Video Loop
Color Doppler โ Umbilical Cord
Photoacoustic Imaging
Pulsed Laser Illumination
OpticalAbsorption
Heating of Light Absorbing Volume
ThermalExpansion
Pressure Waves
AcousticDetection
Optical Path Sound Path
Impactful images with the sensitivity of optical imaging and the resolution of
ultrasound
Novel features of Vevo LAZR system
โข Inherent co-registration of photoacoustic and anatomical images๏ฟฝ Simultaneous registration of photoacoustic image on 2D and 3D planes๏ฟฝ Real-time acquisitions for true in vivo monitoring
What is this signal?
Where is this signal?
Needle SkinTumorNeedle SkinTumor
Delivery of nanoparticlesinto tumor
Microvascular Imaging โMouse skull, superficial cortex
Inherently co-registered high-resolution anatomical image and high-sensitivity photoacoustic signal acquired transcranially in vivo from the mouse superficial cortex (skull and skin intact, hair removed)
Sensitive photoacoustic signal acquired transcranially in vivo from the mouse superficial cortex (skull and skin intact, hair removed). Projection of 3D data, C-Scan shown.
Hindlimb ischemia
3D images of mouse hindlimb during
ischemia Unilateral hindimb ischemia: model of peripheral arterial disease (PAD)-low mortality rate-ease of access to femoral artery
3080 yonge street suite 6100box 66 toronto canada M4N 3N1
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VISUAL SONICS Korea: SI Healthcare โ Mr. Jangwoo Cho
์คํ๋๋ฌผ์ฉ ๊ณ ํด์๋ ๋์งํธ ์์ค์ CT ์์ ์๋ฃจ์
NanoFocusRay Co., LTD.
June 2011
NFR Polaris-G90
์ ์์์๋๋ฌผ์ฉ in-vivo๋ง์ดํฌ๋ก CT
SPECIFICATIONS
X-ray sourceSealed type microfocus tube20 ~ 90kvP, 180uA, Max. 8Watts
X-ray detectorFlat Panel Detector 145x115 mm, 74.8 um Pixel size
Scanning time < 15sec for 360views
Magnification 1.4x ~ 10x, variable zooming mechanism
FOV Transaxial ~100mm, length ~200mm120mm large bore size
Rotation method 360ยฐContinuous rotation using by Slip-Ring
Resolution < 13um voxel size
ReconstructionVolumetric Cone-beam Reconstruction (FDK)In-line / Off line mode
Radiation safety< 1uSv/h at any point on the instrument surface
Size / Weight 1250(W)x1450(D)x1600(H) mm, 350kg
Precision Gantry Rotation SystemHigh speed cone-beam reconstruction
X-ray ํ๋ธMicro-focus X-ray tube
X-ray ๊ฒ์ถ๊ธฐFlat Panel Sensor
์ํ ์ค์บ ๋ฉ์นด๋์ฆ
Gantry rotation
๋ฐฐ์จ๊ฐ๋ณ ๋ฉ์นด๋์ฆ
Slip-ring technology
ํธํก๋ง์ทจ ์์คํ
ํธํก ๋ฐ ์ฌ์ฅ ๊ฒ์ดํ ์์คํ (Optional)
์ ์ด์์คํ
System control and image acquisition
์์์ฌ๊ตฌ์ฑ ๋ชจ๋
Reconstruction, 3-D viewer and image analysis
CabinetRadiation shield cabinet (1uSv/h)
NFR Polaris-G90 ์ฅ๋น ๊ตฌ์ฑ
์ํ ์ค์บ ๋ฉ์ปค๋์ฆ
Variable zooming mechanism ์ ์ฉ
๊ฐ๋ณ ๋ฐฐ์จ : 10x ~ 1.4x
FOV : transaxial 100mm ~ 14mm
์ง๊ฒฝ 10mm ์ด๋ด์ ์ ์ถ ์๋ฃ
~ ์ง๊ฒฝ 100mm ํฌ๊ธฐ์ ์๋๋ฌผ๊น์ง ์ดฌ์ ๊ฐ๋ฅํจ.
Field of views (FOV) : Full body scan
Up to length 200mm
๋ฐฐ์จ์ ๋ฐ๋ฅธ FOV์ Voxel size ( 1 scan ์ํ ์)
๋ฐฐ์จFOV (mm)
[transaxial x length]Voxel Size (um)
[X x Y x Z]
1.4x 100.2 x 82.1 101.4x80.1
2.0x 70.1 x 57.4 71.0x56.1
4.1x 34.2 x 28.0 34.6x27.4
10.0x 14.0 x 11.5 14.2 x 11.2
Physiological Monitoring & Gating
Small animal gas anesthesia systemQuickly anesthesia for rats and mice use with isofluraneEase of anesthetic control
Gas anesthesia Mask ; keep an inactive of sleeping stateVisual monitoring using by CCD camera with IR LEDs
Allows the operator to see a real-time image of the animal during scanningThe gating software analyzes the 30frames/sec video stream and provide a respiratory gating signal for synchronized scanning.Method of generating respiration gating signals for x-ray micro computed tomography scanner (Korean patent application 10-2010-0004635)
Carbon WireElectrode
CCD camera
Video motiondetection
Respiratory & Cardiac Gating
NFR Polaris-G90 ์ ํ ๊ตฌ์ฑ
์ ํ ๊ตฌ์ฑํ
X-ray Micro-CT
์๋๋ฌผ์ฉ ํธํก๋ง์ทจ ๋ง์คํฌ 1set
์๋๋ฌผ์ฉ ๋ฒ ๋ 1set
์๋๋ฌผ์ฉ ๋ง์ทจ ์์คํ / ์๋น๋ง์ทจ์ฑ๋ฒ 1set
ํธํก ๊ฒ์ดํ ์์คํ 1set (Optional)
์ฌ์ฉ์ ๋งค๋ด์ผ(CD ํฌํจ)
์ค์น ์ฌ์
์ ๊ฒฉ์ ์ - AC 220V/60Hz 10A, ์ ์ง, ๋ณ๋์ ๋จ์ํจ ์ค์น
์ธํ์น์ - 1300(W)x1420(D)x1700(H)mm
์ ํ๋ฌด๊ฒ - 350kg
Kwon-Ha Yoon, et al., โArticular Cartilage Imaging by the Use of Phase-contrast Tomography in a Collagen-Induced Arthritis Mouse Modelโ, Academic Radiology (2010)
Kwak Han Bok et al., โInhibition of osteoclast differentiation and bone resorption by Rotenone, through down-regulation of RANKL-induced c-Fos and NFATc1 expressionโ, Bone (2009).
Jaemin Oh et al., โRisedronate Directly Inhibits Osteoclast Differentiation and Inflammatory Bone Lossโ, Biol. Pharm. Bull. (2009).
Kang Y, Choi M, Lee J, Koh GY Kwon K, et al., โQuantitative Analysis of Peripheral Tissue Perfusion Using Spatiotemporal Molecular Dynamicsโ, PloS ONE (2009).
Hye Won Kim, Kwon-Ha Yoon, et al., โMicro-CT Imaging with a Hepatocyte-selective Contrast Agent for Detecting Liver Metastasis in Living Miceโ, Academic Radiology (2008).
Chul Ho Jang, et al., โMastoid obliteration using a hyaluronic acid gel to deliver a mesenchymal stem cells-loaded demineralized bone matrix: An experimental studyโ, International Journal of Pediatric Otorhinolaryngology (2008).
Quan-Yu Cai, Kwon-Ha Yoon, et al., โColloidal Gold Nanoparticles as a Blood-Pool Contrast Agent for X-ray Computed Tomography in Miceโ, Investigative Radiology (2007)
Lucia Martiniova, Karel Pacak, et al., โIn vivo micro-CT imaging of liver lesions in small animal modelsโ Methods (2009)
NFR micro-CT๋ฅผ ์ด์ฉํ ์ฐ๊ตฌ
์ฃผ ์ ๊ณ ๊ฐ
์ค์น์์
Image Gallery
32
Dental Application
Spine Image
Spine Bone fusion in Rat
35
Anatomical Record,2002
Mouse Inner Ear by micro CT
BA-1 A-2
3D Volume Rendering & CPR
A. Volume of left atrium (LA), B. Volume of left ventricle (LV), C. Volume of right atrium (RA), D. Volume of right ventricle (RV)
A B C D
LA LV RA RV
Vol.(cm3) 0.747 0.966 0.675 0.763
3D Volume Measurement of each cardiac chamber
BA
Plaque Analysis
Aortic Aneurysm Model of Mice
์ฃผ์ํ์ฌ๋๋ ธํฌ์ปค์ค๋ ์ด
์ ๋ถ์ ์ฃผ์๋์ง๊ตฌํ๋ณต๋ 2๊ฐ์ ๋ถํ ํฌ๋ ธํํฌํ ํฌ๋ ธ๋น B-114Tel. (063) 262-6795, Fax. (063) 262-6796
๊น๊ฒฝ์ฐ(010-7504-8811, [email protected] )www.nanofocusray.com
Thank You!
philips
BV-Pulsera
I. System overview
philips
BV-Pulsera
1. Battery management
: ๋ง์ฝ energy level ์ด ํน์ ํ %์๋๋ก ๋จ์ด์ง๋ฉด, C-arm stand ์
๊ฒฝ๊ณ ํ์๊ฐ ๋ํ๋๋ค. . C-arm stand ์ mobile view station ๋ ๋ค
์ฐ๊ฒฐ๋์ด ์์ด์ผ๋ง ํ๋ฉฐ mobile view station ์ main power outlet
socket ์ ์ฐ๊ฒฐ๋์ด ์์ด์ผ๋ง ํ๋ค.
์ด๊ฒ์ ์ฌ์ถฉ์ ์ ํ๊ธฐ ์ํด์์ด๋ฉฐ C-arm stand ์ ์ผ์ชฝ ํธ๋ค ์ชฝ์
connector panel ์์ ์ค๋ ์ง์ ๋ถ๋น์ด ๋ํ๋๋ค..
2. System ON/OFF
1) Switching the system on
C-arm stand ์ด๋ mobile view station ์์
system on key ๋ฅผ ๋๋ฅธ๋ค.
2) Switching the system off
mobile view station ์์ system off ๋ฅผ ๋๋ฅธ๋ค.
philips
BV-Pulsera
๋จ, c-arm ์์ c-arm stand off ๋ง ๋๋ฅด๋ฉด ์ค์ง c-arm
stand ๋ง ๊บผ์ง๋ค.
3) Emergency Power Off
: ์๊ธ์ํฉ์ด ๋ฐ์ํ์์ ๊ฒฝ์ฐ, ๋ชจ๋ ์๋์ ๋ฉ์ถ๊ฒ ํ๋ค.
ํ์ง๋ง, mobile view stand ์ main power plug
๋ฅผ ์ ๊ฑฐ ํด ์ฃผ์ด์ผ ํ๋ค.
3. Managing patients and examination
: ํ์์ ๊ฒ์ฌ๋ โAdministrationโ screen ์์ ์กฐ์ ํ ์ ์๋ค.
philips
BV-Pulsera
Schedule โ ๊ฒ์ฌ๋ฅผ ์ํด ์์ฝ๋ ํ์ ํ์ธ
Review โ ์์คํ ์ ์ ์ฅ๋์ด ์๋ ํ๋๋ ๊ฒ์ฌ ํ์ธ
4. Adding a new examination
1) โAdministrationโ screen ์์ โscheduleโ๋ฒํผ์ ๋๋ฅธ๋ค.
2) โAddโ ๋ฒํผ์ ๋๋ฅธ๋ค.
3) keyboard ๋ฅผ ์ฌ์ฉํ์ฌ โPatient nameโ์์ญ์์ ํ์์ ์ด๋ฆ์
๋ฃ๊ณ tab key ๋ฅผ ๋๋ฌ์ ๋ค์ ์์ญ์ผ๋ก ์ด๋ํ๋ค.
4) โPatient IDโ์ ํ์ ID ๋ฅผ ๋ฃ๊ณ tab ์ ๋๋ฌ์ ๋ค์์ผ๋ก ์ด๋ํ๋ค.
5) โDate of Birthโ์ ํ์์ ์๋ ์์ผ์ ๋ฃ๋๋ค.
6) โSexโ์ ์ฑ๋ณ์ ์ ๋ ฅํ๋ค.
7) โTypeโ์์ ๋ฉ๋ด๋ฅผ ๋ด๋ ค์ ๊ฒ์ฌ type ์ ์ ํํ๋ค.
8) โPhysicianโ์์ ๋ฉ๋ด๋ฅผ ๋ด๋ ค์ ์์ฌ ์ด๋ฆ์ ์ ํํ๋ค.
9) ์๋ก์ด ๊ฒ์ฌ๋ฅผ ํ์ธํ๊ธฐ ์ํด OK ๋ฒํผ์ ๋๋ฅธ๋ค.
5. modifying and Deleting an examination
: schedule list ์ review list ์์ ๊ฒ์ฌ๋ ์์ ํ ์ ์๋ค.
list ์์ ํ๋ํ ๊ฒ์ฌํญ๋ชฉ์ ์ ํํ ํ administration
screen ์์ modify ๋๋ delete ํ ์ ์๋ค.
6. Selecting a patient for acquisition
philips
BV-Pulsera
1) schedule list ๋ก๋ถํฐ ํ์๋ฅผ ์ ํํ๋ค.
2)start examination ๋ฒํผ์ ๋๋ฅธ๋ค.
3)์ ํ๋ ๊ฒ์ฌ๋ acquisition ๊ฒ์ฌ๊ฐ ๋๋ค.
4) Administration screen ๋ ๊ฒ์ฌ ๋ชจ๋ํฐ ์์ black screen ์ ์ํด
์ฌ๋ฐฐ์น ๋๋ค. ํ์์ ์ด๋ฆ์ ์คํฌ๋ฆฐ์ ๊ฐ์ด๋ฐ์ ๋ํ๋๊ณ
acquisition ์ด ์ค๋น๋๋ค.
7. Standard DICOM export tasks
1) โAdministrationโ์คํฌ๋ฆฐ์์ โExportโ๋ฅผ ํด๋ฆญํ๋ค.
2) ์ํ๋ค๋ฉด โAccession Numberโ Field ์์ ํ์๋ฅผ ์ ํํ๊ธฐ ์ํด
Accession number ๋ฅผ ๋ฃ์ ์ ์๋ค.
3) โTargetโ list ๋ก๋ถํฐ ํ์ํ network ์ฅ์น๋ฅผ ์ ํํ๋ค.
4) โImage Selectionโ option ์์ Image ๋ฅผ ์ ํํ๋ค.
5) โImage formatโ option ์์ ํ์ํ format ์ ์ ํํ๋ค.
6) ๋ชจ๋ setting ์ด ์ฌ๋ฐ๋ฅผ ๋ โokโ๋ฒํผ์ ํด๋ฆญํ๋ค.
II. Image Essentials
philips
BV-Pulsera
1) Image Intensifier size ๋ณ๊ฒฝ
๋๋ remote control ์์ ๋ณ๊ฒฝํ๋ค.
2) Contrast and Brightness ์กฐ์
๊ฐ์ ์ฆ๊ฐ
๋๋๋ฆฌ๊ธฐ
philips
BV-Pulsera
- contrast ์ brightness ๊ธฐ๋ฅ์ ์๋์ผ๋ก ์กฐ์ ํ๊ธฐ ์ํด
โAutoโ ํค๋ฅผ ๋๋ฅธ๋ค.
3) Rotate Image
์ป๊ณ ์ ํ๋ ๊ณณ๊น์ง ์ด๋ฏธ์ง๋ฅผ ํ์ ํ๊ธฐ ์ํด์ key ๋ฅผ ๊ณ์ ๋๋ฅด๊ณ ,
์๋์ ์์น๋ก ์ด๋ฏธ์ง๋ฅผ ๋ณต๊ตฌ ์ํค๊ธฐ ์ํด์ โ0โ์ ์ ๋๋ฅธ๋ค.
4) Mirror Image
Image ๋ฅผ ์ข์ฐ ๋๋ ์ ์๋๋ก ๋๋ฆฐ๋ค.
5) Iris and Shutter Adjustments
์ํ๋ shutter ๋ฅผ ์ ํํ์ฌ ๋๋ฅธ๋ค.
๋ ๊ฐ์ง shutter ๋ชจ๋๋ฅผ ์กฐ์ ํ๋ ค๋ฉด ๋
๊ฐ์ key ๋ฅผ ๋์์ ๋๋ฅธ๋ค.
philips
BV-Pulsera
์ ํ๋ shutter ํ์ , reset ์ โ0โ์ ์
๋๋ฅธ๋ค.
iris ๋ฅผ ์์ชฝ ํน์ ๋ฐ๊นฅ์ชฝ์ผ๋ก ์ด๋,
reset ์ โ0โ์ ์ ๋๋ฅธ๋ค.
III. X-ray control
philips
BV-Pulsera
1) Automatic kV/mA control
: ์ด๊ธฐ์ํ์ ์ํด ์ด๋ฏธ์ง ๋ฐ๊ธฐ๋ kV ์ mA ๊ฐ์ ๋ฐ๊ฟ์ผ๋ก์จ
์๋์ผ๋ก ์กฐ์ ํ ์ ์๋ค.
2) Manual kV/mA control
: ์๋์ ์ด๋ฅผ ์๋์ผ๋ก ๋ฐ๊ฟ ์ ์๋ค.
(kV ๋ฒํผ์ ๋๋ฅธ๋ค.)
3) Automatic mA increase in LDF mode
: ์ด๊ฒ ๋ํ High penetration mode (HIP)๋ผ ๋ถ๋ฅธ๋ค.
์์คํ ์ด ๊ฐ์ฅ ๋์ kV ๊ฐ์์ ์ข์ ์ด๋ฏธ์ง๋ฅผ ๋ง๋ค์ด ๋ผ ์ ์์
๋, ๋ ๋์ mA ๊ฐ์ ์ํด ์๋ ์กฐ์ ๋ ๊ฒ์ด๋ค..
(ํ๊ณ ์๊ฐ์ 30 ์ด์ด๋ค. ์ด ์๊ฐ ํ์ ์์คํ ์ normal mA ๋ก
์ค์์น๊ฐ ๋๋ก ๋๋ ค์ง๋ค.)
IV. Making Image
philips
BV-Pulsera
1. Making a Low Dose Fluoroscopy (LDF) image
: LDF imaging ์ ์ธ๊ณผ ์์ ์งํ ๋์ ์๋ดํ๊ณ C-arm ์ ์์น๋ฅผ
์กฐ์ ํ๋ ๋ชฉ์ ์ ์ํด์ ์ถ์ฒํ๋ค.
1/4dose ์ 1/2 dose LDF
1/4dose ๋๋ 1/2 dose LDF ๋ C-arm stand console ์ 'X mode'์
soft key ๋ฅผ ์ฌ์ฉํด์ ์ ํ๋ ์ ์๋ค. ์ด๋ฌํ ๊ธฐ์ ์ ๋ ์ ์ ์ด๋ฏธ์ง๋ฅผ
ํ๋ํจ์ผ๋ก์จ dose ๋ฅผ saving ํ๋ ๊ธฐ์ ์ด๋ค.
โข 1/2 dose - 12.5 fr/s
โข 1/4 dose - 6 fr/s
: LDF ์ด๋ฏธ์ง๋ฅผ ๋ง๋ค๊ธฐ ์ํด์, ์ผ์ชฝ hand switch key
๋๋ foot switch ์ ์ผ์ชฝ pedal ์ ๋๋ฌ๋ผ.
(Storage speed ๊ฐ 0 ์ผ ๋, LIH ๋ ๋ค์ LIH ์ ์ํด ๊ฒน์ณ์ง ๊ฒ์ด๊ณ
disk ์ ์ ์ฅ๋์ง ์๋๋ค.)
image ๋ Live monitor ์ ๋ํ๋๋ค. ๋ค์ run ์ ์์ํ๋ฉด
image ๋ ๋ค์ LIH ๋ ๊ฒ ์ด๋ค.
LDF ๋์ ๋ค์ ์ด๋ฏธ์ง๊ฐ ๋ณด์ฌ์ง๊ณ ์ ์ฅํ๊ธฐ ์ํด์
remote control ๋๋ mobile view station ์์ Grab key ๋ฅผ ๋๋ฌ๋ผ.
๊ทธ๋ผ ์๋ก์ด run ์ด ๋ฐ์ํ์ฌ๋ ์ ์ฅ ๋์ด ์ง๋ค.
2. Making high quality images
philips
BV-Pulsera
: Hand ์ค์์น์ ์ค๋ฅธ์ชฝ key ๋๋ foot ์ค์์น์ ๊ธฐ๋ฅ์ ์ ํ๋
examination type ๊ณผ technique ์ ์ํด ์๋์ผ๋ก ๊ฒฐ์ ๋๋ค.
*exposure technique
- digital exposure
- pulsed exposure
- radiography
*fluoroscopy technique
- high definition fluoroscopy
: Switching X-ray mode - X-ray mode ๋ ํญ์ ๋ฐ๊พธ๋ ๊ฒ์ด ๊ฐ๋ฅํ๋ค.
'X-mode' soft key ๋ฅผ ๋๋ฌ์ ์ํ๋ mode ๋ฅผ ์ ํํด๋ผ.
: Switching techniques - Fluoroscopy ์ Exposure technique ์ ํญ์
๋ฐ๊พธ๋ ๊ฒ์ด ๊ฐ๋ฅํ๋ค. 'Technique' soft-key ๋ฅผ ๋๋ฌ์ ๋ฐ๊พธ์ด๋ผ.
: Storage - LIH ์ storage speed setting ์ ๊ด๊ณ์์ด ํญ์ disk ์
์ ์ฅํ ์ ์๋ค.
(1) Digital Exposure (SharpShot)
: Digital exposure (๋ํ SharpShot ์ด๋ผ๊ณ ๋ ํ๋ค) ๋
๊ณ ํ์ง๋ก ์ ์ฅํ๋๋ฐ ์ฌ์ฉ๋๋ค.
1) 'X mode' key ๋ฅผ ๋๋ฌ์ Digital exposure ๋ฅผ ์ ํํด๋ผ.
2) single exposure ๊ฐ ๋์ค๊ธฐ ์ํด์ hand ์ค์์น์ ์ค๋ฅธ์ชฝ key
๋๋ foot ์ค์์น์ ์ค๋ฅธ์ชฝ pedal ์ ๋๋ฌ๋ผ.
philips
BV-Pulsera
kV control: digital exposure ๋์ kV ์ mA ๊ฐ์ ๊ณ ์ ๋์ด ์๋ค.
์ต์ ์ ์ด๋ฏธ์ง quality ๋ฅผ ํ์ธํ๊ธฐ ์ํด์ LDF ๋ฅผ ์ฌ์ฉํ์ฌ scout
์ด๋ฏธ์ง๋ฅผ ๋ง๋ค๊ณ ์ ๋นํ kV ๊ฐ์ ์ ํด๋ผ.
(2) Pulsed exposure
: Pulsed exposure ๋ dynamic ์ด๋ฏธ์ง์ ์ฌ์ฉ๋๋ค.
1) 'X-mode' soft key ๋ฅผ ๋๋ฅด๊ณ 'pulsed'๋ฅผ ์ ํํด๋ผ.
2) ๋ฏธ๋ฆฌ ์กฐ์ ๋ pulse frequency ์ ํจ๊ป pulsed exposure
sequence ๋ฅผ ์์ํ๊ธฐ ์ํด์ ํธ๋์ค์์น์ ์ค๋ฅธ์ชฝ key ๋ฅผ
๋๋ฅด๊ฑฐ๋ foot ์ค์์น์ ์ค๋ฅธ์ชฝ pedal ์ ๋๋ฌ๋ผ.
pulse frequency : pulse frequency ๋ฅผ ๋ฐ๊พธ๊ธฐ ์ํด์, 'Speed' key ๋ฅผ
๋๋ฌ์ ์ํ๋ frequency ๋ฅผ ์ ํํด๋ผ.
fr/s Max run time Max images in one
run
30 15s 450
15 30s 450
philips
BV-Pulsera
8 30s 240
5 30s 150
3 30s 90
(3) Pulsed fluoroscopy
: Pulsed fluoroscopy ๋ dose saving mode ์ด๊ฑฐ๋ positioning
catheters ๊ทธ๋ฆฌ๊ณ ํด๋ถํ์์ ์ง์ญ์์ ๋น ๋ฅด๊ฒ ์์ง์ด๋ ์ฅ์น๋ฅผ ์ํด์
์์ง์์ ๋ฉ์ถฐ์ฃผ๋ mode ์ด๋ค.
hand ์ค์์น์ ์ผ์ชฝ key ์ด๋ foot ์ค์์น์ ์ผ์ชฝ pedal ์ ๋๋ฌ์
์๋ ๋์ด์ง๋ค.
(4) High Definition Fluoroscopy (X-ray mode continuous)
: Definition Fluoroscopy (HDF) ์ด๋ฏธ์ง๋ ์ ์ฅํ๊ฑฐ๋ ๊ณ ํ์ง์ ์ด๋ฏธ์ง๋ฅผ
๋ง๋ค ์ ์๋ค.
1/4dose and 1/2 dose HDF
1/4 dose ๋๋ 1/2 dose HDF ๋ C-arm stand console ์ 'X mode'
soft key ๋ฅผ ์ฌ์ฉํ์ฌ ์ ํํ ์ ์๋ค. ์ด ๊ธฐ์ ์ ๋ ์ ์ ์ด๋ฏธ์ง๋ฅผ
์ป์์ผ๋ก์จ dose ๋ฅผ saving ํ๋ ๊ธฐ์ ์ด๋ค.
โข 1/2 dose - 12.5 fr/s
โข 1/4 dose - 6 fr/s
HDF ์ด๋ฏธ์ง๋ฅผ ๋ง๋ค๊ธฐ ์ํด์, ํธ๋์ค์์น์ ์ค๋ฅธ์ชฝ ํค ๋๋
foot switch ์ ์ค๋ฅธ์ชฝ pedal ์ ๋๋ฌ๋ผ.
philips
BV-Pulsera
note: HDF acquisition run ์ 30 ์ด ํ์ ์๋์ผ๋ก ๋๋๋ค.
3. Making vascular images
: Vascular image ๋ฅผ ์ป๊ธฐ ์ํ Examination type ์ ์ ํํ๋ค.
๊ทธ๋ฌ๋ฉด 'Mode' soft-key ๋ ์ฌ์ฉ ๊ฐ๋ฅํด์ง๊ณ subtraction, trace,
roadmap, normal fluoroscopy ์ฌ์ด์์ ์ ํ์ด ๊ฐ๋ฅํด์ง๋ค.
note
: vascular ์ด๋ฏธ์ง๋ ์ผ๋ฐ์ ์ธ fluoroscopy ๊ฐ ์ ํ๋ ์ด์ธ์ mode ์
vascular ๊ฒ์ฌ type ์ผ ๋๋ง ์ค์ง ๊ฐ๋ฅํ๋ค.
(1) Performing subtraction
โ 'Mode' soft key ๋ฅผ ๋๋ฅด๊ณ ๋์ 'Subtr'์ ์ ํํด๋ผ.
or 'Subtr' mode ๋ฅผ ๊ณ ์ ์ํค๊ธฐ ์ํด์ foot ์ค์์น์ ์ค๊ฐ pedal
์ ๋๋ฌ๋ผ.
or 'Subtr' mode ๋ฅผ ๊ณ ์ ์ํค๊ธฐ ์ํด์ remote control ์ |Mode|
key ์ ๋๋ฌ๋ผ.
mode ๋ ๋ชจ๋ํฐ์ ์ค๋ฅธ์ชฝ ์๋ ์ฝ๋์ ๋ํ๋๋ค.
ยท storage frequency ๋ฅผ ๋ฐ๊พธ๊ธฐ ์ํด์ 'Speed'์ soft key ๋ฅผ ๋๋ฅด๊ณ
์ํ๋ frame ์๋ฅผ ์ ํํด๋ผ.
philips
BV-Pulsera
ยท HDF ๋ subtraction ์ ์ํด ๋ ์ข์ ์ด๋ฏธ์ง quality ๋ฅผ ๊ณต๊ธํ๊ธฐ
๋๋ฌธ์ LDF ๋ณด๋ค ๋ ์ ํธ๋๋ค.
ยทsubtraction ๊ณผ์ ๋์ ํ์๋ ์์คํ ์ ์์ง์ด์ง ๋ง๋ผ.
blurred ์ด๋ฏธ์ง๊ฐ ๋ฐ์ํ ์ ์๋ค.
โก hand switch ์ค๋ฅธ์ชฝ์ด๋ foot switch ์ ์ค๋ฅธ์ชฝ pedal ์
๋๋ฅธ๋ค.
โข mask ์ ์๋ฃ ํ์ ์ด๋ฏธ์ง๋ ํ์์ผ๋ก ๋ฐ๋๊ณ ๋ชจ๋ํฐ์ 'Inject'
๋ฉ์์ง๊ฐ ๋ํ๋๋ค.
note
: subtraction ์ด ์์ ํ ๋๋๊ธฐ ์ ๊น์ง hand/foot ์ค์์น๋ฅผ ๋ผ์ง ๋ง๋ผ.
hand/foot ์ค์์น๊ฐ ํด์ ๋ ๋, ์๋ก์ด mask ๊ฐ fluoroscopy ๊ฐ ๋ค์
์คํ๋ ํ์ ์ฆ์ ๋ง๋ค์ด์ง๋ค.
โฃ ์กฐ์์ ๋ฅผ ์จ์ injecting ์ ์์ํด๋ผ. contrast bolus ์ ์ด๋ฏธ์ง๊ฐ
๋ชจ๋ํฐ์ ๋ํ๋ ๊ฒ์ด๋ค.
โค contrast bolus ๊ฐ ์ฌ๋ผ์ง์ ๋ง์ Hand ๋๋ Foot ์ค์์น๋ฅผ
ํด์ ํด๋ผ
note
: ์คํ๋๋ ๊ฐ๊ฐ์ ์ด๋ฏธ์ง๋ฅผ ๋ณด๊ธฐ ์ํด์ mobile view station ์์
|Previous| ๊ทธ๋ฆฌ๊ณ |Next| key ๋ฅผ ์ฌ์ฉํ๊ฑฐ๋ remote control ์์
์๋์ ๋ฒํผ์ ์ฌ์ฉํด๋ผ.
์ป์ด์ง ์ด๋ฏธ์ง๋ค์ ํ์ธํ๊ธฐ ์ํด์ mobile view station ์์
|Run cycle| key ๋๋ remote control ์์ ์๋ ๋ฒํผ์ ๋๋ฌ๋ผ.
philips
BV-Pulsera
(2) Performing roadmap after subtraction
โ ์ด์ ์ ์ป์ subtraction run ์ผ๋ก๋ถํฐ roadmap ์ผ๋ก ์ฌ์ฉํ๊ธฐ ์ํ
์ด๋ฏธ์ง๋ฅผ ์ ํํด๋ผ.
Or 'Mode' key ๋ฅผ ๋๋ฅด๊ณ 'Roadmap'์ ์ ํํด๋ผ.
Or 'Roadmap' mode ๋ฅผ ๊ณ ์ ํ๊ธฐ ์ํด์ foot ์ค์์น์ ์ค๊ฐ pedal ๋ฅผ
๋๋ฌ๋ผ.
โก 'Roadmap' mode ๋ฅผ ๊ณ ์ ํ๊ธฐ ์ํด์ remote control ์ |Mode| key
๋ฅผ ๋๋ฌ๋ผ.
mode ๋ ๋ชจ๋ํฐ์ ์ค๋ฅธ์ชฝ ์๋ ์ฝ๋ ์ชฝ์ ๋ํ๋๋ค.
โข ํธ๋์ค์์น์ ์ผ์ชฝ key ๋ foot ์ค์์น์ ์ผ์ชฝ pedal ์ ๋๋ฌ๋ผ.
: ์์คํ ์ roadmap ์ผ๋ก ์ค์์น๊ฐ ๋๋ ค์ง๋ค. mask ์ด๋ฏธ์ง๋ ๋ค์งํ
๊ฒ์ด๊ณ ํ๊ด์ ํฐ์์ผ๋ก ๋ณด์ฌ์ง๋ค. 'Catheter' ๋ฉ์์ง๊ฐ ๋ชจ๋ํฐ์
๋ํ๋๋ค. ์ด๋ฏธ์ง๋ catheter ์ ๋์ฉ์ผ๋ก ์ฌ์ฉ๋ ์ ์๋ค.
note
: ์ด์ ์ ์คํํ ์ด๋ฏธ์ง๋ฅผ ์ฌ์ฉํ ๋ BV Pulsera/patient ๋
๊ทธ์ฌ์ด์ ์์ง์ฌ์๋ ์ ๋๋ค.
'Roadmap' mode ์์ radiation ์ ๋ฉ์ถ ์ ์๊ณ mode ์์
๋๊ฐ์ง ์๊ณ ์์ํ ์ ์๋ค.
philips
BV-Pulsera
(3) Remasking
: ์ด๊ธฐ๊ฐ์ ์ํด ์ฒซ ๋ฒ์งธ ์ด๋ฏธ์ง ์คํ์ mask ๋ก ์ฌ์ฉ๋๋ค. ๊ทธ๋ฌ๋
mask ๋ก์จ ๊ฐ์ ์คํ์ผ๋ก๋ถํฐ ๋ค๋ฅธ ์ด๋ฏธ์ง๋ฅผ ์ฌ์ฉํ๋ ๊ฒ์ด ๊ฐ๋ฅํ๋ค.
โ mobile view station ์์ |remask| key ๋ฅผ ๋๋ฌ์
subtraction ์ ๊บผ๋ผ.
โก ์๋ก์ด mask ๋ฅผ ํ๊ธฐ ์ํด ์ด๋ฏธ์ง๋ฅผ ์ ํํด๋ผ.
โข subtraction ์ ์ผ๋ผ.
: remote control ์ ์ฌ์ฉํด์ remask ์์ด subtraction ์ ๋๊ณ ์ผค ์
์๋ค. (์๋ก์ด mask ๊ฐ ์ ํ๋์ด์ง์ง ์์ ๊ฒ์ด๋ค.)
* SmartMask
: reference ๋ชจ๋ํฐ์์ ์ด๋ฏธ์ง๋ remote control ์ |SmartMask| key ๋ฅผ
๋๋ฌ์ roadmap ์ผ๋ก์ ์ฌ์ฉ๋ ์ ์๋ค.
Fluoro image ๊ฐ ์๋ exposure image ๋ฅผ roadmap image ๋ก ์ฌ์ฉํ
์ ์๋ค.
(4) Bolus chase
โ 'Technique' soft-key ๋ฅผ ๋๋ฌ์ 'Exposure'๋ฅผ ์ ํํด๋ผ.
โก 'X-mode' soft-key ๋ฅผ ๋๋ฌ์ 'Pulsed'๋ฅผ ์ ํํด๋ผ.
โข bolus chase ๋ฅผ ์ํด์ ์ด๊ธฐ setting ๊ฐ์ ํ์์กฐ๊ฑด์ ๋ฐ๋ผ์ผ ํ๋ค.
๋ง์ฝ ์๋๋ผ๋ฉด, 'Speed' soft-key ๋ฅผ ๋๋ฅด๊ณ ์ฌ๋ฐ๋ฅธ pulse
frequency ๋ฅผ ์ ํํด๋ผ.
philips
BV-Pulsera
โฃ ํธ๋์ค์์น์ ์ผ์ชฝ key ๋๋ foot ์ค์์น์ ์ผ์ชฝ pedal ์ ๋๋ฅด๊ณ
bolus chase route ์ covering ์ ํ์ธํ๊ธฐ ์ํด์ fluoroscopy ๋์
์ง์์ ์ผ๋ก C-arm ์ด๋ tabletop ์ ์์ง์ฌ๋ผ.
โค Hand or Foot ์ค์์น๋ฅผ ๋ผ๊ณ bolus chase ์ ์์์์น๋ก C-arm ๋๋
tabletop ์์น๋ฅผ ๋๋๋ค.
โฅ ํธ๋์ค์์น ์ค๋ฅธ์ชฝ key ๋๋ foot ์ค์์น ์ค๋ฅธ์ชฝ pedal ์ ๋๋ฅด๊ณ C-
arm ๊ณผ tabletop ์ ์ง์์ ์ผ๋ก ์์ง์ด๋ฉด์ inject ๋ ์กฐ์์ ๋ฅผ
๋ฐ๋ผ๊ฐ๋ค.
โฆ bolus chase route ์ ๋์์ exposure run ์ ๋ฉ์ถ๊ธฐ ์ํด Hand or
Foot ์ค์์น๋ฅผ ํด์ ํ๋ค.
Tip
- Leg coverage
: 12" II ๋ ๊ฐ์ ์๊ฐ์ 2 ๊ฐ์ leg ์ cover ํ๋ ๊ฒ์ด ๊ฐ๋ฅํ๋ค. 9" II ๋
์ค์ง ํ๋์ leg ๋ง cover ํ๋ ๊ฒ์ด ๊ฐ๋ฅํ๋ค.
philips
BV-Pulsera
4. Standard DIOCM package
:examination image ๋ฅผ ์ ์ฅํ๊ธฐ ์ํด์ ๋ณ์์ด๋ ๋ถ์์ network ์ ๋ณด๋ด๊ฒ
ํด์ค๋๋ค. ์ด option ์ ์ฌ์ฉํ๊ธฐ ์ํด์๋ ๊ธฐ๋ณธ์ ์ผ๋ก ๋ณ์์ด๋ ๋ถ์์
network ์ ๋ฐ๋์ ์ฐ๊ฒฐ๋์ด ์์ด์ผ๋ง ํฉ๋๋ค.
1. โAdministraionโ ์คํฌ๋ฆฐ์์ โExportโ๋ฅผ ํด๋ฆญํฉ๋๋ค.
2. โExportโ panel ์ด ๋ํ๋ฉ๋๋ค.
๋ง์ฝ, ํ์ํ๋ค๋ฉด Auto matching ์ ์ํด โAccession Numberโ field ์
Accession number ๋ฅผ ๋ฃ์ ์ ์์ต๋๋ค. ๋จ, Name ๊ณผ Patient ID ๋
์กฐ์ ํ ์ ์์ต๋๋ค.
3. โTargetโ list ๋ก๋ถํฐ ํ์ํ network ์ฅ์น๋ฅผ ์ ํํฉ๋๋ค.
4. โImage Selectionโ ์์ ์ํ๋ Image ๋ฅผ ์ ํํฉ๋๋ค.
(๊ฐ๊ฐ์์ image ์๊ฐ ์ฐ์ฌ์ ธ ์์ต๋๋ค.)
5. โImage formatโ ์์ ํ์ํ format ์ ์ ํํฉ๋๋ค.
(๊ธฐ๋ณธ์ ์ผ๋ก XA ๋ก ๋๊ธฐ์๋ฉด ๋ฉ๋๋ค.)
6. ๋ชจ๋ ์ ํ ์ด ์ฌ๋ฐ๋ฅด๋ฉด โOKโ๋ฒํผ์ ๋๋ฅด์๋ฉด ๋ฉ๋๋ค.