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Philips Showcases Interventional X-Ray Radiology Solutions

By MedImaging International staff writers
Posted on 28 Dec 2009
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Image: The Allura Xper FD20 X-ray system (Photo courtesy Philips Healthcare).
Image: The Allura Xper FD20 X-ray system (Photo courtesy Philips Healthcare).
Innovative image-guidance technologies in the field of interventional radiology and oncology are increasing the range and quality of minimally invasive therapies.

Among the solutions Philips Healthcare (Philips, Eindhoven, The Netherlands) are developing to integrate images from different sources into a single, combined image, are the Allura Xper FD20 biplane mixed cardiovascular X-ray system, which combines a full range of advanced interventional tools and seamless multi-modality for catheterization lab integration, offering a balance between superb image quality and low X-ray dose during lengthy procedures. Advanced optional tools support image-guided procedures, allowing clinicians to synchronize live fluoroscopy with previously acquired imaging datasets to help reduce contrast media use and X-ray dose, compared to standard two- (2D) or three-dimensional (3D) navigation.

The PercuNav image fusion and instrument navigation system functions as a global positioning system (GPS) for medical instruments, providing 3D visualization and navigation tools to guide instruments to desired targets, even when the target is hard to see or difficult to reach. The PercuNav tracks the tips of flexible and rigid instruments while inside the patient and displays the instrument position, orientation, and trajectory on preprocedure and intraprocedure images. The system can also generate and display fused multimodality images to leverage the combined advantages of resolution, contrast, and real-time feedback from different modalities.

A new suite of interventional tools enables computerized tomography (CT)-guided procedures on the Philips Brilliance iCT CT scanner platforms. Two software packages facilitate interventional procedures in the CT gantry room - Continuous CT (CCT) and CT Fluoroscopy. Continuous CT biopsy mode enables the clinician to perform gantry room scans using a foot pedal to keep their hands free to focus on the procedure, and includes a remote monitor for viewing. Each exposure is a 240° axial scan centered beneath the patient, to shield the clinician's hands from direct X-ray exposure. CT Fluoroscopy provides real-time guidance for interventional procedures, at up to eight frames per second. Exposure time and dose displays keep the interventional radiologist aware of exposure levels throughout the procedure while viewing a single-fused image.

"Across most surgical disciplines, minimally-invasive methods are becoming the standard since the procedures can help reduce overall healthcare costs and improve efficiencies,” said Bert van Meurs, senior vice president of Interventional X-ray at Philips Healthcare. "However, this growth requires a significant amount of knowledge as techniques and technologies evolve. Built upon our strengths in advanced imaging and long history in collaborative partnerships, Philips is committed to delivering image-guided interventions and therapy solutions that help ease the demands of complex procedures.”

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