Image-guided therapy
Neurovascular treatment for AVMs and AVFs
Decide confidently whether to treat or not treat complex AVMs, AVFs and other malformations
Your ability to visualize the extremely complex pathologies of arteriovenous malformations (AVMs), arteriovenous fistulas (AVFs) and other malformations is crucial in deciding whether to treat or to monitor a patient. For decades, neuro specialists have relied on Philips for sophisticated neuro imaging solutions to support confident planning and treatment decisions for interventions. Now, as the field shifts towards medical monitoring of unruptured malformations, the tools we offer - such as SmartCT for 3D imaging - continue to support you in making a difference in the lives of your patients.
Philips SmartCT Angio and Roadmap
The next leap in simplifying and advancing 3D imaging for cerebral aneurysm treatment
Improved visibility of vasculature in cerebral anatomies and real-time 3D view to aid guidewire and catheter navigation through complex vessel structures help enhance interventional confidence for complex procedures.
Demonstrated results in neurovascular treatment for AVMs and AVFs
Clinical solutions for monitoring and treating AVMs, AVFs and other malformations
During neuro interventions, the goal is to see clearly, while managing safety for all involved. The Azurion system geometry combines speed and sophistication with the introduction of Image Beam Rotation, allowing 135-degree rotations on the frontal arm, giving you the most flexible biplane system to date, providing optimal access to the patient’s head-end. Seamlessly control all compatible applications from a single touchscreen at tableside to help make fast, informed decisions in the sterile field. SmartCT simplifies advanced 3D acquisition so any clinical user3 can easily perform 3D imaging.
Workflow innovations for AVMs help staff work efficiently and easily, maintaining a patient focus
- See more during neurovascular interventions and elevate treatment confidence with excellent visibility at very low X-ray dose levels
- Integrated biplane systems put you in firm control from a single touchscreen at tableside to enhance decision-making and run an entire case without breaking sterility
- Provides simplified 3D visualization and measurements at tableside to help improve treatment outcomes
- Creates the ideal treatment environment with specific tools and workflows for multiple clinical specialties in one room
SmartCT to simplify acquisition in the neurovascular suite
- SmartCT Angio to visualize critical details in vasculature in 3D in seconds4
- SmartCT Vaso high-resolution 3D imaging - key information on cerebral vascular structures supports the highest possible spatial assessment of vessels in the soft tissue context
- SmartCT Soft Tissue Helical* improves neuro CBCT imaging to identify soft tissue changes in the Angio suite
- SmartCT Dual Viewer* to simultaneously visualize two 3D datasets of different sizes, acquired at different times during the procedure
- SmartCT Roadmap - navigate confidently through complex vessel structures
Image gallery
- Fused double 3DRA acquisition with injections from the right and left carotid arteries for identification, localization and treatment planning of a brain AVM.
- Fused double 3DRA in cross-sectional axial view, used to visualize the exact location of the AVM and relationship between vessels from the right (blue) and left (red) hemispheres.
- Create 3D visualization of heterogeneous vasculature with 3D-RA - Visualize 3D volumes with high spatial resolution and automatic patient movement compensation to enhance visibility of critical details
- Enhance visibility of perforators with SmartCT Vaso
- Navigate confidently through complex vessel structures with SmartCT Roadmap
- Differentiate between glue and subtraction error with ClarityIQ
- Identify direction and arrival of liquid embolic agent with ClarityIQ
- Clearly visualize newly injected liquid embolic agent with Roadmap
Featured solutions for neurovascular treatment for AVMs and AVFs
Azurion 7 B20/15 Image Guided Therapy System Biplane
High-quality neuro-specific lateral detector can be positioned close to the patient’s head while providing full brain coverage. Secure, fast lateral gantry parking allows seamless switch between 2D and 3D image acquisition. Frontal arc 135° position enables optimal head-end access to the patient.
SmartCT Soft Tissue Helical*
Improves neuro CT-like cone beam CT images (CBCT) to identify ischemic changes in the angio suite. An advanced protocol with dual-axis acquisition trajectory and improved reconstruction software results in improved image appearance, compared to conventional CBCT acquisition techniques.
SmartCT Dual Viewer*
Simultaneously visualize two 3D datasets of different sizes--acquired at different times during the procedure--and overlay them to create fusion images to support assessment and diagnosis without breaking sterility by using the touchscreen module or mouse and keyboard.
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Related procedures
Footnotes
- Söderman M, Holmin S, Andersson T, Palmgren C, Babic D, Hoornaert B. Image noise reduction algorithm for digital subtraction angiography: clinical results. Radiology. 2013 Nov;269(2):553-60. The results of the application of dose reduction techniques will vary depending on the clinical task, patient size, anatomical location and clinical practice. The interventional radiologist assisted by a physicist as necessary has to determine the appropriate settings for each specific clinical task.
- Market Research Group reports ‘16-’17.
- The user level of expertise required is described in the Instructions for Use as the Intended Operator Profile.
- 3D reconstructions at higher resolution settings may take longer times.
Disclaimer
*SmartCT R3.0 is subject to regulatory clearance and may not be available in all markets. Contact your sales representative for more details.