Tumor embolization

Highlighted products for this procedure

Azurion 7 M20 with FlexArm

Azurion 7 M20 with FlexArm image-guided therapy system

Unlimited flexibility and high-resolution imaging over a large field of view with full projection flexibility with the 20” detector.

Excellent visibility at ultra-low X-ray dose with ClarityIQ.

Ultra large screen display with FlexVision for all necessary and available information

The touch screen module allows full table side control of images and applications with tablet ease of use.

Easy 3D image acquisition with SmartCT

Automatic Feeder Detection with EmboGuide.

This ceiling-mounted system provides unlimited imaging flexibility and exceptional positioning freedom. Seamlessly control all relevant applications from a single touch screen at table side, to help make fast, informed decisions while remaining in the sterile field. Philips Azurion with FlexArm works around you so you can advance your suite performance and deliver superior care.

    SmartCT at tableside

    Total table side control and acquisition guidance with SmartCT

    Easily control advanced 3D acquisition, visualization and measurements at table side to improve lab flexibility and efficiency. Segmentation tasks are semi-automated and made available on the touch screen to speed up your 3D image analysis. SmartCT is designed to make 3D imaging accessible to clinical users. SmartCT offers step by step guidance throughout the whole 3D image acquisition leaving you no room for guess work and empowering you to deliver superior care to your patients.

    Automatic Feeder Detection with EmboGuide

    Automatic Feeder Detection with EmboGuide

    Automatic Feeder Detection solution can significantly improve feeding artery detection. EmboGuide supports you in maximizing the efficacy of your TACE procedures as it potentially enhances your sensitivity, reduces false positives and maximizes inter-reader agreement1. EmboGuide also provides efficient, workflow-based live 3D guidance with automatic feeder detection1.

    Automatic Feeder Detection with EmboGuide

    Emboguide image navigation

    Adoption of chemo/radioembolization techniques such as TACE and SIRT drives the need for standardization and efficiency. Case after case, you must reliably and consistently locate the tumor(s), identify all feeder vessels, and plan/execute the appropriate interventional approach.

     

    Our Automatic Feeder Detection solution can significantly improve feeding artery detection compared to using Cone Beam CT alone. EmboGuide supports you in maximizing the efficacy of your TACE procedures as it potentially enhances your sensitivity, reduces false positives and maximizes inter-reader agreement.1

    86%

    Sensitivity2

    57%

    Less false

    Positive2

    99.7%

    Reader

    Agreement2

    Tumor embolization

    Infographic image
    Emboguide detects hepatic nodules and identifies feeder vessel

    Effective guidance in treatment and decision making

     

    The ability to detect and differentiate hepatic nodules and identify tiny feeder vessels is critical to determining proper therapy. Navigating to the region of interest by reaching all feeders, while remaining selective to the lesion, increases the opportunity for success. Confirmation of treatment endpoint and treatment success while the patient is still on the table boosts clinical outcome confidence.

    SmartCT Soft Tissue

    SmartCT Soft Tissue

    SmartCT Soft Tissue offers a Cone Beam CT (CBCT) acquisition technique augmented with step-by-step guidance, advanced 3D visualization and measurement tools; all accessible on the touch screen module at table side.

    Whole liver coverage with CBCT Open

    Whole liver coverage with CBCT Open

    By opening the arc to the left of the patient, CBCT Open allows off center positioning of the patient table and therefore better centering of the FOV3-4. It significantly increases image coverage to help visualize tumors on the periphery of the liver.4

    Optimizing artery and tumor visualization with CBCT Dual

    Optimal artery and tumor visualization with CBCT Dual

    CBCT Dual enables 3D acquisition of an arterial phase to visualize vascular structures and a post-arterial (delayed phase) to visualize accumulation of contrast medium, in a single automatic step.5

    Image fusion with Dual View

    Image fusion with Dual View

    Dual View allows simultaneous visualization of two CBCT datasets. Both arterial and delayed phase can be displayed next to each other or in a single fused overlay view.

    Post embolization 3D imaging with CBCT

    Post embolization 3D imaging with CBCT

    A post embolization 3D acquisition allows you to visualize the targeted deposition of embolic material, such as Liopidol or radiopaque beads, in the tumor.5

    Pre-and Post-embolization 3D image fusion with Dual View

    Pre-and Post-embolization 3D image fusion with Dual View

    Dual View allows simultaneous visualization of pre-embolization arterial phase 3D image and the post embolization image to assess treatment endpoint.

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      Tumor biopsy and ablation

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      Prostate Artery Embolization (PAE)

      Effective guidance in treatment and decision making for prostate artery embolization.

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    Disclaimer

    Product availability is subject to country regulatory clearance. Please contact your local sales representative to check the availability in your country.

     

    References

    1 Miyayama S, et al.  Identification of small hepatocellular carcinoma and tumor-feeding branches with cone-beam CT guidance technology during transcatheter arterial chemoembolization. J Vasc Interv Radiol. 2013; 24(4):501-8.

    2 Chiaradia et al, J J,Sensitivity and Reproducibility of AFD Software for HCC, Vasc Interv Radiol 2018;29:425-431.

    3 Schernthaner RE et al, Feasibility of a Modified Cone-Beam CT Rotation Trajectory to Improve Liver Periphery Visualization during Transarterial Chemoembolization, Radiology. 2015; 277(3):833–4.

    4 Loffroy R, et al.  Comparing the detectability of hepatocellular carcinoma by C-arm dual-phase cone-beam computed tomography during hepatic arteriography with conventional contrast-enhanced magnetic resonance imaging. Cardiovasc Intervent Radiol. 2012;35(1):97-104.

    5 Levi  E.B. et al, First Human Experience with Directly Image-able Iodinated Embolization Microbeads, Cardiovascular and interventional radiology, vol 39, issue 8, 1177-1186, 2016

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