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


Innovations in CT technology


PES_D10349_Philips Healthcare Clinical Booklet (CT) Pagination inside pgs_090315.indd 1-2 9/3/15 6:07 pm

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

HU

)

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.


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.


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.



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



• 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.


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



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


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




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



iCT 256

80 kV

80 mAs

0.27 sec/rot

DLP 23.5

0.32 mSv

Ultra-low dose cardiac CTAClinical images using IMR


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


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



Image Courtesy : Seirei Yokohama Hospital.

iCT, 256slice, Helical Scan, 120kV, 225mAs,Length: 187.6mm, CTDI:28.3mGy

Chest examsClinical images using IMR


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.




iCT, 256slice, Scan time:4.06sec, 120kV, 174mAs, CTDI:11.2mGy

Ground glass opacity

FBP FBP5mm 0.67mm 0.67mm



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.




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




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.




IMR

FBP

FBP

FBP

IMR

iCT, Small Focus, 120kV, 361mA, 450mAs, 28.9mGy

Abdomen CTA

Image Courtesy : Kurume university Hospital, Japan.



iCT, Small Focus, 120kV, 361mA, 450mAs, 28.9mGy

0.67mm

0.67mm

0.67mm

0.67mm

Abdomen CTA

Image Courtesy : Kurume university Hospital, Japan.




Lv4 Lv4

iCT, 256slice,Helical Scan, 80kV, 410mA, CTDI:17.1mGy, 3.6mSv

Low dose cardiac (Helical)

FBP FBP




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.





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


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


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


Image Courtesy : Logan Hospital, QLD, Australia.


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


iCTStep & Shoot CardiacScan Parameters

Cardiac iDose

Cardiac CTA, 80 KV, submillisievert doseGeneral clinical CT images


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


iCTScan Parameters

Brain

Circle of willis CTA of an aneurysmGeneral clinical CT images



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


MX16 EVO

Scan Parameters

Vessels

Carotid CTAGeneral clinical CT images


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



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


Ingenuity Flex 32

Scan Parameters

Femoral CTAGeneral clinical CT images


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


iCTScan Parameters

RCA cardiac stentGeneral clinical CT images



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


Ingenuity Flex 32

Scan Parameters

Pulmonary CTAGeneral clinical CT images


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


iCTStep & Shoot Cardiac Scan Parameters

Cardiac

20 month old baby - Pulmonary CTAGeneral clinical CT images



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


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


Image Courtesy : Philips Australia.


kVp - 120

mAs - 179

iDose4 - Level 3

CTDIvol - 22.11 mGy

DLP - 312.2 mGy×cm

iCTScan Parameters

Pediatric head scanGeneral clinical CT images



Ingenuity CTScan Parameters

iDose4 - level 3

kvp - 100

mAs - 40

Virtual colonoscopy - large sigmoid polypGeneral clinical CT images




IntelliSpace Portal & selected CT applications


General clinical CT imagesKnee replacement with O-MAR

Scan Parameters

kvp - 120

Mas - 120

iDose4 - level 2 (high resolution scan)




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.


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)



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


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.



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


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



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


© 2014 Koninklijke Philips N.V. All rights reserved. Specifications are subject to change without notice.

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