Clinical suites

Onco suite 

Critical insights for superior care in interventional oncology

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A global trend in oncology care


Originally considered the therapy of last resort, interventional oncology has been a fast growing field for the last decade and is emerging as a recognized interventional radiology sub-specialty.

 

Many minimally-invasive, imaging-guided procedures are replacing more traditional open surgical techniques for treating solid tumors in a variety of organs – most often in the liver (primary and metastatic tumors), lung and kidney.

Tumor embolization


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.

Tumor ablation


Percutaneous ablation procedures are increasingly performed by interventional radiologists, and adoption may accelerate the shift away from open surgery. The key is gaining a clear understanding of the tumor size, needle ablation area, and optimal path to the target.
Oncology infographic

Philips Onco suite for the confident path to treatment


Onco suite is a combination of the Azurion platform, interventional solutions, workflow options, education, and services.

 

Interventional oncology has evolved from a niche specialty to a well-established treatment alternative for various types of cancers.

 

Strong clinical evidence supports procedures such as transcatheter embolization for primary liver cancer and metastases, and focal tumor ablation therapy.

Visualize tumors and feeders with multiphase XperCT

Visualize full tumor enhancement and feeding arteries through dual phase XperCT acquisitions.

Optimal needle path planning

Overlay your pre-procedural PET/MR or CT images for optimal needle path planning with XperGuide.

Visualize tumors and feeders with multiphase XperCT

Depict all tumor feeders with EmboGuide’s automatic detection and navigate easily to your targeted arteries with live guidance.

Visualize tumors and feeders with multiphase XperCT

Optimize your needle position and ablation coverage with live guidance and virtual ablation zone visualization.

Tumor embolization

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.

 

Onco suite provides tools to help you:

  • Detect and differentiate hepatic nodules and identify tiny feeder vessels for critical aid in determining proper therapy.
  • Navigate to the region of interest to reach all feeders, while remaining selective to the lesion for an increased opportunity for success.
  • Confirm treatment endpoint and success while the patient is still on the table to boost clinical outcome confidence.
Clinical solutions for tumor embolization

Whole liver coverage with XperCT Open

XperCT Open
By opening the arc to the left of the patient, XperCT allows off center positioning of the patient table and therefore better centering of the FOV. It  significantly increases image coverage to help visualize tumors on the periphery of the organ*.

Optimal artery and tumor visualization with XperCT Dual

dual-view-tace
XperCT enables 3D acquisition of an arterial phase to visualize vascular structures and a post-arterial (delayed phase) to optimally visualize accumulation of contrast medium, in a single automatic step.

Image fusion with Dual View

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

Automatic Artery feeder Detection with EmboGuide

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 agreement. EmboGuide also provides efficient, workflow-based live 3D guidance with automatic feeder detection.

Treatment monitoring using low dose fluoroscopy with ClarityIQ

ClarityIQ
ClarityIQ produces tuned, high definition low dose images with superb vascular detail to monitor the embolization.

Post embolization 3D imaging with XperCT

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

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

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

Ablation

Percutaneous ablation (radiofrequency, microwave, and cryoablation) is a well-established minimally invasive treatment of kidney, liver, lung and bone tumors. The key is gaining a clear understanding of the tumor size, needle ablation area, and optimal path to the target.

 

Onco suite provides tools to help you:

  • Define the tumor boundaries and decide on an optimal number of needles and corresponding needle trajectory to protect surrounding tissue
  • Navigate accurately at low dose to the lesion of interest without needle repositioning to reduce risk of complications in biopsies and ablations
  • Confirm ablation treatment endpoint with 3D imaging while the patient is still on the table to boost clinical outcome confidence
Biopsy and ablation solutions

Align a pre-procedural image with a new CBCT 3D image using XperCT Dual View

CBCT
XperCT Dual View allows the overlay of a pre-procedure 3D image (CT/MR/PET-CT) on an intra-procedure 3D CBCT to better visualization the lesions and access critical input for needle planning.

Plan your needle path with XperGuide Ablation

cryo
XperGuide Ablation provides comprehensive assistance for treatment planning and live needle guidance. It offers unique Parallax Correction to plan needle trajectories for off-center lesions.

Image fusion with Dual View

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

Optimize the needle position for effective ablation with XperGuide Ablation

Needle position
XperGuide Ablation displays the virtual needle path to assist in multiple needle planning. It shows needle characteristics such as ablation zone/isotherm to confirm complete tumor coverage prior to ablation.

Optimize the needle position for effective ablation with XperGuide Ablation

Needle position
XperGuide Ablation displays the virtual needle path to assist in multiple needle planning. It shows needle characteristics such as ablation zone/isotherm to confirm complete tumor coverage prior to ablation.

Monitor your needle insertion at low dose with ClarityIQ

ClarityIQ
Clarity IQ produces finely tuned high-definition fluoroscopic images with superb detail to assist with needle progression to target.

Live trajectory guidance with XperGuide

cryo
XperGuide provides highly accurate live image guidance of each needle to a targeted position by overlaying pre-planned trajectories with fluoroscopic imaging.

Confirm the completeness of your ablation with XperCT

Needle position
With XperCT acquire a post-ablation CBCT to demonstrate the extent of tumor coverage and confirm completeness of your treatment.

Optimize lab performance and dose management


Azurion Onco suite offers a number of workflow innovations designed to help oncology teams work efficiently and consistently, while maintaining a single-minded focus on the patient and keeping radiation dose low during interventions.

 

Work with confidence.

17% reduction of procedure time with Philips Azurion at St. Antonius Hospital1

Azurion whitepaper

The ability to treat one more patient per day, or in the future


This is just one of the many improvements in lab performance achieved by the Interventional Vascular Department at St. Antonius Hospital after installing the Azurion system. The first Azurion lab performance study achieved impressive results which have been verified by an independent third party.

 

Read the white paper online

ClarityIQ technology – clinically proven

ClarityIQ technology
ClarityIQ X-ray imaging technology provides superb image quality at significantly lower dose across clinical areas, patients, and Operators2. One study showed that ClarityIQ reduces patient dose by 83% in iliac DSA procedures3, while maintaining equivalent image quality, compared to a system without ClarityIQ.

FlexVision Pro monitor

FlexVision Pro
With FlexVision Pro, you can intuitively control all available applications at tableside via seamless mouse over to streamline your workflow. You can configure unlimited screen layouts - even during the procedure – on the high-resolution 58-inch LCD screen. This can increase efficiency and reduce the need to leave the sterile field during IO cases.

Touch screen module Pro

Touch Screen Module Pro
With touch screen module Pro, you can easily control system settings and applications from Philips and other vendors, plus you can control the X-ray image for easy navigation – all at tableside. It works just like a tablet to help you work quickly and easily. 

FlexSpot – flexible workspot

Flexspot
Team members can control all connected applications in the control room with one keyboard and mouse. Screen layout can be customized by user preferences and items can be re-sized, dragged and dropped on the fly. FlexSpot reduces clutter and simplifies workflow.

Zero Dose Positioning to manage dose

Zero Dose Positioning
This features helps you manage dose by allowing you to pan the table, change table height or move the X-ray system on Last Image Hold to determine the new center position. This helps you prepare your next run without using fluoroscopy.

ProcedureCards standardize system setup

ProcedureCards
ProcedureCards help you streamline and standardize system set-up and reduce preparation errors. Select the TACE ProcedureCard and the system is set-up the way you want. Hospital specific protocols and/or checklists can be added to ProcedureCards and displayed on monitors to support consistent workflow.

The Philips IntelliSpace Portal is a web-enabled image and information management system with a single integrated workspace that produces a holistic view of the patient’s care continuum.

 

The CX50x fits smoothly into the oncology workflow. It integrates with the Azurion systems and can be controlled from the tableside. Patient data is automatically transferred from the X-ray to CX50x system eliminating duplication.

 

DoseWise Portal 2.0 is a turnkey dose management solution that gives you control over patient dose and staff occupational dose. It increases transparency across the entire enterprise and enables you to make data-driven decisions concerning quality initiatives and radiation management.

* Results are specific to the institution where they were obtained and may not reflect the results achievable at other institutions.

  1. Miyayama S, et al. (2009) Usefulness of cone-beam computed tomography during ultraselective transcatheter arterial chemoembolization for small hepatocellular carcinomas that cannot be demonstrated on angiography. Cardiovasc Intervent Radiol. 2009 Mar;32(2):255-64. DOI: 10.1007/s00270-008-9468-4.
  2. Loffroy R, et al. (2012) 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 Feb;35(1):97-104. DOI: 10.1007/s00270-011-0118-x.
  3. Miyayama S, et al. (2013) Identification of small hepatocellular carcinoma and tumor-feeding branches with cone-beam CT guidance technology during transcatheter arterial chemoembolization. J Vasc Interv Radiol. 2013 Apr;24(4):501-8. DOI: 10.1016/j.jvir.2012.12.022.
  4. Higashihara H, et al. (2012) Diagnostic accuracy of C-arm CT during selective transcatheter angiography for hepatocellular carcinoma: comparison with intravenous contrast-enhanced, biphasic, dynamic MDCT. Eur Radiol. 2012 Apr;22(4):872-9. DOI: 10.1007/s00330-011-2324-y
  5. Abi-Jaoudeh N, et al. (2012) Cone-beam computed tomography fusion and navigation for real-time positron emission tomography-guided biopsies and ablations: a feasibility study. J Vasc Interv Radiol. 2012 Jun;23(6):737-43. DOI: 10.1016/j.jvir.2012.02.006
  6. Choo JY, et al. (2013) Percutaneous transthoracic needle biopsy of small (≤ 1 cm) lung nodules under C-arm cone-beam CT virtual navigation guidance. Eur Radiol. 2013 Mar;23(3):712-9. DOI: 10.1007/s00330-012-2644-6.
  7. Van Stijen MJ, et al. (2015) Evaluation of a Noise Reduction Imaging Technology in Iliac Digital Subtraction Angiography: Noninferior Clinical Image Quality with Lower Patient and Scatter Dose. J Vasc Interv Radiol. 2015 May;26(5):642-50.e1. DOI: 10.1016/j.jvir.2015.01.007.
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. Results based on DSA dose area product per frame from a single center prospective randomized study on 48 patients. DSA runs for Allura Xper with ClarityIQ and Allura Xper without ClarityIQ were randomly acquired on the same patient under same condition of geometry, field of view and injection protocol. Image quality was based on subjective assessment (side-by-side, equal or superior than the other, blinded review by 5 independent radiologists).

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