Image-guided therapy
Biopsy and tumor ablation
Highly accurate needle interventions with Cone Beam CT
Lesion heterogeneity and lack of conspicuity limit the quality of specimens as well as the feasibility of biopsies when performed under ultrasound or conventional CT. Our needle navigation technology with CBCT increases precision and enables the targeting of smaller (<=1 cm) or heterogeneous lesions more accurately with less needle repositioning and at a lower dose than conventional CT.[1, 2]
Philips XperGuide Ablation
Advanced planning and guidance for tumor ablation
Performing successful tumor ablations, without compromising adjacent tissue, requires a clear understanding of the tumor size, the specific needle's ablation area, and the path to the target.
Demonstrated results in needle interventions with Cone Beam CT
17%
reduction in procedure time with Azurion[3]
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 impressive results achieved in this first Azurion lab performance study have been verified by an independent third party.
Comprehensive approach to biopsy and ablation supports successful outcomes
Percutaneous ablation is a well-established minimally invasive tumor treatment. To perform a complete procedure and reduce the chances of surrounding tissue damage, it’s critical to define tumor boundaries and decide on needle characteristics, the number of needles and the corresponding needle trajectory. Navigating accurately to the lesion increases the opportunity for success and reduces risk of biopsy or ablation complications. 3D imaging with live guidance can be used to (re)position and advance the needle under low dose and verify the treatment endpoint while the patient is on the table.
Decide, guide, treat and confirm
- Align a pre-procedural image with an intra-procedural Cone Beam CT (CBCT) image using DualView. Plan your needle path with XperGuide Ablation*
- Optimize the needle position for effective ablation with XperGuide Ablation
- Monitor your needle insertion at low dose with ClarityIQ. Have live trajectory guidance with XperGuide
- Confirm the completeness of your ablation with SmartCT Soft Tissue
Advances for biopsy and ablation
- SmartCT Soft Tissue is augmented with step-by-step guidance and advanced 3D visualization and measurement tools, accessible on the touchscreen module at tableside
- XperGuide offers highly accurate live image guidance of each needle to a targeted position by overlaying pre-planned trajectories with fluoroscopic imaging[2]
- DualView overlays a pre-procedural 3D image (CT/MR/PET-CT) on an intra-procedural CBCT Dual so you can better visualize lesions and access critical input for needle planning
- Post-ablation CBCT demonstrates the extent of tumor coverage and confirms treatment completeness
Image gallery
- Philips needle navigation technology with CBCT increases precision
- Better visualize the lesions and access critical input for needle planning
- Optimize the needle position for effective ablation with XperGuide Ablation
- Align a pre-procedural image with an intra-procedural CBCT image using Dualview
- XperGuide Ablation provides comprehensive assistance for treatment planning and live needle guidance
Featured solutions for tumor biopsy and ablation
Azurion 7 with FlexArm
This ceiling-mounted system provides unlimited imaging flexibility and exceptional positioning freedom. Seamlessly control relevant applications from a single touchscreen at tableside to help make fast, informed decisions while remaining in the sterile field.
SmartCT
Easily control advanced 3D acquisition, visualization and measurements at tableside to improve lab flexibility and efficiency. Semi-automated segmentation tasks speed up 3D image analysis and step-by-step guidance throughout the entire 3D image acquisition, removing guesswork for superior patient care.
XperGuide Ablation - excellence in needle trajectory planning and guidance
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[3], aids in multiple needle planning and shows needle characteristics to confirm complete tumor coverage.
What we see is that our workflow actually became much smoother, and this meant that we were able to perform our procedures at quicker speed.
Marco van Strijen, M.D.
St. Antonius hospital Nieuwegein, the Netherlands
Enabling technologies
ClarityIQ technology delivers significantly lower dose across the clinical area, patients, and operators.
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Footnotes
- Cone Beam vs Conventional CT Navigation for Image-Guide Biopsy; N Abi-jaoudeh et al (2016), J VascIntervRadio l27:1342– 1349.
- Percutaneous transthoracic needle biopsy of small (1 cm) lung nodules under C-arm cone-beam CT virtual navigation guidance; Ji Yung Choo Eur Radiol (2013) 23:712–719.
- Philips whitepaper 12nc 4522 991 30501; Reduction of procedure time by 17% with Philips Azurion in independently verified study; https://www.philips.com/healthcare/case-study/philips-azurion-lab-performance-study. Results are specific to the institution where they were obtained and may not reflect the results achievable at other institutions.
- Floridi C, et al. Percutaneous needle biopsy of mediastinal masses under C-arm cone beam CT guidance: diagnostic performance and safety. Medical Oncology. 2017; 34(4):1-7.
Disclaimer
* XperGuide ablation is a feature of XperGuide.
Product availability is subject to country regulatory clearance. Please contact your local sales representative to check the availability in your country.