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.

Overview

Overview

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 Philips 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 3D acquisition so any clinical user[3] can easily perform 3D imaging.
Benefits
Benefits
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, supported by value-added services

Offers a significant environmental improvement in one or more Philips EcoDesign areas: energy, circularity, substances, weight and materials, and packaging
Key features
Key features
SmartCT to simplify acquisition in the neurovascular suite

SmartCT Angio to visualize critical details in vasculature in 3D in seconds^[1]

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 ischemic 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

ClarityIQ - differentiate between glue and subtraction error and to identify the direction and arrival of liquid embolic agent

Demonstrated results in neurovascular treatment for AVMs and AVFs

75%

dose reduction in neuro DSA^[1]

with ClarityIQ compared to a system without ClarityIQ. Its automatic motion compensation removes skull and motion artifacts, which is key when placing small devices at the base of the skull

100%

of users

found that controlling SmartCT is intuitive and easy to learn^[2]and increases clinical confidence with advanced 3D imaging, visualization and measurement tools.

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Featured products

Innovatively designed to support even the most challenging procedures

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 Angio}

Provides a volumetric view to assist assessment of feeding arteries, draining veins, arterialized veins, nidus and ruptured or unruptured pathology to guide decision-making. 3D volumes are visualized with high spatial resolution and automatic patient movement compensation to enhance visibility.

SmartCT Vaso

Visualizing sub-millimeter vascular anatomy improves the chances of treatment success and raises treatment confidence. SmartCT Vaso offers high-resolution 3D imaging to reveal key information about cerebral vascular structures, supporting the highest possible spatial assessment of vessels.

^{SmartCT Soft Tissue Helical*}

Improved 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.

SmartCT Roadmap

Provides a live 3D image overlay that can be segmented to emphasize the targeted vessel and lesions, supporting fast, confident catheter navigation through complex vessel structures. The SmartCT Roadmap overlays a 3D reconstruction of the vessel tree, vessel segments or annotations with live fluoro.

ClarityIQ

When you are monitoring AVMs over time, subtraction artifacts can disguise clinical information. ClarityIQ helps remove information that may be misleading, in real time without user interaction. During treatment, ClarityIQ enables visualization of direction and arrival of the liquid embolic agent.

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^{SmartCT Soft Tissue}

This acquisition technique generates a CT-like visualization of soft tissue in relation to other structures during procedures. You can use the CT-like images to assess soft tissue after an AVM intervention to check the final result and potential bleeds while the patient is still on the table.

“The switch to the Azurion system immediately led to much higher image quality, less time for us to spend on post-processing, and to very very strong dose reduction.

PD Dr. Tobias Boeckh - Behrens

Deputy managing director of the Department of diagnostic and interventional Neuroradiology , Head of Neurointervention , University Hospital Rechts der Isar, Munich, Germany
“The Azurion system with the SmartCT is for sure the best system ever made by Philips. It has profited from the experience provided by the users and it’s for sure something which is incredibly very easy to use.

Professor Laurent Spelle

Chef de Service at NEURI Bicêtre, Paris, France

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Technologies and innovations

Clinically proven Azurion with ClarityIQ technology

Providing superb image quality at ultra-low dose settings.

Disclaimer:

*SmartCT R3.0 is subject to regulatory clearance and may not be available in all markets. Contact your sales representative for more details.

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

[1] 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.

[2] Market Research Group reports ‘16-’17.

[3] The user level of expertise required is described in the Instructions for Use as the Intended Operator Profile.

[4] 3D reconstructions at higher resolution settings may take longer times.

Neurovascular treatment for AVMs and AVFs

Decide confidently whether to treat or not treat complex AVMs, AVFs and other malformations

Clinical solutions for monitoring and treating AVMs, AVFs and other malformations

Workflow innovations for AVMs help staff work efficiently and easily, maintaining a patient focus

SmartCT to simplify acquisition in the neurovascular suite