Radbook 2016

can dissipate the full heating effect meant to destroy the tumor.“ This is only possible if you have a CT in the room,”he said. With a GI bleed it can be very difficult to locate the bleed using the angio view or cone-beam CT due to motion artefacts caused by breathing, “yet with a CT scan- ner in the room, it becomes easier,” he said. INFINIX 4D CT incorporate DoseRite and AIDR3D functions that optimize image quality at low-dose exposures with iterative reconstruction as well asToshiba’s Adaptive Diagnostics functionalities for bone free contrast enhanced imaging, or metal arte- fact reduction. “Each intervention holds a risk. Yet if we bring a CT scanner into the room, we have the option to do studies that can give us clear endpoints, to determine whether we have treated the patient’s condition suffi- ciently and not expose the patient to further risk caused by additional interventions.” “In the future, I believe we will find that adding this hybrid imaging capability can change the way we treat patients,”he said. www.toshiba-medical.eu Unique to the INFINIX 4D CT configurations with the 640-slice Aquilion ONE is the 16 cm full anatomical coverage that adds a fourth dimension to 3D full volume scans by show- ing time lapse images in a cine mode, for example the perfusion of the liver. The INFINIX 4D CT suite also integrates Toshiba’s SURE guidance for rapid, accurate target positioning. From a CT scan data set the clinician selects the reference slice with the best view of the pathology and loads it to the angio system so that the C-arm moves precisely to the target. The C-arm continuously tracks any table movement to remain on target. SURE Guidance works in the other direc- tion as well with the CT scanner targeting with precision a position loaded from the angio image. “Having such a system with a CT scanner takes us one step further by acquiring anatomical and functional data simultaneously with high spatial and tem- poral resolution,” said René Degros, Busi- ness Unit Manager X-Ray Europe. “You can not get this field of view, neither would you have such a level of detail with any other modality,” he said, adding that multiple publications have demonstrated CT perfusion provides the greatest sensitivity. “With angio, you might think you are covering the entire tumor, yet on CT we can clearly see signs that we should look to oth- er arteries that may be feeding this tumor, and it then becomes easier to locate these extrahepatic feeders and ensure we treat the entire tumor,”he said. INFINIX 4D CTbringsalsoanewdimension to other procedures, such as gastric-intesti- nal  (GI) bleeding, bronchial artery emboli- zation, complex endoleak embolization or complex drainage, he added. During radio frequency ablation of a tumor, it becomes critical to identify vessels adjacent to the tar- geted tumor and block the blood flow that Imaging morphology and function: Toshiba’s wide detector CT technology with up to 16 cm coverage in a single rotation allows you to acquire anatomical and functional data simultaneously with high spatial and temporal resolution. Interventional oncology: Advanced perfusion imaging assists you in imaging and treatment planning of tumors more accurately and imme- diately verifying the response to therapy. RADBOOK 2016 55 INTERVENTIONAL SYSTEMS  ◼ RADBOOK 201655

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