During the interventional treatment, in order to achieve the best treatment effect, the doctor will try his best to complete some challenging biopsy and drainage operations, then accurate image guidance is required. It is common practice to use a digital subtraction angiography (DSA) machine to perform multi-angle observation to determine the location of the needle, but this examination will double the radiation dose received by the patient, especially for female patients during fertility. Difficult to accept.
To this end, smart physicians are beginning to consider more convenient and safe ultrasound-guided interventional treatment for drainage, abscesses, and non-vascular cases. However, the ideal solution mode has encountered nails in practice-it is very inconvenient to advance and push out the large ultrasound equipment in the examination room. It will be more troublesome to encounter examination conflicts with other departments; transferring back and forth patients who are about to undergo surgery is not an option. Good choice; while using portable ultrasound, its image quality is always difficult to guarantee. As an advocate of the concept of "full care", Philips Medical has launched an integrated ultrasound system in the angiography intervention room through innovative research and development to meet clinical needs and highly respect clinical choices.
Workflow of integrated ultrasound system
The so-called integrated ultrasound system is to integrate the Philips CX50 highly integrated ultrasound imaging system into the Allura FD20 system of the Philips large-scale digital subtraction cardiovascular imaging machine. Since all patient data can be automatically transferred from the Allura Xper FD intervention device directly to the CX50 system, the tedious re-entry of data is eliminated. In this case, even if the CX50 is placed outside the sterile area, the CX50 system can be controlled by the Xper module next to the console. Ultrasound images can be transmitted to the screen of the Flex Vision XL display suspended from the Allura ceiling. It is reported that it only takes a few seconds to turn on the CX50 and complete the setting, and then the image can be displayed to the position of the fully composite ergonomics, and it is juxtaposed in the radiographic image for easy comparison on the same screen. In this way, the intervention physician can easily obtain two diagnostic modal images of ultrasound and radiation during the treatment, which makes the intervention operation more confident.
Due to the use of high-end technologies such as pure wave technology, digital broadband sound beam former, SonoCT real-time image composite, and XRES adaptive image processing, the CX50 image is accurate and clear. This is very important for interventional therapy. After all, if the doctor cannot see the biopsy needle, ultrasound intervention will become empty talk. The image archiving after the intervention operation is also very easy. Ultrasound images can be conveniently stored in the archive file of the intervention equipment of the case and directly transferred to the PACS, ensuring fast recall in the later stages of diagnosis and treatment.
Clinical advantages of integrated ultrasound system
In complex interventional operations, the use of ultrasound to directly observe the interventional needle, rather than the way of radiation, to perform interventional treatment without radiation exposure, this is very beneficial to patients and clinicians. During the entire intervention process, the image can always be placed on the Flex Vision XL monitor screen. This monitor has a larger screen and is easier to observe, which is very beneficial for the visualization of more detailed parts of the anatomy.
The BapTIst Cardiovascular Research Institute in Florida, USA is one of the earliest institutions to carry out this work. Now they have used this composite technology platform to carry out a variety of attempts that required CT intervention guidance in the past, including interventional treatment of biliary tree and urinary system. And nephrostomy, biopsy and various complex drainage.
In addition to the above advantages, the integrated ultrasound system can also bring significant economic and reputational benefits. Because the system integration eliminates the tediousness of repeatedly inputting data and can directly transmit ultrasound images to PACS, this not only reduces manual errors, but also saves a lot of time. Statistics show that each patient can save about 15 minutes of time after taking the integrated operation. For example, based on the number of interventional operations of about 20 per day in a top three hospital in the south, the revenue jumped on paper.
Composite imaging
In the past, hospitals were "centered on equipment", usually CT and DSA were in the radiology department, ultrasound was in the ultrasound department, and patients had to keep running between the various departments. This approach made people miserable. In the modern patient-centered medical service, in order to cope with the development and changes of diagnosis and treatment, medical imaging gradually began to move from single-modal imaging to hybrid imaging (Hybrid Imaging). In the future, MR, CT, ultrasound and general radiology technology will be used in more joint use to guide us to a new era of comprehensive treatment. Brand new workflow, looking forward to your full participation!
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