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SmartCT Soft Tissue Imaging technology

SmartCT* Soft Tissue offers a Cone Beam CT (CBCT) acquisition technique augmented with step-by-step guidance, Advanced 3D visualization and measurement tools all accessible on the touch screen module at table side. To support you in acquiring CBCT images first-time right [1] and to streamline your workflow, you are guided through key steps. Once the CBCT scan is successfully performed, the acquired 3D image is automatically displayed in the SmartCT 3D visualization tool with the adequate rendering settings and the 3D measurement tools tailored for the selected 3D protocol.

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Features
Get step-by-step guidance to simplify CBCT acquisition
Get step-by-step guidance to simplify CBCT acquisition

Get step-by-step guidance to simplify CBCT acquisition

To help all clinical users [1] achieve superb 3D images, regardless of their level of experience, SmartCT Soft Tissue provides step-by-step guidance and visual aids during acquisition. This includes room set-up, isocentering the system, as well as suggesting a suitable contrast injection and X-ray acquisition protocol.
Interact with your CBCT image at table side
Interact with your CBCT image at table side

Interact with your CBCT image at table side

Once acquired, SmartCT Soft Tissue automatically displays the CBCT image on the Touch screen module and the FlexVision within seconds for direct review at table side.
Access advanced 3D measurements at table side
Access advanced 3D measurements at table side

Access advanced 3D measurements at table side

To study the type and extent of disease or anatomy of interest with great detail, you can render volumes, segment lesions and vessels, perform measurements and mark vessel paths to assess size and location of pathology or anatomy of interest directly on the TSM with the simplicity of a tablet gestures.
CBCT Open
CBCT Open

CBCT Open

SmartCT Soft Tissue offers the possibility to acquire a CBCT using open trajectory with start and stop positions of +55° to -185° respectively. This protocol opens the arc to the left side of the patient allowing for a wider translation of the angiographic table towards this direction; thereby shifting the isocenter of the C-arm to the right lateral side of the patient. This enables visualizing off-centered regions of interest (such as the periphery of the liver) in a single sweep. [2] The Open arc trajectory also offers more comfort to the larger patients.
CBCT Dual in liver imaging
CBCT Dual in liver imaging

CBCT Dual in liver imaging

Dual Phase CBCT acquisition is an advanced capability of SmartCT Soft Tissue, which allows two CBCT scans to be made automatically on the Azurion system with a user defined interval and a single contrast injection. High resolution, high contrast images are reconstructed within seconds to support fast decisions during procedures. It is commonly used for TACE where the first phase serves as an arterial phase and the second (delayed) phase shows the contrast uptake in the lesions. [3,4]
CBCT Dual in brain imaging
CBCT Dual in brain imaging

CBCT Dual in brain imaging

Dual phase CBCT is an increasingly used application for stroke diagnosis. A non-contrast CBCT aids detection of early ischemic changes. With CBCT Dual an early phase image helps to identify the proximal occlusion while the late phase supports the detection of collaterals, here again using a single contrast injection. [5]
  • 1. Evaluated with clinical users in a simulated lab environment with a total of 17 teams consisting of a physician and a radio-tech, and 1 physician without a radio-tech, with different levels of experience.
  • 2. Schrenthaner et al., Feasibility of a Modified Cone-Beam CT Rotation Trajectory to Improve Liver Periphery Visualization during Transarterial Chemoembolization, Radiology, 2015
  • 3. Higashihara, H., Osuga, K., Onishi, H., Nakamoto, A., Tsuboyama, T., Maeda, N., … Tomiyama, N. (2012). Diagnostic accuracy of C-arm CT during selective transcatheter angiography for hepatocellular carcinoma: comparison with intravenous contrast-enhanced, biphasic, dynamic MDCT. European Radiology. 22(4):872-9. DOI: 10.1007/s00330-011-2324-y.
  • 4. Loffroy, R., Lin, M., Rao, P., Bhagat, N., Noordhoek, N., Radaelli, A., ... Geschwind, J.F. (2012). Comparing the detectability of hepatocellular carcinoma by C-arm dualphase cone-beam computed tomography during hepatic arteriography with conventional contrast-enhanced magnetic resonance imaging. CardioVascular and Interventional Radiology. 35(1):97-104. DOI: 10.1007/s00270-011-0118-x.
  • 5. Ribo et al, Direct Transfer to Angiosuite to Reduce Door-To-Puncture Time in Thrombectomy for Acute Stroke, J Neurointerv Surg , 2018, 10 (3), 221-224,.
  • * SmartCT is not available in the United States. This material can not be distributed in the United States.

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