Imaging – Computed Tomography

Innovation in imaging


Philips Healthcare is one of the world leaders in developing innovative medical equipment. Callan Emery spoke to Maarten Hovers, Business Manager Imaging Systems, Philips Healthcare, Middle East & Turkey, about their latest developments in the field of Computed Tomography.

Callan Emery: Philips has a range of CT scanners – from the top end (iCT), to the performance segment, the Ingenuity CT and Brilliance CT range, and the entry level MX16EVO. Can we expect any new scanners to be added to this range in the near future?

Maarten Hovers: Philips will unveil a new configuration in the Ingenuity family of CT scanners. The Ingenuity Flex32 will be the next CT scanner configuration of the Ingenuity Family. Built with outstanding flexibility, the Ingenuity Flex32 will be designed to deliver high image quality at low dose, with the speed needed for excellent patient care.

In addition to scanner announcements, Philips CT offers a unique knowledge-based model approach to iterative reconstruction techniques that have industry-leading low contrast resolution. IMR is transforming CT imaging and is designed to provide virtually noise-free image quality with improvements in low contrast detectability.

At RSNA in Chicago in November, Philips introduced the the iCT Elite configuration – the next generation of the iCT. It delivers all of the benefits of the iCT TVI — including the iDose4 Premium Package, the Rate Responsive Toolkit, Step & Shoot Complete, Jog Scan and Advanced Brain Perfusion. Moreover, the Elite Package workflow is powered by iPatient, the new NanoPanel II3D detector, and is IMR-ready – making it a truly Elite scanner!

As mentioned earlier, Philips also introduced the Ingenuity Flex32 which uses Ingenuity DAS technology, which utilises a 32-slice acquisition providing an improvement in z-axis visualisation.

CE: Why is Philips introducing these scanners? What is the driving force behind your innovation?

MH: Philips CT is committed to strengthening the backbone of diagnostics in revolutionary ways. We are focused on delivering innovations that can have an impact on the clinical value of CT and to give clinicians new ways to enhance patient care and increase diagnostic confidence. Philips’ new products and solutions will transform patient-centred imaging.

CE: In the Middle East – the GCC – what is Philips’ top selling CT scanner? Why this particular model?

By far, the top selling model in the Middle East has been the Brilliance 64, with over 100 sold in the region. It is a cardiac workhorse with high image quality. However, with the introduction of the Ingenuity platform, people are now starting to notice the unique capabilities it provides. In addition, the iCT, in our premium segment continues to impress users, particularly those who need advanced cardiac capabilities. The top selling item in the Middle East, is the iDose4 Premium Package, which continues to draw significant interest throughout the market.

CE: What exactly is iDose4 and how does it work?

iDose4 gives you control of the dial so you can personalise image quality and dose based on your patients’ needs at low dose. When used in combination with the advanced technologies of the iCT, Ingenuity, and Brilliance scanner families, this provides a unique approach to managing important factors in patient care – a new era in low energy, low dose and low injected contrast imaging. iDose4 reconstruction is achieved in seconds rather than minutes. The majority of reference protocols are reconstructed in 60 seconds or less. It’s easy to use and easy to adopt into your existing standard of care.

In addition, Philips recently announced the iDose4 Premium Package, which includes two leading technologies that can improve image quality- iDose4 and metal artefact reduction for large orthopaedic implants (O-MAR). iDose4 improves image quality through artefact prevention and increased spatial resolution at low dose. O-MAR reduces artefacts caused by large orthopaedic implants. Together they produce high image quality with reduced artefacts.

CE: Is the CT market in the Middle East expanding year on year? At what rate?

Yes, we continue to see CT growth in the Middle East market as government’s across the Middle East invest in increased healthcare infrastructure, both in the form of new hospitals and also in upgrades of existing facilities. It’s an exciting time for the Middle East healthcare system. The increase in facilities also comes with an overall growth in healthcare professionals across the region who expect to use the latest medical imaging equipment. The rate of growth is still being realised.

CE: Can you explain what Philips’ Brilliance Workspace is?

The award winning (EBW) Brilliance Workspace is a powerful workstation featuring state-of-the-art CT postprocessing capabilities designed to enhance workflow and increase productivity by working the way you do. The Brilliance Workspace with its friendly CT user environment is rich in applications and scalable to future needs. Brilliance Workspace has a vast amount of clinical applications and is designed around four major areas: ease of use based on the Guided Flow principle; advanced clinical solutions, powerful performance and outstanding image quality.

CE: You have also developed Visualisation Software for CT. What does this do?

The Philips IntelliSpace Portal turns standard configuration computers into an advanced multimodality imaging systems workspace. Users can work on advanced visualisation in a preferred environment, using patient data without worrying about the modality of origin or moving to a specialised workstation. Users can also unlock the power of CT, magnetic resonance (MR) and nuclear medicine systems with rich clinical applications that are accessible virtually anywhere whether in the home, at the office or on the road. Radiology is the hub of the healthcare facility. Easy clinical workflow and collaboration tools can help streamline daily routines. Reaching out to referring physicians and specialists is easy with Philips’ medical networking platform.

CE: A few years back development in CT focused on developing increasing strength, going from a 16 to 256 slice CT, for example. The development focus appears to have changed. Besides developing methods to reduce radiation dose, in what other facets of CT is your research and development taking place?

Philips CT is dedicated to reshaping imaging in ways never thought possible through its continued leadership in the scientific advances of iterative reconstruction techniques, workflow, advanced visualisation and detector technologies. We are focused on how these innovations can improve patient care. At this year’s RSNA, Philips CT showcased new products, solutions, and future technologies that will transform patient-centred imaging in radical new ways.

CE: Where do you envision CT going in the future? Where does Philips want to take it?

It’s one thing to build meaningful technologies that reshape imaging, it’s another to make sure they are inherent in the way our clinicians work. For example, Philips’ iPatient is an advanced platform that delivers focused innovations to facilitate patient-centred imaging now, and in the future. Based on the award winning EBW, iPatient puts you in control of innovative solutions that drive confidence and consistency through personalised patient-centric workflow. It helps to deliver more from your investment by allowing the ability to do complex and advanced procedures. And, iPatient is the platform for delivering future CT discoveries like Spectral Imaging and IMR – moreover, it is built to speed up implementation of new innovations. Our continued focus is on the impact innovations such as iPatient and IMR have on improving the care being delivered to patients.

ate of upload: 22nd Jan 2013


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