Prostate artery embolization (PAE)

Prostate Artery Embolization (PAE)

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How can cone-beam CT imaging support you in performing prostate artery embolization?

 

There is a driving demand for less invasive techniques to treat benign prostate hyperplasia, due to the significant complications associated with the current standard procedures such as prostatectomy. Philips offers such a minimally invasive approach. Our image-guided therapy platform – Azurion supports you in confident planning and treatment decisions in PAE interventions with minimal X-ray dose and a clear visualization of the vasculature. Discover how our Azurion solution can support you in making a difference in the lives of your patients.

Highlighted products for this procedure

Azurion 7 C20 with FlexArm

Azurion 7 C20 with FlexArm image-guided therapy system

Excellent visibility at ultra-low X-ray dose levels for a comprehensive range of clinical procedures with ClarityIQ technology on a 20” detector

The FlexVision screen displays all necessary and available information, e.g: live, reference, planning, roadmap overlay, patient monitoring or dose info

The Touch Screen Module Pro allows table side control of images and applications with tablet ease to save time and unnecessary walking in and out of the sterile area

This ceiling-mounted system provides unlimited imaging flexibility for PAE procedures and exceptional positioning freedom for medical teams. Its compact set-up provides a highly cost-effective environment, ready for the procedures of the future. By working around you, Philips Azurion with FlexArm helps you advance your suite performance and deliver superior care.

    SmartCT on Flexvision

    Total table side control and acquisition guidance with SmartCT

    Simplifies 3D acquisition so any clinical user1 can easily perform 3D imaging

    3D images are automatically displayed within seconds and controlled on the tableside touch screen module2

    Segmentation tasks are semi-automated and made available on the touch screen to speed up your 3D image analysis and raise your treatment confidence

    SmartCT Soft Tissue offers CT-like imaging and helps identify subtle soft-tissie lesions

    ClarityIQ fluoroscopy

    Low dose fluoroscopy with ClarityIQ

    Tuned, high-definition low dose images with superb vascular detail to monitor the embolization3

    Advanced spatial filtering to highlight structures and reduce the impact of background noise in an image

    Multiple clinical studies on more than 15.000 patients have been published on ClarityIQ technology to date revealing one truth: significantly lower dose across clinical areas, patients and operators4

    Cone beam CT is a must, and this is recognized by every user, whether beginners or late adopters or people who are very experienced, because of the help in being able to go faster and safer to complete the procedure." 

    Prof. Marc Sapoval

    Head of Interventional Radiology at Hôpital européen Georges Pompidou AP-HP, France

    Marco Sapoval video thumbnail

    Clinical solutions for prostate artery embolization

    PAE clinical image

    3D visualization of heterogenous vasculature

     

    SmartCT Soft Tissue provides a volumetric view in a few seconds2 to assist assessment of feeding arteries, draining veins, arterialized veins, nidus and ruptured or unruptured pathology to guide decision making – all from a single rotational angiography run and controlled via the touch screen at the table. This can improve visibility of tortuous or complex anatomy that may not be seen on a 2D or DSA image.

    Step-by-step acquisition guidance with injector suggestions

    Azurion SmartCT Soft Tissue

    SmartCT Soft Tissue offers a Cone Beam CT acquisition technique augmented with step-by-step guidance, advanced 3D visualization, injector suggestions and measurement tools. All accessible on the touch screen module at table side.

    Zero-dose positioning for easy CBCT acquisition

    Zero-dose positioning for CBCT acquisition

    Zero Dose Positioning helps you reduce X-ray dose by allowing you to pan the table, change table height or move the imaging system on Last Image Hold to determine the new center position. This helps you prepare your next run without using fluoroscopy.

    Enhance visibility of prostate vasculature

    Prostate vasculature PAE SmartCT Soft Tissue procedure clinical image

    The ability to visualize sub-millimeter vascular anatomy improves the chances of treatment success and raises treatment confidence. SmartCT Soft Tissue provides high resolution 3D imaging that reveals key information about vascular structures to support the highest possible spatial assessment of vessels in the soft tissue context.

    Navigate confidently through complex vessel structures

    SmartCT Roadmap

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

    Clearly visualize newly injected embolic agent

    Embolized vessels

    The Roadmap Pro glue mode filters out already embolized vessels, allowing you to focus on what you are injecting and how it is diffusing. 

    Check final result and potential bleedings

    SmartCT Soft Tissue

    SmartCT Soft Tissue is an acquisition technique that 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 PAE to check the final result and potential bleedings when the patient is still on the table.

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    Disclaimer

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

     

    References

    1. The user level of expertise required is described in the Instructions for Use as the Intended Operator Profile.
    2. 3D reconstructions at higher resolution settings may take longer times.
    3. Trunz L. et al, Investigation of Radiation Dose Estimates and Image Quality Between Commercially Available Interventional Fluoroscopy Systems for Fluoroscopically Guided Interventional Procedures, Academic Radiology, in press, 2020.
    4. In 18 individual comparative studies, Philips ClarityIQ was associated with reductions in patient radiation exposure. Find the full list of clinical peer-reviewed papers here

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