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  1. Siemens Healthineers T羹rkiye
  2. T覺bbi G繹r羹nt羹leme
  3. Radyasyon Tedavisi
  4. Computed Tomography for Radiation Therapy
  5. SOMATOM go.Open Pro

SOMATOM go.Open Pro

Gelecek harekette

Gelecein harekette olduuna inan覺yoruz ve bu inanc覺m覺z SOMATOM go.Open Pro'nun geliimini ekillendirdi.

Bu gelimi CT sim羹lat繹r羹, hastalar覺n bireysel kompleksitelerini y繹netmek i癟in gerekli ara癟larla yeni tedavi yakla覺mlar覺n覺 destekleyecek doru balang覺癟 noktas覺n覺 salamak 羹zere tasarlanm覺t覺r. Benzersiz bir dedekt繹r genilii, gelimi t羹m繹r kontrast覺 ve ak覺ll覺 ger癟ek zamanl覺 solunum adaptasyonunun g羹c羹nden yararlanarak g羹venilir bir tedavi planlamas覺 i癟in olaan羹st羹 netlik sunmaktad覺r. Bu modern 癟繹z羹m, karma覺k bir i ak覺覺ndaki hatalar覺 azaltmak ve potansiyel olarak tedaviye kadar ge癟en s羹reyi k覺saltmak i癟in oluturuldu.

SOMATOM go.Open Pro, hassas t覺bb覺n derinine inmenize ve bireyselletirilmi tedaviyi daha fazla hasta i癟in kullan覺labilir h璽le getirmenize yard覺mc覺 olur. Bu, en zorlu kanserlerle savamak i癟in s覺n覺rlar覺 zorlaman覺za yard覺mc覺 olan gelimi, ak覺ll覺 bir CT sim羹lat繹r羹d羹r.

zellikler ve Faydalar

    Klinik Kullan覺m

    Gelecein hareket halinde olduuna inan覺yoruz ve bu inan癟 SOMATOM go.Open Pro'nun geliimini ekillendirdi. Bu gelimi CT sim羹lat繹r羹, modern tedavilerin ve bireyselletirilmi bak覺m覺n 繹n羹ndeki engelleri ortadan kald覺rabilen doru, tekrarlanabilir hasta modellemesi salar.

    Zorlu vakalar i癟in en iyi bak覺m覺 salamada yaanan zorluklar

    • Hassas t覺p, k羹ratif ama癟 ve hipofraksiyone tedaviler muazzam bir potansiyele sahiptir
    • Akcier, karacier ve ba-boyun kanseri gibi kanserleri olan hastalar bu potansiyeli ka癟覺rmaktad覺r, 癟羹nk羹 vakalar覺 mevcut CT sistemleri i癟in 癟ok zordur
    • D羹羹k kaliteli, kesin olmayan bilgiler 繹zellikle t羹m繹rlerin hedeflenmesini ve sal覺kl覺 dokunun korunmas覺n覺 zorlat覺r覺r

    Zorlu vakalar i癟in s覺n覺rlar覺 zorlay覺n:

    Akcier/karacier g繹r羹nt羹leme ile

    Direct i4D1,4 ile

    Akcier/karacier g繹r羹nt羹leme ile

    DirectORGANS1

    Meme G繹r羹nt羹leme

    Ba ve boyun g繹r羹nt羹leme

    Direct i4D ile akcier/karacier g繹r羹nt羹leme i癟in s覺n覺rlar覺 zorlay覺n

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    Hamburg niversite Klinii izniyle

    Eppendorf, Hamburg, Almanya

    Hastalar覺n zaman覺n覺n %75'inde d羹zensiz nefes al覺r ve bu da artefaktlara yol a癟ar5

    Hareketli hedefleri 覺覺nlarken doruluk esast覺r. Yine de bir癟ok geleneksel CT taray覺c覺, bu t羹r bir tedavi planlamas覺 i癟in gerekli olan g繹r羹nt羹 kalitesini salayamaz. 4D edinimi s覺ras覺nda, 癟ok fazla veya 癟ok az veri 羹retirler, bu da enterpolasyona veya hareket eserlerine neden olur.

    Hastalar, potansiyel olarak g繹r羹nt羹 artefaktlar覺na neden olan 4D al覺m覺 s覺ras覺nda genellikle d羹zensiz nefes al覺r.

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    Push the boundaries for lung/ liver imaging with DirectORGANS

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    Hospital Particular de Viana do Castelo, Portugal. Cinematic Volume Rendering Technique (VRT) is for visualization only. This software is not commercially available.

    Akcier/karacier kanseri hastalar覺 i癟in konturlar oluturan d羹nyan覺n ilk CT sim羹lat繹r羹

    DirectORGANS1 (Generative Adversarial Networks taraf覺ndan eitilen Optimize Edilmi Yeniden Yap覺land覺rma tabanl覺 konturlar), devrim niteliinde bir OAR ekillendirme 癟繹z羹m羹d羹r. Derin 繹renme tabanl覺 ekillendirme 癟繹z羹m羹ne girdi salamak i癟in optimize edilmi ve standart hale getirilmi yeniden oluturma parametrelerinden yararlan覺r. Bu s羹re癟, hedef ekillendirme i癟in g繹r羹nt羹n羹n yeniden oluturulmas覺na paralel olarak 癟al覺覺r.

    Sonu癟: Mutabakata dayal覺 kontur seviyesine yaklaan y羹ksek kaliteli konturlarla zamandan tasarruf edin ve gereksiz varyasyonlar覺 azalt覺n.

    DirectOrgans
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    Push the boundaries for breast imaging

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    Current CT simulators require a longer breath-hold (20 s)6

    Hastalar覺n %15'i DIBH7 i癟in dikkate al覺nmas覺 gereken yeterli nefes tutma yeteneine sahip deil

    Derin ilham nefes tutma (DIBH), kardiyak toksisiteyi en aza indirmenin yayg覺n olarak kabul edilen bir y繹ntemidir. Mevcut CT sim羹lat繹rleri, y羹ksek doz h覺zl覺 terapiler ve h覺zl覺 koni 覺覺nl覺 BT gibi modern tedavi tekniklerinde gerekenden daha uzun bir nefes tutma (20 saniye)7 gerektirir.

    CT sim羹lasyonu s覺ras覺nda uzun s羹re nefes tutma hastalar i癟in rahats覺z edicidir ve 繹zel tedaviye eriimlerini s覺n覺rlayabilir.

    Current CT simulators require a longer breath-hold (20 s)6
    4-cm Stellar detector
    Confident breast contouring
    Minimizing cardiac toxicity in radiotherapy
    Precise heart chamber contours
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    Push the boundaries for head and neck imaging

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    Hedef tan覺mlamay覺 iyiletirmek i癟in TwinSpiral Dual Energy ile s覺n覺rlar覺 zorlay覺n

    TwinSpiralDual Energy1, optimum spektral ayr覺m elde etmek i癟in bir Kalay Filtre kullanan yeni bir ikili enerji toplama bi癟imidir. Tarama s羹relerini azaltarak, 繹zellikle hareket i癟eren durumlar i癟in uygundur.

    Sonu癟: Gelitirilmi yumuak doku kontrast覺 sayesinde hassas hedef belirleme.

    Push boundaries with Twinspiral
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    Direct i4D'nin Ard覺ndakiler

    En yeni teknolojilerimizden biri olan Direct i4D1,4'羹n gelitirilme s羹recine bir g繹z at覺n: Hastan覺n nefes al覺 veriine ger癟ek zamanl覺 olarak ak覺ll覺ca uyum salayan d羹nyan覺n ilk 4D CT sekans覺.

    SOMATOM go.Open Pro sim羹lasyonu yeniden kefediyor

    A straightforward, all-in-one solution for successful CT simulation

    Baar覺l覺 CT sim羹lasyonu i癟in basit, hepsi bir arada bir 癟繹z羹m

    Esnek, sezgisel sistem, verileri t羹m entegre bileenler aras覺nda senkronize eder.

    Tek bir kullan覺c覺 aray羹z羹 羹zerinden 癟al覺覺r ve tek bir sat覺c覺 hizmet s繹zlemesi gerektirir.

    Bu, CT sim羹lasyonunu y繹netmeye daha az zaman harcarken SOMATOM go.Open Pro'nun hastalar i癟in yaratt覺覺 rahat ve sakinletirici ortamda onlara odaklanmaya daha fazla zaman ay覺rabileceiniz anlam覺na gelir.

    Seamless and less error-prone CT simulation processes

    插措硃紳喧硃轍梭硃娶覺n覺z

    • Sorunsuz ve daha az hataya a癟覺k CT sim羹lasyon s羹re癟leri
    • Hedef konturlama i癟in optimum g繹r羹nt羹 kalitesi
    • Hastalar, operat繹rler ve y繹neticiler i癟in rahat ve sakinletirici bir ortam

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    SOMATOM go.Open Pro
    Direct i4D1,4    02
    SOMATOM go.Open Pro
    DirectORGANS1    02
    SOMATOM go.Open Pro
    iMAR1    02
    SOMATOM go.Open Pro
    HD FOV    02
    Courtesy of University Erlangen Strahlenklinik, Germany

    Directi4D1,4 ile ger癟ek zamanl覺 olarak solunum modeline ak覺ll覺 uyarlama

    120 kV
    Scan length: 260 mm
    Slice thickness: 1.5 mm
    Recon: Qr40 SAFIRE 3
    2 shallow breathing cycles skipped during real-time scan adaptation with Direct i4D1,4.


    Without iMAR*
    With iMAR*
    Without iMAR*
    With iMAR*
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    Testimonials

    M羹terilerimizin neler s繹ylediine bak覺n:

    "Haftal覺k olarak ger癟ekletirdiimiz 4D CT sim羹lasyonlar覺n覺n say覺s覺n覺 istikrarl覺 bir ekilde art覺rd覺k ve Direct i4D1,4 ile akcier kanseri hastalar覺m覺z覺n %100'羹n羹 planlamaya 癟ok yak覺n覺z. Neredeyse hi癟 artefakt olmadan m羹kemmel g繹r羹nt羹ler salar. Ayr覺ca karacier lezyonlar覺n覺n veya adrenal bezlerin hareketini deerlendirmek i癟in kar覺n b繹lgesinde m羹kemmel g繹r羹nt羹ler salar. 襤 ak覺覺m覺z覺 b羹y羹k 繹l癟羹de kolaylat覺rd覺覺n覺 g繹rd羹k.10

    <p>Jordi Saez, PhD</p>

    Jordi Saez, PhD

    Medical Physicist

    Hospital Cl穩nic de Barcelona, Spain 

    Teknik zellikler

    Bore size

    85 cm

    Scan Field-of-View (sFoV)

    60 cm

    Acquired slices/reconstruction slices

    64/128

    Z-axis coverage

    3.84 cm

    Rotation time

    0.351, 0.5, 1.0 s

    max. table load

    227/3071kg (TG-66 compliant tables)

    System footprint

    4 m2/43 ft2 (surface area covered by gantry and moving table top)

    Min. room requirement

    17.3 m2/186.2 ft2

    The software version VA40 for the SOMATOM go.Sim and SOMATOM go.Open Pro is pending 510(k) clearance, and is not yet commercially available in all countries. Its future availability cannot be guaranteed.

    1

    Optional

    2

    As shwon by measurements with a Gammex 467 Tissue Characterization Phantom comparing standard reconstructionn and DirectDensity reconstruction. Image value to relative electron/ mass density conversion for the standard reconstruction was based on a two-linear-equations approach with individual calibration for each tube voltage. For DirectDensity images, a single tube-voltage-independent linear conversion was used. DirectDensity reconstruction is designed for use in Radiation Therapy Planning (RTP) only. DirectDensity reconstruction is not intended to be used for diagnostic imaging.

    3

    The DirectBrachy positioning board is currently under development; it is not for sale in the U.S.A.

    The DirectBrachy positioning board is not commercially available in all countries. Its future availability cannot be guaranteed. 

    The urology stirrups (leg support) seen here are optional. The information contained here refers to products from third party manufacturers and are therefore in their regulatory responsibility.

    The CT simulator and the CT table seen here are not part of the DirectBrachy positioning board.

    DirectBrachy positioning board is only compatible with SOMATOM go.Sim and SOMATOM go.Open Pro with Multi-index RTP Overlay. Afterloader needed for brachytherapy. Shielding of the CT room is required when it its used for brachytherapy.

    Verification of mutual compatibility of medical devices combined in a system in accordance with Article 22 (MDR Regulation (EU) 2017/745) on Medical Devices is pending. The combination is not commercially available in the European Union.

    The DirectBrachy positioning board does not yet fulfill all applicable General Safety and Performance Requirements according to the European Medical Device Regulation 2017/745. The product is not commercially available. Its future availability cannot be guaranteed.

    4

    Requires Anzai or Varian RGSC

    5

    Werner R et al. Intelligent 4D CT Sequence Scanning (i4DCT). Best of Physics at ASTRO 2018

    6

    Study results from University Hospital Erlangen, Germany. Published in Whitepaper DirectORGANS 2.0, Siemens Healthineers, 2021.

    7

    Rice L et al. An effective deep-inspiration breath-hold radiotherapy technique for left-breast cancer: impact of post-mastectomytreatment, nodal coverage, and dose schedule on organs at risk. Breast Cancer (Dove Med Press). 2017; 9:437-446.

    8

    Saunders M et al. Continuous hypertractionatedaccelerated radiotherapy (CHART) versus conventional radiotherapy in non-smal-cell lung cancer: a randomisedmulticentretrial. CHART Steering Committee. Lancet. 1997; 350(9072):161-5.

    9

    Dual Energy CT cookbook: A guide to Monoenergetic Plus imaging in RT, 2018. Courtesy of Hospital de Mar, Barcelona, Spain.

    10

    The statements by Siemens Healthineers' customers described herein are based on results that were achieved in the customer`s unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.