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Mobile C-arms: Is the era of flat panel detectors and 3-D technology upon us?

by Lauren Dubinsky, Senior Reporter | March 10, 2016
From the March 2016 issue of HealthCare Business News magazine

The Cios Connect has II technology and covers a broad range of applications in the medium market segment. It has low service costs and it is geared toward facilities that are more budget-conscious and looking for a C-arm that does a little bit of high-end applications, but mostly basic surgery. The Cios Select also has II technology and was designed for routine clinical use to provide easier access to surgical imaging. It’s mainly for outpatient and pain management clinics that perform basic procedures.

Starting in January, Siemens introduced an expanded version of its Cios Alpha. It has the revised version of the Cios software, a large preview image on the touch-screen, and metal correction functions for metal components in the image.

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Interventional procedures are growing
There is also a great deal of innovation taking place among the fixed C-arms that are used in cardiac catheterization labs. Both GE and Philips launched new products last year to shorten the procedure times and improve outcomes. “The devices and the techniques applied in interventional radiology are really growing and allowing for more interventional procedures versus open surgery,” says Miranda Rasenberg, global interventional marketing manager at GE. “You see it predominantly growing in those two areas — the vascular surgery area and interventional oncology.”

At last year’s RSNA meeting, GE introduced its new ASSIST software packages for interventional imaging. The packages include Vessel ASSIST for interventional radiology, EVAR ASSIST for vascular surgery, Needle ASSIST for bone interventions and Valve ASSIST and PCI ASSIST for interventional cardiology. GE is also adding its FlightPlan for liver embolization to the portfolio.

They help to plan, guide and assess the most complicated procedures that interventionalists and surgeons are performing today. GE’s FlightPlan, which has been in clinical use for four years, has been shown in clinical studies to help clinicians better identify tumor-feeding vessels. The studies found that it provides up to 97 percent improved sensitivity in identifying tumor-feeding vessels. In addition, when using the software, there was an 11 percent reduction in procedure time, and 82 percent of radiologist readers agreed on the identification of liver tumor-feeding vessels.

In April, Philips launched its VesselNavigator for its interventional X-ray systems including its fixed C-arms. It’s Philips’ latest innovation in live 3-D catheter navigation to guide minimally-invasive treatments of patients with vascular diseases. In studies, it has been shown to reduce the need for contrast by 70 percent and has shortened procedure times by 18 percent.

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