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Siemens showcases flat detector to visualize urinary stones in endourology at German Society of Urology congress

Press releases may be edited for formatting or style | September 29, 2016 X-Ray
Erlangen – WEBWIRE – Wednesday, September 28, 2016 -- At this year’s congress of the German Society of Urology in Leipzig, Siemens Healthineers will be presenting the combination of the Modularis urological shock wave unit and the flat detector technology of the mobile C-arm Cios Fusion. With its 30 cm x 30 cm field of view, it can cover 160 percent more of the anatomical environment than the standard image intensifier with no need to reposition the C-arm. The urologist can work more efficiently and also gets a faster overview of the urinary tract in a single image. Thanks to a Retina imaging chain and optimized dose management, X-rays are created with especially high image quality, yet at a lower radiation dose. Other imaging sources like ultrasound or endoscopy can be connected via the SmartView function, thus providing visual support for procedures. The displayed images can be stored directly in a central digital patient folder.

A solution for endourology and lithotripsy

With the improved imaging, complex endourological examinations, such as ureterorenoscopy (URS), a visual inspection of the ureters and the renal pelvis, can now be performed on Modularis with greater precision. Here the urologist introduces an endoscope into the kidney via the ureter, in order to remove kidney stones. The larger field of view and better grayscale differentiation in the flat detector technology make this procedure easier. Moreover, the high-resolution display with up to 1500 by 1500 pixels offers better visualization of urinagry stones. “Image quality is very good. I find the image using the flat detector significantly better than the C-arm image intensifier we’ve been using up until now. I can reliably view and assess stones, anatomical structures, and areas not filled by contrast medium. And with the larger field of view I can now see three-quarters of the urinary system on the screen, while before it was only a fraction of that,” explains Guido Bendl, Senior Physician at the urological clinic of Prosper-Hospital in Recklinghausen, Germany.
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Cios Fusion is especially well suited for combined use with the Modularis shock wave unit for non-invasive crushing of kidney and ureter stones with shock waves, known as extracorporeal shock wave lithotripsy (ESWL). This combination of devices makes it possible to treat stones efficiently by precisely aiming and shooting at the stone with the aid of an especially large focus area and a digital crosshair.

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