Philips Neuro suite offers a flexible portfolio of integrated technologies, services, and neuro accessories that puts you in firm control whether treating an acute stroke patient, visualising the smallest intracranial vessels, precisely placing a flow diverter, or working slowly through a complex AVM. You can work with the confidence that comes from using sophisticated imaging technologies and neuro options that are the result of intensive research with clinical leaders and industry pioneers in neuro interventions.
Neuro suite
Explore Neuro suite benefits
Explore Neuro suite benefits
Be ready to take on new challenges in ischemic stroke treatment
We see a strong increase in thrombectomy interventions as a first line treatment for patients with ischemic stroke. There is also a shift from time-based to image-based patient selection for ischemic stroke treatment. Our Neuro suite has been developed to address these trends. It can support high levels of procedural efficiency and redefine outcomes for your stroke patients.
Clinical solutions for treating ischemic stroke
Our Neuro suite provides workflow options, dedicated interventional neuro tools, and neuro accessories to support high levels of procedural efficiency and redefine outcomes for your stroke patients. They support each step of your procedure – as you decide, guide, treat, and confirm treatment results.
Decide
Identifying if the patient has an ischemic or hemorrhagic stroke, locate the affected area and assess the state of the penumbra and amount of salvageable tissue.
Comprehensive stroke diagnosis based on three SmartCTs
Non-contrast CBCT aids detection of early ischemic changes. Early phase CBCT helps to identify the proximal occlusion. Late phase contrast enhanced CBCT supports detection of collaterals.
Dual View to see collateral filling
Viewing early and late phase CBCT volumes side by side enhances identification of penumbra and enables visualization of collateral filling.
SmartCT Vaso IV to check location and length of a clot
SmartCT Vaso IV allows visualization beyond the clot with peri-procedural imaging of the distal vessel aspects in ischemic stroke. By retrograde filling, vessel structures before and after the clot become visible. The SmartCT Vaso 3D roadmap can be used to visualize clot retrieval devices.
Guide and Treat
When navigating and treating stroke pathology, clinicians need to be able to visualize the exact location of the clot and assess if and how the clot can be reached.
Maintain sharp images using 2D DSA with ClarityIQ technology
Automatic Motion Compensation during real-time DSA maintains sharp images of the vessel to support confident decision making throughout stroke procedures.
Enhance visualization of vasculature with Roadmap Pro
This advanced double contrast roadmap helps enhance visualization of overlapping vessels while balancing radiation exposure to make informed decisions about whether the clot can be reached and which route to use.
Gain anatomical references with SmartCT Angio and Roadmap
The SmartCT Roadmap provides anatomical references to support precise navigation of guidewire, catheter, and device to the clot.
Confirm
After stroke treatment, there is a need to confirm if all clot material has been removed and to check for bleedings while the patient is still in the interventional lab.
Confirm treatment success with DSA run-off
High quality DSA visualizations allow you to assess if you have retrieved the complete clot and if pieces of clot have been dispersed distally in the brain. You can check the restoration of blood flow to the penumbra and check for peri-procedure bleedings.
Peri-procedure check of bleedings with SmartCT Soft Tissue
Use CBCT (CT-like) images in the Neuro suite to check treatment success and bleedings.
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FlexVision Pro
Gives you direct access and full control of pre-operative diagnostic scans, patient information, planning tools, at table side to save time and unnecessary walking in and out of the sterile area. Touch screen module Pro allows table side control of images and applications with tablet ease.You are about to visit a Philips global content page
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Touch Screen Module Pro
Gives you direct access and full control of pre-operative diagnostic scans, patient information, planning tools, at table side to save time and unnecessary walking in and out of the sterile area. Touch Screen Module Pro allows table side control of images and applications with tablet ease.You are about to visit a Philips global content page
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Neuro headrest
Can be used to restrain restless patients under conscious sedation to help reduce motion artefacts during the procedure.You are about to visit a Philips global content page
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Sharp, motionless vessels at low dose with Clarity IQ
ClarityIQ technology reduces patient dose by 75% in neuro DSA1, while maintaining equivalent image quality, compared to a system without ClarityIQ to support a broad patient population. ClarityIQ automatic motion compensation removes skull and motion artifacts which is key when placing small devices at the base of the skull.You are about to visit a Philips global content page
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Zero Dose Positioning
Helps you reduce dose by positioning the system or table on Last Image Hold so you can prepare your next run without using fluoroscopy.You are about to visit a Philips global content page
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FlexVision Pro
Gives you direct access and full control of pre-operative diagnostic scans, patient information, planning tools, at table side to save time and unnecessary walking in and out of the sterile area. Touch screen module Pro allows table side control of images and applications with tablet ease.
Touch Screen Module Pro
Gives you direct access and full control of pre-operative diagnostic scans, patient information, planning tools, at table side to save time and unnecessary walking in and out of the sterile area. Touch Screen Module Pro allows table side control of images and applications with tablet ease.
Neuro headrest
Can be used to restrain restless patients under conscious sedation to help reduce motion artefacts during the procedure.
Sharp, motionless vessels at low dose with Clarity IQ
ClarityIQ technology reduces patient dose by 75% in neuro DSA1, while maintaining equivalent image quality, compared to a system without ClarityIQ to support a broad patient population. ClarityIQ automatic motion compensation removes skull and motion artifacts which is key when placing small devices at the base of the skull.
Zero Dose Positioning
Helps you reduce dose by positioning the system or table on Last Image Hold so you can prepare your next run without using fluoroscopy.
ProcedureCards
ProcedureCards streamline and standardize system set-up and help reduce preparation errors in acute ischemic stroke procedures. Hospital specific stroke protocols and/or checklists can be added to ProcedureCards and displayed on monitors to support consistent workflow during hectic acute situations.
FlexVision Pro and Touch Screen Module Pro
Gives you direct access and full control of pre-operative diagnostic scans, patient information, planning tools, at table side to save time and unnecessary walking in and out of the sterile area. Touch screen module Pro allows table side control of images and applications with tablet ease.
Instant Parallel Working
Allows team members to work on different tasks at the same time without interrupting each other to shorten procedure times for critical stroke patients.
Neuro headrest
Can be used to restrain restless patients under conscious sedation to help reduce motion artefacts during the procedure.
Integrated OR table
The Getinge Magnus OR table can be used for emergency and trauma care. It is synchronized with Philips X-ray systems to take advantage of advanced Philips solutions.
Azurion 7 C20
Monoplane angio systems are increasingly being used as dedicated stroke systems or as back-up systems in interventional neuro departments along side a biplane system. The Azurion 7 C20 is compatible with all advanced neuro interventional tools.
Explore Neuro suite benefits
See clearly and navigate efficiently when treating cerebral aneurysms
New devices can be difficult to visualize when treating cerebral aneurysms, and this can lengthen these types of interventions. That makes superb 2D and 3D imaging more important than ever to guide treatment decisions and device placement, while efficiently managing radiation dose.
Clinical solutions for treating cerebral aneurysms
Neuro suite provides workflow options, dedicated neuro interventional tools, and neuro accessories to improve procedural accuracy and reduce radiation exposure for staff and patients during aneurysm interventions. They support each step of your procedure – as you decide, guide, treat, and confirm treatment results.
Decide
The three main challenges when planning cerebral aneurysm treatment are: 1) obtaining insight into tortuous vasculature, 2) accurately assessing the location, size, and neck of the aneurysm, and 3) identifying and confirming if the lesion is severe enough to require an intervention and if there is enough information to make an appropriate treatment plan.
3D visualization of tortuous pathologies with SmartCT Angio
SmartCT Angio (3D-RA) provides a volumetric view in a few seconds to assist with assessment of location, size, neck, and severity of aneurysm for treatment planning. 3D-RA also provides high spacial resolution volumes and automatically compensates for patient movement.
Visualize lesion boundaries and corresponding vascularization with MR-CT Roadmap
Use a previously acquired CT angio or MR angio scan and overlay it with live fluoroscopy to visualize lesion boundaries and corresponding vascularization for risk assessment. Re-using pre-acquired data helps you manage X-ray dose and contrast medium.
Guide and Treat
New technologies and devices make it more challenging than ever to efficiently navigate to the feeding vessel and accurately position devices - all while avoiding arterial dissection and spasms and minimizing contrast agent and radiation use.
Dynamic 3D image guidance through neurovascular structures
SmartCT Roadmap enhances visualization of overlapping vessels to support precise navigation of guidewire and catheter through complex vasculature. Offers a high level of precision with real-time compensation for gantry, table, and small patient movements.
Visualize blood flow patterns with AneurysmFlow
Visualize and quantify blood flow patterns in the parent vessel and aneurysm sac to obtain key information that can assist deployment of flow diverters and other embolization devices.
Support accurate guidance of devices with MR-CT Roadmap
Visualize lesion boundaries and corresponding vascularization to enhance accurate navigation through challenging pathologies, while reducing unnecessary contrast and manage X-ray dose.
Enhance visualization of cerebral vasculature with Roadmap Pro
This advanced double contrast roadmap helps enhance visualization of overlapping vessels while balancing radiation exposure. It can be customized to see advancement during coil placement.
Confirm
After aneursym treatment, clinicians need to check that the device(s) has been properly placed and deployed in the context of the feeding vessel, the neck, and sac of the aneurysm. It is efficient to measure the efftect of the device while the patient is still on the table to check that there is no dissection or decrease of flow in the aneurysm.
Post-treatment flow calculations with AneurysmFlow
Evaluate changes in blood flow in the aneurysm pre and post, by calculating the change in Mean Aneurysm Flow Amplitude (MAFA ratio) before and after flow diverter placement.
Enhance imaging of vessels in the brain with SmartCT Vaso IA
SmartCT Vaso is an acquisition technique that combines a high resolution CBCT with a contrast injection to enhance visualization of endovascular stents, flow diverters, and other devices and of vessel morphology down to the perforator level. It is increasingly used for follow-up of aneurysms treated with flow-diverter stents to check device positioning.
Peri-procedure check of bleedings with SmartCT Soft Tissue
Use CBCT (CT-like) images in the Neuro suite to check treatment success and identify bleedings.
Case report low MAFA
Case courtesy of Prof. Laurent Spelle, Hôpital Bicêtre, Paris, France
Patient:
- Female, 35 years old.
- Saccular aneurysm in internal carotid artery.
- Exam date: June 16, 2014, Flow Diverter placement.
- AneurysmFlow MAFA of 0.59
- Follow-up exam: December 19, 2014, Total aneurysm occlusion.
June 16th, 2014
December 19th, 2014
The clinical user relies on conventional DSA imaging which is the primary source of information throughout the procedure.
Case report high MAFA 1.11
Case courtesy of Dr. Vitor. Mendes Pereira, UHN, University of Toronto, Toronto, Canada
Patient:
- Female, 67 years old.
- Saccular aneurysm in internal carotid artery.
- Exam date: July 19, 2012, Hôpital Universitaire de Geneva, à Flow Diverter placement.
- AneurysmFlow MAFA of 1.11
- Follow-up MRI exam at 3, 6 and 12 months showed incomplete occlusion.
- Angiogram 2 years after flow diverter placement clearly shows residual aneurysm.
- Additional flow diverter placed 3 months later (not shown).
July 19th, 2012
October 13th, 2014
The clinical user relies on conventional DSA imaging which is the primary source of information throughout the procedure.
Clinical solutions for treating cerebral aneurysms
Azurion offers a number of workflow innovations designed to help on-call staff work efficiently and easily, while maintaining a single-minded focus on the patient and manage radiation dose during acute ischemic stroke interventions.
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Neuro headrest
Can be used to help reduce motion artefacts during the procedure.You are about to visit a Philips global content page
You are about to visit the Philips USA website.
Full table side control with FlexVision Pro
FlexVision Pro gives you full control of all connected applications, like the CX50x Matrix ultrasound and all interventional tools at tableside to save time and unnecessary walking in and out of the sterile area.You are about to visit a Philips global content page
You are about to visit the Philips USA website.
Zero Dose Positioning
Helps you reduce dose by positioning the system or table on Last Image Hold so you can prepare your next run without using fluoroscopy.You are about to visit a Philips global content page
You are about to visit the Philips USA website.
Sharp, motionless vessels at low dose with Clarity IQ
ClarityIQ technology reduces patient dose by 75% in neuro DSA1, while maintaining equivalent image quality, compared to a system without ClarityIQ to support a broad patient population. ClarityIQ automatic motion compensation removes skull and motion artifacts which is key when placing small devices at the base of the skull.You are about to visit a Philips global content page
You are about to visit the Philips USA website.
Touch screen module Pro
Gives you direct access and full control of pre-operative diagnostic scans, patient information, planning tools, at table side to save time and unnecessary walking in and out of the sterile area. Touch screen module Pro allows table side control of images and applications with tablet ease.You are about to visit a Philips global content page
You are about to visit the Philips USA website.
Sharp, motionless vessels at low dose with Clarity IQ
ClarityIQ technology reduces patient dose by 75% in neuro DSA1, while maintaining equivalent image quality, compared to a system without ClarityIQ. Its automatic motion compensation removes skull and motion artifacts which is key when placing small devices at the base of the skull.
Manage dose and simplify workflow with Zero Dose Positioning
Helps you reduce dose by positioning the system or table on Last Image Hold so you can prepare your next run without using fluoroscopy.
Full table side control with FlexVision Pro
This features helps you reduce dose by allowing you to pan the table, change table height or move the X-ray system on Last Image Hold to determine the new center position. This helps you prepare your next run without using fluoroscopy.
ProcedureCards
ProcedureCards streamline and standardize system set-up and help reduce preparation errors. Select the Aneurysm ProcedureCard and the system is set-up the way you want. Hospital specific aneurysm protocols and/or checklists can be added to ProcedureCards and displayed on monitors to support consistent workflow.
Neuro headrest
Can be used to help reduce motion artefacts during the procedure.
Explore Neuro suite benefits
Decide confidently “to treat” or “not to treat” complex AVMs
Your ability to visualize the extremely complex pathologies of AVMs, fistula and other malformations is crucial in deciding whether to treat or monitor a patient. For decades, neuro specialists have relied on Philips sophisticated neuro imaging solutions to support confident planning and treatment decisions for AVM interventions. Now, as the field shifts towards medical monitoring of unruptured AVMs, our unique imaging capabilities can once again make the difference.
Clinical solutions for monitoring and treating AVMs
Neuro suite provides workflow options, dedicated neuro interventional tools and neuro accessories to improve procedural accuracy and reduce radiation exposure for staff and patients during AVM interventions. They support each step of your procedure – as you decide, guide, treat, and confirm treatment results.
Decide
3D visualization of heterogeneous vasculature with SmartCT Angio
SmartCT Angio provides a volumetric view in a few seconds to assist with assessment of feeding arteries, draining veins, arterialized veins, nidus and ruptured or unruptured pathology to guide decision making. SmartCT Angio also provides high spatial resolution volumes and automatically compensates for patient movement to enhance visibility of critical details.
Visualize vessels at the perforator level with SmartCT Vaso
The ability to visualize sub-millimeter vascular anatomy improves the chances of success and raises your treatment confidence. SmartCT Vaso provides high resolution 3D imaging that reveals key information about cerebral vascular structures to support the highest possible spatial assessment of vessels in the soft tissue context.
Guide and Treat
SmartCT Roadmap aids fast navigation through complex vessel structures
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
Differentiate between glue and subtraction error with automatic pixel shift
When you are monitoring AVMs over time, subtraction artifacts can disguise clinical information. Philips’ unique ClarityIQ automatic pixel shift help remove information that may be misleading, real-time and without user interaction.
Identify direction and arrival of liquid embolic agent with ClarityIQ’s Automatic Pixel Shift
During treatment, subtraction artifacts can obscure which direction liquid embolic agents are traveling. Using the automatic pixel shift in our ClarityIQ enables you to visualize the direction that liquid embolic agent is traveling and its arrival.
Clearly visualize newly injected liquid embolic agent with Roadmap Pro
The Roadmap Pro glue mode filters out already embolized vessels allowing you to focus on what you are injecting and how it is diffusing.
Confirm
Check final result and potential bleedings with SmartCT Soft Tissue
This X-ray acquisition technique 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 an AVM to check the final result and potential bleedings when the patient is still on the table.
Faster stroke treatment.
Improve outcomes.
When it comes to acute stroke, everyone deserves the best care. Today, more patients can benefit from mechanical thrombectomy through changed guidelines, which widen the time window for endovascular treatment.
Customer Testimonials
"3D is fully doable and also manageable inside the angio suite”
Prof. Vincent Costalat
Department Head of Therapeutic &
Diagnostic Neuroradiology
Centre Hospitalier Universitaire de Montpellier
Watch the video to learn the experience of Prof. Constalat and his colleagues
"If you don't see, you cannot treat a patient. The Azurion brings a complete rethinking of the system"
Prof Laurent Spelle
Interventional Neuroradiologist, Chairman
NEURI, the Brain Vascular Centre Bicetre Hospital,
Paris Sud University
Watch the video to learn the experience of Prof Spelle and his colleagues.
Philips and NICO.LAB partnering up
Improving the stroke care continuum together.
1.Söderman M, Holmin S, Andersson T, Palmgren C, Babic D, Hoornaert B. Image noise reduction algorithm for digital subtraction angiography: clinical results. Radiology. 2013 Nov;269(2):553-60.The results of the application of dose reduction techniques will vary depending on the clinical task, patient size, anatomical location and clinical practice. The interventional radiologist assisted by a physicist as necessary has to determine the appropriate settings for each specific clinical task. Results based on DSA dose area product per frame from a single center prospective randomized study on 20 patients. DSA runs for Allura Xper with ClarityIQ and Allura Xper without ClarityIQ were acquired on the frontal and lateral channel on the same patient under same condition of geometry, field of view, and injection protocol. Image quality was based on subjective assessment (score 1-5, 1=very poor, 5=excellent, blinded review by 3 radiologists involved in the study).
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