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CT-guided interventionsInnovative CT solutions for efficient procedure planning and needle guidance
Our mission is to simplify and elevate your CT-guided interventions by delivering a modular, scalable solution tailored to meet your individual needs as a clinician.
We are dedicated to helping you achieve precise and efficient needle procedures through advanced path planning, AI‑driven needle detection, seamless 3D registration and image fusion, combined with laser-guided insertion.
With flexible in-room control options, we enable you to work confidently – whether independently or with assistance – ensuring smooth workflows and allowing you to focus entirely on providing the best possible patient care.
Highlights & Innovations
Explore our highlight technologies designed to facilitate rapid, precise, and secure routine as well as complex CT-guided procedures.

myNeedle Laser
Fully integrated laser guidance for even advanced procedures with multiple needle paths.

myAblation Guide
Comprehensive coverage from ablation planning to treatment assessment
Clinical applications
CT-guided interventions are expected to rise, with biopsies remaining common but therapeutic procedures growing faster due to benefits like fewer complications, faster recovery, and shorter hospital stays. Discover key clinical areas where CT-guided interventions are making a significant impact.

Biopsy
Biopsies remain essential for fast, reliable diagnoses. CT guidance improves needle placement accuracy and increases the success rate of obtaining diagnostic tissue during the initial procedure.1
Image courtesy of Hospital Maennedorf, Switzerland

Drainage
Drainage procedures are fundamental for quickly resolving critical fluid collections with minimal invasiveness. CT‑guided placement ensures safe, efficient workflows that help patients recover faster.2
Image courtesy of The Ohio State University Wexner Medical Center, USA

Pain management
Pain management is crucial as chronic conditions place a major burden on patients worldwide. CT‑guided injections deliver targeted relief with accuracy that reduces more invasive procedures.3
Image courtesy of Benson Mount Gambier Hospital SA, Australia

Tumor ablation
Pain management is crucial as chronic conditions place a major burden on patients worldwide. CT-guided injections of pain medication deliver targeted relief with accuracy that can help avoid more invasive procedures.4
Image courtesy of RNS Group Practice for Radiology and Radiotherapy Wiesbaden, Germany
Leverage our clinical applications for efficient procedure planning and needle guidance
To help you perform efficiently in each of these clinical fields, our CT‑guided solutions give you the clarity, control, and confidence you need throughout every step of an intervention. With intelligent planning tools, AI-based needle guidance, and flexible in‑room operation, you’re equipped to work smoothly and deliver consistently high‑quality care – even in complex procedures.

myNeedle Laser
myNeedle Laser5 is a powerful, fully integrated option designed to make the intervention workflow more efficient by automatically projecting the needle entry point and insertion angle onto the body of the patient – even in advanced double-angulated procedures with multiple needle paths.

myAblation Guide
myAblation Guide6 brings unprecedented consistency to your microwave liver ablation workflow. With sophisticated planning tools, easy postprocedural assessment, and a coherent user experience across imaging and ablation systems, we’ve got you covered every step of the way.

myNeedle Guide 3D
myNeedle Guide 3D7 simplifies the workflow for both routine and complex CT-guided interventions. You can easily plan multiple needle pathways in different cross sections. Both path planning and visually guided insertion of multiple needles are supported within the workflow.
The AI based needle detection algorithm myNeedle Detection8 supports an efficient workflow by minimizing user interaction when progressing the needle.
Integrated Image Fusion allows fusing of 3D images from different modalities or contrast-enhanced prior CT studies to accurately plan and guide needle paths around critical anatomy.
Clinical cases
Courtesy of RNS Gemeinschaftspraxis, Wiesbaden, Germany
Microwave ablation of a liver mass
CT-guided intervention with myNeedle Guide 3D on SOMATOM go.Up
Contrast enhanced planning spiral:
2 events
Exposure time: 12.2 s / 13.6 s
Scan length: 299 mm / 329 mm
130 kV
CTDIvol: 13.9 mGy
DLP: 379 mGy*cm / 420 mGy*cm
FAST i-Sequence:
21 events
Exposure time: 16.8 s
Scan length: 15 mm (each)
80 kV
CTDIvol: 5.57 mGy
Accum. DLP: 379 mGy*cm

Courtesy of Kantonsspital Baden, Baden, Switzerland
Biopsy of a small suspicious lesion at the shoulder blade
CT-guided intervention with myNeedle Guide 2D on SOMATOM X.ceed
Planning and control spiral:
Exposure time: 3.6 s / 1.7 s
Scan length: 131 mm / 41 mm
100 kV
CTDIvol: 3.9 mGy / 3.15 mGy
DLP: 57.6 mGy*cm / 18.7 mGy*cm
i-Fluoro:
3 events
130 kV
Scan length: 9 mm
Exposure time: 0.7 s / 4.3 s / 0.7 s
CTDIvol: 6.48 mGy / 39.3 mGy / 6.48 mGy
Accum. DLP: 47.1 mGy*cm
Complete procedure time: 36 min

Courtesy of University Hospital Erlangen, Erlangen, Germany
cVRT performed with syngo.via
Biopsy of suspicious lesion in the liver
CT-guided intervention with myNeedle Companion on SOMATOM X.cite
Planning spiral:
Exposure time: 4.6 s
Scan length: 215 mm
80 kV
CTDIvol: 10 mGy
DLP: 256
i-Spiral:
8 events
80 kV
Scan length: 70 mm - 98 mm
Exposure time: 1.93 s (each)
CTDIvol: 4.2 mGy / 6.8 mGy
Accum. DLP: 386 mGy*cm

Courtesy of Centro Hospitalar de São João, Porto, Portugal
Biopsy of a small suspicious lung lesion
CT-guided intervention with myNeedle Guide & i-Fluoro on SOMATOM go.Up
Planning and control i-Spiral:
Exposure time: 14 s (each)
Scan length: 341 mm (each)
130 kV (each)
CTDIvol: 5.1 mGy
DLP: 160 mGy*cm
i-Fluoro to monitor needle progression:
2 events
Exposure time: 2.2 s / 12.6 s
Scan length: 9 mm (each)
110 kV
CTDIvol: 14.5 mGy / 83.7 mGy
Accum. DLP: 88.4 mGy*cm

Courtesy of University Hospital Erlangen, Erlangen, Germany
Biopsy of a suspicious lesion between kidney and spleen
CT-guided intervention with myNeedle Guide 3D on SOMATOM X.cite
Planning and control spiral:
3 events
Exposure time: 3.6 s (each)
Scan length: 175 mm (each)
70 kV
CTDIvol: 3.3 mGy
DLP: 65.5 mGy*cm
i-Spiral to monitor needle progression:
12 events
70 kV - 80 kV
Exposure time: 2.3 s - 2.4 s
Scan length: 86 mm - 175 mm
CTDIvol: 2.2 mGy / 2.4 mGy
DLP: 6.75 mGy*cm / 23 mGy*cm
Accum. DLP: 123 mGy*cm
Complete procedure time: 1h 15 min

Courtesy of Luzerner Kantonsspital, Luzern, Switzerland
cVRT performed with syngo.via
Cervical periradicular infiltration for pain management
CT-guided intervention with myNeedle Companion on SOMATOM X.ceed
Planning and control spiral:
5 events
Exposure time: 3-4 s (each)
Scan length: 146 mm (each)
Sn100 kV
CTDIvol: 4.61 / 5.05 mGy
Accum. DLP: 395 mGy*cm
i-Fluoro
5 events
Sn130 kV
Exposure time: 0.35 s - 5.64 s
Scan length: 9 mm
CTDIvol: 3.25 / 52.1 mGy
Accum. DLP: 92 mGy*cm

Courtesy of Centro Hospitalar de São João, Porto, Portugal
Drainage placement in Seldinger technique
CT-guided intervention with myNeedle Guide 2D & i-Fluoro on SOMATOM go.Up
Planning and control spiral:
Exposure time: 9.3 s / 4.53 s
Scan length: 232 mm / 127 mm
130 kV
CTDIvol: 7.42 mGy
DLP: 153 mGy*cm / 75 mGy*cm
i-Fluoro:
2 events
Exposure time: 10.9 s / 21.3 s
Scan length: 15 mm (each)
80 kV
CTDIvol: 58 mGy / 122 mGy
Accum. DLP: 169 mGy*cm
Courtesy of Kantonsspital Baden, Baden, Switzerland
Microwave ablation of a liver metastasis
CT-guided intervention with myNeedle Companion on SOMATOM X.ceed
Contrast enhanced planning spiral:
Exposure time: 4 s
Scan length: 234 mm
80 kV
CTDIvol: 1.64 mGy
DLP: 43.6 mGy*cm
i-Spiral for monitoring the needle progression:
7 events
Exposure time: 2 s
Scan length: 71 mm
Sn100 kV
CTDIvol: 2.2 / 2.4 mGy
Accum. DLP: 224.5 mGy*cm
i-Spiral of arterial phase after treatment:
Sn 100 kV
Scan length: 217.6 mm
Exposure time: 5 s
CTDIvol: 2.18
DLP: 52 mGy*cm
Courtesy of RNS Gemeinschaftspraxis, Wiesbaden, Germany
Microwave ablation of a liver mass
CT-guided intervention with myNeedle Guide 3D on SOMATOM go.Up
Contrast enhanced planning spiral:
2 events
Exposure time: 12.2 s / 13.6 s
Scan length: 299 mm / 329 mm
130 kV
CTDIvol: 13.9 mGy
DLP: 379 mGy*cm / 420 mGy*cm
FAST i-Sequence:
21 events
Exposure time: 16.8 s
Scan length: 15 mm (each)
80 kV
CTDIvol: 5.57 mGy
Accum. DLP: 379 mGy*cm

Courtesy of Kantonsspital Baden, Baden, Switzerland
Biopsy of a small suspicious lesion at the shoulder blade
CT-guided intervention with myNeedle Guide 2D on SOMATOM X.ceed
Planning and control spiral:
Exposure time: 3.6 s / 1.7 s
Scan length: 131 mm / 41 mm
100 kV
CTDIvol: 3.9 mGy / 3.15 mGy
DLP: 57.6 mGy*cm / 18.7 mGy*cm
i-Fluoro:
3 events
130 kV
Scan length: 9 mm
Exposure time: 0.7 s / 4.3 s / 0.7 s
CTDIvol: 6.48 mGy / 39.3 mGy / 6.48 mGy
Accum. DLP: 47.1 mGy*cm
Complete procedure time: 36 min

Courtesy of University Hospital Erlangen, Erlangen, Germany
cVRT performed with syngo.via
Biopsy of suspicious lesion in the liver
CT-guided intervention with myNeedle Companion on SOMATOM X.cite
Planning spiral:
Exposure time: 4.6 s
Scan length: 215 mm
80 kV
CTDIvol: 10 mGy
DLP: 256
i-Spiral:
8 events
80 kV
Scan length: 70 mm - 98 mm
Exposure time: 1.93 s (each)
CTDIvol: 4.2 mGy / 6.8 mGy
Accum. DLP: 386 mGy*cm

Courtesy of Centro Hospitalar de São João, Porto, Portugal
Biopsy of a small suspicious lung lesion
CT-guided intervention with myNeedle Guide & i-Fluoro on SOMATOM go.Up
Planning and control i-Spiral:
Exposure time: 14 s (each)
Scan length: 341 mm (each)
130 kV (each)
CTDIvol: 5.1 mGy
DLP: 160 mGy*cm
i-Fluoro to monitor needle progression:
2 events
Exposure time: 2.2 s / 12.6 s
Scan length: 9 mm (each)
110 kV
CTDIvol: 14.5 mGy / 83.7 mGy
Accum. DLP: 88.4 mGy*cm

Courtesy of University Hospital Erlangen, Erlangen, Germany
Biopsy of a suspicious lesion between kidney and spleen
CT-guided intervention with myNeedle Guide 3D on SOMATOM X.cite
Planning and control spiral:
3 events
Exposure time: 3.6 s (each)
Scan length: 175 mm (each)
70 kV
CTDIvol: 3.3 mGy
DLP: 65.5 mGy*cm
i-Spiral to monitor needle progression:
12 events
70 kV - 80 kV
Exposure time: 2.3 s - 2.4 s
Scan length: 86 mm - 175 mm
CTDIvol: 2.2 mGy / 2.4 mGy
DLP: 6.75 mGy*cm / 23 mGy*cm
Accum. DLP: 123 mGy*cm
Complete procedure time: 1h 15 min

Courtesy of Luzerner Kantonsspital, Luzern, Switzerland
cVRT performed with syngo.via
Cervical periradicular infiltration for pain management
CT-guided intervention with myNeedle Companion on SOMATOM X.ceed
Planning and control spiral:
5 events
Exposure time: 3-4 s (each)
Scan length: 146 mm (each)
Sn100 kV
CTDIvol: 4.61 / 5.05 mGy
Accum. DLP: 395 mGy*cm
i-Fluoro
5 events
Sn130 kV
Exposure time: 0.35 s - 5.64 s
Scan length: 9 mm
CTDIvol: 3.25 / 52.1 mGy
Accum. DLP: 92 mGy*cm

Courtesy of Centro Hospitalar de São João, Porto, Portugal
Drainage placement in Seldinger technique
CT-guided intervention with myNeedle Guide 2D & i-Fluoro on SOMATOM go.Up
Planning and control spiral:
Exposure time: 9.3 s / 4.53 s
Scan length: 232 mm / 127 mm
130 kV
CTDIvol: 7.42 mGy
DLP: 153 mGy*cm / 75 mGy*cm
i-Fluoro:
2 events
Exposure time: 10.9 s / 21.3 s
Scan length: 15 mm (each)
80 kV
CTDIvol: 58 mGy / 122 mGy
Accum. DLP: 169 mGy*cm
Courtesy of Kantonsspital Baden, Baden, Switzerland
Microwave ablation of a liver metastasis
CT-guided intervention with myNeedle Companion on SOMATOM X.ceed
Contrast enhanced planning spiral:
Exposure time: 4 s
Scan length: 234 mm
80 kV
CTDIvol: 1.64 mGy
DLP: 43.6 mGy*cm
i-Spiral for monitoring the needle progression:
7 events
Exposure time: 2 s
Scan length: 71 mm
Sn100 kV
CTDIvol: 2.2 / 2.4 mGy
Accum. DLP: 224.5 mGy*cm
i-Spiral of arterial phase after treatment:
Sn 100 kV
Scan length: 217.6 mm
Exposure time: 5 s
CTDIvol: 2.18
DLP: 52 mGy*cm
Courtesy of RNS Gemeinschaftspraxis, Wiesbaden, Germany
Microwave ablation of a liver mass
CT-guided intervention with myNeedle Guide 3D on SOMATOM go.Up
Contrast enhanced planning spiral:
2 events
Exposure time: 12.2 s / 13.6 s
Scan length: 299 mm / 329 mm
130 kV
CTDIvol: 13.9 mGy
DLP: 379 mGy*cm / 420 mGy*cm
FAST i-Sequence:
21 events
Exposure time: 16.8 s
Scan length: 15 mm (each)
80 kV
CTDIvol: 5.57 mGy
Accum. DLP: 379 mGy*cm







myNeedle Guide 2D
myNeedle Guide 2D simplifies CT-guided interventions along the whole clinical workflow, from imaging through planning and monitoring the current needle position.
i-Fluoro
i-Fluoro9 mode is designed for precise and fast placement in even complex, moving anatomies. At the same time, it offers HandCARE a real-time dose reduction providing significant protection from radiation to both radiologist and patient.10
In-room control
myNeedle | myAblation | myNeedle | myNeedle | i-Fluoro | In-room | |
SOMATOM | x | x | x | |||
SOMATOM | x | x | x | x | x | |
SOMATOM | x | x | x | x | x | |
SOMATOM | x | x | x | x | x | |
SOMATOM | x | x | x | x | x | x |
SOMATOM | x | x | x | x | x | x |
SOMATOM | x | x | x | x | x | |
NAEOTOM | x | x | x | x | x | |
NAEOTOM | x | x | x | x | ||
NAEOTOM | x | x | x | x |
Clinical practice
Gain insights from your colleagues regarding the clinical uses of our interventional solutions and the benefits they provide in improving patient outcomes, accuracy, and safety.
Kristina Ringe, Prof., MD
University Hospital Hannover, Germany
Clinical field: Tumor ablation & Pain Palliation
Products: myNeedle Laser & Cryoablation Workflow
Kristina Ringe, MD demonstrates how combining myNeedle Laser with cryoablation elevates precision and efficiency in treating a painful desmoid tumor. The video shows seamless needle trajectory planning – both in-plane and out-of-plane – and how real-time ice ball visualization supports safe, controlled ablation. This synergy results in reduced radiation dose and improved user confidence, particularly in anatomically demanding regions.
David Lacey, MD
Iowa Methodist Medical Center, Des Moines, USA
Clinical field: CT‑Guided Biopsies & Ablations
Product: myNeedle Laser on SOMATOM X.cite
Interventional radiologist David Lacey, MD reveals how the myNeedle Laser transforms everyday CT‑guided procedures. With the freedom to plan any oblique access and place needles quickly and accurately – without skin markings or fiducials – the system boosts workflow speed and consistency. Discover how this technology shortens procedures, reduces dose, and empowers clinicians to “always pick the best path” to a lesion.
Tobias Gassenmaier, MD
Cantonal Hospital Lucerne, Switzerland
Clinical field: Interventional Radiology – Lung Biopsy
Product: myNeedle Guide 3D on SOMATOM X.ceed
Consultant radiologist Tobias Gassenmaier, MD explains how myNeedle Guide 3D enabled a highly precise, angulated CT‑guided lung biopsy in a challenging case. By automatically detecting and aligning the needle in real time, the system streamlined planning, reduced control scans, and minimized radiation exposure. Watch how this advanced guidance technology makes complex lung interventions more predictable, safer, and faster.
Kristina Ringe, Prof., MD
University Hospital Hannover, Germany
Clinical field: Tumor ablation & Pain Palliation
Products: myNeedle Laser & Cryoablation Workflow
Kristina Ringe, MD demonstrates how combining myNeedle Laser with cryoablation elevates precision and efficiency in treating a painful desmoid tumor. The video shows seamless needle trajectory planning – both in-plane and out-of-plane – and how real-time ice ball visualization supports safe, controlled ablation. This synergy results in reduced radiation dose and improved user confidence, particularly in anatomically demanding regions.
David Lacey, MD
Iowa Methodist Medical Center, Des Moines, USA
Clinical field: CT‑Guided Biopsies & Ablations
Product: myNeedle Laser on SOMATOM X.cite
Interventional radiologist David Lacey, MD reveals how the myNeedle Laser transforms everyday CT‑guided procedures. With the freedom to plan any oblique access and place needles quickly and accurately – without skin markings or fiducials – the system boosts workflow speed and consistency. Discover how this technology shortens procedures, reduces dose, and empowers clinicians to “always pick the best path” to a lesion.
Tobias Gassenmaier, MD
Cantonal Hospital Lucerne, Switzerland
Clinical field: Interventional Radiology – Lung Biopsy
Product: myNeedle Guide 3D on SOMATOM X.ceed
Consultant radiologist Tobias Gassenmaier, MD explains how myNeedle Guide 3D enabled a highly precise, angulated CT‑guided lung biopsy in a challenging case. By automatically detecting and aligning the needle in real time, the system streamlined planning, reduced control scans, and minimized radiation exposure. Watch how this advanced guidance technology makes complex lung interventions more predictable, safer, and faster.
Kristina Ringe, Prof., MD
University Hospital Hannover, Germany
Clinical field: Tumor ablation & Pain Palliation
Products: myNeedle Laser & Cryoablation Workflow
Kristina Ringe, MD demonstrates how combining myNeedle Laser with cryoablation elevates precision and efficiency in treating a painful desmoid tumor. The video shows seamless needle trajectory planning – both in-plane and out-of-plane – and how real-time ice ball visualization supports safe, controlled ablation. This synergy results in reduced radiation dose and improved user confidence, particularly in anatomically demanding regions.

Percutaneous lung biopsy of a small metastatic nodule under CT guidance
Clinical Field: Interventional Radiology
Products: SOMATOM X.ceed, myNeedle Laser, myNeedle Guide 3D
Case: A tiny 6×8 mm metastatic lung nodule in a difficult paravertebral location blocked direct access, increasing the risk of pneumothorax and procedural inaccuracies.
Solution: Using myNeedle Laser to project the angulated access path and myNeedle Guide 3D with AI‑based needle detection for real‑time trajectory alignment enabled precise needle advancement with minimal monitoring scans.
Outcome: The lesion was centrally captured on the first attempt, no pneumothorax occurred, radiation was minimized, and the patient was discharged the same day. Histology confirmed metastatic RCC.

Cryoablation of an adrenal metastasis under CT guidance
Clinical Field: Interventional ablation in oncology
Products Used: SOMATOM X.ceed, myNeedle Guide 3D, myNeedle Laser
Case: An 85‑year‑old with a growing adrenal metastasis tightly located between the kidney and aorta required extremely precise probe placement, including a challenging transpulmonary approach.
Solution: Multi‑probe cryoablation planned via myNeedle Guide 3D for complex double‑angulated trajectories, transferred to myNeedle Laser for exact entry and angle visualization; progression monitored via i‑spiral CT.
Outcome: Six cryoprobes were placed accurately, no complications occurred, and follow‑up CT at 3 months showed complete devascularization with no recurrence.

Percutaneous lung biopsy of a small metastatic nodule under CT guidance
Clinical Field: Interventional Radiology
Products: SOMATOM X.ceed, myNeedle Laser, myNeedle Guide 3D
Case: A tiny 6×8 mm metastatic lung nodule in a difficult paravertebral location blocked direct access, increasing the risk of pneumothorax and procedural inaccuracies.
Solution: Using myNeedle Laser to project the angulated access path and myNeedle Guide 3D with AI‑based needle detection for real‑time trajectory alignment enabled precise needle advancement with minimal monitoring scans.
Outcome: The lesion was centrally captured on the first attempt, no pneumothorax occurred, radiation was minimized, and the patient was discharged the same day. Histology confirmed metastatic RCC.

Cryoablation of an adrenal metastasis under CT guidance
Clinical Field: Interventional ablation in oncology
Products Used: SOMATOM X.ceed, myNeedle Guide 3D, myNeedle Laser
Case: An 85‑year‑old with a growing adrenal metastasis tightly located between the kidney and aorta required extremely precise probe placement, including a challenging transpulmonary approach.
Solution: Multi‑probe cryoablation planned via myNeedle Guide 3D for complex double‑angulated trajectories, transferred to myNeedle Laser for exact entry and angle visualization; progression monitored via i‑spiral CT.
Outcome: Six cryoprobes were placed accurately, no complications occurred, and follow‑up CT at 3 months showed complete devascularization with no recurrence.

Percutaneous lung biopsy of a small metastatic nodule under CT guidance
Clinical Field: Interventional Radiology
Products: SOMATOM X.ceed, myNeedle Laser, myNeedle Guide 3D
Case: A tiny 6×8 mm metastatic lung nodule in a difficult paravertebral location blocked direct access, increasing the risk of pneumothorax and procedural inaccuracies.
Solution: Using myNeedle Laser to project the angulated access path and myNeedle Guide 3D with AI‑based needle detection for real‑time trajectory alignment enabled precise needle advancement with minimal monitoring scans.
Outcome: The lesion was centrally captured on the first attempt, no pneumothorax occurred, radiation was minimized, and the patient was discharged the same day. Histology confirmed metastatic RCC.

