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Cover story Rethinking Technology These new developments in market demand are reflected in the changing product portfolio of Siemens angiography systems. “We already support challenging cases with our established Artis Q/Artis Q.zen and Artis zee families,” says Francois Nolte, Vice President of Marketing & Product Management AX at Siemens Healthcare. “However, for routine interventions, physicians need a system that can adapt to different scenarios and provide tailored support for each task. It must be easy to understand, so that rotating teams can adjust to it quickly.” This requirement – to support a broad spectrum of procedures with ease – needed to be met without making compromises in image quality or dose saving. In creating Artis one, Siemens took all these requirements into consideration. The result is a system that offers uncompromised image quality and a new, intuitive way of interaction. And what is more, Artis one can create a strong positive impact on organizations that use it. As Nolte points out: “To create a kind of universal Swiss Army knife for routine cases, we have rethought interventional imaging from the ground up.” Siemens is presenting this latest addition to its Artis system portfolio at RSNA 2013. Uncompromised Imaging High-quality images are mandatory for successful procedures – especially for those requiring angiography. Artis one provides high-contrast images with excellent spatial and temporal resolution, and it also includes next-generation imaging tools that take image quality to a new level: CLEARstent Live enhances the stent image in real-time, allowing confirmation of the stent and the balloon markers at a glance. HeartSweep provides all the necessary diagnostic cardiac angulations in a single sweep, avoiding foreshortening. This makes it easier to find and navigate to the ideal projection for an intervention, allowing reductions in dose and contrast agent. Together with CLEARstent, these tools provide optimal support along the entire cardiology workflow, from diagnosis and interventional guidance to procedural assessment and documentation. The broader the mix, the more the room will be used. With more patients treated, more procedures will be reimbursed – a simple equation that maximizes return- on-investment. Some procedures also require enhanced anatomical understanding – for example, in assessing the shape of aortic aneurysms during endovascular aneurysm repair (EVAR). Here Artis one adds the third dimension with advanced 3D imaging tools, along with the possibility to view other modality 3D volumes such as CT, MR, or syngo DynaCT images. These tools make planning and orientation easier for the entire interventional team. With Artis one, 3D images are quickly and easily acquired. The results are processed in real-time and are available for the interventional case within seconds. In addition, they can be easily reviewed and manipulated from inside the examination room with an intuitive joystick control. In addition to handling cardiac and body-vascular cases, universal angiography labs may also be used for peripheral procedures. These require an imaging system that permits whole-body coverage without having to move the patient. Artis one offers a longitudinal coverage of 2.10 meters, supporting peripheral interventions from head to toe. To make sure that image quality does not come at the price of a higher radiation dose, advanced dose-saving technology is part of Artis one, which includes CARE+CLEAR. Additionally, Artis one features MEGALIX Cat Plus, the first angiography X-ray tube to offer a unique flat-emitter technology. “Rethinking a concept does not have to mean reinvent everything,” explains Nolte. “At the end of the day, CARE+CLEAR has already proven its value in close to 5,000 installations around the world. And yet, including it for our customers as part of the package with all Artis systems is still unique within our market. By basing Artis one on state-of-the-art imaging technology such as CLEARchoice, we have made sure it delivers the image quality our customers prefer.” Intuitive Interaction To ensure a high utilization rate, combo labs are often staffed by teams from multiple disciplines. So, their imaging systems must be easy to understand and intuitive to operate. These systems should allow anesthesiologists free access to patients as needed, and they should be easy 10  AXIOM Innovations | December 2013 | www.siemens.com/angiography


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