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CARE+CLEAR Customer Care dose-reduction features as a fixture, if the case arose. All other options depend on financial and medical necessity, and can still be negotiated, unlike radiation protection.” Prof. Albrecht works at the Vivantes Klinikum Neukölln, a maximum care facility with about 1,100 beds and an equally broad range of treatment fields. The focus of the work done there, besides peripheral intervention, includes oncological intervention and embolization of hemorrhages. He considers that “radiation protection goes without saying,” and in this regard is thinking not just of his patients’ well-being but also that of his team: “Many interventions these days take several hours, with correspondingly long periods of X-ray exposure. Reducing the dose is essential in these cases, especially for the staff.” CAREposition and CAREprofile are the Stars of the Scene The clear line presented by the experts shows that Siemens is on the right path with its decision to provide dose-saving and image-processing tools as standard with its Artis systems, and that it is in fact setting a clear direction. Because some competitors are still offering comparable packages on an optional basis, Siemens is going a step further and taking on a pioneering role: the CARE+CLEAR package, which currently contains 17 features, has been growing constantly since 1994 and comes as standard with every Artis system. Siemens is thus concentrating fully on the interests of those providing the treatment, which are many and varied. For cardiologist Olaf Göing, MD, for instance, CAREposition and CAREprofile help establish the correct setting for the devices in relation to the patient’s anatomy with particular speed. He makes most use of the ability to set an individual pulse rate with CAREvision. “This makes it possible to ‘power down’ when handling slim patients and ‘power up’ for very adipose patients, to avoid having to What “as low as reasonably practicable” actually means is best known by the practitioners themselves, the treatment providers who deal with different people and different diagnoses on a daily basis and whose interest it is to help people by using radiation sensibly and responsibly. We asked these professionals how they deal with the dilemma of achieving an ideal level of image quality while keeping the dose as low as possible. And we wanted to find out how much the CARE+CLEAR features helped in this task. Radiation Protection for Patients and Staff When asked whether he thought the CARE+CLEAR features should be supplied as standard or offered as an option, Prof. Ansgar Berlis, MD, Chief Physician Diagnostic and Interventional Neuroradiology at the Klinikum Augsburg, answered with another question: “Who would drive an automobile today without a seatbelt and an airbag?” He believes that manufacturers must look after the safety of both patients and medical staff. In Prof. Berlis’ view, this type of safety system can determine whether or not a sale is made, and should be considered a quality criterion. This opinion is shared by his colleagues, Prof. Thomas Albrecht, MD, Head Physician at the Institute for Radiology and Interventional Therapy at the Vivantes Klinikum Neukölln, and Olaf Göing, MD, Head Physician Internal Medicine at the Sana Klinikum, Berlin, specializing in cardiology. Göing has a particularly radical perspective when it comes to radiological protection: “These days, when we have a better understanding of the connections between radiation dose and potential illness than we did previously, features that enable us to reduce the dose of radiation should be provided as a matter of course. There should not even be the possibility of choosing differently just to cut costs.” He continued: “I will grant that as a young doctor and later as a cardiologist, I did not take these problems seriously enough. I take a totally different view now. If I were buying a new cath lab I would classify “I consider minimizing radiological exposure for the intervention personnel to be a matter of key concern. In this connection, progress in the area of device technology must be supplemented by observance of radiological protection measures by the staff.” Prof. Thomas Albrecht, MD Head Physician at the Institute for Radiology and Interventional Therapy at the Vivantes Klinikum Neukölln AXIOM Innovations | December 2013 | www.siemens.com/angiography  79


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