U.Va. Health System Runs First-of-its-Kind Scan in U.S. With New Siemens Interventional Imaging System

Robotic C-shaped arm in an operating room with a medical team working

Shown is the C-shaped arm, which can move into virtually any configuration because it moves freely from a robotic arm.(Photo: Courtesy of U.Va.'s Health System)

Nov. 26, 2007 — The University of Virginia Health System became the first in the nation to image a patient with the next generation of interventional imaging systems, the Artis zeego, on Nov. 14. Siemens formally unveiled the new technology today at the Radiological Society of North America meeting in Chicago.
 
At U.Va., this flexible new system helped physicians guide a liver shunt precisely into place using both fluoroscopy and computed tomography (CT slice) imaging. Because of its ease of use, flexibility and speed of imaging, this system has been in daily use for many different patient conditions since that first procedure. U.Va. has just begun to explore its benefits to patients with different imaging and treatment needs. The system offers versatility, enhanced image quality and streamlined workflow across many clinical environments.
 
"Because it can quickly and safely image a patient in so many different planes, the zeego system saves us time, which in turn helps to ensure better patient care and safety," says Dr. Michael D. Dake, chairman of the Department of Radiology at U.Va. The machine's design allows it to approach patients from virtually every angle.
 
“The concept of getting CT-scan-type images in an angiography suite is relatively new, and this system allows us to image the whole abdomen like a conventional CT (computed tomography) and, at the same time, perform complex procedures under fluoroscopic guidance,” said Dr. John F. Angle, an associate professor of radiology and director of interventional radiology at U.Va.

Fluoroscopy is a form of imaging that uses X-rays, and angiography is the field of radiology that uses X-rays to image blood vessels.
 
This technology is “ideally suited to chemoembolization of the liver, which is the injection of chemotherapy directly into arteries feeding a liver tumor,” Angle said.
 
At U.Va., the radiology team now can rapidly compile a three-dimensional reconstruction from the CT data. Speaking on the day of the first procedure with this system, Angle said, "What's exciting is how fast these 3-D images are delivered. These essential reconstructions will be compiled much more quickly."
 
The equipment can move in an expanded number of directions to make procedures quicker and minimize the number of times that a patient might need to be repositioned.
 
The Artis zeego features a multi-axis C-shaped arm that employs robotic technology to extend advanced cross-sectional imaging from head to toe through its virtually unrestricted projection capabilities. Offering a degree of positioning flexibility not achievable with traditional C-arm systems, the Artis zeego allows off-center rotational angiography for all areas of the body.
 

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