Philips Big Bore RT: Advancing Radiation Oncology

Computed
Tomography
Radiation Oncology
Advancing critical
clinical decisions
Philips Big Bore RT
Pursuit of the successful outcome
Radiation therapy can be effective in helping your patients overcome
cancer. They depend upon your skills for a successful outcome. However,
fragmentation and inefficiencies in radiotherapy processes impact quality
of care and make it difficult to provide consistent, accurate, cost-effective
and timely treatment.
Imaging plays an integral role in the therapy planning
Only the most advanced and state-of-the-art solution
are critical to enhance delineation of target volume/organs
decisions. With Philips, integrated radiation oncology
process. Images of sufficient quality for proper contouring
at risk and increase accuracy of therapy delivery.
Variability in planning workflows can result in inconsistent
treatment plans and, subsequently, treatment quality.
Maintaining a constant, dependable and reproducible
workflow is paramount to answering the increasing
demand for cancer services.
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can address these challenges and advance critical clinical
systems and AI‐powered software help radiation
oncologists manage complexity and boost efficiencies
to accelerate the time from patient referral to treatment.
Powerful technology delivers
In radiation oncology, successful outcomes are measured by confidently
moving patients through the right treatment plans. CT technology can
assist by delivering accurate, reliable and reproducible data for treatment
planning for your patients.
The need for more reliable image information to minimize possible errors
in the treatment phase has grown. Philips Big Bore RT is a CT simulator
designed and enriched to meet the specific treatment planning and imaging
needs of radiation oncology.
Philips Big Bore RT
Advances confidence
in clinical diagnosis and
treatment planning
Accelerates time
to treatment through
intuitive workflow tools
Enhances patient and staff
satisfaction by creating
positive experiences
Maximizes value with
cross-purpose oncology
and radiology configuration
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Advance confidence
in clinical diagnosis
and treatment planning
Big Bore RT is designed to provide precise treatment planning through
enhanced accuracy in lesion identification, tissue density calculation
and segmentation. Exceptional image quality and the tools to manage
and investigate are the foundation for confident decision-making.
Enhance accuracy in treatment planning
and therapy delivery
Big Bore RT utilizes an 80 kW generator and maintains
Big Bore RT uses 32 reconstructed slices of data through
60 cm, without approximation of data. The 70 cm
visualization in coronal and sagittal images by reducing
image quality and Hounsfield Unit accuracy out to
extended field of view boosts confidence in visualizing
the patient’s entire anatomy in the treatment position.
overlapped reconstruction that allow for excellent
splay artifacts in images.
Expect more from auto-contouring
Through low-contrast resolution, low dose with
Contour ProtégéAI** pushes the capabilities of auto-contouring
iterative model reconstruction (IMR) technology delivers
optimized for MIM make contouring quick and efficient
high image quality, and virtually noise-free* images,
visualization of fine detail and improved clinical accuracy
in the detection and delineation of small, subtle structures.
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forward. Dynamic machine learning methods and algorithms
without sacrificing accuracy.
* In clinical practice, the use of IMR may reduce CT patient dose depending on the clinical task, patient size, anatomical location and clinical practice.
A consultation with a radiologist and a physicist should be made to determine the appropriate dose to obtain diagnostic image quality for the particular
clinical task. Low-contrast detectability and noise were assessed using Reference Body Protocol comparing IMR to FBP; measured on 0.8 mm slices,
tested on the MITA CT IQ Phantom (CCT183, The Phantom Laboratory), using human observers.
** Offered by MIM Inc.
Unveil obscured tissue for more accurate
tumor contouring
iDose4 improves image quality* through artifact
prevention, noise reduction and increased spatial
anatomical structure visualization and improves
radiation oncologists’ confidence in target delineation.
4D CT with bellows and amplitude binning, included
resolution at low dose.
in the Pulmonary Tool Kit for Oncology, helps improve
O-MAR algorithm can reduce metal artifacts on
even in irregular breathers.
accuracy in treatment planning and therapy delivery,
treatment-planning CT images, which enables better
Examine material composition from images
Big Bore RT is capable of dual-energy acquisitions. With appropriate calibration, dual-energy data
can be used to evaluate stopping power for proton therapy treatment planning.
Without IMR
With IMR
Without O-MAR
With O-MAR
* Improved image quality is defined by improvements in spatial resolution and/or noise reduction as measured in phantom studies.
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Simulation made easy
Multimodality Sim (MM Sim)
is an image simulation platform
that supports image fusion
and contouring for all available
images and data sets. It provides
clinical teams with the tools
necessary for multimodality
image fusion, AI-driven
auto-contouring, and efficient
collaborations – helping to
reduce patient wait time while
providing quality care.
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Decrease Standard Deviations
Using CT and MR as compared
to CT alone significantly
decreased standard deviations by
%
60
The highest level of variation was found at the prostatic
apex, followed by the prostatic base and seminal vesicles.
1
With MM Sim, CT and MR images reveal clarity and enhance confidence
for clinicians through advanced CT/MR image fusion and contouring tools.
Modifying contours on either MR or CT images allows modifications to be
instantaneously reflected on the other image set.
Features a single
sign-on patient
dashboard accessible
from a web browser
Offers advanced
contour editing, including
expansion, retraction
and overlapping logic
Leverages the Philips experience as an imaging modality
company to bring together CT, oblique MR, mDixon,
MR Synthetic CT, Spectral CT, SPR, 4D PET/CT, CBCT
and 16-bit DICOM images in one platform
Generates
customized
reports and
documents
Allows for aggregated
image and data sets from
different vendors
on one platform
Auto-contouring solutions by
MIM Contour ProtegeAI, atlas-based
SPICE and Model Based Segmentation
to fulfill clinician’s needs in contouring.
MM Sim Pro supports 5 and MM Sim Plus
supports 2 concurrent so you can
add a total of 10 remote clients
to allow for access from anywhere.
Provides improved
4D CT capabilities and
multiplanar respiration
motion movie loops
In just 10 seconds, MM Sim allows you to run the Navigation Pathways with
automation and import AI contours including auto image fusion, optimize user
views, set window/level, auto-place the isocenter and add beams.
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Simulate anywhere
Physician places isocenter(s) when patient is on the table. Physician uses MIPs
and reviews 4D data to make treatment decisions. Physician may also choose
to create emergency and palliative treatment fields.
Simulation on CT console
(absolute marking, MIPs, 4D reviews, emergency and palliative treatment)
Illustrative
scenarios
Coordinates to lasers
Remote location
Physician’s office
Physician’s second office
MIPs and 4D review
Absolute marking
Relative marking
to make treatment decisions
while patient is on the table
to fiducials when patient is off
Physician uses MIPs and 4D data
and generate contours when
patient is off of the patient table.
Physician places isocenter
(absolute marking).
of the table.
Physician creates beam geometry,
Physician creates emergency and
facilitate dose calculations in the TPS.
prepare patient for treatment.
treatment fields and contours to
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Physician adds isocenters relative
palliative treatment fields to quickly
Accelerate time to treatment through
intuitive scan-to-plan workflows
Approximately 19.3 million new cancer cases were reported worldwide in
2020 and 28.4 million new cases are expected in 2040, an increase of 47%.2
This significantly drives the demand for cancer services. Our streamlined
processes help improve your workflow and throughput.
As diagnostic and treatment workloads expand in both
Streamline imaging and simulation workflow
are under mounting pressure to provide accurate
a standardized, patient-centered approach to imaging
volume and complexity, radiation therapy departments
treatment while minimizing wait times for patients.
Today, the radiation oncology planning process can be
Philips iPatient dedicated oncology exam cards provide
and simulation with consistency from scan to scan.
labor-intensive, with frequent handovers, long wait times
Expedite to treatment plans
workflows and standardizing processes, and providing easy
auto-segmentation. Less manual intervention means
and lags in data transfers between systems. By optimizing
IMR improves image quality and advances
access to relevant patient information, Philips supports care
fast contouring and short time-to-treatment.
teams by integrating clinical workflows, reducing wait times
and increasing confidence in decision-making.
Without IMR
With IMR
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Enhance patient and staff
satisfaction by creating
positive experiences
A pressing question is how to maintain a patient-centric care experience
as the demand for radiation oncology services increases. Our solutions are
designed with satisfaction for patients, families and staff in the forefront,
enhancing comfort and confidence.
Accommodate complex setups easily
Patient setup on the Big Bore RT flat table with access
to the wide 85 cm bore aperture provides more room
to achieve optimal treatment position to facilitate
complex procedures. The enhanced design and
advanced functionality on the scanner and controls put
more at the fingertips of your staff so they can provide
your patients with a positive clinical experience.
Reduce patient stress during scans
Philips Ambient Experience envelops the patient
in soothing light and sound, creating a positive
distraction that helps reduce patient stress and
contributes to a successful imaging experience.
Patients become active participants by choosing
from an array of room themes.
Provide emergency and palliative care treatment
“Sim to Treat” tools are designed for speed and
efficiency, and allowing you to accelerate time to
treatment for emergency and palliative patients.
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“
User-friendly, fast, and well-functioning virtual simulation
software with useful features and tools will be a determining
factor for the success of a CT simulation program.” 3
Sasa Mutic, MS
Mallinckrodt Institute of Radiology
Washington University School of Medicine, St. Louis, MI
Accelerate time
from referral to treatment
“
Increased SFOV allows for full visualization of larger
patients and immobilization devices. This feature
is important to fully assess patient external dimensions,
which are necessary for accurate doses and to monitor
unit calculation.” 3
Sasa Mutic, MS
Mallinckrodt Institute of Radiology
Washington University School of Medicine, St. Louis, MI
“
O-MAR-corrected images are more suitable for the
entire treatment planning process by offering better
anatomical structure visualization and improving
radiation oncologists’ confidence in target delineation.” 4
Hua Li
Department of Radiation Oncology
Washington University School of Medicine, St. Louis, MI
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Maximize value with a system
for both oncology and radiology
Flexible upgrades, service options, consulting services and continuous
education programs allow you to maximize the value of your investment
over the entire lifecycle. Big Bore RT can also provide cross-functional general
radiology services, extending its benefits.
Big Bore RT can also
be used for general
radiology services.
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Empower your teams to deliver
Big Bore RT provides enhanced image quality and interventional controls
that allow it to be used as a diagnostic scanner for your radiology needs.
With Philips Technology Maximizer, you can future-proof
Maximize value tailored to your needs
as soon as they are released, at a fraction of the cost
Service agreement is scalable and customizable, keeping
your system and receive software and hardware updates
of acquiring them individually.
Philips support is designed around you. Every RightFit
your equipment up and running, your staff up to speed
and your organization on track.
• Improved reliability and repeatability of calibrations
with harmonized phantoms
Philips PerformanceBridge offers a flexible suite of
• Windows 10 deployed across the CT system
provide a path to help you find and maximize opportunities.
• Improved cybersecurity and encryption of patient data
continuous performance improvement solutions which
Become expert users from the start
Our world-class training programs
are taught by dosimetrists and therapists
who understand the nuances and
challenges of patient care that go well
beyond scanner features and buttons,
so that you may best serve your patients.
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Advancing radiation oncology
imaging for over 25 years
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Bringing it all together for you and your patients
With more than 1,500 Big Bore CT installations worldwide
You have a winning combination when you increase
and a history of firsts in the radiation oncology space,
accuracy in imaging and planning, accelerate time to
Big Bore RT helps you address today’s and tomorrow’s
treatment, and enhance patient and staff satisfaction,
challenges. Integrating tools, systems, software and
all while maximizing the value of your investment.
service is designed to improve operational efficiency
and care delivery.
Redefining CT simulation workflow
Multimodality
simulation
(MM Sim)
AcQsim CT
launched
1991
2000
Legacy
pioneered
CT simulation
Image quality and workflow
enhancements for
CT Big Bore Oncology
2005
Brilliance CT
Big Bore
2011
2016
Big Bore RT
2020
2021
iPatient
platform for
CT Big Bore
AI
auto-contouring*
*Powered by MIM Contour ProtégéAI
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1. Villeirs G, et al. Interobserver delineation variation using CT versus combined CT + MRI in intensity-modulated radiotherapy for prostate cancer.
Strahlenther Onkol. 2005;181:424–30.
2. Sung H, et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries.
CA Cancer J Clin. 2021.71:209-249; xdoi.org/10.3322/caac.21660
3. Mutic S. CT Simulation Refresher Course. Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO 63110.
www.aapm.org/meetings/2001am/pdf/7200-35328.pdf.
4. Li H, et al. Clinical evaluation of a commercial orthopedic metal artifact reduction tool for CT simulations in radiation therapy.
Medical Physics. 2012 Dec;39(12):7507–7517.
Philips Big Bore RT is a configuration of Philips CT Big Bore and Big Bore Family.
The Philips CT Big Bore is a computed tomography X-ray system intended to produce images of the head and body by computer reconstruction
of X-ray transmission data taken at different angles and planes. These devices may include signal analysis and display equipment, patient
and equipment supports, components and accessories. These systems are indicated for head and whole-body X-ray computed tomography
applications in oncology, vascular and cardiology, for patients of all ages.
Note: The above generic description is combination of intended use/indication for use/intended purpose.
For more details, please contact your local Philips representative.
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4522 991 78141 * JUL 2022