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Interventional Oncology Procedures

Interventional Oncology proceduresIncrease precision for better patient outcomes

To realize our vision of a world without fear of cancer, together with Varian, we are continually innovating personalized care. As the fourth pillar of cancer care, interventional oncology plays a significant role in shaping precision therapy. Along the patient pathway, our advanced solutions for minimally invasive therapies allow care to be organized around the medical condition of patients in order to deliver therapy outcomes that matter to them.

We've got you covered

Whether embolization, ablation, or the best supportive care: The unique combinations of our imaging, planning, and guidance solutions with our ablation devices and tightly calibrated microspheres drive precision – to maximally increase effectiveness and keep side effects to a minimum. We've got you covered! Discover our interventional oncology solutions:

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Embolization

Perform targeted embolization every time

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Ablation

Carry out ablations with high precision

Learn

Best supportive care

Improve quality of life for your patients

Embolization

Perform targeted embolization every time

To reduce the tumor burden of intermediate-stage tumors, achieve down-staging, and even treat selected early-stage tumors with curative intent, it’s key to precisely target the cancer nodules – while protecting the surrounding tissue to preserve organ function.

Our innovative imaging, planning, and guidance solutions combined with unique microspheres let you effectively assess tumor anatomy, deliver targeted embolization, and subsequently verify tumor coverage.

Workflow

1. Assessement

syngo DynaCT

Helps to make procedures safer and technically easier.*

* Lucatelli P et al., Impact of 3D Rotational Angiography on Liver Embolization Procedures. Cardiovasc Intervent Radiol. 2015 Jun;38(3):523-35

2. Planning

syngo Embolization Guidance

Facilitates finding optimal treating position

3. Guidance

syngo 3D Roadmap

Guides device navigation precisely

Clinical image: embolization confirmation

4. Confirmation

syngo DynaPBV Body

Observe tumor perfusion changes during your therapy

Images 1-3: Courtesy of Bernhard Meyer, MD, Hannover Medical School, Germany,
Image 4: Courtesy of Bora Peynircioglu, MD, Hacettepe University School of Medicine, Ankara, Turkey

Supporting systems

Nexaris Angio-CT

A hybrid inerventional suite that seamlessly combines angiography, CT and wireless-ultrasound. With Instant Fusion, CT and angiography images are now seamlessly integrated and instantly fused together.

Embozene Microspheres

Precision. Flexibility. Control.

Clinical Cases

Courtesy of University Hospital Tübingen, Germany

syngo Embolization Guidance

In treatment of liver tumors, syngo Embolization Guidance automatically detects a catheter that is positioned in a hepatic artery. It then automatically computes a vessel tree starting at the catheter position and comprising vessel branches that feed a user-defined lesion.*

Predefined color coding facilitates finding the optimal treatment position for each tumor nodule.

_{* The user must check the final vessel tree.}

Courtesy of Hannover Medical School, Germany

Selective internal radiation therapy

Courtesy of Hannover Medical School, Germany

Clear visualization in super-selective procedures

Our contrast-based exposure control OPTIQ delivers optimal contrast at lowest achievable dose* – for excellent visibility of small vessels and devices in 2D imaging. OPTIQ includes Structure Scout, which tunes the X-ray spectrum to best fit the absorption characteristics of the device material used.

OPTIQ DSA is designed to improve visibility in DSA images by likewise enhancing sharpness and contrast without increasing noise.

_{* Within the possible ARTIS exposure parameters and given hardware configuration as well as status of SID, collimation, and grid.}

syngo DynaCT visualization of small, distal hepatic arteries.
Courtesy of Hannover Medical School, Germany

Simple and precise 3D imaging, everywhere

Generate 3D acquisitions with excellent spatial and soft tissue resolution whatever your clinical case. With 95°/s rotation speed, ARTIS icono systems can acquire syngo DynaCT images in just 2.5 seconds, which means fewer motion artifacts¹.

Simple and precise 3D imaging gives you confidence in procedure planning. Intra-procedural syngo DynaCT can also help reduce the risk of unwanted side effects such as non-target embolization.

ARTIS icono ceiling combines these benefits through the Omni Spin C-arm for a high level of flexibility during interventional procedures.

1_{In comparison with Artis Q}

Courtesy of University Hospital Tübingen, Germany

syngo Embolization Guidance

Predefined color coding facilitates finding the optimal treatment position for each tumor nodule.

_{* The user must check the final vessel tree.}

Courtesy of Hannover Medical School, Germany

Clear visualization in super-selective procedures

OPTIQ DSA is designed to improve visibility in DSA images by likewise enhancing sharpness and contrast without increasing noise.

_{* Within the possible ARTIS exposure parameters and given hardware configuration as well as status of SID, collimation, and grid.}

syngo DynaCT visualization of small, distal hepatic arteries.
Courtesy of Hannover Medical School, Germany

Simple and precise 3D imaging, everywhere

Simple and precise 3D imaging gives you confidence in procedure planning. Intra-procedural syngo DynaCT can also help reduce the risk of unwanted side effects such as non-target embolization.

ARTIS icono ceiling combines these benefits through the Omni Spin C-arm for a high level of flexibility during interventional procedures.

1_{In comparison with Artis Q}

Courtesy of University Hospital Tübingen, Germany

syngo Embolization Guidance

Predefined color coding facilitates finding the optimal treatment position for each tumor nodule.

_{* The user must check the final vessel tree.}

Ablation

Carry out ablations with high precicion

Ablative therapies require precise needle placement to successfully destroy tumors and prevent their recurrence. Our imaging equipment delivers the high-resolution images you need to confidently assess the tumor.

In the next step, our integrated imaging and ablation solutions support you with precise needle path planning, smart guidance, delivery of sufficient ablation zones, and subsequent verification of tumor destruction.

Workflow

myNeedle Companion harmonizes planning and guidance for percutaneous needle procedures across modalities, with a unified workflow and user interface for angiography and CT systems. With the support of myNeedle Companion, you can perform both routine and advanced procedures.

1. Imaging

syngo DynaCT

The workflow begins with syngo DynaCT, which enables you to visualize lesions and the surrounding anatomy.

2. Planning

myNeedle Guide

With myNeedle Guide, you can plan one or more needle pathways and pinpoint target zones in different cross-sections. You can also fuse data sets from multiple modalities.

3. Guidance

myNeedle Laser

Use myNeedle Laserand progression views to insert needles at the planned location and angle. The system automatically aligns the laser cross with the planned path.

4. Confirmation

syngo Dyna3D

Confirm probe placement and the ablated area with syngo Dyna3D.

Image 1: Courtesy of University of Frankfurt, Germany
Image 2: Courtesy of HEGP, Paris, France

Clinical Cases

Courtesy of Dr. W. Lea, Medical College of Wisconsin, Milwaukee, USA

Tumor assessment. 5 cm metastatic renal cell carcinoma (MRI)

Best supportive care

Improve quality of life for your patients

Treating tumors is at the core of cancer care. But improving the quality of life for cancer patients is equally important, considering that novel cancer therapies increasingly prolong life expectancy and may enable cancer to be managed as a chronic disease in the future.

Backed by our advanced applications for procedure planning and image guidance, you can offer long-term treatment, deliver supportive palliative care, relieve disease symptoms, and reduce therapy side effects.

Workflow

Combined cryoablation, screw fixation and osteoplasty procedure

1. Assessement

Diagnostic CT

Axial view reveals left acetabular metastasis from renal cell carcinoma (lytic metastatic disease) as source of persistent left hip pain.

Clinical image: Best supportive Care - Planning

2. Planning and Guidance: Ablation

syngo Toolbox, myNeedle Guide and syngo 3D Roadmap

Contrast-enhanced CT for
- path planning of cryoprobes, screws and hydro-dissection needles using myNeedle Guide
- marking of structures at risk (sciatic nerve) and A0 ablation margins using syngo Toolbox

Overlay 3D planning objects during fluoro-guided cryoprobe and screw placement using syngo 3D Roadmap

Clinical image: Best supportive care guidance

3. Planning and Guidance: Osteoplasty

syngo 3D Segmentation and syngo 3D Roadmap

Contrast-enhanced CT to outline target area for osteoplasty using syngo 3D Segmentation.

Overlay 3D planning objects during fluoro-guided osteoplasty using syngo 3D Roadmap.

Clinical image: Best supportive care verification

4. Confirmation

Fluoroscopy

Final confirmation of result of augmented screw fixation for bone stabilization

Images 1-4: Courtesy of Dr. W. Lea, Medical College of Wisconsin, Milwaukee, USA

Supporting systems

Nexaris Angio-CT

First hybrid suite that seamlessly combines angiography, CT and wireless-ultrasound - CT and angiography images are now seamlessly integrated and instantly fused together.

SOMATOM X.ceed

Intelligent imaging. Exceeding excellence.

Clinical Cases

$Clinical image: Pain therapy for radiation-induced insufficiency fracture of the sacrum bilaterally with extensive bony demineralization$

Courtesy of Dr. W. Lea, Medical College of Wisconsin, Milwaukee, USA

Bone stabilization after radiation of prostate cancer (CT)

Pain therapy for radiation-induced insufficiency fracture of the sacrum bilaterally with extensive bony demineralization.

Hear what our customers are saying*

Prof. Bernhard Meyer, MD, Hannover Medical School, Germany

The clinical benefits of precision in embolization

“All our patients benefit from this new precision, both advanced-stage and – more and more – early-stage patients. We are selective but also comprehensive. We save healthy liver tissue but also treat the whole tumor. We should never forget about the quality of life of our patients. This is why precision – less side effects – is so important.“

Prof. Jan Hinrichs, MD, Hannover Medical School, Germany

Insights on image quality and usability from clinical practice

“The system has brilliant image quality. For example, if you want to see liver arteries or the lower extremity arteries in detail, you can see the small arteries very nicely. And the system is very silent which is quite nice for the Interventional Radiologist trying to keep his mind on the patient.”

Prof. Frank Wacker, MD, Hannover Medical School, Germany

Insights on information integration from clinical practice

"The DynaCT images I’ve seen so far are brilliant, even in patients who can't hold their breath. And with DynaCT come a lot of other exciting breakthrough applications in IR such as Needle Guidance, syngo Fusion, Embolization Guidance and so on; and these are very important tools which have a huge impact on the workflow in IR.”

Brandon Key, MD, Froedtert Hospital - Medical College of Wisconsin, Miliwaukee, USA

Image guided techniques for complex Musculoskeletal (MSK) cases

Learn how Brandon Key, MD, from the Medical College of Wisconsin redefines precision in cryoablation, osteoplasty and screw fixation as he shares his real-world experience in performing complex MSK procedures.

Did you know?

Worldwide, cancer cases are on the rise. To increase the life expectancy for cancer patients and improve their quality of life, the earliest possible diagnosis as well as precise treatment are key.

While there were 19.3 million new cases in 2020, the number is predicted to rise up to...

25,5 million new cases

30,2 million new cases

Get in touch

we are looking forward connecting with you

* The results and statements by Siemens Healthineers customers described herein were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g. hospital size, case mix, level of IT adoption), there can be no guarantee that other customers will achieve the same results.

The products/features mentioned herein are not commercially available in all countries. Their future availability cannot be guaranteed.