トモシンセシス テクノロジー
振り角50° 広角トモシンセシスにより、深さ分解能が向上し、より正確で迅速ながん検出が可能に。
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マンモグラフィは3Dの時代へ
乳がん診療だけではなく、乳がん検診、特に任意型検診ではトモシンセシスを導入される施設が増えてきています。Siemens Healthineers の独自の振り角50°のワイドアングルトモシンセシス* は、乳がんの早期発見、早期治療に貢献できると信じています。
振り角50° 広角トモシンセシスにより、深さ分解能が向上し、より正確で迅速ながん検出が可能に。
振り角50°(±25°)ワイドアングルトモシンセシス紹介動画
2種類の3Dマンモグラフィ技術による画質の違い
トモシンセシスの優れた検出性能により、自信を持って診断ができること。それは、診断医や放射線技師、そして何より、乳がんの可能性を持つ女性たちやその家族への素晴らしい成果につながります。
25回の撮影を行う50° ワイドアングルトモシンセシスは、広い角度からのデータ収集を行うことで、深さ方向の分解能が向上し、より正確で迅速な検出を実現します1。
2Dマンモグラフィでは組織の重なりとして描出された部分を、トモシンセシスにより断面像として捉えることで、より内部の情報を得ることが出来ます2,3。
2Dマンモグラフィでは悪性腫瘍の30%が検出されない可能性があるのに対し4、15,000人以上の患者を対象とした世界最大級の研究により、50°広角トモシンセシスでは、一度の撮影と15%の線量低減で43%の悪性腫瘍検出率の向上が示されました1,3。
左:ワイドアングル50°トモシンセシス
右:狭角トモシンセシス
安心して検査を受けられることが、より高い患者満足度につながります。
Siemens Healthineers のデジタルマンモグラフィ「MAMMOMAT Revelation」は、さまざまな「優しさ」を追求し、より快適な検査環境を実現しています。
画像カードをクリックすると詳しい説明をご覧いただけます。
息止めなしでもブレの無い撮影
MAMMOMAT Revelationでは、乳房に対し優れたホールド力を持つ圧迫板により、検査中に息止めの必要がなく、安心して検査を受けることが出来ます。
一人ひとりに合わせた圧迫機構
独自の最適圧迫機構(Op Comp)によって、女性一人ひとりの乳房に合わせて、最適な圧迫力を計測。最適圧に達すると自動で停止します。
これにより過度の圧迫を抑え、必要以上の痛みを防止。検査における患者の快適性を向上させることが可能です。
しなる圧迫板と無理のないポジショニング
SoftComp Paddleは、女性の体格に合うように設計されており、すべての乳房にマッチするできるように3種類のサイズをラインアップ。ソフトなカーブを描くエッジは、患者に高い快適性を提供。ポジショニングも簡単に行えます。
また、柔らかい素材でできた圧迫板は、様々な乳房の形状にそってしなるソフトシェイプ設計。より正確な位置決めと、被検者の圧迫時の痛みを軽減します。
リラックスした雰囲気を演出
LEDのイルミネーションパネル(MoodLight6)が優しく発光し、検査室に落ち着いた雰囲気を演出。緊張感を和らげます。発光色は任意の色に変更することができます。
ワークフローの向上
再構成されたトモシンセシスのスライス画像のデータは、撮影後すぐに操作コンソールで確認できます。画像を転送し、ビューワで開くときも、データ容量の軽量化によりスムーズに読影を行っていただけます。
トモシンセシスのデータを、さまざまな見方で観察
Insight2D:トモシンセシスのボリュームデータから作る合成2D画像
Insight3D:トモシンセシスのボリュームデータから作る回転3D画像
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Insight 3D: 回転3D画像
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Insight 2D:合成 2D
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お好みに合わせてフレーバーを選択し画質をカスタマイズ
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Insight 3D: 回転3D画像
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Insight 2D:合成 2D
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お好みに合わせてフレーバーを選択し画質をカスタマイズ
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Insight 3D: 回転3D画像
HD Tomo Biopsy with InSpect6:精度の高い検査
バイオプシー検査では精度が重要です。
トモシンセシスのスライス画像で行うターゲッティングはワンクリックでターゲッティングを完了でき、その精度は ±1mmです。InSpect(インスペクト)は採取した組織を検査中に同じ撮影台上で撮影し、確実に採取できたことを確認してから検査を終えることが出来ます。
FFDMとの比較。15,000人の女性を対象とした大規模な前向きスクリーン試験において、浸潤癌の発見率が43%高かった。One-view breast tomosynthesis versus two-view mammography in the Malmö Breast Tomosynthesis Screening Trial (MBTST): A prospective, population-based, diagnostic accuracy study. The Lancet Oncology.doi:10.1016/S1470-2045(18)30521-7.
Scaduto DA, Huang H, Liu C, Rinaldi K, Hebecker A, Mertelmeier T, Vogt S, Fisher P, Zhao W (2018) Impact of angular range of digital breast tomosynthesis on mass detection in dense breasts. Proc. SPIE 10718, 14th International Workshop on Breast Imaging (IWBI 2018), 107181V (6 July 2018).
Maldera et al. (2016): Digital breast tomosynthesis: Dose and image quality assessment. Physica Medica, pp. 1-12.
Alabousi, et al. Digital breast tomosynthesis for breast cancer detection: a diagnostic test accuracy systematic review and meta-analysis. Eur Radiol 2020;30:2058–2071.
クッキーを用いた実験:2台の異なるトモシンセシス装置で、積み重ねたアルファベット型のクッキーを撮影
オプション
RSNA2014、ECR2015、アドバイザリーボード2015で実施したアンケートにおける400名以上の放射線科医からの回答
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