myNeedle Companion is an interventional radiology solution for procedures such as imageguided biopsies and percutaneous ablations

myNeedle CompanionUniversal. Simple. Powerful.

With myNeedle Companion, we are introducing the first Siemens Healthineers solution that harmonizes planning and guidance for percutaneous needle procedures across modalities. Workflow and user interface are unified on angiography and CT systems. Image fusion seamlessly combines data from multiple modalities to help you visualize critical anatomical structures. Thanks to integrated software-assisted path planning and guided insertion, both routine and complex procedures are simplified. In addition, the integrated laser guidance system, myNeedle Laser,* visualizes the needle entry point and angle for you, with the aim of increasing efficiency and reducing variations of outcomes in interventional radiology.

myNeedle Companion enables you to plan even advanced procedures requiring multiple needles. No matter what your task entails, you are free to select the system with respect to its suitability or utilization capacity – without additional training effort.

myNeedle Companion workflow explained

myNeedle Companion is a package consisting of myNeedle Guide (planning and guidance software), myNeedle Laser* (laser guidance system), and dedicated scan protocols. The solution harmonizes both workflow and user interface across selected angiography and CT systems, with the aim of enabling consistent results.

Features & Benefits

Universally available across your modalities

myNeedle Companion brings a universal workflow and user interface to both angiography and CT systems. This way, you can always select the modality based on what is best for your patient.

Experience the first Siemens Healthineers cross-modality solution for needle procedures
Select the modality based entirely on patient and procedural requirements
Perform various procedures such as image-guided biopsies and percutaneous ablations

Simplifies routine and complex procedures

myNeedle Companion simplifies needle procedures by seamlessly integrating planning and guidance of interventions designed to achieve operational efficiency.

Use the all-in-one software solution myNeedle Guide for planning and guiding needle procedures
Benefit from a new and harmonized user interface on angiography and CT systems
Rely on step-by-step guidance from scan to needle progression

Powerful technology for consistent results

myNeedle Companion offers powerful tools – such as laser guidance, image fusion, and multiple needle path planning – to enable targeted needle placement in standard and complex cases.

Leverage myNeedle Laser* to project the needle entry point and insertion angle onto the patient
Fuse 3D images from different modalities such as MRI, PET, and CT
Plan and guide even multiple needles

Hear what our customers are saying**

“myNeedle Guide allows marking the needle entry point through a laser cross and offers a precise visualization of the virtual needle pathway. Altogether, these characteristics allow avoiding repeated scans during needle targeting.”¹

Yin-Kai Chao, MD

Department of Thoracic Surgery, Chang Gung University College of Medicine, Taoyuan, Taiwan

“We need a scanner with integrated needle guidance tools, and we need to be able to access it.“

Thomas Vogl, MD

Institute for Diagnostic and Interventional Radiology, University Hospital Frankfurt, Germany

“C-arm CT-based needle guidance enables reliable and efficient needle positioning and progression by providing real-time intraoperative guidance.”²

De-Chao Jiao, MD

Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China

“Not everything can be done with a single modality. We need cross-modality needle navigation tools integrated with imaging systems, particularly for CT and angiography.”

Nils Rathmann, MD

Clinic for Radiology and Nuclear Medicine, University Hospital Mannheim, Germany

Watch Thomas Vogl, MD, speak about image-guided needle interventions with CT and angiography systems during ECR 2021

Review the clinical literature

Single-center studies using Siemens Healthineers angiography systems with our needle guidance solutions** have repeatedly shown excellent results.

myNeedle Guide allows for an 87% success rate when placing T-bars for needle localization

Improve surgical placement rates

myNeedle Guide supports accurate planning and guidance of needle procedures such as tumor localizations.³ In one study with 23 patients where the software was paired with intraoperative fluoroscopic imaging, clinicians report an 87% success rate for placing T-bars to localize small pulmonary nodules.⁴

Target lesions with high precision

myNeedle Guide helps increase your confidence when targeting lesions during needle procedures. Using cone-beam CT alongside fluoroscopic guidance, clinicians in one study with 15 patients achieved a mean precision of 7 mm ± 3 mm absolute deviation of the needle tip from the lesion center.⁵

myNeedle Guide enables a puncture success rate of 98.2% during image-guided biopsies

Perform biopsies in small anatomy

Using myNeedle Guide to plan image-guided biopsies immediately before the procedures may help you minimize the need for repeat procedures. One study with 108 patients where cone-beam-based intraoperative 3D imaging was used reports a high puncture success rate of 98.2% despite the need for targeting small lesions.²

References and other scientific publications

Did this information help you?

myNeedle Companion functionality is currently available for ARTIS VE2 as syngo Needle Guidance, laser crosshairs, and applicable scan protocols.

myNeedle Companion for ARTIS angiography systems is currently under development and does not yet fulfill all applicable General Safety and Performance Requirements according to the European Medical Device Regulation (EU) 2017/745 (MDR).

myNeedle Companion for ARTIS angiography systems is not yet available for sale. Its future availability cannot be guaranteed.

myNeedle Companion for SOMATOM CT scanners is pending 510(k) clearance, and is not yet commercially available in the United States.

The statements with footnotes in this document are based on a result of the quoted clinical study that evaluates the procedure. The results are not generated with the actual product version. It is expected that the actual product version has similar or improved functionality to support the evaluated procedure.

* Optional

** These customer statements and studies reference the use of myNeedle Companion (former name: syngo Needle Guidance) in combination with Siemens Healthineers angiography systems. The statements by Siemens Healthineers’ customers described herein are based on results that were achieved in the customer's unique setting. Because there is no “typical” hospital or laboratory and many variables exist (e.g., hospital size, samples mix, case mix, level of IT and/or automation adoption), there can be no guarantee that other customers will achieve the same results. Prof. Thomas Vogl, Prof. Yin-Kai Chao, and Dr. Nils Rathmann received financial support from Siemens Healthineers for collaborations.

Ming-Ju Hsieh et al., “Learning Curve of Image-Guided Video-Assisted Thoracoscopic Surgery for Small Pulmonary Nodules: A Prospective Analysis of 30 Initial Patients", Journal of Thoracic and Cardiovascular Surgery 155, no. 4 (2018): 1825–1832.e1, https://www.ncbi.nlm.nih.gov/pubmed/29338860.

De-Chao Jiao et al., “Clinical Applications of the C-arm Cone-beam CT-based 3D Needle Guidance System in Performing Percutaneous Transthoracic Needle Biopsy of Pulmonary Lesions", Diagnostic and Interventional Radiology 20, no. 6 (2014): 470–474, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4463285.

Michael Kostrzewa et al., “Accuracy of Percutaneous Soft-Tissue Interventions Using a Multi-Axis, C-Arm CT System and 3D Laser Guidance", European Journal of Radiology 84, no. 10 (2015): 1970–1975, https://pubmed.ncbi.nlm.nih.gov/26184039.

Ritu Gill et al., “Image-guided Video Assisted Thoracoscopic Surgery (iVATS): Phase I-II Clinical Trial", Journal of Surgical Oncology 112, no. 1 (2015): 18–25, https://www.ncbi.nlm.nih.gov/pubmed/26031893.

Michael Kostrzewa et al., “Computed Tomography-Assisted Thoracoscopic Surgery: A Novel, Innovative Approach in Patients With Deep Intrapulmonary Lesions of Unknown Malignant Status”, Investigative Radiology 52, no. 6 (2017): 374–380, https://www.ncbi.nlm.nih.gov/pubmed/28141614.