Philips Azurion 7® is the X-ray equipment in a HR with a 20” flat detector and equipped with a workstation for image processing and fusion imaging (VesselNavigator, Phillips Healthcare, Best, The Netherlands). All compatible applications in the interventional lab via the central touch screen module and FlexVision Pro [22 ].
Zenition 70
The Zenition 70 is a medical imaging device designed for use in healthcare settings. It is a mobile C-arm system that provides real-time, high-quality imaging during surgical and diagnostic procedures. The Zenition 70 is capable of capturing fluoroscopic images and video to assist healthcare professionals in their clinical decision-making.
5 protocols using zenition 70
Comparative Evaluation of Mobile C-arm and Hybrid Room X-ray Devices
Philips Azurion 7® is the X-ray equipment in a HR with a 20” flat detector and equipped with a workstation for image processing and fusion imaging (VesselNavigator, Phillips Healthcare, Best, The Netherlands). All compatible applications in the interventional lab via the central touch screen module and FlexVision Pro [22 ].
Robotic-Assisted Pedicle Screw Placement
The robot arm unit was attached to the operating table. Before the operation, the robot arm unit was equipped with a specific sterile drape, and the robot reference frame and arm guide were attached. A skin incision was made in the posterior midline of the planned fusion area. All surgeries were performed through a posterior approach, which included midline fascial incisions or midline skin and separate fascial Wiltse incisions.
All surgeries were done using “CT to Fluoro” registration. The C-arm (STX-1000A; Toshiba Medical Systems, Ohtawara, Japan or Zenition 70; Philips, Amsterdam, Netherlands) was used to acquire frontal and oblique X-ray images during surgery, which were matched with the planning data. Without Kirschner-wire guidance, pedicle screws were inserted under the robotic arm guide.
Optimal Intraoperative Fluoroscopic Pelvic View
Roll back towards the side of the hemiplevis being instrumented until the sciatic notch and the anterior inferior iliac spine can be clearly delineated.
Alternating between these 2 views can be done without interfering with the surgical instrumentation (
Images and figures were generated using a cadaver specimen. Images were obtained using a C-arm (Zenition 70, Philips).
CT-Fluoroscopic 3D2D Registration Protocol
The (2D) fluoroscopic images for registration were acquired with a mobile C-arm system (Philips Zenition 70, Philips, Best, Netherlands). The imaging settings were set to the spine protocol (variable kV, typical dose-level 0.408 mGy 20 cm PMMA) to achieve optimal image quality of the vertebrae, which was part of the regular software (version 5.1.7: IQ NA HC R5.1.7).
All imaging data files were transferred to a secured portable computer in Digital Imaging and Communications in Medicine (DICOM) format.
The non-invasive marker model consisted of a randomly applied pattern of prototype hybrid skin markers (radiopaque and optical), which were an update of previously used optical markers [14 (link)]. The update consisted of a radiopaque sphere added to the marker’s center to make them visible on fluoroscopy (Fig.
Examples of the hybrid skin markers.
Fluoroscopic Radiation Exposure in Ureteroscopy
Stone size was recorded based on the radiologist's report with the maximum dimension chosen. When multiple stones are present, the obstructing stone was selected. If ambiguity of stone size or location was identified, a consensus decision was made with two data coders and an external reviewer. Location within the ureter was divided into proximal, middle and distal using the anatomical landmarks of the sacrum's upper and lower border to divide the three segments.
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