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See how far the Brilliance iCT can take you
© 2008 Koninklijke Philips Electronics N.V.All rights are reserved.
Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication.
AUG 2008
Philips Healthcare is part of
Royal Philips Electronics
How to reach us
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Philips Healthcare
Global Information Center
P.O. Box 1286
5602 BG Eindhoven
The Netherlands
For more information, visit: www.philips.com/CT
“It’s a great feather in our cap… we’re really at the cutting edge of technology.”
Dr. Andrew Goldberg on the Brilliance iCT
Neuroradiologist
Metro Health Medical Center, Cleveland, Ohio
Are you ready to lead the future?
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“It puts us right at the leading edge of CT technology.”
Dr. Stephen W. Tamarkin on the Brilliance iCT
Chief of Body Imaging
Interim Chairman, Department of Radiology
Metro Health Medical Center, Cleveland, Ohio
IntelligenceSeeing more patients in less time. Attracting more referrals. Putting the most advanced
tools in the hands of brilliant minds. Seamlessly connecting people to the information
they need. Delivering patient care that is second to none.
At Philips, we understand your needs in running a first-class healthcare institution.
That’s why we develop advanced medical tools with the power to transform healthcare –
by allowing clinicians to help more patients, making patients feel more comfortable and,
ultimately, setting your institution apart from the rest.
The Brilliance iCT is our latest, and most remarkable, innovation. It sets new
benchmarks in clinical excellence across the board. Quite simply, it is the future of CT,
with you leading the way.
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The Brilliance iCT: CT as you have never experienced it before
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BreakthroughKey benefits of the Brilliance iCT
Brilliance iCT Advantage Clinical Benefit
Essence Technology
Powerful X-ray tube• Greater image fidelity and improved durability
• Enhanced spatial resolution
Innovative Nano-Panel detectors
• Reduces electronic noise, enabling fast and low-dose scans
• Better definition of small structures (e.g., coronary artery
imaging, lung scans and brain perfusion studies)
Intelligent RapidView reconstruction • Enables virtually artifact-free images with high resolution
DoseWise Philosophy
Eclipse DoseRight collimator• Lowers radiation dose during helical scanning while preserving
image quality
Brilliance Everywhere
Brilliance Workspace Portal• Allows clinicians to access and manipulate high-quality images
wherever they are, potentially speeding the time to diagnosis
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“It has opened up an entirely new vista for our work…”
Dr. Andrew Goldberg on the Brilliance iCT
Neuroradiologist
Metro Health Medical Center, Cleveland, Ohio
Essence
The foundation of the Brilliance iCT is its state-of-the-art Essence technology.
Essence is a scalable platform featuring proprietary advances in the X-ray tube,
detector system and reconstruction engine, enabling:
• 360° rotational speeds of up to 0.27 seconds
• Up to 120 kW of instantaneous power
• Extended longitudinal coverage
But Essence is more than just technology. Its true strength lies in its ability to empower
you and your team to help more patients each and every day.
The core of the Brilliance iCT
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Peace
Patient radiation exposure is a key issue in CT, and one that Philips takes seriously.
That’s why we instituted DoseWise, a series of advances that reduce radiation dose
without compromising image quality.
A breakthrough advance unique to the Brilliance iCT is the Eclipse DoseRight
collimator. The collimator overcomes the over-beaming present in conventional CT
through the elimination of dose at the beginning and end of helical scans that do not
contribute to image formation. Together with SmartBeam management and other
features, DoseWise reduces radiation dose without sacrificing image quality.
The DoseWise approach to CT
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Visualization
With remarkable speed and power to maximize image quality during shorter scans
and extended longitudinal coverage, the clinical advantages of Essence are superb.
The benefits of the Brilliance iCT extend across the whole body – cardiac,
abdominal, perfusion, trauma and many other protocols.
Exceptional images anywhere in the body
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“We probably save 45 minutes to an hour per study by having [Brilliance] CT Portal, so that’s been huge. If a tool is significantly improving your manpower efficiency, that’s a no-brainer.”
Dr. Jon Ekstrom
President of Radiology Associates
Oregon Imaging Centers and Sacred Heart Medical Center, Eugene, Oregon
Brilliance
Brilliance Workspace is a flexible, scalable CT work environment for planning,
scanning, visualization and archiving. Fast, powerful applications are available anywhere
they’re needed – at the console, at the office, even at a medical conference. The large
datasets generated by the Brilliance iCT can be managed easily, potentially speeding
the time to diagnosis.
Brilliance Everywhere, our information management approach, transforms
any PC on your site’s network into an advanced visualization workstation. The
Brilliance Workspace Portal makes it possible for users to work efficiently with
extremely large datasets from a laptop or home computer, anywhere and everywhere.
Smart enough to be simple
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PACS Reading Room
CT in the Imaging Center
Technologist Workstation 3-D Lab
CT in the Radiology Department
PET/CT
CT in the ED
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Brilliance Workspace Portal: The information you need at your fingertips
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Discovery
At Philips, we recognized the challenges facing clinicians in the world of CT: motion
artifacts, inconsistent image quality, long acquisition times, patient discomfort and
radiation dose concerns. Each challenge inspired us to evolve our CT technology to
meet – and exceed – the needs of everyone involved in CT.
The synergy of power, speed, coverage and dose utility of the Brilliance iCT empowers
clinicians to deliver better patient care. Across all radiology protocols, the Brilliance iCT
can achieve greater diagnostic confidence, dose reduction and improved workflow.
The next few pages represent just a snapshot of the exciting clinical imaging made
possible by the Brilliance iCT.
Whole body CT
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“… You’re able to see the entire heart in really just 2 images… and you’re able to resolve down to a half a millimeter a slice.”
Dr. David Rosenblum
Director, Interventional Radiology
Vice Chairman, Department of Radiology
Metro Health Medical Center, Cleveland, Ohio
3-D volume rendering reconstruction of the heart showing excellent detail of the left anterior descending coronary artery and its small branches.
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Quality
Clinical challenge
Cardiac CT is one of the most popular – and challenging – emerging applications for CT.
Clinicians are in need of CT technology that provides consistent, fast and accurate scans
for a wide range of patients and an ability to clearly view small, often calcified, coronary
blood vessels.
Brilliance iCT solution
All advantages of Essence technology are leveraged to meet the complex needs of
cardiac CT. Fast, non-invasive scans of the heart are produced in just 2 heartbeats.
Moreover, the Brilliance iCT can capture high-definition scans across a range of heartbeats.
The Brilliance iCT also enables an exciting new prospective acquisition method:
Step & Shoot Cardiac. Step & Shoot captures consistent, high-quality cardiac images with limited
motion artifact and an industry-leading reduction in radiation dose of up to 80%.1
Case study: Cardiac CT
1In a retrospective study, the Wisconsin Heart Hospital found that it had achieved an 80% dose reduction using the Step & Shoot Cardiac feature compared to previous exams using helical CT angiography techniques.
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Coronal multiplanar reformation of a routine study of the chest, abdomen and pelvis showing internal organs such as the liver, stomach, small bowel and bladder.
Coronal image demonstrating multiple renal arteries coming off of both kidneys. This exam was performed in 4 seconds with 50 cc’s of IV contrast.
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Accuracy
Clinical challenge
Abdominal CT often involves disease conditions with small lesions that can go
unnoticed on a traditional CT. Increased resolution and reduced motion artifact are
critical to achieving clear abdominal scans to aid in quick and confident diagnosis.
Brilliance iCT solution
The Brilliance iCT optimizes the use of contrast and enables short acquisition times
and wide coverage. Higher in-plane and spatial resolution offer excellent 3-D images,
such as the volume rendering of the abdominal vasculature, to facilitate diagnoses.
Case study: Abdominal CT
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High-resolution coronal multiplanar reformation of the chest showing high definition of lung parenchyma.
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Resolution
Clinical challenge
The lungs pose a unique challenge in CT: the air present in the lung parenchyma
produces a higher signal-to-noise ratio. CT becomes even more challenging in patients
with breathing problems because of difficulties complying with breath-hold imaging.
Brilliance iCT solution
Powered by Essence technology, the Brilliance iCT can perform lung scans in a
single breath-hold, allowing a wider range of patients to be compliant. Moreover, the
high-quality, 3-D images provided allow small structures to be visualized with fine detail.
Case study: Lung CT
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Sagittal multiplanar reformation of a pediatric brain CT angiography showing aneurism at the level of the basal artery.
Axial view of the same pediatric brain, full coverage of which was acquired in 4 seconds.
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Confidence
Clinical challenge
Reducing X-ray dose is an important issue in CT – particularly in children, where
minimizing lifetime radiation exposure is critical. Consistent image quality can be
difficult to achieve in pediatric patients because of CT design and patient restlessness.
Brilliance iCT solution
DoseWise, featuring the Eclipse DoseRight collimator, enables greater flexibility in
managing X-ray dose without compromising image quality. Together with the benefits
of Essence, DoseWise offers high-quality images, even in small patients.
Case study: Pediatric CT
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3-D reconstruction of head and neck CT angiography showing fine detail of the vasculature from carotids to mid-cerebral arteries.
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Excellence
Clinical challenge
Detection of hemorrhages and small lesions can be very difficult near the skull-brain
interface.
Brilliance iCT solution
The Brilliance iCT provides outstanding resolution and coverage for crisp, sharp images
with excellent delineation between soft tissue and bone interfaces.
Case study: Head and neck
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“We attract faculty and residents because we can offer this type of technology and, more importantly, we can provide state-of-the-art patient care that you can’t get at any other institution.”
Pedro Diaz on the Brilliance iCT
Vice Chair, Radiology, Imaging and Informatics
Metro Health Medical Center, Cleveland, Ohio
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AdvantageTechnical specifications of the Brilliance iCT
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iMRC X-ray tube: Designed to eliminate wait times
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Power
At the core of Essence technology is the iMRC X-ray tube. The iMRC has undergone
continuous improvements to provide breakthrough image fidelity, spatial resolution and
durability. These advances were designed to meet the increased performance demands
on the tube while maintaining high standards of quality and dependability.
With the high-performance iMRC X-ray tube, you can feel confident in meeting
increased patient capacity and eliminating wait times.
iMRC X-ray tube
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Nano-Panel detector: Designed for consistent quality
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Clarity
For high-quality images, a powerful X-ray tube needs an equally robust detector system.
The Nano-Panel detector system was designed to provide virtually noise-free signal
conversion for outstanding image quality at low radiation doses. With this system,
the Brilliance iCT is able to see small structures more clearly.
Breakthroughs in imaging with Essence technology enable larger coverage and fast,
low-dose examinations. These advances are particularly important for coronary artery
imaging (such as Step & Shoot Cardiac), lung scans and brain perfusion studies.
The Nano-Panel detector system is also modular and scalable to ensure it will meet the
needs of future systems.
Nano-Panel detector system
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Retrospective ECG-gated cardiac CT with AMR showing image quality over a wide range of heartbeats.
Brain scan showing reduction in potential cone-beam artifacts (arrows).
2-D Fan Beam COBRA
39 bpm 88 bpm (60-88) 66 bpm
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Performance
Completing the trio of innovations that define Essence – the core of the Brilliance iCT – is
RapidView reconstruction. RapidView reconstruction was enhanced to keep pace with
the high image volume capacity of the Brilliance iCT. Key advances include:
Quad-Core Processors
• The latest in computer technology, providing scalable increases in reconstruction
speed, allowing for higher throughput and less waiting for large volume datasets.
3-D Cone Beam Reconstruction Algorithm (COBRA)
• A proprietary algorithm designed to maintain virtually artifact-free images, particularly
important in cardiac, single breath-hold chest and functional imaging protocols.
Adaptive Multicycle Reconstruction (AMR)
• A sophisticated system that provides high temporal resolution and reduces X-ray dose
for cardiac examinations.
• Image quality is maintained over a wide range of heart rates.
RapidView reconstruction
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Pla
nning
Start-up
Renewal Peak
Usa
ge
Philips seasons of ownership
Delivering the Right Services at the Right Time that help you optimize success at each unique phase of the ownership experience.
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Seasons of Ownership – Philips Lifecycle SupportYour needs and challenges change over the natural lifecycle of the equipment.
That’s why we offer a full range of solutions to help simplify your operations, get the
most utility from your system, and help you realize new levels of performance for your
business and your patients throughout every Season of Ownership.
Planning: Succeed from the start
Comprehensive up-front analysis to help you grow into the future, with guidance on
the right CT products and services to best serve you and your patients in ways that
contribute positive results to your bottom line.
Start-Up: Rapid ramp-up to effective operation
Expert installation and training services to minimize the disruptive gap often associated
with getting new technologies up and running smoothly.
Peak Usage: Realizing the full potential of your CT technology
High-quality support, technology migration and clinical collaboration resources to
help you optimize your operational results day in and day out.
Renewal: The right decisions for your future
Creative approaches to help extend the life of your present system with affordable
upgrade solutions or transition planning.
The right services at the right time – optimizing success in each unique
“Season of Ownership.”37
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