Prostate Artery Embolization (PAE)

How can cone-beam CT imaging support you in performing prostate artery embolization?

There is a driving demand for less invasive techniques to treat benign prostate hyperplasia, due to the significant complications associated with the current standard procedures such as prostatectomy. Philips offers such a minimally invasive approach. Our image-guided therapy platform – Azurion supports you in confident planning and treatment decisions in PAE interventions with minimal X-ray dose and a clear visualization of the vasculature. Discover how our Azurion solution can support you in making a difference in the lives of your patients.

Highlighted products for this procedure

Azurion 7 M20 with FlexArm image-guided therapy system

Excellent visibility at ultra-low X-ray dose levels for a comprehensive range of clinical procedures with ClarityIQ technology on a 20” detector

The FlexVision screen displays all necessary and available information, e.g: live, reference, planning, roadmap overlay, patient monitoring or dose info

The Touch Screen Module Pro allows table side control of images and applications with tablet ease to save time and unnecessary walking in and out of the sterile area

This ceiling-mounted system provides unlimited imaging flexibility for PAE procedures and exceptional positioning freedom for medical teams. Its compact set-up provides a highly cost-effective environment, ready for the procedures of the future. By working around you, Philips Azurion with FlexArm helps you advance your suite performance and deliver superior care.

Learn more about Azurion 7 M20 with FlexArm

Total table side control and acquisition guidance with SmartCT

Simplifies 3D acquisition so any clinical user¹ can easily perform 3D imaging

3D images are automatically displayed within seconds and controlled on the tableside touch screen module²

Segmentation tasks are semi-automated and made available on the touch screen to speed up your 3D image analysis and raise your treatment confidence

SmartCT Soft Tissue offers CT-like imaging and helps identify subtle soft-tissue lesions

Learn more about SmartCT

View SmartCT Soft Tissue

Low dose fluoroscopy with ClarityIQ

Tuned, high-definition low dose images with superb vascular detail to monitor the embolization³

Advanced spatial filtering to highlight structures and reduce the impact of background noise in an image

Multiple clinical studies on more than 15.000 patients have been published on ClarityIQ technology to date revealing one truth: significantly lower dose across clinical areas, patients and operators⁴

Learn more on ClarityIQ

Read the white paper on ClarityIQ (1.58MB)

Cone beam CT is a must, and this is recognized by every user, whether beginners or late adopters or people who are very experienced, because of the help in being able to go faster and safer to complete the procedure."

Prof. Marc Sapoval

Head of Interventional Radiology at Hôpital européen Georges Pompidou AP-HP, France

Resources

Azurion with FlexArm brochure (706.0KB)

Azurion with SmartCT brochure (2.43MB)

ClarityIQ whitepaper (1.58MB)

Clinical solutions for prostate artery embolization

3D visualization of heterogenous vasculature

SmartCT Soft Tissue provides a volumetric view in a few seconds² to assist assessment of feeding arteries, draining veins, arterialized veins, nidus and ruptured or unruptured pathology to guide decision making – all from a single rotational angiography run and controlled via the touch screen at the table. This can improve visibility of tortuous or complex anatomy that may not be seen on a 2D or DSA image.

Step-by-step acquisition guidance with injector suggestions

SmartCT Soft Tissue offers a Cone Beam CT acquisition technique augmented with step-by-step guidance, advanced 3D visualization, injector suggestions and measurement tools. All accessible on the touch screen module at table side.

Zero-dose positioning for easy CBCT acquisition

Zero-dose positioning for CBCT acquisition

Zero Dose Positioning helps you reduce X-ray dose by allowing you to pan the table, change table height or move the imaging system on Last Image Hold to determine the new center position. This helps you prepare your next run without using fluoroscopy.

Enhance visibility of prostate vasculature

Prostate vasculature PAE SmartCT Soft Tissue procedure clinical image

The ability to visualize sub-millimeter vascular anatomy improves the chances of treatment success and raises treatment confidence. SmartCT Soft Tissue provides high resolution 3D imaging that reveals key information about vascular structures to support the highest possible spatial assessment of vessels in the soft tissue context.

Navigate confidently through complex vessel structures

SmartCT Roadmap provides a live 3D image overlay that can be segmented to emphasize the targeted vessel and lesions, supporting fast catheter navigation. The SmartCT Roadmap overlays a 3D reconstruction of the vessel tree, vessel segments, or annotations with live fluoro.

Clearly visualize newly injected embolic agent

The Roadmap Pro glue mode filters out already embolized vessels, allowing you to focus on what you are injecting and how it is diffusing.

Check final result and potential bleedings

SmartCT Soft Tissue is an acquisition technique that generates a CT-like visualization of soft tissue in relation to other structures during procedures. You can use the CT-like images to assess soft tissue after PAE to check the final result and potential bleedings when the patient is still on the table.

Explore the various image-guided vascular procedures

Peripheral arterial interventions

Solutions for peripheral arterial interventions (PAD) procedures offered by Philips image-guided therapy.
Click here to learn more
Aortic disease

Solutions for aortic procedures offered by Philips image-guided therapy.
Click here to learn more
Venous procedures

Solutions for Venous procedures offered by Philips image-guided therapy.
Click here to learn more

Disclaimer

Product availability is subject to country regulatory clearance. Please contact your local sales representative to check the availability in your country.

References

The user level of expertise required is described in the Instructions for Use as the Intended Operator Profile.
3D reconstructions at higher resolution settings may take longer times.
Trunz L. et al, Investigation of Radiation Dose Estimates and Image Quality Between Commercially Available Interventional Fluoroscopy Systems for Fluoroscopically Guided Interventional Procedures, Academic Radiology, in press, 2020.
In 18 individual comparative studies, Philips ClarityIQ was associated with reductions in patient radiation exposure. Find the full list of clinical peer-reviewed papers here.