Cios Mobile C-arms - An Option for Lung Imaging (USA)

Cios mobile C-arms – an option for lung imaging The clinical overlay is not that of the individual pictured. It was modified for better visualization. Current literature suggests chest radiography as a according to the imaging needs in standing, sitting or staging or triaging option in COVID-19 patients.1 lying patients. The systems offer antimicrobial coating, Mobile C-arms are not specifically designed for smooth and closed surfaces and approved cleaning and COVID-19 diagnosis. Cios Alpha and Cios Spin can draping protocols for infection control. provide high-quality chest digital radiography (DR) images2 when portable X-ray is not available. siemens-healthineers.com/cios Cios mobile C-arms can be positioned flexibly 1 Pan et al. Intensive Care Med 2020;46:573-575; https://doi.org/10.1007/s00134-020-05964-0 2 Gildea et al. J Bronchol Intervent Pulmonol 2020;27:153-155; https://www.ncbi.nlm.nih.gov/pubmed/32209919 SIEMENS Healthineers 2D chest imaging Cios Alpha and Cios Spin provide chest images to patients. In cases the coverage is not enough a four- visualize lung anatomy. The systems provide a resolution segment imaging is possible. The Cios mobile C-arms of max. 1,952 x 1,952 pixels. The Cios C-arms are can be operated with organ program, for chest imaging equipped with a large flat detector of 30 cm x 30 cm / we suggest to use “CARD Standard”. 12” x 12” that could cover the lung in one image in most Figure 1: Single image of a chest phantom, acquired with Cios Spin; the small circle was inserted for orientation purpose 3D chest imaging In addition, Cios Spin provides 3D imaging that may be Gildea et al. J Bronchol Intervent Pulmonol 2020;27:153- used for guidance during pulmonary interventions. A 3D 155; https://www.ncbi.nlm.nih.gov/pubmed/32209919 volume of 16 cm / 6.3” and a resolution of 512 pixel in each direction can be acquired. Figure 2: 3D lung visualization of a human, acquired with Cios Spin; here depicting airways and a lung nodule; courtesy of R. Casal, MD Anderson 2 Gateway to intervention Cios Alpha and the Cios Spin can image lung volume in • Visualization of pneumothorax a single image for potential image-guided assistance in: • Confirmation of needle placement • Support of intubation tube placement Inverse contrast settings Contrast settings for bones can be adjusted according to users’ preferences (black or white). Figure 3: Image example of inverse contrast settings Scale Zoom Digital zoom and pan function enable magnification with no degradation in image quality as a post processing tool. 3 Patient positioning Cios mobile C-arms can be positioned flexibly according For best image quality, the detector should be placed as to the imaging needs in standing, sitting or lying patients. close to the patient as possible. This reduces radiation Cios Alpha and Cios Spin have large free space between scatter and provides larger field of view. In lying position, tube and detector (SID of Cios Alpha: 107 cm / 42.1”, SID a radiolucent patient table should be used. of Cios Spin: 116 cm / 45.8”) and allow for easy positioning around a patient table. - 1. Standing: The C-arm may be placed horizontally in AP position with the detector close to the thoracic region and the X-ray tube facing the back of the patient. 2. Sitting: The C-arm may be placed horizontally in AP position with the detector close to the thoracic region and the X-ray tube facing the back of the patient. If the patient is sitting on a chair, the back of the chair should face to the side as to avoid interference with the X-ray image. 4 ..... 3. Lying: The C-arm may be placed in AP position. If feasible, table should be lifted to bring the detector as close as possible to the patient when in the supine position. Please note: a radiolucent patient table must be used. 4. Lying: Alternative positioning a. Radiolucent table, lifted and bended b. Tilted C-arm c. Detector positioned above thoracic region 5 Bring the imaging to the patient and prevent contamination Mobile C-arms can be moved easily into external staging units or ICUs. This may help to alleviate burden on resources required to handle patient movement/cleaning of rooms and reduce likelihood of contamination. In addition, the mobile C-arms may be used outside the hospital in critical care scenarios given appropriate power supply. Figure 5: Example picture of Cios Spin’s maneuverability Infection control For infection control Cios Spin/Alpha have approved closed surfaces to facilitate the cleaning process. Many cleaning and draping protocols. In addition, Cios Spin/ hospitals and healthcare institutions already have sterile Alpha have antimicrobial coating (not tested for COVID-19 drapes in stock. If additional drape supplies are needed, virus, significant antimicrobial effects on non-sporulating please contact your local Siemens Healthineers sales microorganisms) and are designed with smooth and representative. 6 How-to-Use Cios mobile C-arms, videos and tips for rad techs System start-up Video System movements Video System transport Video Clean Guide PDF More information For more information on our mobile C-arm portfolio, please click on this link. 7 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com Published by Siemens Healthcare GmbH · 9076 0420 online · ©Siemens Healthcare GmbH, 2020