CASE STUDIES

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Follow up aneurysm clipping using syngo Dyna CT with IV injection

Peter Mitchell, MD
Department of Radiology, The Royal Melbourne Hospital, Melbourne, Australia

syngo DynaCT with intravenous contrast injection in Dual Volume mode offers a technique that is less impacted by these artifacts

Follow up aneurysm clipping using syngo Dyna CT with IV injection

Peter Mitchell, MD
Department of Radiology, The Royal Melbourne Hospital, Melbourne, Australia

syngo DynaCT with intravenous contrast injection in Dual Volume mode offers a technique that is less impacted by these artifacts

syngo Dyna3D DSA imaging of right hip after surgery

A.D. Montauban van Swijndregt, MD
OLVG, Amsterdam, Netherlands

Arterial bleeding after Gamma nail insertion in right hip

syngo Dyna3D DSA imaging of right hip after surgery

A.D. Montauban van Swijndregt, MD
OLVG, Amsterdam, Netherlands

Arterial bleeding after Gamma nail insertion in right hip

Visualization of prostate arteries

Bulat Sharafutdinov, MD, Edgar Gaziev, MD
Clinics of Kazan University, Kazan city, Russia

syngo Embolization Guidance with arterial contrast injection facilitates selective prostate artery catheterization, which has the potential to reduce dose and contrast medium

Visualization of prostate arteries

Bulat Sharafutdinov, MD, Edgar Gaziev, MD
Clinics of Kazan University, Kazan city, Russia

syngo Embolization Guidance with arterial contrast injection facilitates selective prostate artery catheterization, which has the potential to reduce dose and contrast medium

syngo DynaCT 360 with IV injection used for TIPS planning

Ulf Teichgräber, MD, Renè Aschenbach, MD
Department of Diagnostic and Interventional Radiology, Jena University Hospital, Germany

syngo DynaCT 360 offers more coverage compared to conventional cone-beam CT to evaluate portal vein, hepatic vein and other vascular structures in the abdomen

syngo DynaCT 360 with IV injection used for TIPS planning

Ulf Teichgräber, MD, Renè Aschenbach, MD
Department of Diagnostic and Interventional Radiology, Jena University Hospital, Germany

syngo DynaCT 360 offers more coverage compared to conventional cone-beam CT to evaluate portal vein, hepatic vein and other vascular structures in the abdomen

Balloon angioplasty in chronic thromboembolic pulmonary hypertension (CTEPH)

Jan Hinrichs, MD
Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Germany

For the use of syngo iFlow, 4 F/s Digital Subtraction Angiograph (DSA) run is sufficient. No separate DSA runs are necessary.

Balloon angioplasty in chronic thromboembolic pulmonary hypertension (CTEPH)

Jan Hinrichs, MD
Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Germany

For the use of syngo iFlow, 4 F/s Digital Subtraction Angiograph (DSA) run is sufficient. No separate DSA runs are necessary.

Endoleak Type IIb treatment by syngo Needle Guidance

Steffen Marquardt, MD,
Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Germany

Persistent type IIb endoleak after EVAR treatment

Endoleak Type IIb treatment by syngo Needle Guidance

Steffen Marquardt, MD,
Institute for Diagnostic and Interventional Radiology, Hannover Medical School, Germany

Persistent type IIb endoleak after EVAR treatment

Application of High-Resolution Flat Detector Computed Tomography in Stent Implantation for Intracranial Atherosclerotic Stenosis

Tengfei Li 1 2, Yuting Wang 3, Ji Ma 1 2, Michael Levitt 4, Mahmud Mossa-Basha 5, Chengcheng Shi 1 2, Yuncai Ran 6, Jianzhuang Ren 1 2, Xinwei Han 1 2, Chengcheng Zhu 5
1Department of Interventional Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. 2Interventional Institute of Zhengzhou University, Zhengzhou, China. 3Department of Radiology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China. 4Department of Neurological Surgery, University of Washington, Seattle, WA, United States. 5Department of Radiology, University of Washington, Seattle, WA, United States. 6Department of Magnetic Resonance, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

High-resolution flat-detector computed tomography improves assessment of stent deployment and could reduce the risk of complications in symptomatic intracranial atherosclerotic stenosis (ICAS).

Application of High-Resolution Flat Detector Computed Tomography in Stent Implantation for Intracranial Atherosclerotic Stenosis

Tengfei Li 1 2, Yuting Wang 3, Ji Ma 1 2, Michael Levitt 4, Mahmud Mossa-Basha 5, Chengcheng Shi 1 2, Yuncai Ran 6, Jianzhuang Ren 1 2, Xinwei Han 1 2, Chengcheng Zhu 5
1Department of Interventional Radiology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. 2Interventional Institute of Zhengzhou University, Zhengzhou, China. 3Department of Radiology, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China. 4Department of Neurological Surgery, University of Washington, Seattle, WA, United States. 5Department of Radiology, University of Washington, Seattle, WA, United States. 6Department of Magnetic Resonance, First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

High-resolution flat-detector computed tomography improves assessment of stent deployment and could reduce the risk of complications in symptomatic intracranial atherosclerotic stenosis (ICAS).

syngo DynaCT of the pulmonary arteries helps in diagnosis of pulmonary embolism

B. Meyer (MD)
Institute for Diagnostic and Interventional Radiology, Medical School Hannover, Germany

Pulmonary angiograms are still the established gold standard for
diagnostic workup in patients with CTEPH. syngo DynaCT is likely to give additional information about chronic embolism by depicting web stenoses and occlusions.

syngo DynaCT of the pulmonary arteries helps in diagnosis of pulmonary embolism

B. Meyer (MD)
Institute for Diagnostic and Interventional Radiology, Medical School Hannover, Germany

Pulmonary angiograms are still the established gold standard for
diagnostic workup in patients with CTEPH. syngo DynaCT is likely to give additional information about chronic embolism by depicting web stenoses and occlusions.

Use of X-ray Angiography and Intraprocedural MRI Combined Enables Tissue-based Decision Making Regarding Revascularization during Acute Ischemic Stroke Intervention

Narsinh KH, Kilbride BF, Mueller K, Murph D, Copelan A, Massachi J, Vitt J, Sun CH, Bhat H, Amans MR, Dowd CF, Halbach VV, Higashida RT, Moore T, Wilson MW, Cooke DL, Hetts SW.*
*From the Department of Radiology & Biomedical Imaging, Division of Interventional Neuroradiology (K.H.N., B.F.K., D.M., A.C., J.M., M.R.A., C.F.D., V.V.H., R.T.H., T.M., M.W.W., D.L.C., S.W.H.), and Department of Neurology (J.V., C.H.S.), University of California San Francisco, 505 Parnassus Ave, L-351, San Francisco, CA 94143-0628; and Siemens Medical Solutions, Malvern, Pa (K.M., H.B.).

Integrating intraprocedural 3.0-T MRI into acute ischemic stroke treatment can be a considered a feasible and guided decisions of whether or not to continue thrombectomy.

Use of X-ray Angiography and Intraprocedural MRI Combined Enables Tissue-based Decision Making Regarding Revascularization during Acute Ischemic Stroke Intervention

Narsinh KH, Kilbride BF, Mueller K, Murph D, Copelan A, Massachi J, Vitt J, Sun CH, Bhat H, Amans MR, Dowd CF, Halbach VV, Higashida RT, Moore T, Wilson MW, Cooke DL, Hetts SW.*
*From the Department of Radiology & Biomedical Imaging, Division of Interventional Neuroradiology (K.H.N., B.F.K., D.M., A.C., J.M., M.R.A., C.F.D., V.V.H., R.T.H., T.M., M.W.W., D.L.C., S.W.H.), and Department of Neurology (J.V., C.H.S.), University of California San Francisco, 505 Parnassus Ave, L-351, San Francisco, CA 94143-0628; and Siemens Medical Solutions, Malvern, Pa (K.M., H.B.).

Integrating intraprocedural 3.0-T MRI into acute ischemic stroke treatment can be a considered a feasible and guided decisions of whether or not to continue thrombectomy.

Transarterial chemoembolization of HCC using syngo DynaPBV body

Jeff McCann, MD Ronan Ryan, MD
Department of Interventional Radiology, St. Vincent University Hospital, Dublin, Ireland

A 51-year-old male presented with hepatocellular BCLC stage A carcinoma. Arterial hyperenhancement with portal venous and delayed phase washout centrally consistent with HCC was diagnosed.

Transarterial chemoembolization of HCC using syngo DynaPBV body

Jeff McCann, MD Ronan Ryan, MD
Department of Interventional Radiology, St. Vincent University Hospital, Dublin, Ireland

A 51-year-old male presented with hepatocellular BCLC stage A carcinoma. Arterial hyperenhancement with portal venous and delayed phase washout centrally consistent with HCC was diagnosed.

Comprehensive tumor assessment for optimal therapy planning

Masao Hamuro, MD Yoshinori Takao Takao Ichida
Osaka City University Hospital, Japan

A 70-year-old male was diagnosed with hepatitis C virus positive cirrhosis/recurrent HCC. A dual-phase syngo DynaCT was performed during hepatic arteriography just before

Comprehensive tumor assessment for optimal therapy planning

Masao Hamuro, MD Yoshinori Takao Takao Ichida
Osaka City University Hospital, Japan

A 70-year-old male was diagnosed with hepatitis C virus positive cirrhosis/recurrent HCC. A dual-phase syngo DynaCT was performed during hepatic arteriography just before

Combined embolization and ablation in an Angio-CT interventional suite

Bruno C. Odisio, MD
Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA

A 59-year-old male was diagnosed with metastatic CRC to spleen. An Angio-CT suite equipped with a CT scanner and a flat-panel c-arm angiography system was used to perform combined embolization and ablation procedure.

Combined embolization and ablation in an Angio-CT interventional suite

Bruno C. Odisio, MD
Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA

A 59-year-old male was diagnosed with metastatic CRC to spleen. An Angio-CT suite equipped with a CT scanner and a flat-panel c-arm angiography system was used to perform combined embolization and ablation procedure.

Radiofrequency ablation for lung metastases Supported by syngo iguide

Olivier Pellerin, MD
Department of Cardio-Vascular Radiology, Hospital European Georges Pompidou, Paris, France

A 65-year-old male was diagnosed with CRC. After 24 months of first-line treatment, the CT scanner showed lung metastasis. Syngo iguide® software was used for needle path planning and syngo InSpace 3D (5s DR protocol, 133 projections) was performed.

Radiofrequency ablation for lung metastases Supported by syngo iguide

Olivier Pellerin, MD
Department of Cardio-Vascular Radiology, Hospital European Georges Pompidou, Paris, France

A 65-year-old male was diagnosed with CRC. After 24 months of first-line treatment, the CT scanner showed lung metastasis. Syngo iguide® software was used for needle path planning and syngo InSpace 3D (5s DR protocol, 133 projections) was performed.

Utilizing cone beam CT during transarterial chemoembolization

Michael J. Wallace, MD
Department of Interventional Radiology, Division of Diagnostic Imaging, University of Texas MD Anderson Cancer Center, Houston, TX

A 70-year-old male with multifocal hepatocellular carcinoma. Preoperative MRI imaging showed two hypervascular lesions. Digital subtraction angiography (DSA) was performed.

Utilizing cone beam CT during transarterial chemoembolization

Michael J. Wallace, MD
Department of Interventional Radiology, Division of Diagnostic Imaging, University of Texas MD Anderson Cancer Center, Houston, TX

A 70-year-old male with multifocal hepatocellular carcinoma. Preoperative MRI imaging showed two hypervascular lesions. Digital subtraction angiography (DSA) was performed.

syngo DynaCT in multi phases of HCC

Norifumi Nishida, MD, Yoshinori Takao, MD,
Osaka City, University Hospital, Japan

A 69-year-old male with HCC (hepatocellular carcinoma) and HCV (Hepatitis bC virus)-positive hepatic cirrhosis. HCC recurrence was found by ultra-sonography and dynamic contrast-enhanced CT scan during regular follow-up.

syngo DynaCT in multi phases of HCC

Norifumi Nishida, MD, Yoshinori Takao, MD,
Osaka City, University Hospital, Japan

A 69-year-old male with HCC (hepatocellular carcinoma) and HCV (Hepatitis bC virus)-positive hepatic cirrhosis. HCC recurrence was found by ultra-sonography and dynamic contrast-enhanced CT scan during regular follow-up.

HCC - Residual tumor targeted Supported by Syngo DynaCT

Tobias F. Jakobs, MD
Department of Diagnostic and Interventional Radiology, Barmherzige Brueder Hospital, Munich Germany

A 78-year-old male with alcohol-induced liver cirrhosis and a single HCC (8 cm) in the right liver lobe. MR imaging represented residual tumor tissue.

HCC - Residual tumor targeted Supported by Syngo DynaCT

Tobias F. Jakobs, MD
Department of Diagnostic and Interventional Radiology, Barmherzige Brueder Hospital, Munich Germany

A 78-year-old male with alcohol-induced liver cirrhosis and a single HCC (8 cm) in the right liver lobe. MR imaging represented residual tumor tissue.

Chemoembolization with drug-eluting beads (DEB-TACE) upported by Syngo DynaCT

Tobias F. Jakobs, MD
Department of Diagnostic and Interventional Radiology, Barmherzige Brueder Hospital, Munich Germany

A 63-year-old female with liver metastases from breast cancer. SIRT (selective internal radiation therapy) of the right liver lobe was performed. DEB-TACE was done for the left liver lobe. Syngo DynaCT was performed in order to confirm catheter position before embolization, which revealed contrast enhancement in the distal esophagus.

Chemoembolization with drug-eluting beads (DEB-TACE) upported by Syngo DynaCT

Tobias F. Jakobs, MD
Department of Diagnostic and Interventional Radiology, Barmherzige Brueder Hospital, Munich Germany

A 63-year-old female with liver metastases from breast cancer. SIRT (selective internal radiation therapy) of the right liver lobe was performed. DEB-TACE was done for the left liver lobe. Syngo DynaCT was performed in order to confirm catheter position before embolization, which revealed contrast enhancement in the distal esophagus.

Treatment of hepatocellular carcinoma using multiphase liver imaging Supported by Syngo DynaCT

Nishita Kothary, MD Kerstin Müller, PhD
Department of Radiology, Stanford University Medical Center, Stanford, United States

A 64-year-old male patient with HCV (Hepatitis C Virus)cirrhosis (Child-Pugh B7) complicated by hepatic hydrothorax, ascites, and hepatocellular carcinoma (HCC). Previously underwent hepatic trans-arterial chemoembolization (TACE).

Treatment of hepatocellular carcinoma using multiphase liver imaging Supported by Syngo DynaCT

Nishita Kothary, MD Kerstin Müller, PhD
Department of Radiology, Stanford University Medical Center, Stanford, United States

A 64-year-old male patient with HCV (Hepatitis C Virus)cirrhosis (Child-Pugh B7) complicated by hepatic hydrothorax, ascites, and hepatocellular carcinoma (HCC). Previously underwent hepatic trans-arterial chemoembolization (TACE).