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<section data-role="paragraph" data-color="rgb(182, 228, 253)" data-custom="rgb(182, 228, 253)"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section powered-by="gulangu"><section><section><section><section><p><p><img src="image/20201014/86b79d371e9862b01189f0252a03b2cd_1.png" /></p></p></section><section><section><span><strong></strong></span></section><p><span>医疗器械媒体报道先锋</span></p><p><span>分享专业医疗器械知识</span></p></section><section><section><section><span>关注</span></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section></section><section powered-by="gulangu"><p><br /></p><p><span>在母亲节这个特殊的日子，无论身处哪个行业，都会想方设法的用自己的方式表达对母亲的敬意，而最早开发研究<span>全数字化乳腺X线摄影设备的医疗厂家之一</span>西门子医疗的方式，是打造更好的乳腺X线摄影系统~</span></p><p><br /></p><p><span>西门子医疗于2014年7月9日正式收到中国食品药品监督管理局CFDA（现NMPA）对其三维数字乳腺断层融合产品的批准，<strong>成为中国第一家获得CFDA批准的三维数字乳腺断层融合设备制造商</strong>。</span></p><p><br /></p><p><p><img src="image/20201014/677c673f84123f4f8046b6e25e96902b_2.png" /></p></p><p><br /></p><p><span>2019年西门子医疗发布了超高端乳腺机新品<strong>MAMMOMAT Revelation，</strong>该产品为西门子医疗研发团队携手多个临床合作伙伴经多年研发而成。集业界最大广角断层、业界独有立体Tomo、独有的精准广角断层定位活检、业界唯一一体化标本拍摄、乳腺密度自动评估、钛?双能对比增强等强大技术合为一体。</span></p><p><span><br /></span></p><p><p><img src="image/20201014/dd9352a8bdd2c73a5fd738ccb47abf87_3.png" /></p></p><p><br /></p><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><p><span><strong>一、精准诊断技术</strong></span></p></section></section><section powered-by="gulangu"><section><br /></section></section></section></section></section><p><br /></p><p><span><strong><span>1.1立体Tomo技术</span></strong></span></p><p><span><br /></span></p><p><span>西门子医疗全新立体Tomo技术结合了业界最大50度广角断层、全像素读取、迭代重建技术、断层融合合成二维以及业界唯一立体Tomo技术，从图像采集到后处理重建，提供了最优的影像链，帮助医生提高检出率、增加诊断信心。</span></p><p><span> </span></p><p><strong><span>50度广角扫描-提供更多信息</span></strong></p><p><span><br /></span></p><section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><br /></section><section><p><img src="image/20201014/014c45e8920099ec093d5140bf2fcf7a_4.png" /></p></section></section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><span>立体Tomo乳腺机三维断层摄影弥补了传统乳腺二维摄影的不足，采用独有的50°广角扫描技术，25次的超低剂量曝光，通过卓越的Z轴分辨率降低组织重叠效应，有效提高乳腺检查的敏感性和特异性。断层图像更易于检测低对比度病变，也能够更好地识别乳腺细微病变及组织结构扭曲。另外，通过三维数据的采集，微钙化的分布、肿块的大小、形态和边界特征都能够清晰显示。</span></p></section></section></section></section></section><p><strong><span>全像素读取-提供最真实的信息</span></strong></p><p><span><br /></span></p><p><span>西门子医疗采用全像素读取技术，在三维断层重建过程中对每一个像素进行精准读取，三维断层的空间分辨率高达5.8lp/mm，为医生提供最真实的断层图像。相比于以往的半像素读取，西门子医疗的全像素读取可以获取更高空间分辨率、更高信噪比的真实图像，为临床诊断提供了有力的保证。</span></p><p><br /></p><p><strong><span>EMPIRE迭代重建技术-提供高清图像</span></strong></p><p><br /></p><section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><p><img src="image/20201014/0c51b0942e6e9ca6b97f2236fdd36b44_5.png" /></p></section></section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><span>立体Tomo乳腺机采用业界先进的迭代重建技术—EMPIRE，结合了超分辨率重建及人工智能算法，可以有效减少噪声、清晰显示微钙化，自动优化图像对比度和亮度。临床研究结果表明，采用乳腺专用多参数迭代技术—EMPIRE重建的图像，与标准FBP（滤波反投影）相比，使微钙化更加清晰可见，噪声更少，有助于减少伪影，特别是钙化引起的伪影</span><span>。</span></p><p><span><br /></span></p><p><span><br /></span></p></section></section></section></section></section><p><strong><span>断层融合合成二维/三维-开启立体Tomo时代</span></strong></p><p><span><br /></span></p><p><span>全新立体Tomo乳腺机具备Insight 2D/3D——断层融合合成二维及合成三维技术。</span></p><p><span><br /></span></p><p><span>Insight2D断层图像合成二维技术可减少额外的X光检查，减少剂量。与之前FFDM检查相比，可以更优秀评估密度和组织结构。西门子医疗全新立体Tomo乳腺机，不仅具有断层图像合成二维（Insight 2D）功能，并首次推出业界独有的立体Tomo（Insight 3D）功能，使乳腺三维断层摄影图像更有深度。</span></p><p><span><br /></span></p><p><span>在三维乳腺断层图像切片图像上，通常难以评估成簇微钙化的整体外观和分析每个微钙化轮廓的形态</span><span>。而西门子医疗独有的合成三维（Insight 3D）可通过旋转角度，对乳腺进行多方位的观察，不仅能更清晰的显示微钙化点，并且更准确的判断微钙化的分布。</span></p><p><br /></p><p><span>据了解西门子医疗的断层图像较FFDM可提高34.4%的检出率，浸润性乳腺癌检出率可提高41.5%，是FDA认证的业界唯一一家单独Tomo图像即可作为诊断依据的厂家，为临床医生增加诊断信心。</span></p><p><br /></p><p><p><img src="image/20201014/530401be845fdc3bef04fc5444dfbe5b_6.png" /></p></p><p><br /></p><p><span><strong><span>1.2MAMMOMAT Revelation TiCEM钛?双能对比增强成像技术</span></strong></span></p><p><strong><span> </span></strong></p><p><span>西门子医疗不仅可以通过立体Tomo技术提高乳腺癌检出率，全新超高端乳腺MAMMOMAT Revelation还可以通过TiCEM钛?双能对比增强成像在疑难病例中帮助诊断医生更好的诊断病灶。</span></p><p><span><br /></span></p><p><span>钛?双能对比增强成像技术是利用碘在33.2keV时的边缘效应而出现的显著吸收衰减的差异和正常组织和肿瘤组织对造影剂的反应差异，可以显示造影剂吸收的碘图，以指示肿瘤组织。</span></p><p><span><br /></span></p><p><span>西门子医疗的双能对比增强成像技术高能时使用基于钛的滤过，由于钛的高传输性可提高X线的转化效率，可以实现连续的TiCEM钛?双能检查，不会因球管过热而中断，应对大量钛?双能检查。</span></p><p><span></span></p><p><br /></p><p><span><strong><span>1.3MAMMOMAT Revelation乳腺密度精准数字化</span></strong></span></p><p><strong><span><br /></span></strong></p><p><span>Insight BD乳腺密度自动评估</span></p><p><span><br /></span></p><p><span>患者进行乳腺X线检查（二维检查或断层检查）后，采集工作站即刻计算出乳腺密度相关数值并给出建议的密度等级评估。实现乳腺密度精准数字化。</span></p><p><span>Insight BD可测量：</span></p><p><br /></p><section><section powered-by="gulangu"><section><section><section powered-by="gulangu"><section><p><img src="image/20201014/f8d8306a7f5446b136fa45daae2bb8f9_7.png" /></p></section></section><section powered-by="gulangu"><p><br /></p></section></section><section><section powered-by="gulangu"><p><span>Insight BD可测量：</span></p><p><span>?Vfg: 纤维腺体容积 [cm3]</span></p><p><span>?Vb: 乳房容积[cm3]</span></p><p><span>?Vbd: 乳腺容积密度 [%] = Vfg/Vb</span></p><p><span>?DGI: 密度等级评估 [a-d]</span></p><p><br /></p></section></section></section></section></section><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><p><strong></strong></p><p><span><strong>二、广角断层一体化精准活检</strong></span></p></section></section><section powered-by="gulangu"><section><br /></section></section></section></section></section><p><br /></p><p><span><strong><span>2.1MAMMOMAT Revelation广角断层定位活检</span></strong></span></p><p><br /></p><p><span>传统三维立体定位活检相较于二维定位活检优化了工作流程、可通过计算机精确计算病灶位置（X Y Z 轴），减少人工误差。但是随着乳腺三维断层技术的问世，对乳腺X射线机下的定位活检也提出了更高的要求。</span></p><p><span><br /></span></p><p><span>在传统三维立体定位活检技术中，诊断医生在疑难病例中通过乳腺三维断层技术找到了病灶点，但却要在二维影像下进行穿刺，乳腺三维断层技术的优势仅停留在诊断阶段，而没有真正的发挥到定位活检阶段。</span></p><p><span><br /></span></p><p><span>为此西门子医疗在全新超高端乳腺机MAMMOMAT Revelation上<strong>实现了断层融合下的定位活检，将50度广角断层的临床优势从诊断延伸到了定位活检阶段</strong>，医生可在断层下一键精准定位，快速完成定位活检，简化了操作流程并提高了定位精确度。</span></p><p><br /></p><p><p><img src="image/20201014/7a9766ff7219f80c9037e4d9269bd9d1_8.png" /></p></p><p><br /></p><p><span><strong><span>2.2MAMMOMAT Revelation 一体化标本拍摄</span></strong></span></p><p><strong><span><br /></span></strong></p><p><span>活检完成后，医生通常需要拍摄取出的标本再次验证是否取到了病灶区，而现阶段的标本拍摄方式为单独购置价格不菲的标本拍摄系统，或解压患者后在同一台乳腺X射线机下放置标本拍摄，但此种方式无法即刻检查，若标本未成功验证则需要进行二次摆位。</span></p><p><br /></p><p><p><img src="image/20201014/150c7cd345d176b311a1dd70e94b5b9d_9.png" /></p></p><p><br /></p><p><span>西门子医疗全新超高端乳腺机MAMMOMAT Revelation<strong>搭载了业界独有的一体化标本拍摄技术InSpect，活检过程中患者无需解压，20秒同机完成标本拍摄，可即刻调整，避免二次摆位及压迫</strong>。并且医院也无需购置额外的标本拍摄系统即可完成标本拍摄，提高了乳腺机的投资回报率。</span></p><p><br /></p><p><p><img src="image/20201014/cd863d863f51f42a9dffe79f48df8d80_10.png" /></p></p><p><br /></p><section><section powered-by="gulangu"><section><section powered-by="gulangu"><section><p><strong></strong><strong><span>三、全方位患者关爱</span></strong></p></section></section><section powered-by="gulangu"><section><br /></section></section></section></section></section><p><br /></p><p><span><strong><span>3.1西门子医疗PRIME低剂量技术，降低高达30%辐射剂量</span></strong></span></p><p><span><br /></span></p><p><span>西门子医疗突破性创新的低剂量技术PRIME，结合了去滤线栅采集与先进的重建技术实现了在不影响图像质量前提下降低高达30%辐射剂量。</span></p><p><span> </span></p><p><span>传统的滤线栅用于过滤散射线以保证图像质量。然而，它同时也阻挡了部分原发X射线，为了获得理想的图像质量，就需要增加投照剂量。新的算法能够识别并计算散射线，去除散射线的影响，形成正确的图像。因为采用去滤线栅采集，原发射线能够被完全利用，也就可以使用更低剂量获得高质量的图像。</span></p><p><br /></p><p><p><img src="image/20201014/4a4d7168cf341b60cc2eaeb7df7cc067_11.png" /></p></p><p><br /></p><p><p><img src="image/20201014/3180cde96cbebff94d1645ffd8d26786_12.png" /></p></p><p><br /></p><p><span><strong>3.2柔性智能压迫，提高患者舒适度</strong></span></p><p><br /></p><p><span>西门子医疗全新超高端乳腺机MAMMOMAT Revelation 不仅通过PRIME低剂量技术保护患者免于不必要的射线，并且<strong>结合西门子医疗智能压迫系统OpComp及柔性压迫板SoftComp极大的提高了患者在乳腺X线检查的舒适度</strong>。</span></p><p><span><br /></span></p><p><span>西门子医疗专利设计的OpComp系统，在每次检查中，系统可以针对受检者的乳腺厚度及致密程度，在保证优异的图像质量前提下，自动选择最佳压力值，从而达到图像质量与病人舒适度的完美平衡，并结合柔性压迫板SoftComp的曲面设计提高了受检者的舒适度。</span></p><p><br /></p><p><strong><span>结语：</span></strong><span>MAMMOMAT Revelation是西门子医疗的超高端乳腺机，这款产品会在中国市场取得怎样的成绩？我们拭目以待。</span></p><p><br /></p></section><section data-role="outer" label="Powered by gulangu"><section data-role="paragraph" data-color="#757576"><section data-role="paragraph"><section><section><section data-brushtype="text"><strong>相关阅读</strong></section></section></section><section><section><br /></section></section><section data-width="100%"><section><section><section><section data-width="100%"><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><section><p><img src="image/20201014/2aac877ff9233ba5a66e7a5ff3a4febf_13.gif" /></p></section><section data-brushtype="text">戳一下，更有料！</section></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><br /></section><section data-tools="gulangu" data-id="87578" data-color="#6aa9ad" data-custom="#59c3f9"><a target="_blank" 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发表于 2020-10-14 12:23:01