Philips 795200V User Manual Product Whitepaper EPIQ Ultrasound System For Vascular 7 Ff424e23b7774d38ad91a77c014b0374
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Philips EPIQ 7 ultrasound system
The evolution of
premium vascular ultrasound
EPIQ 7
Ultrasound
2
Unprecedented advances in premium ultrasound
performance can help address the strains on
overburdened hospitals and healthcare systems,
which are continually being challenged to provide
a higher quality of care cost-eectively. The goal
is quick and accurate diagnosis the rst time and
in less time.
Premium ultrasound users today demand improved
clinical information from each scan, and faster and
more consistent exams that are easier to perform
and allow for a high level of condence, even for
technically dicult patients.
The new challenges
in global healthcare
EPIQ 7 is the new direction for premium vascular ultrasound,
featuring an exceptional level of clinical performance to meet
the challenges of today’s most demanding practices.
Carotid artery bulb Superficial varicose veins
Performance
More confidence in your diagnoses
even for your most difficult cases
3
4
Key trends in global ultrasound
It’s our most powerful architecture ever applied
to ultrasound imaging – touching all aspects
of acoustic acquisition and processing, allowing you
to truly experience ultrasound’s evolution to a more
denitive modality.
Supported by our family of proprietary xMATRIX
and PureWave transducers and our leading-edge
Anatomical Intelligence, this platform oers our
highest level of premium performance.
The evolution
of premium ultrasound
•The need for more definitive premium
ultrasound with exceptional image
quality, performance, and intelligence
that provides automated views and
quantification
•A demand for better workflow and
greater throughput due to increased
ultrasound exam volumes resulting
from an aging population
•A demand to automate most operator
functions to allow for ease of use and
consistency of exam between users
•The need for ultrasound to address
the technically challenging patient
•A movement to use ultrasound first –
even for advanced image-guided
therapy – due to concerns about
radiation dose and exam cost
5
Philips nSIGHT Imaging
is a totally new approach
The Philips proprietary nSIGHT Imaging
architecture introduces a totally new
approach to forming ultrasound images.
Unlike conventional systems that form
the image line by line, nSIGHT creates
images with superb resolution down to
the pixel level.
Extraordinary architecture
nSIGHT Imaging incorporates a custom
multi-stage precision beamformer
along with massive parallel processing.
This proprietary architecture captures
an enormous amount of acoustic data
from each transmit operation and
performs digital beam reconstruction
along with mathematically optimized
focal processing to create real-time
images with exceptional resolution
and uniformity.
Full range of transducers supports virtually
any vascular application.
Creating new realities,
redefining clinical expectations
nSIGHT Imaging goes beyond conventional ultrasound
performance for new levels of denition and clarity.
Conventional
Users must
choose
between
frame rate
and image
quality
nSIGHT
Imaging
More than
doubles the
frame rate
without impact
to image
quality
nSIGHT Imaging
creates superbly focused
images with fewer transmit
operations so you can
experience both highly
detailed ultrasound
images and extraordinary
temporal resolution.
Frame rate Penetration
Conventional
Best resolution
is limited
to transmit
focal zone
nSIGHT
Imaging
Corrects focus
during beam
reconstruction
for superb
uniformity
nSIGHT Imaging
achieves superb uniformity
through coherent beam
reconstruction algorithms
that apply mathematical
focal correction coefficients
continually at all depths
of the image.
Conventional
Penetration
limitations
and poor
sensitivity to
weak signals
nSIGHT
Imaging
Superb
penetration
across full
range of
frequencies
nSIGHT Imaging
architecture’s ultra-wide
dynamic range and unique
beam reconstruction
reinforces weak tissue
signals allowing enhanced
penetration at higher
frequencies even on
difficult patients.
Conventional
Penetration icons
option 4
option 5
option 6
Conventional
Penetration icons
option 4
option 5
option 6
Uniformity
Image quality: the numbers tell the story
Comparing EPIQ 7 to conventional premium systems shows
breakthrough advances in imaging performance.
•Up to 76% increase in penetration (penetration = ability to scan
at depths and maintain resolution in order to complete the study*
•Up to 213% increase in temporal resolution (ability to maintain
resolution at high frame rates)*
•Over 85% completion rate for technically challenging exams
using nSIGHT Imaging and the PureWave C9-2, as demonstrated
in clinical studies**
* 2013 quantitative engineering study comparing Philips iU22 ultrasound system
with EPIQ 7
** Summary of results from EMEA technically difficult patient study (EPIQ), 2014
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Venous dialysis access graft Renal vasculature Abnormal Doppler of femoral vein
Common carotid artery plaque Abdominal aorta Carotid bifurcation
Greater saphenous vein reflux Common carotid artery Superficial venous thrombosis
Common carotid artery Posterior tibial veins,
technically difficult patient
Artery and vein with MicroCPA
Exceptional images
for a new era
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The next generation of
Color Flow Imaging
nSIGHT Imaging architecture incorporates new color Doppler technology that
increases flow resolution, sensitivity, and frame rate. New proprietary flow
algorithms produce exceptional vessel border delineation while preserving
2D imaging characteristics in color Doppler modes. New color map options
allow enhanced visualization of flow for color-blind users.
New MicroCPA
for exceptional small vessel visualization
Ulnar artery Common femoral artery bifurcation Portal vein/hepatic artery
In the past, obtaining flow information in small low-flow vascular structures has
been a challenge. Now the EPIQ’s MicroCPA feature – visualization of low velocity
micro circulation – is quick and simple, allowing for more diagnostic confidence
when evaluating organ perfusion or small vascular beds.
Renal artery Liver capsule vasculature Splenic vasculature
8
The revolutionary nSIGHT architecture of EPIQ 7 makes xMATRIX even more powerful.
xMATRIX is our most leading-edge, versatile
ultrasound transducer technology
No other premium ultrasound system can run the complete
suite of the world’s most innovative ultrasound transducers.
With the touch of a button xMATRIX offers all modes in a
single transducer: 2D, 3D/4D, Live xPlane, Live MPR, MPR,
Doppler, color Doppler, and CPA.
nSIGHT Imaging makes powerful xMATRIX
technology even more so
Achieve ultra-thin 2D slices. Use Live xPlane imaging to
create two full-resolution planes simultaneously, allowing
you to capture twice as much clinical information in the
same amount of time. Acquire near isovoxel resolution
to reveal images from any plane within the volume.
Now it’s all possible.
See exceptional image quality at all depths and volume rates across all 3D/4D modes
and applications with the X6-1 transducer.
EPIQ 7 oers the ultimate in exibility to congure any clinical option and
application for a true no-compromise cardiovascular imaging system.
Leading-edge xMATRIX transducers for cardiology include X5-1 for adult cardiology
and X7-2t for TEE applications.
Maximize
extreme clinical capabilities
8
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Thin slice 2D Live xPlane
imaging
3D/4D
Panoramic volume
imaging uses Live
xPlane imaging to
acquire a calibrated
volume over an
extended field of
view. Easily capture,
visualize, and quantify
a full organ.
Exclusive panoramic volume imaging with xMATRIX
With xMATRIX, you can achieve
ultra-thin, 2D slices.
With xMATRIX, you can use Live xPlane
imaging to create two full-resolution
planes simultaneously, allowing you to
capture twice as much clinical information
in the same amount of time.
Acquire near isovoxel resolution that
reveals superb images from any plane
within the volume. Send 3D MPRs in
the X, Y, and Z plane to any PACS system
with MPR DICOM export. Present smooth,
real-time 4D volume data.
Philips pioneered xMATRIX advanced technology
Femoral artery Abdominal aorta and iliac arteries
xMATRIX panoramic volume imaging allows for whole organ acquisition,
visualization, and quantication of anatomical structures and better correlation
with other imaging modalities.
10
PureWave crystal technology represents the biggest breakthrough in piezoelectric
transducer material in 40 years. The pure, uniform crystals of PureWave are 85% more
ecient than conventional piezoelectric material, resulting in exceptional performance.
This technology allows for improved penetration in dicult patients with a single
transducer and for excellent detailed resolution. All xMATRIX transducers incorporate
PureWave technology.
The power of PureWave
to image technically
difficult patients
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PureWave (x800)
Conventional (x800)
PureWave crystals have virtually
perfect uniformity for greater
bandwidth and twice the efficiency
of conventional ceramic materials.
The result is excellent imaging and
Doppler performance.
PureWave oers enhanced technology for imaging technically dicult
patients in a wide range of applications
Liver, technically difficult
patient (BMI=55)
Apical four-chamber view
with mitral regurgitant jet
PureWave transducers offer the solution for imaging technically difficult patients
in a wide range of applications
•PureWave C5-1 and C9-2 for difficult-to-image abdominal and lower extremity applications
•PureWave S5-1 for difficult-to-image cardiology patients and transcranial applications
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Elastography for more denitive
information about tissue stiness
The EPIQ platform supports both strain and shear
wave methods of elastography. Highly sensitive strain
imaging can be used to rapidly assess relative tissue
stiness values across a variety of applications.
Shear wave elastography utilizes a unique pulsing
scheme to generate and detect the propagation
speed of shear waves, providing an absolute measure
of tissue stiness. In addition, the EPIQ platform
is designed to support the future of elastography
including quantitative real-time shear wave imaging
across a variety of transducers and applications.
Shear wave elastography
ElastPQ uses ultrasound shear wave
elastography to provide a non-invasive,
reproducible, and easily performed
method of assessing tissue stiffness.
A special pulse sequence technique
using existing transducers produces
shear waves in tissue and measures
the propagation speed of the waves.
Now tissue stiffness samples can be
acquired during a routine ultrasound
examination of the liver. According to
the latest studies,1 using shear wave
elastography may help reduce or avoid
conventional liver biopsies. Many
studies are suggesting that instead of
a costly and painful biopsy procedure,
an easy ultrasound exam becomes
the routine method to assess liver
disease status.
Elasto point quantification
1 Ferraioli G, et al. Point shear wave elastography method for assessing liver stiffness. World J Gastroenterol 2014 April 28;20(16):4787-4796.
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EPIQ 7 provides instant optimization of contrast-enhanced ultrasound
(CEUS)* studies and exceptional performance across multiple agents and
applications. nSIGHT Imaging allows higher sensitivity to lower bubble
concentrations while providing exceptional temporal resolution during critical
wash-in/wash-out phases.
Among leading ultrasound manufacturers, Philips oers the world’s only live
3D images using contrast for general imaging with real-time 3D contrast data
for dynamic clinical assessment.
Aortic Type II endoleak Liver abscess
Revolutionize
your contrast exam
* In the U.S. contrast is only approved for cardiac use.
Carotid bulb Kidney
1414
Fast and effective
image fusion and needle navigation
Make confident decisions even in challenging diagnostic
cases with fully integrated fusion capabilities that feature
streamlined workflows to allow clinicians to achieve fast
and effective fusion of CT/MR/PET with live ultrasound.
By combining imaging modalities directly on the ultrasound
system, you now have access to an even more powerful
diagnostic tool with advanced visualization allowing for fast
clinical decisions.
15
Fusion and navigation
Fast and effective image fusion
Make confident decisions even in
challenging diagnostic cases with
fully integrated fusion capabilities
that feature streamlined workflows
to allow clinicians to achieve fast
and effective fusion of CT/MR/PET
with live ultrasound.
By combining imaging modalities
directly on the ultrasound system,
you now have access to an even more
powerful diagnostic tool with advanced
visualization, allowing for fast decisions
compared to without fusion.
Advanced needle navigation
Needle navigation is a performance-
enhancing tool for challenging
interventional cases such as a
hard-to-visualize small-lesion biopsy
or difficult-to-access ablations that are
close to critical structures. Procedures
may now be completed in less time
and with fewer confirmatory scans.2
A reusable adaptive needle tracker and
an expanded range of coaxial needle-tip
tracked instruments offer you a wide
range of compatibility with biopsy and
ablation devices depending on the
degree of procedure complexity.
2 Kim E, et al. CT-Guided liver biopsy with electromagnetic tracking: results from a single-center
prospective randomized controlled trial. American Journal Roentgenology 2014;203:W715-723.
Expand vascular
fusion and navigation
capabilities through
a range of PureWave
transducers including
the X6-1 xMATRIX,
S5-1 (abdominal and
transcranial), C5-1,
and C9-2.
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image fusion and needle navigation
Cerebral artery assessment using
transcranial ultrasound and CT fusion
Post EVAR assessment using
ultrasound and CT fusion
16
Designed to reinvent
the user experience
EPIQ 7 has completely reinvented the premium ultrasound
user experience. Ease of use, workow, ergonomics,
portability – we’ve revolutionized how you interact with
an ultrasound system from every standpoint, and kept it
beautifully intuitive.
More than 80% of sonographers experience work-related
pain, and more than 20% of these suer a career-ending
injury.3 The EPIQ tablet-like interface results in dramatic
reduction in reach and button pushes, with 40% to 80%
less reach and 15% fewer steps.*
Tablet-like touch interface allows
quick navigation to system functions
with 40% to 80% less reach and 15%
fewer steps to complete an exam.
Advanced workflow
The design of the platform features
“walk-up usability,” meaning that
users can perform an exam with
minimal training.4 The system offers
the automation to drive efficiency
throughout exams with features such
as Real Time iSCAN (AutoSCAN),
which automatically enhances gain
and TGC continuously to provide
excellent images in 2D, 3D, or 4D.
Amazingly portable
At just 104 kg (230 lb), EPIQ 7 is lightest
in its class and 40% lighter than the
heaviest competitive premium system.
Easily transport EPIQ 7 on both carpet
and tile floors. Place it in sleep mode,
move it, and boot up in seconds.
The monitor folds down to reduce
overall system height for transport,
and the integrated cable hooks and
catch tray are ideal for portable
studies. Wireless DICOM further
aids workflow.†
17
Library quiet
EPIQ 7 is almost silent when running.
A noise test determined that EPIQ 7
runs at 37-41 dB, which is equivalent
to the sound of a library.
Scanning comfort
Multiple degrees of articulation for
both the control panel and 54.6 cm
(21.5 in) LCD monitor with 720°
of freedom allows for ergonomic
alignment, whether sitting or standing,
for scanning comfort.
SmartExam
SmartExam decreases exam time
by 30-50%, keystrokes by as many
as 300 per exam, and results in
a high level of consistency among
users.5 It is fast and easy to customize,
providing consistent annotation,
automatic mode switching, and missed
view alerts to streamline exams.
The result is more time to focus on
your patients, increased confidence
Easy viewing and efficient use even
in darker scanning environments with
a large 54.6 cm (21.5 in) wide screen
and ambient lighting that provides
subtle visual cues for the keyboard,
OEMS, and transducer ports.
in complete studies, less focus
on requirements, less repetitive
motion, less stress, and improved
schedule maintenance and
department efficiencies.
Auto Doppler for vascular imaging
Auto Doppler takes time-consuming
color box positioning and sample
volume placement from ten steps
to three steps and reduces the number
of repetitive button pushes by an
average of 68%.6
Active native data
Active native data allows for post-
processing of many exam parameters.
Set-up Wizard
Set-up Wizard allows users to step
up to the system, easily establish user
configurations, and get running quickly.
Access to multimodality images
Use multimodality query retrieve to
view DICOM images such as CT, NM,
MR, mammography, and ultrasound.
Easily compare past and current
studies without the use of an external
reading station and even review these
multimodality images while live imaging.
EPIQ 7 is one of the greenest
systems we have ever designed.
It consumes 25% less power than
our legacy premium ultrasound.
25%
less power
EPIQ 7 makes it easy
to be green
3 Society of Diagnostic Medical Sonography, Industry Standards for the Prevention of Musculoskeletal Disorders in Sonography, May 2003.
4 External user study where all users had over 90% success (gold standard in usability) on their set tasks with no training on EPIQ, Jan 2013.
5 University of Colorado, Protocols Study, Apr. 2007.
6 Auto Doppler Clinical Study, Dec. 2011.
* 2013 engineering study comparing Philips iU22 ultrasound system with EPIQ 7.
† Check for availability in your geography.
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Intelligence
turning images into answers
a2DQA.I. with ZeroClick for fast, reproducible EF
on all your patients.
aCMQA.I. with ZeroClick technology provides both EF and GLS
from the same 2D images.
19
*Edit option
At the heart of the powerful EPIQ 7 architecture is our Philips exclusive
Anatomical Intelligence Ultrasound (AIUS), designed to elevate the
ultrasound system from a passive to an actively adaptive device.
With advanced organ modeling, image slicing, and proven quantification,
exams are easy to perform, more reproducible, and deliver new levels
of clinical information.
AIUS ranges from automating repetitive steps to full-blown computer-
driven analysis with minimal user interaction – all using anatomic
intelligence and all providing the results you need. In fact, many of our
tools come with ZeroClick technology, which means that once loaded,
the tool does it all for you.*
Vascular Q-Apps Cardiology Q-Apps
•Intima Media Thickness (IMT)
•General Imaging 3D Quantification (GI 3DQ)
•Region of Interest (ROI)
•MicroVascular Imaging (MVI)
•Vascular Plaque Quantification (VPQ)
•Strain Quantification (SQ)
•Cardiac 3D Quantification (3DQ)
•Cardiac 3D Advanced Quantification (3DQ Advanced)
•CMQ Stress
•Mitral Valve NavigationA.I. (MVNA.I.)
•Automated 2D Cardiac QuantificationA.I. (a2DQA.I.)
•Automated Cardiac Motion QuantificationA.I. (aCMQA.I.)
Q-App quantification applications
EPIQ 7 oers a wide variety of sophisticated Q-Apps to quantify ultrasound
image information.
Anatomical Intelligence
is the heart of EPIQ 7
19
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Automated 2D Cardiac QuantificationA.I. (a2DQA.I.)
with ZeroClick technology for adult and pediatric echo
The ideal tool of every echo lab, Automated 2D Cardiac
QuantificationA.I. (a2DQA.I.) with ZeroClick technology uses
AIUS for an Auto-ROI to drive the Q-App and provide rapid
access to proven 2D EF and volumes. AutoEF is available
during the study and so fits in with an everyday echo protocol.
Automated Cardiac Motion QuantificationA.I.
(aCMQA.I.) with ZeroClick technology for adult echo
The ZeroClick technology of the Automated Cardiac Motion
QuantificationA.I. (aCMQA.I.) uses speckle mechanics to
provide reproducible 2D Global Longitudinal Strain (GLS)
speckle measurements. A proven EF is also calculated by
using the Auto-ROI that drives the automation within the
aCMQA.I. Q-App.
Automation
Anatomical Intelligence
Achieve new levels of simplicity
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Automatic registration for image fusion
and navigation
CT and ultrasound vessel and surface registration
allow you to complete the challenging task of
registering a CT volume with ultrasound in less
than one minute – 1/10 the standard alignment time.
Navigation
The Mitral Valve NavigatorA.I. (MVNA.I.)
The Mitral Valve NavigatorA.I. (MVNA.I.) is designed to take a
Live 3D volume of the mitral valve and turn it into an easy-
to-interpret model in eight guided steps, providing access to
a comprehensive list of MV measurements and calculations.
Internal comparison of MVQ to MVNA.I. tools measures
89% fewer clicks.3
MVNA.I. saves steps at each part of the process
Annulus data is acquired with 74% fewer clicks,3 which also
provides leaflet tracing with no user interaction. MVNA.I.
guides the entire process using simple commands and clear
graphics, making this a much easier tool to use than previous
mitral quantification tools. Results derived from MVNA.I. can
be seen on the screen as they become available, speeding
the process of accessing required data.
Vascular Plaque Quantification (VPQ)
Vascular Plaque Quantification is a non-invasive tool that
uses 3D technology to visualize and quantify both the
overall volume of vascular plaque in the carotid artery
and the percent area of vessel reduction, as well as other
characteristics of plaque composition. VPQ may prove
to be a valuable tool to aid in determining who is at an
increased risk of stroke or cardiovascular disease based
on this important measurement of plaque buildup in the
carotid artery.
3. 2013 QLAB 9 MVQ and QLAB 10 MVN click comparison internal study.
MVNA.I. takes a Live 3D volume of the mitral valve
and turns it into an easy-to-interpret model
in just eight guided steps.
VPQ and the VL13-5 transducer allow advanced
analysis of plaque volume and morphology.
Anatomical Intelligence liver vessel segmentation
for CT and ultrasound provides image fusion
in less than one minute.
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Advanced support services
are proactive and predictive
We understand your challenges: uncertain economic times, changing
healthcare landscapes, and the impact of healthcare reform. We know
that ecient workows and system uptime are critical success factors
in running an eective healthcare business.
Philips is committed to oering innovative solutions to provide you
with world-class services that move from reactive to proactive and
with predictive service models that provide high system availability
and enhanced workow to help you deliver high quality patient care.
Remote services mean
we’re closer than ever*
Remote desktop
Spend less time on the phone with a Philips “Virtual Visit”
with remote system interaction for fast technical and clinical
troubleshooting and guided scanning options.
iSSL technology
This industry-standard protocol meets global privacy standards
and provides a safe and secure connection to the Philips remote
services network using your existing Internet access point.
Online support request
Enter a support request directly from your EPIQ system for
a fast, convenient communication mechanism that reduces
workflow interruption and keeps you at the system and
focused on your patient.
Utilization reports
Data intelligence tools that can help you make informed
decisions to improve workflow, deliver quality patient care,
and decrease the total cost of ownership. This ultrasound
utilization tool provides individual transducer usage and
the ability to sort by exam type.
Proactive monitoring
Proactive monitoring allows for the detection and repair
of anomalies before they become problems and helps us to
better predict potential failures and proactively act on them.
Increase system availability, optimize workflow, and promote
patient satisfaction by scheduling downtime as opposed
to reacting to an unexpected problem.
*Check for availability in your geography.22
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The remote desktop allows Philips
service engineers to gain a live
view of your system’s console for
remote operation, real-time clinical
troubleshooting, and issue resolution.
Exceptional serviceability
Philips oers the only ultrasound utilization
tool that provides individual transducer
usage and the ability to sort by exam type.
The system features superior modular
design for rapid repair, getting your
system up and running quickly.
Intelligent software architecture
Software is easily optimized, maintained, and restored
by the service user without risk to patient data, giving you
peace of mind when dealing with software anomalies and
confidence that your data is safe.
This software architecture takes patient data privacy
to a new level. Patient data is stored on a separate partition
and physical location to provide protection and ease of
removal, providing you total control of your data.
Clinical education solutions
Our comprehensive, clinically relevant courses, programs,
and learning paths are designed to help you improve
operational efficiency and enhance patient care.
© 2016 Koninklijke Philips N.V. All rights are reserved.
Philips reserves the right to make changes in specications 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. Trademarks are the
property of Koninklijke Philips N.V. or their respective owners
Please visit www.philips.com/epiq
Printed in The Netherlands.
4522 991 17771 * FEB 2016
