Fujifilm S-View Dose Reduction Technique PDF

Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - S-View Dose Reduction Technique ・Intelli IP Advanced ・Intelli IPV ・InteliiEC with Intelli IPV...

Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - S-View Dose Reduction Technique ・Intelli IP Advanced ・Intelli IPV ・InteliiEC with Intelli IPV APP2022-CT-001 1  Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - S-View Dose Reduction Technique ・Intelli IP Advanced ・Intelli IPV ・InteliiEC with Intelli IPV 2 Intelli IP Advanced Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - Noise reduction: up to 56 % Intelli IPA works with filters, so you can select preference combination. Intelli IPA also works with HiMAR- Plus. Higher levels can make blurred images. Intelli IPV Matches Noise Power Spectrum (NPS) of Filtered Back Projection 3 Intelli IP Advanced Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - SD reduction rate Lv.1 Lv.2 Lv.3 Lv.4 Lv.5 Lv.6 Lv.7 Head Lung Abdomen Bone 8% 16% 24% 32% 40% 48% 56% Cardiac Cardiac Stent 4 Intelli IP Advanced Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - Intelli IPA OFF Intelli IPA ON 5  Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - S-View Dose Reduction Technique ・Intelli IP Advanced ・Intelli IPV ・InteliiEC with Intelli IPV 6 Intelli IPV Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - Intelli IPV :Iterative Progressive reconstruction with Visual modeling Noise reduction: up to 90% Dose reduction: up to 83% Even in higher levels, images can keep resolution and texture. Intelli IPV works without filters, you can just select its strength. Intelli IPV does not work with HiMAR- Plus, only with HiMAR. 7 Intelli IPV Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - Intelli IPV :Iterative Progressive reconstruction with Visual modeling 0.05 Current IR 0.04 Normalized NPS Intelli IPV 0.03 FBP 0.02 0.01 0 0 0.2 0.4 0.6 0.8 1 1.2 Frequency [lp/mm] Low Area Middle Area High Area Intelli IPV Matches Noise Power Spectrum (NPS) of Filtered Back Projection 8 Intelli IPV Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - FBP Intelli IPA Intelli IPV Compared to Intelli IPA, Intelli IPV can maintain Image Texture even when higher levels are applied. 9 Intelli IPV - Abdomen - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - in case of Volume-scan or Retrospective-scan I There are some limitation to use Iintelli IPV. e.g.) FOV, Recon.index 10 Intelli IPV - Abdomen - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - SD reduction rate STD1 STD2 STD3 STD4 STR1 STR2 STR3 STR4 STR5 Abdomen 20% 26% 32% 38% 44% 50% 56% 62% 90% *STD : Standard, STR : Strong 11 Intelli IPV - Abdomen - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - Head Standard Lv.1 Lung Standard Lv.2 Abdomen Standard Lv.3 Cardiac Standard Lv.4 Cardiac Stent Strong Lv.1 Strong Lv.2 Strong Lv.3 Strong Lv.4 Note: Strong Lv.5 As Strong Lv.5 works much stronger than other levels, we do not use it for clinical cases in Japan. Strong Lv.5 can be applied just for Abdomen and Lung regions. 12 Intelli IPV - Abdomen - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - around 50% Noise Reduction FBP Intelli IPA Lv7 Intelli IPV STR3 5mm 13  Intelli IPV - Abdomen - Fujifilm Internal Use Only Clinical case1: Lower kVp × IPV STR3 / Thin-slice images : Fujifilm Group : FHC Application Group(22.6.13) Handling : - 1ph 2ph FBP IPV FBP IPV 100kVp、CTDIvol: 8.7mGy、DLP: 456.7mGy・cm * 画像診断ガイドライン2016年版 日本医学放射線学会編 に記載の推奨値比 IPV : Iterative Progressive reconstruction with Visual modeling 14  Intelli IPV - Abdomen - Fujifilm Internal Use Only Clinical case2: Low-Dose CTA & IPV STR1 / VR created by VINCENT : Fujifilm Group : FHC Application Group(22.6.13) Handling : - Scan Type Volume Tube Voltage 120 kVp Tube Current IntelliEC Rotation Time 0.5 s/rot Pitch 0.83 Collimation 0.625 mm × 64 2.5mm (AX) Thickness 2.0 mm (COR) IPV-Level STR1 (COR) CTDIvol 4.2 mGy DLP 586.1mGy・cm * 画像診断ガイドライン2016年版 日本医学放射線学会編 に記載の推奨値比 IPV : Iterative Progressive reconstruction with Visual modeling 15 Intelli IPV - Lung - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - SD reduction rate STD1 STD2 STD3 STD4 STR1 STR2 STR3 STR4 STR5 Lung 20% 28% 36% 44% 52% 60% 68% 76% 90% *STD : Standard, STR : Strong 16 Intelli IPV - Lung - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - HD: High-Definition mode Head Standard Lv.1 Lung Standard Lv.2 Abdomen Standard Lv.3 It performs tuning focusing on Cardiac Standard Lv.4 spatial resolution for the lung area. Cardiac Stent Strong Lv.1 Strong Lv.2 Strong Lv.3 Strong Lv.4 Note: Strong Lv.5 As Strong Lv.5 works much stronger than other levels, we do not use it for clinical cases in Japan. Strong Lv.5 can be applied just for Abdomen and Lung regions. 17 Intelli IPV - Lung - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) 50% Noise Reduction Handling : - around FBP Intelli IPA Lv7 Intelli IPV STR3 0.625mm 18  Intelli IPV - Lung - （6/6） Fujifilm Internal Use Only Clinical case: Ultra Low Dose × IPV STR4 / for medical check up : Fujifilm Group : FHC Application Group(22.6.13) Handling : - Scan Type Volume Tube Voltage 120 kVp Tube Current IntelliEC Rotation Time 0.35 s/rot Pitch 1.08 Collimation 0.625 mm × 64 [Lung] 1.0mm (AX) 0.625mm(HRCT) Thickness 2.0 mm(MPR) [Med.] 5.5 mm (AX) 5.0 mm (COR) [Lung] HD STR3 (AX) HD STR4 IPV-Level (HRCT/MPR) [Med.] STR4 (AX) STR3 (COR) CTDIvol 0.8 mGy DLP 30.8 mGy・cm 0.43 mSv（ICRP Pub102） IPV :Iterative Progressive reconstruction with Visual modeling の略称です 19 Intelli IPV - Brain - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - SD reduction rate STD1 STD2 STD3 STD4 STR1 STR2 STR3 STR4 Brain 8% 16% 24% 32% 40% 48% 56% 64% *STD : Standard, STR : Strong 20 Intelli IPV - Brain - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - LCD: Head Standard Lv.1 Low Contrast Detectability mode Lung Standard Lv.2 Abdomen Standard Lv.3 Cardiac Standard Lv.4 IPV performs tuning focusing on Cardiac Stent Strong Lv.1 Strong Lv.2 low contrast resolution for the Strong Lv.3 head area. Strong Lv.4 It helps contrast of white and gray matter to be improved. 21 Intelli IPV - Brain - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) 50% Noise Reduction Handling : - around FBP Intelli IPA Lv7 Intelli IPV STR3 5mm 22  Intelli IPV - Brain - （6/6） Fujifilm Internal Use Only Clinical case1: 5mm × IPV STD2 / 1mm × IPV STR3 : Fujifilm Group : FHC Application Group(22.6.13) Handling : - Scan Type Normal Tube Voltage 120 kVp Tube Current IntelliEC Rotation Time 1.0 s/rot Pitch ---- Collimation 0.625 mm × 32 5.0mm/1.0mm Thickness (AX) 1.0mm(COR) STD2 (AX/COR) IPV-Level STR3(AX1.0mm) CTDIvol 55.7mGy DLP 1579.5 mGy・cm IPV :Iterative Progressive reconstruction with Visual modeling の略称です 23  Intelli IPV - Brain - （6/6） Fujifilm Internal Use Only Clinical case2: 5mm × IPV STR1 × narrow WW : Fujifilm Group : FHC Application Group(22.6.13) Handling : - Scan Type Normal Tube Voltage 120 kVp Tube Current IntelliEC Rotation Time 1.0 s/rot Pitch ---- 0.625 mm × 16 Collimation + 0.625 mm × 32 Thickness 5.0mm(AX/COR) IPV-Level STR1 (AX/COR) CTDIvol 62.8+43.4mGy DLP 763.3 mGy・cm Normal Scan MPR IPV :Iterative Progressive reconstruction with Visual modeling の略称です 24 Intelli IPV - Cardiac - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - SD reduction rate STD1 STD2 STD3 STD4 STR1 STR2 Cardiac 20% 28% 36% 44% 52% 60% Cardiac Stent 20% 28% 36% 44% 52% 60% *STD : Standard, STR : Strong 25 Intelli IPV - Cardiac - Fujifilm Internal Use Only ・2 types IPV for cardiac: “ Cardiac” and “Cardiac Stent” : Fujifilm Group : FHC Application Group(22.6.13) Handling : - ・”Cardiac” is for general cardiovascular “Cardiac Stent” is for observation around stent and calcification 【Cardiac (IPV)】 【Cardiac Stent (IPV-HD)】 26  Intelli IPV - Cardiac - （6/6） Fujifilm Internal Use Only Clinical case1: IPV STD2 for soft plaque : Fujifilm Group : FHC Application Group(22.6.13) Handling : - a b ab Scan Type ECG-R c Tube Voltage 120 kVp d e ECG dose Tube Current f modulation c d Rotation Time 0.35 s/rot Pitch 0.17 Collimation 0.625 mm × 64 1.0 mm (AX) Thickness 1.0 mm (CPR) IPV-Level STD2 e f CTDIvol 19.3 mGy DLP 334.0 mGy・cm 74% dose Reduction (DRLs 2020) IPV :Iterative Progressive reconstruction with Visual modeling の略称です 27  Intelli IPV - Cardiac - （6/6） Fujifilm Internal Use Only Clinical case2: IPV-HD STD4 for hard plaque : Fujifilm Group : FHC Application Group(22.6.13) Handling : - Scan Type ECG-R Tube Voltage 120 kVp ECG dose Tube Current modulation FBP Rotation Time 0.35 s/rot Pitch 0.17 Collimation 0.625 mm × 64 0.625 mm (AX) Thickness 1.0 mm (CPR) HD STD4 IPV-Level (AX,CPR,VR) CTDIvol 32.9 mGy DLP 501.1 mGy・cm 61% dose Reduction (DRLs 2020) FBP IPV-HD STD4 VR：IPV-HD IPV-HD STD4 STD4 IPV :Iterative Progressive reconstruction with Visual modeling の略称です 28  Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - S-View Dose Reduction Technique ・Intelli IP Advanced ・Intelli IPV ・InteliiEC with Intelli IPV 29 IntelliEC Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - ・It's a dose reduction function ・It is possible to keep the image quality 30 IntelliEC setting with Intelli IPV Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - × ＝ IntelliEC Intelli IPV IntelliEC Setting with Intelli IPV When IntelliEC set in Intelli IPV, the dose is controlled by the SD of the Intelli IPV image. High image quality can be achieved with low dose 31 How to use Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - 1 5 6 7 3 4 2 32 Intelli IPV - Abdomen - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - Head Standard Lv.1 Lung Standard Lv.2 Abdomen Standard Lv.3 Cardiac Standard Lv.4 Cardiac Stent Strong Lv.1 Strong Lv.2 Strong Lv.3 Strong Lv.4 Note: Strong Lv.5 As Strong Lv.5 works much stronger than other levels, we do not use it for clinical cases in Japan. Strong Lv.5 can be applied just for Abdomen and Lung regions. 33 Intelli IPV - Abdomen - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - SD reduction rate STD1 STD2 STD3 STD4 STR1 STR2 STR3 STR4 STR5 Abdomen 20% 26% 32% 38% 44% 50% 56% 62% 90% ※Dose reduction rata is estimated as follow: Dose reduction rate (Reference value ※ ) (1- (1- [SD reduction rate])^2) *100 STD1 STD2 STD3 STD4 STR1 STR2 STR3 STR4 Abdomen 36.0% 45.2% 53.8% 61.6% 68.6% 75.0% 80.6% 85.6% *STD : Standard, STR : Strong 34 Intelli IPV - Lung - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - HD: High-Definition mode Head Standard Lv.1 Lung Standard Lv.2 Abdomen Standard Lv.3 It performs tuning focusing on Cardiac Standard Lv.4 spatial resolution for the lung area. Cardiac Stent Strong Lv.1 Strong Lv.2 Strong Lv.3 Strong Lv.4 Note: Strong Lv.5 As Strong Lv.5 works much stronger than other levels, we do not use it for clinical cases in Japan. Strong Lv.5 can be applied just for Abdomen and Lung regions. 35 Intelli IPV - Lung - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - SD reduction rate STD1 STD2 STD3 STD4 STR1 STR2 STR3 STR4 STR5 Lung 20% 28% 36% 44% 52% 60% 68% 76% 90% ※Dose reduction rata is estimated as follow: Dose reduction rate (Reference value ※ ) (1- (1- [SD reduction rate])^2) *100 STD1 STD2 STD3 STD4 STR1 STR2 STR3 STR4 Lung 36.0% 48.2% 59.0% 68.6% 77.0% 84.0% 89.8% 94.2% *STD : Standard, STR : Strong 36 Intelli IPV - Brain - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - LCD: Head Standard Lv.1 Low Contrast Detectability mode Lung Standard Lv.2 Abdomen Standard Lv.3 Cardiac Standard Lv.4 IPV performs tuning focusing on Cardiac Stent Strong Lv.1 Strong Lv.2 low contrast resolution for the Strong Lv.3 head area. Strong Lv.4 It helps contrast of white and gray matter to be improved. 37 Intelli IPV - Brain - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - SD reduction rate STD1 STD2 STD3 STD4 STR1 STR2 STR3 STR4 Brain 8% 16% 24% 32% 40% 48% 56% 64% ※Dose reduction rata is estimated as follow: Dose reduction rate (Reference value ※ ) (1- (1- [SD reduction rate])^2) *100 STD1 STD2 STD3 STD4 STR1 STR2 STR3 STR4 Brain 15.4% 29.4% 42.2% 53.8% 64.0% 73.0% 80.6% 87.0% *STD : Standard, STR : Strong 38 Intelli IPV - Cardiac - Fujifilm Internal Use Only ・2 types IPV for cardiac: “ Cardiac” and “Cardiac Stent” : Fujifilm Group : FHC Application Group(22.6.13) Handling : - ・”Cardiac” is for general cardiovascular “Cardiac Stent” is for observation around stent and calcification 【Cardiac (IPV)】 【Cardiac Stent (IPV-HD)】 39 Intelli IPV - Cardiac - Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - SD reduction rate STD1 STD2 STD3 STD4 STR1 STR2 Cardiac Cardiac Stent 20% 28% 36% 44% 52% 60% ※Dose reduction rata is estimated as follow: Dose reduction rate (Reference value ※ ) (1- (1- [SD reduction rate])^2) *100 STD1 STD2 STD3 STD4 STR1 STR2 Cardiac Cardiac Stent 36.0% 48.2% 59.0% 68.6% 77.0% 84.0% *STD : Standard, STR : Strong 40 Note Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : - You can change the IPV strength level limit in Preference Settings. IntelliEC setting limit is also can be set here. 41 Fujifilm Internal Use Only : Fujifilm Group : FHC Application Group(22.6.13) Handling : -