The CARE program combines a variety of cutting-edge radiation protection functions designed to reduce radiation dosage for the patient and the operator. For the hospital, the new CARE package also makes dose reporting easy and structured.
CARE Benefits
• Reduces patient and operator dose to a minimum
• Provides dose monitoring during the procedure
• Makes dose reporting easy and structured
• Standard with every Artis zee system
Learn more about the dose reduction program CARE for interventional procedures and hybrid surgery
Open the timeline to see how we have implemented applications to reduce and monitor dose over many years
The topic of radiation dose in medical imaging has become the focus of intense public and technical discussion. Reducing the dose during cardiology procedures is not only critical for the patient but also for the cardiologist.
View the recorded webcast from July 21st 2011, held by:
Prof. Dr. med. Sven Dittrich, Head of the Department of Pediatric Cardiology, University of Erlangen and
Dr. med Eberhard Kuon, Interventional Cardiologist, Fränkische Schweiz Hospital, Germany.
(Click on the image to start the webcast)
Advanced dose-saving technologies effectively reduce radiation dose for patient and operator.
CAREvision provides variable fluoro pulse rates that can be adapted according to the clinical need: from 30 pulses per second (p/s) in various steps, down to 0.5 p/s. The reduction from 30 p/s to 7.5 p/s results in a dose saving of 75%.
Dr. Eberhard Kuon
Head of Cardiology
Klinik Fränkische Schweiz, Ebermannstadt, Germany
CAREprofile allows radiation-free collimation and semitransparent filter parameter setting to precisely target the region of interest.
Dr. Eberhard Kuon
Head of Cardiology
Klinik Fränkische Schweiz, Ebermannstadt, Germany
CAREposition provides radiation-free object positioning. Graphic display of the detector position in the last image hold (LIH) allows panning the table or moving the C-arm without fluoroscopy.
Dr. Eberhard Kuon
Head of Cardiology
Klinik Fränkische Schweiz, Ebermannstadt, Germany
The low-dose syngo DynaCT protocol provides 3D information during the treatment of very radiosensitive patients such as children. 3D imaging results can be achieved at only 0.3 mSv* (neuro).
* Based on Alderson phantom according to ICRP 60 or 103.
3D imaging with low-dose syngo DynaCT at only 0.3 mSv
Low-dose acquisition provides excellent image quality with a dose reduction of up to 67% in comparison to normal acquisition protocols. One acquisition pedal of the foot switch can be configured as a low-dose acquisition pedal.
Low-dose acquistion imaging at only 0.9 µGy
CAREfilter achieves skin dose reduction of up to 50% by adjustment of the filter size. The variable filtration, 0.2 to 0.9 mm during digital acquisition and 0.0 to 0.9 mm during fluoroscopy, is set automatically according to patient weight and angulation of the C-arm.
With the dose-monitoring features of the Artis zee system, skin dose control becomes easy and efficient.
CAREguard provides an effective way to control skin dose. Three skin dose threshold values can be defined. If the accumulated skin dose exceeds a configured threshold, a warning sound is given and a pop-up displays on the system.
Display on tableside control of the Artis zee system
With CAREwatch, the dose area product and dose rate at the interventional reference point are displayed on the live display in the examination and control room.
Display of dose rate on the live monitor in the examination room
CAREmonitor shows the accumulated peak skin dose according to the current projection in the form of a fill indicator on the live monitor.
Any change to the C-arm, table, SID, zoom or collimator prompts the system to automatically update the calculation.
State-of-the art reporting solutions enable efficient and transparent reporting and documentation of radiation dose.
How does it work?
With a multiplicity of radiology devices from Siemens, the dose received by each individual patient is recorded in so-called DICOM structured dose reports – DICOM SR. The relevant data in these files comprises information such as Dose Area Product, skin entrance dose and other X-ray imaging parameters. Until now, this data has merely been archived but was not further processed. With CARE Analytics the relevant information is presented in a table format for further analysis, e.g. statistical reports of dose data and related parameters. Using data edited in this way, you can compare dose given during different examinations and ascertain the dose a patient has received on different imaging systems. Dose reporting between multiple hospitals is also possible. The increased transparency lets you improve your daily workflow and allows for additional dose saving.
CAREreport is a DICOM structured dose report; it contains all patient demographics, procedure, and dose information. Using commercially available programs or in-house software, this information can be filtered for further processing, such as dose analysis.
Dr. Eberhard Kuon
Head of Cardiology
Klinik Fränkische Schweiz, Ebermannstadt, Germany
Stony Brook Medical Center CAREs – With Low Dose Interventional Imaging[333 KB]
(AXIOM Innovations, June 2011)
Cutting radiation down to size[466 KB]
(AXIOM Innovations, November 2010)
(AXIOM Innovations, November 2010)
Pioneering in dose savings[289 KB]
(AXIOM Innovations, November 2010)