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Advanced Visualization

For several years, INFINITT has offered 3D post processing and advanced analytical tools for clinical specialties under the Xelis™ label. Now, in addition to Xelis™, we are able to provide an advanced integration between INFINITT’s enterprise imaging solutions (radiology, cardiology, dental, etc.) and TeraRecon’s vast library of advanced visualization and artificial intelligence (AI) packages. This integration means that physicians can access the iNtuition™ packages described below seamlessly from within the INFINITT viewer and save their work with a single sign-on and no disruption in reading workflow.

Body Fusion Package

Supports volume registration and fusion for alignment and comparison of 2D and 3D images from two or more CT, MR, PET, or SPECT data sets for anatomical reference and quantitative study. Automatic registration and motion correction is provided and subtraction to a third series is also supported. Validated findings can be stored for comparison of multiple time points. Comprehensive tools enable the user to describe regions of interest (planar or volumetric) for which various statistical quantities can be obtained, such as min, max, mean, standard deviation, standard uptake values (SUV) or counts readout for PET data, etc. User-friendly manual registration tools are also available for registering different image sets together. Included findings workflow can store captured values for side-by-side comparison of multiple time points.

CT Head and Neck Package

Allows Neuro-Radiologists to perform efficient, accurate measurements of neurology related examinations. CT Head and Neck Package tools facilitate bone and vessel removal with advanced editing to support vasculature analysis, including stenosis ratio, area, diameter, min, max, mean, or perimeter cross-sectional display. Radiologists can calculate the volume of organs or regions of interest with histogram output and utilize exportable measurement values for follow-up comparison. It also provides the ability to analyze dynamic data to support the assessment of time-dependent behavior of the image intensity or density of the brain, including CBF, CBV, MTT, TTP, TOT, RT, and uptake graphs. Data from dual-source scans are also supported to provide dynamic blending, which improves signal-to-noise ratios and subtracts high-density structures, such as bone and metal. Image fusion for cross-planar image synchronization with customizable vendor-specific map type color scales is also supported.

CT Body Package

Allows Radiologists to perform a comprehensive review and analysis of the organs in the abdomen and pelvis region. Additionally, this package enables Radiologists to calculate the volume of organs or regions of interest with histogram output and utilize exportable measurement values for follow-up comparison. The CT Body Package also provides the ability to analyze dynamic data to support the assessment of time-dependent behavior of the image intensity or density of anatomy. Validated findings can be stored for comparison of multiple time points. Full-function colon flythrough includes automatic multi-volume side-by-side loading and viewing, fly-path creation and editing, and Aquarius APS sphere finder for sphere-like structure identification. Dynamic image filtering with configurable filtering strengths can be engaged to improve image quality from low-dose scanning techniques. Data from dual-source scans are also supported to provide dynamic blending, which improves signal-to-noise ratios and subtracts high-density structures, such as bone and metal.

CT Cardiac Package

Provides a simplified approach to complex cardiac analysis and quantification, enabling a Radiologist or Cardiologist to analyze coronary vessels with zero-click centerline creation and extraction. Measurement of the area and volume of plaque is supported with a percentile database. The calcium scoring measurement of Agatson score, volume, and mean mass (mg) is supported as well. For heart function evaluation, the polar map from LV and RV ejection fraction can be merged with coronary marks for territory mapping of affected AHA 17 segments.

CT Chest Package

Provides pre-generated lung segmentation for lung volume measurements with volume histogram output. When image noise is a concern, dynamic image filtering with configurable filtering strengths can be engaged to improve reading efficiency. The AquariusAPS sphericity index is designed to help physicians identify and manage sphere-like structures. Validated findings can be stored for comparison of multiple time points. Virtual flythrough guides you to visualize the airway tree to evaluate patients with a variety of airway pathologies.

iGENTLE Package

Provides advanced enhancement and noise reduction management with low-dose CT exam images. TeraRecon created the iGENTLE package to reduce the effects of image noise upon 3D rendering and manipulation tools supported by the software. Such images are used internally by the software to improve the performance of the tools used by Radiologists. They are not offered as any kind of substitute for the original image, however, an optional iGENTLE-filtered series can be created for viewing in addition to the original data. iGENTLE applies image filtering algorithms, which help reduce image noise and improve the effectiveness of the 3D image quality, centerline accuracy, contouring, and segmentation features used within the system. The tools speed in the attainment of the user’s image processing goals, even when source image quality is sub-optimal.

Interventional Radiology Package

Provides an extensive range of patented iNtuition™ clinical and workflow tools for Interventional Radiologists to perform a comprehensive patient analysis, including vessel stenosis calculations, aneurysm evaluation, and planning capabilities. Zero-click pre-processed vessel centerlines minimize user intervention to facilitate productivity. Key features include Curved Planar Reformation (CPR), Straight MPR views (sMPR), Medial Axis Reformation (MAR) and perspective flythrough for endoluminal evaluation.

Liver Segmentation Package

Provides an extensive range of patented iNtuition™ clinical and workflow tools for specialists using CT scanning for organ analysis and quantification. This package provides features including semi-automated liver segmentation, lesion definition with volume measurement, classification of vasculature, and vascular centerline distance measurements for invasive treatments. The intuitive sphericity index is designed to help physicians identify and manage sphere-like structures. The user-friendly workflow guides the user through fine-tuning segmentation both semi-automatically and manually. Display of lesion-to-vascular relationship and lobular segmentation with a multi-cut option for pre-surgical planning is also supported. When image noise is a concern, dynamic image filtering with configurable filtering strengths can be engaged to improve reading efficiently.

Lung Segmentation Package

Provides an extensive range of clinical and workflow tools for Thoracic and Pulmonary Specialists for quantification of lung volumes. This package includes lobar segmentation with volume calculations, AquariusAPS sphericity index to identify and manage sphere-like structures, automated lung and trachea segmentation, and low attenuation segmentation with user-configurable range values. The included findings feature can provide side-by-side comparison of multiple time points, doubling time display RECIST 1.0, RECIST 1.1, or Chesson measurement criteria. When image noise is a concern, dynamic image filtering with configurable filtering strengths can be engaged to improve reading efficiency.

Maxillo-Facial Package

Provides an extensive range of patented clinical and workflow tools for the display and manipulation of dental images to support the analysis and visualization of volumetric CT datasets of the maxillo-facial region. The Maxillo-Facial Package applies the curved planar reformation (CPR) result to generate “panoramic” projections in various planes and of various thicknesses. Cross-sectional multi-planar reconstruction (MPR) may also be generated at set increments along the defined curve plane and used to obtain key measurements to aid in dental implant and surgical planning. Mandibular groove path can be displayed as an overlay to improve visualization of critical anatomy.

MR Body Package

Provides an extensive range of clinical and workflow tools for Radiologists, Internists, and Organ Specialists who utilize 2D, 3D, and 4D MR image sequences. This package allows for a comprehensive yet streamlined patient analysis of both anatomy and function, including bright blood technique centerline generation for vessel analysis. It also provides the ability to analyze dynamic data to support the assessment of time-dependent behavior of the image intensity or density of anatomy. Radiologists can measure organ volume or regions of interest with intensity value output and utilize exportable measurement values for follow-up comparison. To support the analysis of uptake curves, multiphase analysis, and tROI (time intensity region of interest) measurement, graphical and parametric mapping displays are also provided.

Cardiac MR Package

Allows for volumetric analysis of ejection fraction, flow dynamics, and temporal enhancement of the myocardium. Our advanced visualization solution can support Radiologist and Cardiologist workflows. Other key features include semi-automatic LV/RV inner and outer contour detection, stroke/volume index calculation, AHA 17 segmentation, and cardiac cycle color motion map display. For dynamic flow studies, multiple regions of interest selection and background noise correction are also supported.

TAVR Planning Package

Includes workflow aids for taking required measurements needed for aortic valve replacement planning. The TAVR (Vessel Analysis) package provides features including aortic root segmentation and orientation display, user-definable planning templates with report output, and embedded instructions. Other features include multi-series loading, AquariusAPS preprocessed centerline extraction, straightened view, diameter and length measurements, and CPR and axial renderings, as well as charting of the vessel diameter, distance, and cross-sectional views.

Volumetric Navigation Package

Allows for 2D, 3D, and 4D viewing, multi-mask editing, configurable workflow creation, measurement toolsets, labeling, image batching, and report generation.