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Advanced 3D Imaging Platform Accelerates Lung Cancer Treatment

By MedImaging International staff writers
Posted on 30 Sep 2020

Image: The Azurion Lung Edition combines CBCT 3D images with live IGT X-ray guidance (Photo courtesy of Philips)

An advanced 3D imaging and navigation platform supports high precision diagnosis and minimally invasive treatment of lung cancer in one room.

The Royal Philips (Philips; Amsterdam, The Netherlands) Azurion Lung Edition suite combines cone beam computerized tomography (CBCT) 3D images acquired at the tableside with live X-ray guidance and advanced tools to support image-guided lung procedures. The CBCT is used to confirm placement of the biopsy needle during minimally invasive endobronchial biopsies, allowing surgeons to perform lesion ablations during the same procedure.

The Azurion image guided therapy (IGT) system integrates control of imaging, physiology, hemodynamic, and informatics applications, as well as fully automatic, intuitive, position control of the gantry and table, including a wide range of stored parameters. This allows control of all compatible applications from a single touch screen interface, eliminating the need for clinicians to leave the sterile field and step into an adjacent control room, as well as supporting faster and better informed decision making.

“This is a very exciting time in the world of interventional pulmonology and advanced bronchoscopy. One of the things that we’re particularly excited about is being able to diagnose patients, stage their cancer and treat them, all in a single procedure,” said Michael Pritchett, MD, director of the chest center at FirstHealth Moore Regional Hospital (Pinehurst, NC, USA). “As a diagnostic bronchoscopist it’s exciting and rewarding to be able not only to diagnose patients, but to go on to treat them as well.”

“Image-guided minimally invasive procedures continue to expand into new treatment areas, enabled by sophisticated, procedure-oriented solutions like Azurion Lung Edition,” said interventional radiologist Atul Gupta, MD, chief medical officer of Philips IGT. “With lung cancer increasingly being detected at an earlier stage, new minimally invasive treatment strategies like ablation have the potential to significantly improve outcomes for patients.”

During CBCT, the region of interest is centered in the field of view. A single 200 degree rotation acquires a volumetric data set which is used to produce a digital volume composed of 3D voxels of anatomical data that can then be manipulated and visualized. CBCT has only recently become practical with the introduction of large-area high-speed digital X-ray imagers, such as hydrogenated amorphous silicon (a-Si:H) based flat-panel detectors.

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69 (40.054321289062): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=215 ORDER BY `ordering`

70 (324.96452331543): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294784761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (242.94853210449): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294784761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (72.002410888672): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

73 (63.896179199219): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294784761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (31.948089599609): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294784761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

90 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

105 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

106 (51.975250244141): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294784761 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.014785766602): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294784761 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

109 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

110 (70.810317993164): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294784761 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (612.97416687012): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294784761 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (722.88513183594): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

113 (419.85511779785): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (115.87142944336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

115 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

116 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

117 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

118 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

119 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

120 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

121 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

122 (473.97613525391): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294784761 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294784761 AND type='deeppockets_item' AND published='1' LIMIT 1

123 (!!!!! 475478.17230225): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

124 (119.20928955078): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

125 (108.95729064941): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

126 (33.855438232422): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

127 (55.074691772461): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

128 (31.948089599609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

129 (30.994415283203): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

130 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

131 (610.1131439209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

132 (500.91743469238): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

133 (59.127807617188): SELECT name FROM jos_deeppockets WHERE id=215

134 (39.100646972656): SELECT name FROM jos_deeppockets WHERE id=215

135 (651.12113952637): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

136 (547.88589477539): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

137 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

138 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

139 (447.03483581543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

142 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

143 (!!!!! 1481.0562133789): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

144 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

145 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

146 (63.896179199219): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294784761 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294784761 AND type='deeppockets_item' AND published='1' LIMIT 1

147 (51.021575927734): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

148 (41.961669921875): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=215 or channel_id is null)

149 (52.928924560547): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

150 (167.1314239502): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

151 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294784761 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294784761 AND published='1' LIMIT 1

152 (62.942504882812): select jos_twitters.link from jos_twitters where cat=10

153 (39.815902709961): select jos_facebook.link from jos_facebook where cat=10

154 (41.961669921875): select jos_google_plus.link from jos_google_plus where cat=10

155 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

156 (367.87986755371): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

157 (!!!!! 1661.0622406006): insert into jos_banners_delta values (14615,'2025-06-18 21:57:22','216.73.216.120','view'),(14202,'2025-06-18 21:57:22','216.73.216.120','view'),(14203,'2025-06-18 21:57:22','216.73.216.120','view')

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