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Ingenia Ambition/Elition MR-RT

Next generation MRI for radiation therapy is here

The state-of-the-art Ingenia MR-RT platform featuring Ambition 1.5T and Elition 3.0T MR systems meets specific RT needs by providing high-quality MR images acquired in the treatment position. Smoothly integrate MRI through a comprehensive solution that considers your whole workflow, even for MR-only simulation.

Tap the real power of MR

Available as a plug-in extension of Ingenia MR-RT, MR-only simulation allows you to adopt a single modality imaging approach for prostate cancer patients that provides excellent soft-tissue contrast you trust for target delineation – plus density information for dose calculations. Fast scanning protocols and embedded post-processing steps generate MRCAT (MR for Calculating ATtenuation) images on the MR console in just a few minutes with the density information you’d expect from CT.

Features

Experience the difference MRI makes

Whether for external beam radiation therapy (RT) or brachytherapy, integrating MR imaging into CT‑based planning can harness the power of MRI and transform patient management. MRI’s excellent soft-tissue contrast helps you visualize targets and organs at risk. So you can support confidence in delineation and design the best possible treatment plans. Image courtesy of William Beaumont Health System, Detroit, USA

A superb MRI platform for radiation oncology

Ingenia MR-RT drives clinical excellence with state-of-the-art image quality and high geometric fidelity thanks to dStream architecture, high gradient linearity, and 3D Gradient Distortion Correction functionality. This platform allows you to adopt MR-related therapies such as MR simulation, MR-only simulation, MRI-guided brachytherapy, and follow-up monitoring.

MR-linac simulation package for Elekta Unity**

The Philips Ingenia MR-RT simulation platform with MR-linac simulation package is an ideal complement to Elekta Unity. With consistent workflows and image quality from MR simulation through to online MR guidance during radiation treatment, it will let you exploit the many similarities and synergies between Philips Ingenia MR-RT and Elekta Unity.

Maintain high standards

Know you can rely on MRI performance. Evaluate the geometric fidelity in a large field of view with the ready-to-use QA package. Tailored for RT planning, it includes a dedicated phantom and analysis software. Since most steps are fully automated, you can perform routine volumetric evaluations efficiently and in a repeatable manner right from the MRI console.

Position with precision

Highly-targeted RT plans rely on reproducible patient positioning in the treatment position. Unique to Philips, the integrated MR-RT CouchTop frees up in-bore space while improving SNR by bringing patients closer to the posterior coil¹. Complete with indexing, the CouchTop accommodates a variety of MRI-compatible immobilization accessories from main vendors.

Work your way

Refine workflows with a system that fits how you work. The optional LAP DORADOnova MR3T laser positioning system supports enhanced MR-CT registration since it allows you to align patients at the MRI scanner. One-click travel-to-scan moves patients directly to the MRI system isocenter after laser alignment, thereby reducing workflow steps

Enhance your imaging for head and neck

The thin, integrated Ingenia MR-RT CouchTop makes it possible. With a dedicated coil solution² that intelligently combines a set of dStream coils, Ingenia MR-RT delivers excellent image quality for head and neck with the patient wearing a thermoplastic mask.

Tailored for treatment planning

Enjoy consistent, excellent image quality for multiple anatomies.Versatile arrangements of dStream coils work together with ExamCards tailored for RT to provide high-contrast images with high geometric fidelity. Quickly execute complete imaging protocols for prostate, female pelvis, brain, head and neck, and spine.

Set up easily and flexibly

The Anterior Coil Support enables easy and flexible coil setup with large bore access and space for patient immobilization. The support can be easily tilted by a single operator to bring the coil close to the patient to improve SNR without touching the body’s contours.

Learn and share MRI expertise

Successful integration of MR imaging in your workflow starts with people. We offer tailored training to assist your team in streamlining workflows and making full, efficient use of MR imaging from day one.

Work your way

Refine workflows with a system that fits how you work. The optional LAP DORADOnova MR3T laser positioning system supports enhanced MR-CT registration since it allows you to align patients at the MRI scanner. One-click travel-to-scan moves patients directly to the MRI system isocenter after laser alignment, thereby reducing workflow steps.

Driving speed and consistency from imaging to plan

RTdrive for MR prostate combines multiple elements including the Ingenia MR-RT platform, MR-only simulation, Auto-Contouring and Pinnacle³ Auto-Planning, and allows you to generate high-quality treatment plans for prostate with fewer manual steps. Thanks to intelligent automation you can create plans within 25 minutes* with minimal user input, saving valuable time and effort.

Learn and share MRI expertise

Successful integration of MR imaging in your workflow starts with people. We offer tailored training to assist your team in streamlining workflows and making full, efficient use of MR imaging from day one.

Unleash the real power of MR simulation

Innovative MR-only simulation pelvis lets you plan radiation therapy for male and female pelvic cancer patients with soft-tissue tumors using MRI as a single-modality solution. Within just one MR exam, MR-only simulation provides excellent soft-tissue contrast for target and OAR delineation, and CT-like density information for dose calculations. This not only extends the benefits of MRI’s outstanding soft-tissue contrast to radiotherapy planning, but it also eliminates arduous, error-prone CT-MRI registration from the process, reducing uncertainties and complexity.

Specifications

Imaging

Field strength

Ingenia 1.5T, Ingenia 3.0T, Ingenia Ambition 1.5T X, Ingenia Ambition 1.5T S, Ingenia Elition 3.0T S
Ingenia Elition 3.0T X

Bore size

70 cm

Geometric imaging accuracy

≤ 1 mm in Ø 32 cm volume (typical)

Coil arrangements

Flexible arrangements of the FlexCoverage Anterior Coil, Posterior Coil, and FlexCoils) – all with digital architecture – for a wide range of RT applications

Dedicated RT ExamCards for

Brain, head & neck, prostate, female pelvis, general pelvis and spine

MR-RT CouchTop

Design

The thin, flat MR-RT CouchTop is a dedicated RT patient table, not an overlay, for imaging patients in the radiation therapy treatment position

Indexing

14-cm standard

Dimensions

Length: 248 cm; Width: 63 cm to support large patients and freedom in patient positioning

Weight

≤12.9 kg

Accessories included

Indexing bar S, indexing bar L, wall mount for storage

Other accessories

The MR-RT CouchTop accommodates a variety of MR-compatible positioning and immobilization accessories, e.g. thermoplastic masks and baseplates. These can be ordered directly via third party vendors: CIVCO, Orfit, and QFix.

Direct mounting

CouchTop allows direct mounting of Type-S head and head, neck and shoulder masks

Geometric QA analysis package

Phantom design

Grid spacing: 25 mm, Phantom holder allows placement of the phantom in three orientations (axial, coronal, sagittal)

QA analysis volume

50 x 45* x 40 cm³ (RL x AP x FH) *effective, FOV above table: 30 cm

QA Software

Runs from the MR console. For multi-slice 2D evaluations. Provides contour map of geometric accuracy in MR image.

Anterior Coil Support

Coil support design

The spacious, light-weight Anterior Coil Support supports the Anterior Coil and its shape follows the bore dimensions to maximize patient fit. It is height-adjustable and can be tilted to bring the coil close to each individual patient.

High adjustment design

15-35.5 cm between MR-RT CouchTop and Anterior Coil, adjustable on each side

Optional external laser positioning system

Type

LAP DORADOnova MR3T or APOLLO MR3R compatible, green (520nm) or red (638nm) laser

Allowed width range

2.594 – 5.000 m

Laser phantom

LAP Aquarius phantom and phantom holder, ELPS QA Test ExamCard

MR-only simulation highlight

Today, MR has even more to offer radiation therapy treatment planning. Innovative MR-only simulation by Philips helps you rely on MR as a primary imaging modality for planning the treatment of prostate cancer patients.

Available as a plug-in extension to the Ingenia MR-RT, MR-only sim provides the excellent soft-tissue contrast you trust for target delineation – plus density information for dose calculations. And it’s designed for your workflow. Fast scanning protocols and embedded post-processing steps generate MRCAT (MR for Calculating ATtenuation) images on the MR console in just a few minutes with the density information you’d expect from CT.

Dr. Uulke van der Heide describes MR’s changing role in radiotherapy and a recent collaboration with Philips to bring MR-only simulation for RT planning from the lab to the clinic. The Philips Ingenia MR-RT platform now supports MR-only simulation for planning the treatment of prostate cancer patients.

Dr. Van der Heide is a medical physicist at the Netherlands Cancer Institute in Amsterdam.

HotSpot

Welcome to our digital magazine, empowered by Philips and dedicated to informing and inspiring the oncology community with experiences from the people at the heart of cancer care; the people who are shaping its future. Find out how we contribute to innovations and solutions in cancer care.

FieldStrength

FieldStrength FieldStrength provides regular features and articles on magnetic resonance imaging. It serves as a resource for Philips MRI users to share solutions to their day-to-day challenges in MRI clinical practice.

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