Published by Ziehm Imaging GmbH Germany

Three values

Illustrations
Sebastian Mildenberger

Clinical image spine surgery
Spine surgery, Professor Wolfgang Böcker, Department for General, Trauma and Reconstructive Surgery, University Hospital Munich, Germany, acquired with a Ziehm Vision RFD 3D

In three-dimensional space, three values are required to deter­mine the posi­tion of an element. Within three coordinate axes, we can create a recon­struc­tion of the space inside the human body. And in recent years, such 3D images have revolu­tion­ized oper­at­ing rooms. Highly valued by surgeons, these images contain more than axial, coronal and sagittal views of the body. Clinical images from the physicians‘ every­day practice show us the benefits of this technology.

Clinical image hand surgery
Hand surgery, Professor Wolfgang Böcker, Department for General, Trauma and Reconstructive Surgery, University Hospital Munich, Germany, acquired with a Ziehm Vision RFD 3D

Spine and pelvis surgery

“Intra­operative 3D imaging is recognized as the most advanced mobile device imaging tech­nol­ogy for achieving complete CT-like image infor­ma­tion in just one scan pro­ce­dure. For us, the ability to switch seam­lessly among intra­oper­ative navi­ga­tion, CT-like 3D imaging, and 2D fluo­ro­scopy pro­vides an ideal com­bi­na­tion for daily spine and trauma cases such as this par­tic­u­lar dis­tal radius frac­ture.”

— Professor Wolfgang Böcker
University Hospital Munich, Germany

Clinical head image with cochlear implant
Cochlear implant, Professor Dr. Diana Arweiler-Harbeck, Department of Otorhinolaryngology, University Hospital Essen, Germany, acquired with a Ziehm Vision RFD 3D CMOSline¹

Medical product design has its own set of rules. It’s about more than aes­thet­ically pleasing shapes or haptics. Health­care tech­nol­ogy must meet high require­ments for safety and hygiene, reflect state-of-the-art research, and feature han­dling that is clearly under­stand­able and intu­i­tive. A look at the design infor­ma­tion for the Ziehm Vision RFD 3D demon­strates the wide variety of dimen­sions involved in plan­ning all of the details.

Cochlear implant

“The cochlear implant is an inner ear pros­the­sis that reha­bil­i­tates severe to pro­found sen­so­ri­neu­ral hear­ing loss in patients who haven’t bene­fitted from con­ven­tional sound ampli­fi­cation. 3D imaging plays a vital role for us in plan­ning, imple­men­tation, con­trol and, there­fore, the suc­cess­ful place­ment of a cochlear implant. Especially the new, higher reso­lu­tion of 512 voxels signif­i­cantly improves the visu­al­i­za­tion of details, with razor-sharp images of even the smallest anatomical struc­tures in the middle and inner ear as well as the tiny electrode con­tacts within the cochlea. The result is a highly suc­cess­ful hearing out­come, providing our patients with great improve­ments in their everyday lives.”

— Professor Dr. Diana Arweiler-Harbeck 
University Hospital Essen, Germany

Cinical image pelvis surgery
Pelvis surgery, Dr. Milton Routt, Orthopedic Trauma Division, University of Texas Health Science Center, Houston, USA, acquired with a Ziehm Vision RFD 3D

Pelvis surgery

“The Ortho­pedic Trauma Divi­sion at the Univer­sity of Texas Health Science Center provides treat­ment for the full spec­trum of ortho­pedic trauma. 3D imag­ing has been a ‘game changer’ for me and my colleagues. It has improved not only our tech­ni­cal capacities and judg­ment, but also our teach­ing of medi­cal stu­dents and resi­dents and our care of patients here in Houston. Mis­placed screws can be cor­rected, sub­optimal reductions can be adjusted – all with­out the dreaded delays in diagnosis, the need for revision sur­geries, or other related problems. With intra­oper­ative 3D imaging, treat­ments are more precise and patient safety increases.”

— Dr. Milton Routt
University of Texas Health Science Center, Houston, USA

Cinical image spine surgery (Prof. Josten)
Spine surgery, Prof. Christoph Josten, Department of Traumatology, Plastic- and Reconstructive Surgery, University Hospital Leipzig, Germany, acquired with a Ziehm Vision RFD 3D CMOSline

Spine surgery

“3D Imaging allows us to achieve high precision in com­plex sur­gi­cal pro­ce­dures. More­over, with the ability to per­form intra­oper­ative con­trol scans, we can con­sider­ably reduce the need for post­oper­ative CT scans. With this 3D scan of a cervical spine there are signif­i­cant dose savings com­pared to a CT exam­i­nation. For me, dealing respon­sibly with radia­tion is one of the most impor­tant para­meters when it comes to patient safety. For this reason, my team and I value the Low Dose Mode that helps us achieve excep­tional clini­cal images with mini­mized radia­tion.”

— Prof. Christoph Josten
University Hospital Leipzig, Germany

Disclaimer

1

The CMOSline is a system configuration based on the Ziehm Imaging CMOS flat-panel detector.

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