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    2015 IMR Case of the year

     

    Clinicians from across the globe took part in the 2015 Case of the Year Contest to show the outstanding results they're accomplishing using Philips IMR (Iterative Model Reconstruction). Cases* were reviewed by a panel of medical professionals. See our “Meet the judges” area.

     

    IMR is an image reconstruction solution that has set a new direction in CT image quality with industry-leading low-contrast resolution and virtually noise-free images. Innovations in hardware and the reconstruction algorithm result in a reconstruction speed – less than

    three minutes for the majority of reference protocols – that allows model-based benefits to be achieved in even the most demanding applications.

    Images created with:

    imr_logo
    Learn more about IMR

    Winner: Non-contrast Pulmonary Embolism

     

    Einstein Healthcare Network

    United States

    Dr. Terence Matalon, Dr. Thomas Reilly, & Team

     

    “On a non-contrast CT chest, IMR allowed for improved visualization of hyper-dense thrombus in the pulmonary artery (pulmonary embolism). This was confirmed with subsequent contrast enhanced CT.”

     

    Download winning submission

    Parameters:

    kVp: 120

    mAs: 50

    Scan length: 27.5 cm

    Scan time: 2.2 sec

    CTDIvol: 3.3 mGy

    DLP: 90.7 (mGy*cm)

    Scanner: iCT

    kVp: 80

    Dose: 1.7 mSv*

    *AAPM Technical Report 96

    pe_chest_axial
    PE chest
    Non-contrast PE

    Our finalists

     

    Thank you to all those that took the time to submit their IMR cases* to show the world what they and Philips IMR are accomplishing in CT. We know that dose, image quality and diagnostic confidence matter in today’s challenging healthcare environment like never before, and we were excited to receive so many great cases illustrating the difference IMR can make in meeting these challenges.

     

    Congratulations to the following finalists. Your work helps show the difference virtually noise-free images**, industry-leading low-contrast resolution, and low-dose scanning can make to impacting patient care.

    NCCT KUB

    NCCT KUB

     

    Post Graduate Institute of Medical Education and Research (PGIMER)
    India
    Dr. Khandelwal & Team

     

    “This is an exceptional IMR case as NCCT KUB was done at a radiation dose exposure (0.6 mSv) equivalent to Xray KUB and yet produced images with exquisite details. A tiny 3 mm calculus was seen in right kidney on IMR images  which was not seen on other imaging modalities (USG, KUB) as well as on images produced by standard reconstruction. Hence low dose CT with IMR benefited this case to a great extent.”

     

    Download submission

    Head and Neck Angiogram

    Head & neck angiogram

     

    Yonsei University College of Medicine - Severance Hospital
    South Korea
    Dr. Ho Jun Lee & Team

     

    “Comparing FBP and IMR, especially in the shoulder area, you will see the removal of streak artifact. O-MAR with IMR can reduce dental artifact.”

     

    Download submission

    Emphysema - Ground Glass Nodule

    Emphysema / ground glass nodule

     

    Universitair Ziekenhuis Brussel
    Belgium
    Dr. Brussard & Team

     

    “This scan with only half the dose as used in daily practice and reconstructed with IMR depicted the extent of the emphysema more clearly. The ground glass nodule showed a sharper delineation relative to the surrounding lung parenchyma on the second scan with half dose compared to the scan with full dose.”

     

    Download submission

    Triple rule out

    Triple rule out

     

    Chungang University Hospital
    South Korea
    Dr. Jae Suung Seo, Dr. Sung Bin Park & Team

     

    “PCTA (prospective coronary CTA) showed significantly improved subjective and objective image quality parameters for coronary vessels with IMR compared to FBP and iDose⁴. PCTA using 80KVp and IMR could be applicable in routine clinical setting with less radiation dose.”

     

    Download submission

    Pancreatic cancer

    Pancreatic cancer

     

    Seoul National University Hospital
    South Korea
    Dr. Jeong Min Lee & Team

     

    “Pancreatic cancer on Chemotherapy (3 times f-u scanning). Reduced lesion size after CTx, better visibility in small lesion with IMR than FBP and iDose⁴. ”

     

    Download submission

    Ischaemic white matter disease, IMR vs MRI

    Ischaemic white matter disease, IMR vs MRI

     

    Sydney Xray Bondi Junction
    Australia
    Dr. Sesel & Team

     

    “IMR was capable of demonstrating the multiple lesions in the brain that was confirmed on the MRI scan. Nice improvement in image quality and compares well with MR.”

     

    Download submission

    Myocardial perfusion

    Myocardial perfusion

     

    Ehime University School of Medicine
    Japan
    Dr. Mochizuki & Team

     

    “Due to detection of myocardial ischemic area in preoperative evaluation, Perfusion CT with IMR is able to detect it. We think that it might be possible to diagnosis with high accuracy, because Cardiac CT is able to assess morphology and function simultaneously. IMR can be used to conduct dynamic perfusion study with low radiation dose. It is possible to enhance contrast between ischemic and normal myocardium by using low-kV technique with IMR.”

     

    Download submission

    Pulmonary Artery CTA

    Pulmonary artery CTA

     

    Hokkaido University Hospital
    Japan
    Hiroshi Arai & Team

     

    “IMR images are very effective to understand the orientation of pulmonary vessels will be used during an operation. We achieved lower dose than the radiation dose of routine dose chest CT.”

     

    Download submission

    Aspiration of teeth

    Aspiration of teeth

     

    Federal Almazov North-West Medical Research Centre
    Russia
    Dr. Gleb & Team

     

    “Nice imaging of artificial teeth in the bronchus. With IMR we could create very demonstrative 3D model”

     

    Download submission

    Meet our judges

    Entries were judged by the following panel of medical experts from across the globe.

    Emmanuel Coche, MD, PhD

    Head of Department of Radiology

    Cliniques Universitaires St-Luc

    Brussels, Belgium

     


    Claudio Smuclovisky, MD, FACC, FSCCT

    Director

    SFMI Cardiovascular Institute

    Holy Cross Hospital

    Fort Lauderdale, Florida

     

    Kenneth Lau, MBBS, FRACR

    Associate Professor

    Head of CT and Thoracic Imaging

    Monash Health

    Melbourne, Victoria, Australia

    * Results from case studies are not predictive of results in other cases. Results in other cases may vary.

    ** Image noise as defined by IEC standard 61223-3-5. Image noise was assessed using reference body protocol, on a phantom. Data on file.

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