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Royal Philips has announced new innovations that can help improve cancer care across the patient journey at the American Society for Radiation Oncology (ASTRO) annual meeting (Chicago, USA, 24-27 October). During the event, Philips will demonstrate its Multimodality RT Simulation Workspace [1-3], a precision medicine application that provides a vendor-agnostic single space for simulation, multimodality image fusion and contouring. MR and CT imaging systems tailored for the needs of radiation therapy will also be showcased, delivering our breakthroughs in imaging and treatment planning. Philips will also highlight its deepened strategic partnership with Elekta to support the ambition of providing clear care pathways and predictable outcomes for every cancer patient.

Today, cancer care is a long, complex journey through various stages, settings, and providers, putting a significant burden on both patients and clinicians. The number of new cancer cases is expected to rise by about 70% over the next two decades [4]. At the same time, oncology care is transforming, driven by an increasingly precise diagnosis of each tumor, and a continuously expanding range of therapy options. To fully capitalize on these challenges and opportunities, healthcare providers require integrated solutions throughout the entire cancer care pathway, from diagnosis to treatment and follow-up.

“Enhanced through strategic partnerships, our end-to-end oncology solutions span the patient pathway and the multidisciplinary specialties, integrating data and enabling collaboration, all with the aim of improving patient and staff satisfaction and outcomes,” said Ardie Ermers, General Manager Oncology Solutions at Philips. “At this year’s ASTRO meeting we’re highlighting how we’re connecting clinical and operational teams with the information they need to optimize and personalize cancer care.”

Bringing clarity in therapy planning closer to the point of care with Multimodality RT Simulation Workspace
With images and data often siloed in different systems, the complexity of image fusion and contouring can lengthen patient time to treatment. Integrating the simulation workflow within Multimodality RT Simulation Workspace, a precision medicine application, is designed to help physicians define tumor volume and surrounding organs-at-risk through a multimodality image platform which connects to both Philips and non-Philips imaging devices or a Picture Archiving and Communication System to access image datasets such as CT, MR, PET, Spectral CT and Cone Beam CT. These capabilities will provide better access to a task-centered, vendor neutral solution that efficiently utilizes all available images and data in one central location.

Innovations in MR and CT simulation deliver advances in imaging and treatment planning
With the company’s strong track record of bringing continuous innovations to expand the role of MRI in radiation therapy, the next-generation Philips MR – Ingenia RT XD – MR simulation platform has been designed around the needs of radiation oncology, combining ease-of-use, streamlined integration and versatility. The platform can be easily adapted for different procedures, including external beam radiation therapy (EBRT), proton therapy and brachytherapy planning. The new Couch Top RT XD with Unity indexing further extends the compatibility between the Philips MR – Ingenia RT XD – and Elekta Unity, supporting consistency in both image quality and imaging and positioning workflows that enhance reproducibility, help accelerate learning curves and drive continuity across the care path.

The recently introduced Spectral CT 7500 system delivers high quality spectral images for every patient on every scan 100% of the time to help improve disease characterization, and reduce rescans and follow-ups, all at the same dose levels as conventional scans. Unlocking the clinical value of dual-energy CT for radiation oncology applications, Spectral CT allows for optimization of lesions that may represent cancer. By capturing additional information such as electron density and effective atomic number, Spectral CT enables physicians to quantify physiological processes such as perfusion and ventilation, enhancing treatment planning.

Philips is collaborating with MIM Software to integrate its Contour ProtégéAI next-generation deep learning segmentation on its CT – Big Bore RT – platform, providing automatically segmented ‘Organ at Risk’ segmentation immediately after the simulation exam [5].

Further expansion of precision medicine application portfolio
Also being introduced at ASTRO, Multidisciplinary Team Orchestrator [6] virtually connects and securely integrates multi-disciplinary teams and data across the patient cancer journey. Together with Multimodality RT Simulation Workspace, previously-released software applications that advance precision oncology through integrated care and pathway orchestration, and facilitate healthcare professionals in clinical decision support, include:

  • Lung Cancer Orchestrator, a proactive patient management system for lung cancer screening and incidental findings and the orchestration of lung cancer care
  • Oncology Pathways, created by oncologists for oncologists, covering both medical and the newly-introduced radiation oncology pathways. Customers become collaborators, providing input into the ever-evolving pathways
  • Genomics Workspace, bringing genomic data alongside disease histology and patient phenotype for a comprehensive biomarker-informed diagnostic and therapeutic picture.

Partnering to benefit patients throughout the care pathway
In June, Philips and Elekta announced that the two healthcare leaders would deepen their strategic partnership in precise and individualized oncology care. The strengthened strategic partnership intends to further deliver an excellent experience in diagnosis and adaptive, personalized treatments for clinicians, shorter treatment times and precise therapy for patients, and lowered costs of care for healthcare providers. As part of the partnership, Philips will develop seamless integration between its precision medicine applications and Elekta’s MOSAIQ Plaza integrated radiotherapy software suite, enhancing end-to-end decision making and treatment implementation.

For more information about Philips’ presence at #ASTRO21 follow @PhilipsLiveFrom for updates throughout the event.

[1] Multimodality RT Simulation Workspace is considered to be work in progress and not yet available for sale.
[2] Multimodality RT Simulation Workspace is an upcoming feature of the TumorLoc module, part of Pinnacle Radiation Therapy Planning System.
[3] Multimodality RT Simulation Workspace will provide absolute marking, interoperability from DICOM perspective, MR image visualization and Visualizing non-HU-based spectral images.
[4] WHO International Agency for Research on Cancer https://gco.iarc.fr/today/data/factsheets/cancers/39-All-cancers-fact-sheet.pdf.
[5] Big Bore RT with Contour ProtégéAI is only available in the USA.
[6] Multidisciplinary Team Orchestrator is the new name of an existing Application of IntelliSpace Precision Medicine (ISPM).The new name will be officially released as part of ISPM V5.3 soon.

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