Texas Children’s Hospital Utilizes Toshiba’s Aquilion ONE CT System in the Surgical Planning of Complex Conjoined Twins Separation

Texas Children’s Hospital Utilizes Toshiba’s Aquilion ONE CT System in the Surgical Planning of Complex Conjoined Twins Separation

June 22, 2015

Volume Imaging and Unique Cardiac Scan Mode Help Develop Detailed 3D Modeling

Surgeons prepare the Mata conjoined twins for their separation surgery at Texas Children’s Hospital in Houston.

Surgeons prepare the Mata conjoined twins for their separation surgery at Texas Children’s Hospital in Houston.

TUSTIN, Calif., June 22, 2015 – Texas Children’s Hospital successfully separated[1] Knatalye Hope and Adeline Faith Mata in late February, completing one of the most complex conjoined twins separations ever. The procedure took months of planning, and Toshiba’s AquilionTM ONE CT system played a crucial role in determining the feasibility of separating the twins and producing images that helped radiologists build detailed 3D models of the organs.

“The Mata twins separation presented some unique complexities and very challenging anatomy that we were able to capture because of Toshiba’s Aquilion ONE,” said Dr. Rajesh Krishnamurthy, section chief of radiology research and cardiac imaging at Texas Children’s. “We used a target mode prospective EKG gated volumetric acquisition, using all 320 detector rows to elucidate the cardiovascular and coronary anatomy, and helical imaging with sequential and separate contrast injections into each twin to delineate the visceral anatomy and status of the abdominal and pelvic vasculature. A composite dataset was created by fusing information from all three acquisitions, which was used for segmentation of the organs and vasculature, 3D modeling and 3D printing. The ultrafast acquisition speed allowed us to image the anatomy without motion artifact, despite variable breathing and heart rates. The high quality of the images was critical to help plan for this first-of-its-kind surgery.”

The separation required intensive planning by a multidisciplinary team, as the twins shared a chest wall, lungs, pericardial sac, diaphragm, liver, intestines, colon and pelvis. Toshiba’s 640-slice Aquilion ONE and its volume imaging capability captured the entire cardiovascular and visceral anatomy and helped assess how the organs were shared. Additionally, the system’s target CTA cardiac mode, which gives users control of when to trigger the X-ray, enabled Texas Children’s to image the twins without the need for sedation, decreased artifacts and kept radiation exposure as low as possible.

“Toshiba puts customers first and developed the Aquilion ONE Family to meet virtually any CT imaging need, including the most challenging clinical situations, like the successful conjoined twins separation at Texas Children’s,” said Satrajit Misra, senior director, CT Business Unit, Toshiba. “It’s an astounding surgery that Texas Children’s completed and an example of how the Aquilion ONE’s large coverage area, quick speed and unique scan modes can assist in complex surgical planning.”

About Texas Children’s Hospital

Texas Children’s Hospital, a not-for-profit health care organization, is committed to creating a healthier future for children and women throughout the global community by leading in patient care, education and research. Consistently ranked as the best children’s hospital in Texas, and among the top in the nation, Texas Children’s has garnered widespread recognition for its expertise and breakthroughs in pediatric and women’s health. The hospital includes the Jan and Dan Duncan Neurological Research Institute; the Feigin Center for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; and Texas Children’s Hospital The Woodlands, a second community hospital planned to open in 2017. The organization also created the nation’s first HMO for children, has the largest pediatric primary care network in the country and a global health program that’s channeling care to children and women all over the world. Texas Children’s Hospital is affiliated with Baylor College of Medicine. For more information, go to www.texaschildrens.org[2]. Get the latest news by visiting the online newsroom and Twitter at twitter.com/texaschildrens[3].

About Toshiba America Medical Systems, Inc.

With headquarters in Tustin, Calif., Toshiba America Medical Systems markets, sells, distributes and services radiology and cardiovascular systems, including CT, MR, ultrasound, X-ray and cardiovascular equipment, and coordinates clinical diagnostic imaging research for all modalities in the United States. For more information, visit Toshiba’s website at www.medical.toshiba.com[4].

About Toshiba Medical Systems Corporation

Toshiba Medical Systems Corporation is a leading worldwide provider of medical diagnostic imaging systems and comprehensive medical solutions, such as CT, X-ray and vascular, ultrasound, nuclear medicine and MRI systems, as well as information systems for medical institutions. Toshiba Medical Systems Corporation has been providing medical products for over 80 years. Toshiba Medical Systems Corporation is a wholly owned subsidiary of Toshiba. Visit Toshiba Medical Systems Corporation’s website at www.toshibamedicalsystems.com.

About Toshiba

Toshiba Corporation, a Fortune 500 company, channels world-class capabilities in advanced electronic and electrical products and systems into five strategic business domains: Energy & Infrastructure, Community Solutions, Healthcare Systems & Services, Electronic Devices & Components, and Lifestyles Products & Services. Guided by the principles of The Basic Commitment of the Toshiba Group, “Committed to People, Committed to the Future,” Toshiba promotes global operations towards securing “Growth Through Creativity and Innovation” and is contributing to the achievement of a world in which people everywhere live in a safe, secure and comfortable society.

Founded in Tokyo in 1875, today’s Toshiba is at the heart of a global network of over 590 consolidated companies employing over 200,000 people worldwide, with annual sales surpassing 6.5 trillion yen (US$63 billion). To find out more about Toshiba, visit www.toshiba.co.jp/index.htm[5].

References

  1. ^ separated (www.texaschildrens.org)
  2. ^ www.texaschildrens.org (www.texaschildrens.org)
  3. ^ twitter.com/texaschildrens (twitter.com)
  4. ^ www.medical.toshiba.com (www.medical.toshiba.com)
  5. ^ www.toshiba.co.jp/index.htm (www.toshiba.co.jp)

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Texas Children’s Hospital Utilizes Toshiba’s Aquilion ONE CT System in the Surgical Planning of Complex Conjoined Twins Separation

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