This document provides information about Philips' solutions for magnetic resonance imaging (MRI) in radiation oncology. It discusses: 1. Philips' MRI research center in Finland and its focus on developing MRI technologies for radiation oncology applications like MR-Linacs and treatment planning. 2. Philips' MRI-guided radiation therapy products like the Ingenia MR-RT for MR-only simulation and the Ingenia MR-OR for intraoperative MRI. 3. The benefits of MR-only simulation such as improved soft tissue visualization and simplified workflows compared to MR-CT registration. 4. Philips' partnership with Elekta to provide the MRI technology for the Elekta Unity

1. © Philips - Confidential
Niko Elomaa, Software Group Lead
Philips Precision Diagnosis Solutions
Radiation Oncology Helsinki
Philips Oncology Solutions

2. Philips Radiation Oncology

3. © Philips - Confidential
Philips R&D Center of Excellence in Finland
Global responsibility for Magnetic Resonance in Radiation Oncology and for
improvement of workflows
Business Unit Radiation Oncology
• MR for MR-Linac, MR for RT simulation, MR for OR
• SW, HW, Sequence, Algorithm development
• Strong international collaborator network
• Builds on legacy of 41 years of MR R&D in Finland
• Intellispace Radiation Oncology – Software to
accelerate time from referral to the start of
treatment
• Care pathway and workflow management solutions

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Products by Philips Radiation Oncology Helsinki
Ingenia MR-RT
MR-Only simulation MR-RT and MR-linac
Ingenia MR-OR Intellispace Radiation Oncology
MRCAT Prostate + AutoContouring

5. MR in Radiotherapy

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What is required?
• High geometric
accuracy in imaging and
QA tools for evaluation
• Imaging in the
treatment position
• MR protocols optimized
for treatment planning
• Fit in the existing
radiotherapy workflow
Image courtesy of William Beaumont Health System
Unique requirements
Realizing the benefits of MRI in the radiotherapy workflow

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Immobilization and positioning
Direct mounting of Type-STM
thermoplastic masks and
Silverman head rest
Orfit MRI-P solution for brain,
head and neck. Designed for
Ingenia MR-RT.
CIVCO® baseplate for head,
neck and shoulder
AccuFixTM Head & Neck fixation
device with thermoplastic head
mask
A wide range of options to fit existing workflows
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Use the Indexing bars to attach baseplates and immobilization devices directly to the MR-RT
CouchTop for a variety of brain and head and neck applications

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MR Only simulation

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MR-only radiotherapy
Experience the true potential and drive the impact of MRI
• Benefit from MRI’s superior soft-
tissue contrast
• Eliminate tedious and error-
prone MR-CT registration
• Lower costs and make MR
simulation more affordable
• Simplify workflows and reduce
patient burden

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Elekta Unity

11. Elekta Unity – Two worlds, one future
1.5T Philips MR integrated with Elekta Linear Accelerator
• Philips partnering with
Elekta by providing the MR
technology to Elekta Unity
system
https://www.elekta.com/dam/jcr:3883d2d4-d9e7-449d-84e2-815532681287/Elekta-Unity-Brochure.pdf

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Intellispace Radiation Oncology

13. © Philips - Confidential
© Philips - Confidential
Philips Radiation Oncology Solutions
IntelliSpace Radiation Oncology

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Current challenges in Radiation Oncology
Uncertainties and inefficiencies
*Courtesy of Sasa Mutic, Washington University School of Medicine, St. Louis, USA
Radiotherapy processes can be fragmented and
inefficient, with uncertainties along the way
impacting quality and throughput time.
Overall workflow automation and
process optimization in Radiotherapy
can be largely improved.

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5% increased mortality risk observed with
every week of delay in treatment 4
Time from first patient consult to treatment varies
widely, typically 80-120 days 1
First
symptoms
GP
visit(s)
Specialist
visit(s)
Treating
physician
visit(s)
Start of
treatment
Treatment
completed
33-68 days (median) in
US 5-center study 2
138 days (median) in
Canadian single center study 3
29 31 33 35
50 53 56 59
0
20
40
60
80
2 weeks 4 weeks 6 weeks 8 weeks
5-year mortality (%) versus
time from diagnosis to treatment
Patient age 30 years Patient age 60 years
Example throughput times
Delayed treatments result in sub-optimal
outcomes: lung cancer example
1 Medtronic 2nd European Lung Cancer Management Summit; Nov 29th and 30th 2017, Lisbon. 2 RM Vidaver et al., American Society of Clinical Oncology Volume 12 /
Issue 6 / June 2016. 3 PM Ellis et al., Journal of Thoracic Disease, Vol 3, No 3, September 2011. 4 NF Kanarek et al., Am J Med. 2014 May ; 127(5): 443–449:

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Introducing: IntelliSpace Radiation Oncology
An intelligent patient management solution
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Manage complexity
Create a harmonized way of working and transparent
communications
Improve efficiency
Deeply integrate applications, maintaining data integrity, and
automated workflows
Enable operational excellence
Mitigate risk, ensure traceability of data, and discover actionable insights
Accelerating time from referral of the patient to start treatment

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Provides an overview of all
patients and tracks where
patients are in the workflow
Comprehensive view of department tasks and capacity
Departmental tracker

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Clear view of tasks at hand
User-based Worklist
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The Worklist displays the list of
tasks assigned to a user or user
group

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Guide the user with
task-specific information based on
physician intent
Guidance for patient-specific tasks
Task pages

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Harmonized way of working
Task pages
Before executing
each task, the user is fully
informed about the patient
status

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Connected applications
Pinnacle
MIM
• Accessible via OpenText ETX
• Automatic DICOM routing
For MIM:
• Context-sensitive launching of contouring information from
the task pages, with correct and relevant data pre-loaded
• Contour exchange
• Automatic triggering of pre-configured workflows, such as
Auto-Contouring
External applications
• Navigation to key applications through the
application launcher
• Supports manual workflow
Easy access and navigation to key applications
Open, vendor agnostic, platform
Application launcher
Pinnacle
The responsibility for launching external applications with ETX is with the Health Care Provider
The Application launcher enables the user to launch
applications through a DICOM connection and/or an
ETX connection

22. © Philips - Confidential
Current challenges in Radiation Oncology
*Courtesy of Sasa Mutic, Washington University School of Medicine, St. Louis, USA
Radiotherapy processes can be fragmented and
inefficient, with uncertainties along the way
impacting quality and throughput time.
Overall workflow automation and
process optimization in Radiotherapy
can be largely improved.

23. © Philips - Confidential
IntelliSpace Radiation Oncology IT platform
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Radiation Oncology Applications
Designed to accelerate time from patient referral to start
of treatment by helping to manage complexity, improve
efficiency and enable operational excellence.
Philips Platform
IntelliSpace Radiation
Oncology
Future Radiation
Oncology Applications
IntelliSpace Radiation
Oncology User
Access from
internet browser
Pinnacle User
IntelliSpace Radiation Oncology
3rd party applications
Access Point
OpenText ETX

24. Thank you!
Q+A
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