A new CT scan in the emergency room of the Sant’Andrea hospital in La Spezia

For a few days now, a new device for computerized axial tomography (CT) has been active in the radiology department of the emergency room of the Sant’Andrea hospital in La Spezia.

Therefore, the timetable for the modernization of the technological and digital hospital park financed by the Union with funds from the Pnrr continues, thanks to the Next Generation Eu: this CT scan is the second to be installed at Sant’Andrea where, since 7 April, it has been an identical device is used in Radiology.


The new GE Healthcare computed tomography machine mod. Evolution EVO – 128 layers in use in Emergency Radiology is part, like its operational twin in Radiology, of the so-called third generation of CT scans (from 2019 to the future) which uses a method of image reconstruction based on artificial intelligence algorithms that use a neural network dedicated to generate images. The applications of these algorithms in the medical and CT diagnostic fields are very recent and undergoing rapid evolution: they allow the acquisition of very high quality CT images with a natural texture and very low levels of X-ray radiation dose delivered to the patient estimated at approximately 40% less than second generation CT scans.

Compared to the Radiology CT scan, which is equipped with a software package for advanced neurological analyzes (specific for stroke, hematoma and cerebral aneurysm checks), the machine present in the ED is equipped with software (SnapShot Freeze 2 ) advanced cardiologist who faces one of the greatest challenges in cardio CT: stopping the movement of the coronary arteries and the entire heart which here, thanks to this new reconstruction and processing technique, can be reduced up to 6 times. To this important new function there are others including: the acquisition of images of cardiac functional parameters such as ejection fraction (Ef) and volume of the ventricles; volumetric analysis of the cardiac chambers; the automatic detection of endocardial and epicardial contours for the evaluation of the functional parameters of the left ventricle (Lv), right ventricle (Rv) and left atrium; automatic selection of epicardium and endocardium for myocardial analysis; the three-dimensional reconstruction of the left atrium for navigation through mapping systems dedicated to electrophysiology.

Paolo Cavagnarogeneral director of ASL 5, comments: «The CT scan that we inaugurated today it is the second in the space of a few months installed at the Sant’Andrea hospital, the first was intended for Radiology for inpatients and outpatients, and will be mainly dedicated to the emergency room and patients admitted to emergency medicine so as to halve response times for citizens in a department that is often plagued by overcrowding. Both machines are part of a larger project which also involves other investments, 8 in total. A new machine for nuclear magnetic resonance will be installed at San Bartolomeo in Sarzana, a digital mammograph with tomosynthesis is already operational at the Bragarina site and another identical one will be installed at Sant’Andrea. Radiology has also been enriched with an ultrasound scanner and a remote-controlled x-ray table will soon arrive. Finally, the Sant’Andrea Cardiology, electrophysiology section, will have a cardiological angiograph. They are all technological innovations that help the doctor in diagnosis also thanks to the application of artificial intelligence, they do not replace humans but constitute an important support for diagnoses.”

Giacomo Giampedrone, regional councilor for social and health policies, adds: «This new CT scan, the second to be replaced at Sant’Andrea, is part of a broader plan that involves all our hospital facilities for the purchase and installation of new and modern equipment thanks to the resources of the National Recovery and Resilience Plan. A plan that this administration is pursuing in a determined manner in full compliance with the stringent deadlines set by Europe: an unrepeatable opportunity to guarantee our citizens cutting-edge machinery and structures, with important consequences also on the social sector, inextricably linked to the healthcare sector ».

For Pierluigi Peracchini, mayor of La Spezia «the new CT scan is a further fundamental and indispensable tool for healthcare personnel, to be used in different situations to provide a diagnosis and to define patient care. From today our hospital will obtain a tool created with the latest generation technologies which will be available to patients, reducing waiting times and increasing the effectiveness of the exam. An important result that confirms the attention towards healthcare of the Region and ASL5, which are working in synergy by making investments never seen in the history of healthcare in La Spezia, which have led us to hire over 150 OSS and recently become the second ASL in Italy by number of nurses per 10 thousand inhabitants, as reported by Il Sole 24 Ore”.

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