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CAC™ – Coronary Artery Calcification
CT LVAS™ – Lung Ventilation Analysis
IQ-UIP™ – Early IPF Detection
LDAf™ -Functional Lung Density Analysis
LFAi™ – Lung Density Analysis – Inspiration
LTA™ – Lung Texture Analysis
PHA™ – Pulmonary Hypertension Assessment
XV LVAS® – Lung Ventilation Analysis
XV Scanner™ – Dedicated Lung Function Scanner
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Products
CAC™ – Coronary Artery Calcification
CT LVAS™ – Lung Ventilation Analysis
IQ-UIP™ – Early IPF Detection
LDAf™ -Functional Lung Density Analysis
LFAi™ – Lung Density Analysis – Inspiration
LTA™ – Lung Texture Analysis
PHA™ – Pulmonary Hypertension Assessment
XV LVAS® – Lung Ventilation Analysis
XV Scanner™ – Dedicated Lung Function Scanner
Clinical Research
Clinical Studies
Publications
About
About Us
Our Team
ATS
Careers
Veteran Advocacy
Investor Relations
Company Information
Corporate Governance
Results + Reports
Share Price and Tools
Investor Services
Investor Contacts
News
Latest News
Conferences + Events
Releases and Archives
Blog
Contact
Contact Us
Scan Locations
Scan Locations
Philips Account Setup
This page will facilitate the handoff between Philips and 4DMedical and start the ordering process for 4DMedical algorithms
Name of Facility:
(Required)
Customer/Account ID:
(Required)
Sales Representative Name:
Sales Representative Phone:
Sales Representative Email:
Customer Contact:
(Required)
Phone
Email
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Select each algorithm purchased
LDAf
LDAi
CAC
PHA
CT LVAS
Does the customer have an institution logo they would like to display on the output reports?
Yes
No
File
Max. file size: 50 MB.
Will this deployment be Web Portal, Bridge+Cloud, or On-Premises?
Web Portal
Bridge+Cloud
On-Premises
In what format does the customer want to receive DICOM reports?
Secondary Capture
ePDF DICOM
Would the customer like a DICOM structured report output?
Yes
No
Will the customer be using Patient Management?
Yes
No
If yes, what threshold would you like? Can have one for functional percent and one for persistent percent
LDAf
Does the customer want the outputs suppressed if values are not above a certain value? (This can be done as a total percent or by lobes.)
Yes - threshold by total percentage
Yes - threshold by lobe percentages
Yes - thresholds for both total percentage and lobe percentages
No
Unknown
Threshold by total percentage
Threshold by lobe percentage
LDAi
Would the customer like the optional Patient Facing Lung Map report output in addition to the LDAi report? If so, does the customer have a smoking cessation hotline to be placed on the Lung Map? If no number is provided, the National Smoking Cessation number will be used.
Yes - enter phone number
Yes - no phone (National hotline will be used)
No
Phone Number
Does the customer want the outputs suppressed if values are not above a certain value? (This can be done as a total percent or by lobes.)
Yes - threshold by total percentage
Yes - threshold by lobe percentages
Yes - thresholds for both total percentage and lobe percentages
No
Unknown
Threshold by total percentage
Threshold by lobe percentage
CAC
Does the customer want the outputs suppressed if values are not above a certain Agatston score?
Yes
No
Unknown
Agatston score threshold
PHA
Does the customer want the outputs suppressed if RV/LV ratio is below a certain value?
Yes
No
Unknown
Value
Does the customer want the outputs suppressed if PA/Ao ratio is below a certain value?
Yes
No
Unknown
Value
CT LVAS
XV LVAS
Is this for deployment related respiratory disease?
Yes
No
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Products
CAC™ – Coronary Artery Calcification
CT LVAS™ – Lung Ventilation Analysis
IQ-UIP™ – Early IPF Detection
LDAf™ -Functional Lung Density Analysis
LFAi™ – Lung Density Analysis – Inspiration
LTA™ – Lung Texture Analysis
PHA™ – Pulmonary Hypertension Assessment
XV LVAS® – Lung Ventilation Analysis
XV Scanner™ – Dedicated Lung Function Scanner
Clinical Research
Clinical Studies
Publications
About
About Us
Our Team
ATS
Careers
Veteran Advocacy
Investor Relations
Company Information
Corporate Governance
Results + Reports
Share Price and Tools
Investor Services
Investor Contacts
News
Latest News
Conferences + Events
Releases and Archives
Blog
Contact
Contact Us
Scan Locations
Scan Locations
CUSTOMER SUPPORT
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