The Role of CT in Today’s Radiology

2 Radiology

What a dazzling development we have been living through in the past few years!

Computed Tomography (CT) was regarded as a standard radiological application

in the mid 90’s. It was common sense that there wasn’t much left to improve

in CT, since the introduction of spiral CT in 1988.

All of a sudden, in 1998, a breathtaking series of clinical and technological

innovations was started with Multislice CT. And that was just the first spark. New

applications like Cardiac CT, CT-Colonography and low dose lung assessment

are integral parts of the arsenal available for radiologists today. Advances like

active dose reduction techniques and low dose pediatric clinical protocols make

CT even more friendly to patients and users.

But all these wonderful innovations would mean nothing for our customers

if we were not able to transform CT into an easy to use imaging tool – syngo®,

our highly awarded multi-modality User Interface (UI), together with the

WorkStream™ workflow solutions make it easy for you to increase your patient

throughput.

Join us in this journey through the world of Computed Tomography and discover

how Siemens, the recognized innovations leader in CT, can work for you.

Siemens – The creative power in CT.

Join Us in the Excitement of Innovations –CT in Radiology Today

Introduction 2

Case 1: Diagnosis of Pituitary Tumor 4

Case 2: Diagnosis of Osteosarcoma with 6Pulmonary Metastases

Case 3: Follow-up Study of Aortic Stent 8

Case 4: Follow-up Examination with 10CT-Colonography

Case 5: Calcified Plaque in the LM and 12Non-calcified Plaque in the LAD

The Creative Power in CT 14

Multislice – 16The Future is Now!CARE Solutions – 18Minimizing the Dosesyngo – 20The Revolutionary Software for Medical ImagingLeadership in Clinical Applications 22

SOMATOM life – 24Our Integrated Customer Care SolutionThe SOMATOM Family – 26You Have Got the Choice

· SOMATOM Sensation· SOMATOM Emotion· SOMATOM Smile

Awards/Further Information 29

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Case 1:Diagnosis of Pituitary Tumor

4 Radiology

Examination ProtocolsPatient History

A 49-year-old male patient suffered froma 3-month persistent headache wasreferred to the CT department for furtherexamination.

Scanner SOMATOM SmileScans Native, Contrast, Delayed contrast,

sequence spiral sequencekV 120 kV 120 kV 120 kVmAs 160 mAs 160 mAs 160 mAsRotation time 2.0 s 2.0 s 2.0 sSlice collimation 10 mm 5 mm 5 mmPitch – 1.0 –Kernel H30b H31b H30b

Contrast Non ionic contrast media (300 mg iodine/ml)Volume 70 mlFlow rate 3 ml/sStart delay 50 s/6 minutes

[1] Contrast scan

A round, well-defined isodense lesionwas depicted in the region of theenlarged sella in the native scan.A strong peripheral enhancementpattern of the lesion was clearlyshown 50 seconds after intravenousadministration of contrast medium [1].The peripheral enhancement was betterdelineated after six minutes delay andthe central part of the lesion remainedisodensed and unenhanced [2].

The CT diagnosis of pituitary tumor wasconfirmed by surgery and pathologicaldiagnosis.

Results and Comments

[2] Delayed contrast scan

Author:

Wenbao Wang, MD

Changshu No. 6 Hospital,Jiangsu Province, P.R. China

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Case 2:Diagnosis of Osteosarcoma with Pulmonary Metastases

A 14-year-old boy with osteosarcoma ofthe right arm and pulmonary metastasesunderwent surgical resection of thetumor and a total replacement of theupper humerus with prosthesis [1]in September 2001. He was put on aregimen of chemotherapy after thesurgery. A low dose, non-contrast spiralCT scan of the lungs was performed forfollow-up.

6 Radiology

Patient History

[1] Coronal reformat of thewhole chest including the

right arm. Note the lack ofsignificant artifacts even with

the presence of metallicimplant in the humerus

Examination Protocols

Scanner SOMATOM Emotion DuoScan range 325 mmScan time 27 skV 110 kVEff. mAs 30 mAs (with CARE Dose*)CTDIw 2.01 mGySlice collimation 2/2.5 mmSlice width 3.0 mmRotation time 0.8 sFeed per rotation 10.0 mmIncrement 1.0 mmKernel B70 for evaluation of the lung

parenchymaB20 for 3D post processing

*real-time dose modulation

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The CT examination of the thoraxshowed multiple metastases in bothlungs [2–5]. A significant portion of thenodules is small and lies fairly close tothe pleural surface. However many ofthem lie deep within the parenchyma,particularly those in the right lower lobe.There are also several lesions wrappingaround the trachea and main bronchi[3–5].

In spite of the low dose techniqueand the significant amount of metallicprosthesis in the vicinity of the lungs,the examination yields excellentdiagnostic information and 3D results.

Results and Comments

[2] 3 mm axial images acquired withonly 30 mAs showing multiplepulmonary metastases in both lungs.Streak artifacts present due to themetal implant

[5] VRT mapping the relationof the nodules to the

trachea and main bronchi

[3] Coronal reformat throughthe central airway showinglesions (arrows) wrappingaround the trachea and rightlower lobe bronchus

[4] Colored VRT showing thenodules lying deep within theparenchyma in the right lowerlobe. Note the presenceof a lesion attached to theposterior aspect of the trachea(arrow)

Case 3:Follow-up Study of Aortic Stent

8 Radiology

A 72-year-old male patient sufferingfrom an infrarenal abdominal aorticaneurysm was treated with anendovascular aortic stent-graft.A follow-up abdominal CTA wasperformed one year after theimplantation.

Patient History Examination Protocols

Scanner SOMATOM Emotion DuoScan area From diaphragm to mid-pelvisScan direction Cranio-caudalkV 110 kVEffective mAs 65 mAsRotation time 0.8 sSlice collimation 2 x 2.5 mmSlice width 3/5 mmTable feed/rotation 10 mmPitch 4Reconstruction 1.5 mmincrementKernel B30s

Oblique thin slab MIPimages show the

cranio-caudalextension of the stentgraft without kinking

or stenosis

Contrast Non ionic contrast media (Iopamindol)

Volume 120 mlFlow rate 3 ml/sStart delay CARE Bolus was utilized. Monitoring

slice was placed over the descendingaorta. The scan was triggered 22 safter contrast initiation automaticallywhen the contrast (in the descendingaorta) attained 100 HU above thebaseline

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Results and Comments

The CTA images demonstrated a normalinfrarenal aortic stent extending into thedistal part of both common iliac arteries.No contrast enhancement was showninside the aneurysm, which excludedthe endoleakage. Neither thrombi norstenosis could be detected in the stentlumen. Both renal arteries were wellopacified and both kidneys werenormally perfused.

The aortic branches are remarkablywell demonstrated in the secondaryreformation by using 2 x 2.5 mm slicecollimation and 1.5 mm reconstructionincrement. The MIP images, especially,present very high quality.

For the follow-up studies of aortic stent-grafts, CTA with the dual slice CT scannerSOMATOM Emotion Duo, has proven itsworth in our hospital.

Axial thin slab MIPdemonstrates the proximalfixation of the stent graftwith good perfusion ofboth renal arteries

VRT images createdwith the Emotion Duo

3D software clearlyshow the position ofthe stent graft in the

aorta and aorticbranches

Curved MPR demonstratesthe correct infrarenalattachment of theproximal stent portion

Oblique thin slabMIP image shows goodperfusion of visceralarteries after stentimplantation

Author:

Martin Krauss, MD

Institute for Diagnostic andInterventional Radiology Nuremberg,Germany

Case 4:Follow-up Examination with CT-Colonography

This is a 60-year-old male patientwith a family history of colon cancer.He had a conventional colonoscopicexamination a year ago. A polyp wasfound during the previous colonoscopy.A sample was taken which proved to bea benign lesion.

When due for a follow-up the patientopted for a CT examination forCT-Colonography instead. He hadfound the conventional procedurea very uncomfortable experience.

The patient underwent bowel cleansingand a low-fiber diet for two days priorto the examination. The bowels wereinflated with air and a non-contrast,spiral acquisition was performed for thewhole abdomen.

10 Radiology

Examination ProtocolsPatient History

0.75 mm axial imageshowing a polyp-like lesionwith a dark center

Scanner SOMATOM Sensation 16Collimation 16 x 0.75 mmSlice width 0.75 mmIncrement 0.7 mmRotation time 0.5 sFeed per rotation 12 mmkV 120 kVEff. mAs 80 mAs

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The examination revealed a polyp-likelesion, which had been discovered inthe previous conventional procedure,in the descending colon. The lesion hada dark low-density center which wasprobably due to residual scarring afterthe endoscopic biopsy. No other polypswere found, which had been theintention of this follow-up examination.

Hence, the patient was saved the traumaand discomfort of going through asecond conventional colonoscopy.

Author:

Christoph Becker, MD

Grosshadern University Hospital,Munich, Germany

Results and Comments

Virtual endoscopic snapshotin the conventional forwardviewing direction. Benignpolyp in the descending colon

Retrospective viewof the polyp, reversefrom the endoscopedirection

VRT image showing a prox.stenosis of the LAD

Case 5:Calcified Plaque in the LM andNon-calcified Plaque in the LAD

This is a 54-year-old male patient withoutany personal history of coronary arterydisease. As risk factors the patientshowed nicotine abuse andhypercholesterolaemia. He contactedour department with complaints thathad been classified as NYHA III. Theexercise test showed negative results.

12 Radiology

Patient History

Examination Protocols

13

A large calcified plaque in the left mainwith a sub-significant lumen narrowinghad been found. Additionally the patientshowed a predominantly non-calcifiedstenotic plaque in the proximal LAD.The stenotic plaque was confirmed bya conventional angiogram.

Results and Comments

Scanner SOMATOM Sensation 16Collimation 0.75 mmSlice width 1 mm (reconstructed)Increment 0.6 mmRotation time 0.42 sFeed per rotation 2.8 mmkV 140 kVEff. mAs 400 mAsContrast 140 ml triggered at

+ 100 HU in aorta ascendens

The patient underwent coronary Calcium Scoringand Coronary CTA in order to exclude a significantCAD. The high resolution Coronary CTA wasperformed using the following scan parameters:

Authors:

Koen Nieman, MDFilippo Cademartiri, MDRoilf Raaijmakers, RT

Thoraxcenter Rotterdam, Netherlands

VRT image showing a calcified lesionin the LM and a stenotic non-calcifiedplaque in the prox. LAD

Presence of the stenotis inthe prox. LAD confirmed byconventional angiogram

The Creative Power in CT

Engineering excellence for thewell-being of people – the powerand creativity that govern our actionscouldn’t be put in better words. As thesolution provider we constantly strivefor the refinement of our currentstandards. The development of new,innovative solutions for the well-beingof patients and users is our goal andchallenge. We firmly believe thatthis is why Siemens has become anoutstanding market leader and innovatorin the sector of CT technology.

14 Radiology

CT technology offers the possibilityof creating real progress for people usingintelligent technology – that is what’sso fascinating about it. Our effortsare guided by customer benefits, thepromotion of innovations, and theincrease of productivity. Taking theleads from our customers’ success is ourbasis for everything. This includes ourdetermination to continue bringinggroundbreaking innovations to market.

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Well-grounded knowledge combinedwith creativity develops true progressin the field of medicine. We want tobe partners to our clients, and that ishow our customers view us. As partnersthat are rooted in a decades-long hightech tradition and always search forimprovements that will eclipse allprevious developments.

As a global organization we find itespecially exciting to cross boundariesand incorporate the creativity of aninternational team of experts into ourwork. However, working internationallywithin the company is only one sideof the story. For us, globalizationalso means cooperation with leadingmanufacturers of components andapplication software – and alwayskeeping our customers in mind.

And engineering excellence goes furtherstill. Complete products and servicessupplement our professionalism.Progress is visible for instance in ourSOMATOM Smile which has beendesigned to be the smartest and smallestspiral CT in the world. It combinessophisticated technology with costsaving potentials. As another examplethe SOMATOM Sensation 16 – the first16-slice scanner in the world. Or syngo– our comprehensive software solutionfor all tasks, applications and systems inmedical imaging multiplies the use youcan get out of our CT scanning systems.And with our high speed logistics weguarantee short delivery times andprecise delivery dates.

All of this combined is the creativepower in CT.

Multislice – The Future is Now!

Imagine a perfect combination ofvolume coverage, thin slices, andtop image quality; wouldn’t that trulybe progress in CT scanning? Well,outstanding technological developmentshave greatly enhanced the scope ofall CT related clinical applications andat the same time changed the wayradiologists think about CT imaging.Today’s Siemens SOMATOM MultisliceCT systems are able to acquire 2, 6, 10or even 16 slices simultaneously, coupledwith rotation times down to 0.4 s.This results in temporal resolution ofdown to 105 ms and isotropic resolutionof 0.5 mm.

16 Radiology

Patented volume reconstructiontechniques

With SOMATOM Multislice CT systemsthere is no more compromise betweenvolume coverage, thin slices and imagequality, thanks to a patented volumereconstruction technique that has beenbrought forth by our expertise.

• SureView™ – Multislice Spiral ImageReconstructionBeing the first and sole multislicereconstruction system that doesnot depend on pitch, SureView hasrevolutionized CT. The image qualityis sustained during the completemultislice scan pitch range. In addition,compared to sequence scanning,SureView can reduce the dose ofradiation up to 20%. Forget aboutindividual pitch settings, withSureView you’ll get what you wantin terms of diagnostic image quality.Also, SureView completely eliminatesthe influence of the “cone angle” effecton diagnostic image quality which mayoccur when 8 slices or more areacquired simultaneously.

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All CT related applications will thusgain in value! Some examples forextraordinary clinical results:

• Cardiac exams – high temporalresolution due to extremely shortrotation times (down to 0.4 s);isotropic volume imaging due to16 slices acquired simultaneously;and for the patient: increased comfortthanks to very short scan timese.g. 20 s for a gated cardiac exam

• Peripheral angiography – moredetailed and faster run-off

• Trauma – evaluation of the wholebody in isotropic detail within seconds

• Arterial studies – extremely shortscan times (cerebral angiography forexample) avoid the venous phase

• Breath-hold studies – short breath-hold times lead to better patientcomfort, e.g. scanning the whole lungin submillimeter slices is now possibleeven for elderly patients who cannothold the breath for a long time

• HeartView™ – Dedicated CardiacImage ReconstructionTruly one of the most exciting newapplications of Multislice CT: the abilityto image the heart. It is the increasedrotation speed (down to 0.4 s)combined with HeartView thateffectively allows to freeze the heartmotion. HeartView is a dedicatedECG-synchronized reconstructionalgorithm which includes robust heartbeat synchronization by using anintegrated ECG device with reliableand exact prospective ECG triggertiming and retrospective ECG-viewingand interaction as well as computerassisted heart phase definition foroptimal reconstruction.

Go for outstanding clinical resultsinstead of clinical compromises!

3D examinations with “axial” imagequality are no longer a dream with theincreased performance of Multislice CTscanners. Scanning a given volume ina given time with considerably thinnerslices to approach the ideal of isotropicresolution becomes routine and willlead to high-quality image data forvolume visualization, evaluation andquantification.

CARE Solutions – Minimizing the Dose

Our ambition to develop CT technologyeven further is not solely concerned withthe examination method. Making CTscanning safer for both, users andpatients is just as important for theSiemens engineers. Therefore,minimizing the radiation dose is onemajor effort we are concerned with.And we are successful at it: radiationexposure in a lung CT today is lowerthan it was in a conventional lung X-rayabout 10 years ago.

CT products from Siemens are always astep ahead; excellent imaging results,shorter examination times, and thelowest possible radiation exposure arethe cornerstones we can be assessed by.

The Siemens program that focuses onactive dose reduction is spelled CARE –Combined Applications to ReduceExposure – that means research andproduct development which puts thereduction of radiation exposure in CTexaminations into the center ofattention.

In detail CARE stands for:

UFC™ (Ultra Fast Ceramic) Detector

As early as 1997 Ultra Fast Ceramictechnology was first used in a Siemensdetector – and has become a standardin all SOMATOM CT units. UFC Detectortechnology helps to reduce radiationexposure by 30% compared to otherdetector materials.

18 Radiology

CARE Dose

Advanced computer technologyprecisely “observes” the patient’s bodyduring the entire scanning process.Radiation attenuation is continuouslymeasured and the tube’s radiation doseregulated in real time.

With CARE Dose it is thus possible tovary the radiation dose depending onthe patient’s anatomy and to reduce itby up to 50%.

CARE Filter

Radiation pre-filtering reduces low-energy X-rays that would add littleto the image quality.

CARE Vision CT with HandCARE™

CARE Vision is a low dose continuousexamination of the body with real-timeimaging (CT-Fluoroscopy) for onlinediagnosis during an intervention –such as abscess drainage, tissue biopsyor pain therapy.

HandCARE supports the surgeon veryintelligently during the whole process:It allows switching off radiation whilethe tube is positioned over the surgeon’shand – and switching it on again for theremainder of the rotation cycle.The result is a reduction of radiationdose for the physician of up to 70% andup to 30% reduction of radiation dosefor the patient.

tube current

scan direction

Low dose clinical protocols

Reducing radiation exposure to aminimum level has always been a goalof highest priority for us. ThereforeSiemens CT systems provide differentlow dose protocols with an optimalbalance between image quality andpatient dose.

• Low dose pediatric protocolsJust as in medicine, CT scanningcan pose a significant risk to childrenwhen they are exposed to the samelevels as an adult. Siemens tookthis into account when developinga comprehensive set of low dosepediatric protocols specificallyadapted to age and body size.These protocols are standard inthe SOMATOM CT scanners

• Low Dose CT-ColonographyprotocolsVirtual endoscopic viewing of theentire Colon is an attractive extensionof your clinical CT spectrum. Therequired data is based on highresolution low dose protocols withonly 50 mAs

• Low Dose Lung ProtocolsThe early visualization of suspiciousnodules in the lung may lead to a moreeffective treatment of early stage lungcancer. Dedicated low dose lungprotocols with down to 20 mAs enablehigh resolution scans with lowest dosebut still highest accuracy

ECG Pulsing

ECG Pulsing is an integrated part ofHeartView CT and is unique in the CTmarket. This new technology based onECG-controlled, dose modulated Cardiospiral scanning leads to dose savingsbetween 40–50% without any negativeeffect on image quality.

CARE Dose

HandCARE

Clinical protocols

Radiation off

Radiation on

20 Radiology

syngo –The Revolutionary Softwarefor Medical Imaging

The comprehensive software solutionfor virtually all medical imaging tasks,applications and systems sets a standard– for Siemens and for the industry.

Easy to use

The syngo user interface is extremelyintuitive and common to all applications.syngo provides a uniform workingenvironment throughout clinicalnetworks and beyond.

Result: Your daily routine gets doneeasier and quicker.

Straightforward to connect

syngo integrates medical imagingseamlessly into the complete clinicalworkflow from registration to billing.syngo puts a universe of informationat your fingertips.

Result: Your efficiency reaches beyonda single workplace.

Prepared for the future

syngo speaking systems will remainstate-of-the-art because new syngoapplications can easily be integratedinto the unique syngo architecture.

Result: Your workplace grows withyour clinical needs.

syngo is a registered trademark of Siemens AG.

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Simplicity and speed –from patient registration to billing

Today’s CT scanners have to beembedded in optimized and customizedworkflow concepts for outstandingproductivity and high patient throughput.That’s what we call WorkStream™.

A fully customized CT WorkStream hasto cover a certain range of prerequisitessuch as:

Application platform –easy and intuitive operation, commonlook and feel.

Patient Registration – seamlessefficiency from registration to billingincluding all relevant patientdemographic and examination data.And closing the loop back to hospital/radiology information systems for billing,utilization management and proceduretracking.

Examination – the way from scanto exam protocolsScan protocols extend to exam protocolswith the integration of Filming, Archivingand 3D (MPR, MIP, SSD, VRT) for tailoredWorkStream requirements.

Processing – the way from sliceviewing to volume viewingRapid 3D-based automated andstandardized viewing, analysis,quantification and customizabledocumentation, available for alltypical clinical applications.

Leadership in Clinical Applications

22 Radiology

On the other hand applicationslike syngo LungCARE CT and CT-Colonography support the diagnosticprocess of a dedicated clinical problemby the fast evaluation of a completeorgan system from lesion visualizationand localization to follow-up andclinical documentation.

Today we are proud to say that acomplete range of clinical applicationsas one of the broadest possibleapplication spectrums is available inthe Siemens SOMATOM Family.

Whatever will be needed in CT scanning– you will find it in Siemens SOMATOMCT scanners. Please have a look at someof our most exciting achievements:

SOMATOM CT Scanners for all ClinicalApplications

The positive clinical outcomes thatyield from CT scanning are no longerlimited to a certain number and kindof patients – major technologicaladvances in recent years have made itpossible to open CT examination to adiversity of patients. Never before haveso many applications been available toenhance human health and well-being.

This includes general-purposeapplications like volume renderingor image fusion as well as specificexamination procedures like HeartViewCT for scanning the beating heart orsyngo Perfusion CT for functional brainimaging.

HeartView CT

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• syngo LungCARE CTAssessing the lung for pulmonarynodules may lead to a breakthroughin the early detection of lung cancer.syngo LungCARE CT is a softwarepackage, which supports thevisualization and evaluation ofpulmonary nodules in a low doselung study. This includes computer-guided localization, segmentationand quantitative evaluation ofnodules as well as documentationand support of follow-up studies.

• CT-ColonographyAs in all types of cancer, the earlydetection of the disease is decisivefor the success of therapy. CT-Colonography is a clinical applicationbased on real-time virtual endoscopicviewing techniques, that makescolon polyps visible at a very earlystage. Diverse semi-automatedfunctions are employed in order toease the evaluation of the complexcolon anatomy and the finaldocumentation.

syngo LungCARE CT CT-Colonography

• HeartView CTNoninvasive imaging of coronaryarteries is ready for clinical routine.Fast rotating CTs (down to 0.4 srotation time), robust acquisitionand reconstruction techniques anda clinically oriented user interfacemake the examination of the beatingheart a routinely performable task.Completed with ECG-controlled tubecurrent modulation (ECG Pulsing)the HeartView CT solution providespremium image quality with minimaldose. The results are fascinatingimages of the heart and thesurrounding structures as thebasis for detailed morphologicalor functional analysis.

• syngo Perfusion CTIn the diagnostic process of acutestroke, when “time is brain“,syngo Perfusion CT adds valuablefunctional information to thecranial CT examination. Based ona dedicated contrast examinationsyngo Perfusion CT provides easyinterpretable functional imagesfor the quantitative assessment ofcerebral perfusion.

syngo Perfusion CT

SOMATOM life –Our Integrated Customer Care Solution

24 Radiology

… and continues from installation …

Applications training and support is whatyou will be provided with from our highlyqualified applications specialists. Wewant you to get on the fast track toeffective and efficient use of your newscanner.

To maintain the availability of the system,service solutions are tailored accordingto your needs. Modular performanceplans ensure flexibility and have beendeveloped to meet both your and yoursystem requirements. Your system willbe regularly maintained and monitoredin order to optimize availability.

life begins when you choose aSiemens CT …

SOMATOM CT scanners are more thanjust a product line, together withSOMATOM life, the solutions turn intoa successful partnership.

And our partnership begins the momentyou choose a SOMATOM CT scannerfrom Siemens Medical Solutions.

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… through ongoing developmentprograms …

SOMATOM life invites you to join ourclinical information services, clinicaltraining and workshops, fellowships,community sites, and user groups. Aspart of a global network of CT users andexperts, you will be kept up to date withthe latest innovations and clinicaladvances. The SOMATOM life programwill help you to constantly improve yourclinical workflow!

We also want your scanner to be keptup to date with the latest softwareupdates to help you improve yourcompetitiveness. Our syngo EVOLVEPackage™ will keep your scanner on thecutting edge enabling you to furtherenhance your clinical and diagnosticportfolio.

… bringing you to the nextdimension in CT.

Let’s take the next step ahead together!Whenever you are ready for it,SOMATOM Elevate will ease migrationto your new CT solution. Tailored clinicalinformation and training with access toour reference sites will be brought toyou by our team of highly trained salesprofessionals who understand you andyour plans. SOMATOM Elevate will makeyour SOMATOM CT scanner come fullcircle.

At Siemens Medical Solutions, we believethat successful partnership is what lifeis all about – and that is the essence ofSOMATOM life.

The SOMATOM Family –You Have Got the Choice

SOMATOM Sensation

Isotropic imaging such as axial imagequality in all imaging planes andadvanced preventive care such asexcellent coverage and temporalresolution for cardiac imaging is notanymore a dream – it has becomereality with the SOMATOM Sensationscanners. This development isn’t justan incident – it is simply logic dueto the extraordinary successfulSOMATOM CT history in the past25 years which is a synonym for

26 Radiology

technological firsts, clinicalleadership, customer satisfactionand investment protection.

Join a club of selected users – thestatus represented by the ownershipof a SOMATOM Sensation scanner.The SOMATOM Sensation is theultimate benchmark in Multislice CT.Forget about clinical compromisesand technical limits in CT – it is nowhistory. Whether you want to beahead in clinical research or whetheryou need the highest patient

throughput, whether you want to gofor coronary CTA or whether you arelooking for low dose lung imaging,whatever will be demanded in CTtoday or tomorrow with SOMATOMSensation you always will be at theforefront. SOMATOM Sensationprovides the latest technicalcapabilities, the widest range ofclinical applications and streamlinedworkflow solutions – leading tobrilliant images and outstandingresults within a few mouse clicks.

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SOMATOM Emotion

If you are looking for a fast CT scannerthat will reliably perform routineand advanced applications, whilekeeping your peace of mindwith an open platform for furtherimprovements and technologies,SOMATOM Emotion will be theright choice.

Your patients will appreciate our slimand wide open gantry, combinedwith a multitude of dose reductiontechnologies – e.g. CARE Dose –developed for the SiemensSOMATOM Family.

Different configurations of theSOMATOM Emotion are available –SOMATOM Emotion, Emotion Duoand Emotion 6.

Take a closer look at the SOMATOMEmotion, simply combine it with theclinical applications of your choiceand you will find the right system tofit your budgetary and clinical needs.

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never be out of pocket with yourSOMATOM Smile. It’s astonishinglygood value for your money – it willpay for itself, even if you use it onlyfor a few exams per day! No othercomparable system provides yousuch good value for your money.

SOMATOM Smile is a completesystem – accessories and camera areincluded. With an intuitive interfacethat speaks your language so thatyou will understand it immediately.Learning to operate SOMATOM Smile

is fast and effortless – with theinteractive User’s Training CD-ROMprovided, you decide what, whenand where you want to learn.

There’s never been a CT that’s soeasy to install – you simply plug itin wherever you want. Its reliable,simple, modular construction is notjust robust, it’s virtually indestructiblein normal use. What’s more, it needsvery little servicing and runs its owndiagnostic – so smart, that it evenshows you how to fix it yourself.

SOMATOM Smile

SOMATOM Smile is designed to bethe smartest, smallest, and mostaffordable spiral CT. It brings thebenefits of latest CT innovationswithin your reach – the easiest startinto routine radiology. SOMATOMSmile is different, it is fully packedwith innovations and surprises. Andbest of all, it produces high qualityroutine images.

By making cost-effectiveness atop priority from the start you will

Further Information

If you are interested in more literature or informationplease visit our websites:

• http://www.siemensmedical.com/ct

ProductsOptionsUpgrades & UpdatesAccessoriesRefurbished Systems

• http://www.siemensmedical.com/SOMATOMlife

Application GuidesUpgrades & UpdatesSOMATOM SessionsInteractivityClinical Studies

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reddotproduct design

iFIndustrial Forum Design Hannover

ProductDesign Award

IndustrieForumDesignHannover

2000

TOP 10

Siemens AG Berlin - München, Germany

Design: Siemens Design & Messe GmbH, GermanyKlaus Thormann

SOMATOMComputertomograph

Computer Tomography Unit

Order No. A91100-M2100-A899-1-7600

Printed in Germany

CCA 63899 WS 09025.

The information in this document contains general

descriptions of the technical options available, which

do not always have to be present in individual cases.

The required features should therefore be specified in

each individual case at the time of closing the contract.

The information presented in this case report is for

illustration only and is not intended to be relied upon

by the reader for instruction as to the practice of

medicine. Any health care practitioner reading this

information is reminded that he/she must use his/her

own learning, training and expertise in dealing with

his/her individual patients. This material does not

substitute for that duty and is not intended by Siemens

Medical Solutions Inc., to be used for any purpose in

that regard.

Siemens reserves the right to modify the design and

specifications contained herein without prior notice.

Please contact your local Siemens Sales representative

for the most current information.

Some options and functionality will not be available

immediately on product release. Where certain options

and functionality are not available on delivery, these

will be delivered as part of subsequent software or

hardware releases. Please confirm availability and

timing with your Siemens representative.

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Siemens AG, Medical SolutionsHenkestr. 127, D-91052 ErlangenGermanyTelephone: ++49 9131 84-0www.SiemensMedical.com

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