Download The World`s First Adaptive Scanner

The World’s First Adaptive Scanner
SOMATOM Definition AS
Excel Edition
Answers for life.
SOMATOM Definition AS
Excel Edition
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Siemens
CT Vision
Siemens CT Vision
The justification for the existence of the
entire medical industry is, of course,
better healthcare for all patients. But the
realities of clinical routine often make this
simple-to-understand goal quite difficult
to realize: stay within budgets, reduce
hospital stays, speed up time to diagnosis,
and deal with personnel issues, while
maintaining high clinical standards and
volume/throughput. At the same time,
patients demand better and faster results.
Your benefits
In order to meet our share of responsibility
in addressing these challenges, Siemens,
from the earliest stages of research,
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product development, and design, relies
upon the advice and recommendations
of external medical experts to determine
our focus – and this focus has been on
the needs and demands of our end users.
In this way, our products have been able
to make a welcome difference for you.
Leading innovation
In addition, Siemens has always been
a visionary company, believing that even
the farthest technical horizons were
temporary and could be surpassed with
consistent dedication to improved health
care. This visionary approach, backed up
by the, by far, largest R&D budgets in the
healthcare industry, has made Siemens
the undisputed innovation leader in
CT over the last years. The results are
amazing innovative improvements
such as the SOMATOM® Definition AS
Excel Edition.
Affordable Performance
Innovation is not only about bringing
cutting-edge technology to the high-end
CT market, but also about finding ways to
bring these patient-focussed technologies
to more people through innovative
approaches to reduce the cost of this
leading technology. With the introduction
of the SOMATOM Definition AS Excel
Edition, Siemens continues to lead the
world of innovation by making two
ends meet: bring outstanding imaging
technology and advance clinical
applications to our customers at lower
cost. With the SOMATOM Definition AS
Excel Edition the world’s first adaptive
scanner is available in a 64-slice
configuration to a greater variety of
institutions, and ultimately, patients.
Adaptation for better
patient care
SOMATOM Definition AS Excel Edition
brings you a fundamentally new way to
use single source CT. Imagine a truly
adaptive CT scanner that adapts to your
patients and your clinical questions –
making it an expert in virtually any clinical
field. Opening up new worlds of clinical
and economic possibilities. And increasing
the quality and efficiency of patient care.
Siemens CT Vision
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SOMATOM Definition AS Excel Edition
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Adapts to Any Patient
Adapts for Complete Dose Protection
Adapts for New Dimensions
Adapts to Your Space
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syngo.via and Clinical Engines
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Customer Care. Life.
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AS
SOMATOM Definition AS
Excel Edition
World’s first Adaptive Scanner
SOMATOM Definition AS Excel Edition, the
world’s first Adaptive Scanner, is the only
CT to adapt on the fly to your patients
and your clinical questions – breaking
through the barriers of conventional CT.
It produces not just the clearest image,
but a clear solution to the clinical question.
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This makes in an expert in virtually any
clinical field and this at very attractive
conditions. Affordable performance.
Full adaptability
With SOMATOM Definition AS Excel
Edition, you will enjoy the only CT that is
fully adaptable. It adapts to any patient,
adapts for complete dose protection,
adapts for new dimensions, and adapts
to your space.
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10 Adapts to Any Patient
Adapts to
Any Patient
Every patient is different. So is every clinical question. Our goal was to
create a new kind of CT that could actually adapt to your patients and
recognize the unique needs of physicians.
We improved every component of our MSCT to provide the industry’s
best parameters for image quality and patient access. As a result,
SOMATOM Definition AS Excel Edition is the only CT to adapt to any
patient and any clinical need. Pediatric. Obese. Cardiac. Trauma.
Transforming into what you want at your command, enabling you to
become an expert in any field.
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Introduction
Adapts to Any Patient
Speed 0.33 s
Resolution 0.24 mm
SOMATOM Definition AS Excel Edition,
with its high true temporal resolution of
165 ms in combination with the industry’s
highest isotropic spatial resolution and
advanced scanning techniques, such as
the Adaptive Cardio Sequence, performs
reliable, visually outstanding cardiac
imaging at the lowest dose possible, with
values of 1–3 mSv.
Scan any patient
with:
78 cm opening
300 kg weight limit
2 m scan range
Coverage 64-slice
Reliable cardiac imaging at
lowest dose
Power 80 kW
Supported by the High Definition (HD)
Volume Projector, even the smallest
coronary vessels appear sharper, while
common steps in cardiac imaging are
entirely eliminated. Giving you the
confidence to perform accurate stenosis
measurements or stent planning with
outstanding precision.
Making obese patients a
routine exam
When imaging obese patients the
challenge is two-fold: patient
accommodation and power reserves.
12 Adapts to Any Patient
Not anymore. There are no patient
exclusions with its large 78 cm gantry
opening and a patient weight capacity
of up to 300 kg (660 lbs), everyone
can be comfortably scanned. And with
a powerful 80 kW generator and highly
efficient UFC™ detector material, your
power reserves are virtually unlimited.
Additionally, the Adaptive Signal Boost
amplifies low signal areas of the CT data
through a comprehensive analysis of
surrounding CT measurements. The
Adaptive Signal Boost further reduces
streaks and noise in the image and
maintains correct HU values even for
larger patients.
Rapid and comprehensive
trauma imaging
It enables you to visualize patients in
trauma situations – including polytraumatic cases – in one stop. Supported
by a 2 m scan range, the fast volume
coverage of our 64-slice detector
means that you can perform an entire
body scan of 2 m, from head to toe, at
around 20 seconds with highest isotropic
resolution at any pitch. The advantages
are significant. Uncooperative or
unconscious patients with short breathholds can be quickly scanned. Fractures,
bleeding, and other polytraumatic injuries
can be revealed and immediately shared
with your trauma or vascular surgeons
using syngo.via and the Acute Care Engine.
Managing your daily routine
Neuro patients benefit from great graywhite matter differentiation due to new
detector configuration. With a simple
mouse click your SOMATOM Definition AS
Excel Edition can virtually change its
detector design. The result? The smallest
structures and their pathologies – like the
inner ear – can now be easily visualized
with unmatched 0.24 mm spatial isotropic
resolution.
Images are decomposed into high and
medium/low spatial frequencies. While
relevant tissue information is contained
in medium and low frequencies, noise is
dominated by high frequencies. Separate
processing of medium and low frequency
information improves the tissue contrast
without amplifying image noise resulting
in a better signal to noise ratio.
In addition CARE Contrast II facilitates
contrast enhanced clinical workflow by
synchronizing CT scan and contrast
media injection. The injection parameters
are automatically transferred to the
patient protocol, the e-Logbook and to
MPPS thus completing the data for the
examination therein and avoiding separate
documentation.
All this makes the SOMATOM Definition AS
Excel Edition an expert in virtually any
clinical field. Adapting to any patient,
exam, and level of complexity. Every day.
Power reserves, large bore, and
high-capacity table for bariatric
imaging.
Visualization of vascular structures
in angio-like resolution.
Artifact-free cardiac imaging with
fast 0.33 s rotation time, combined
with the highest spatial resolution
and our HD Volume Projector.
Excellent gray-white matter
differentiation for neuro
examinations.
Native head image quality can be
significantly improved with Neuro
BestContrast without increase in dose.
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How it works
Speed
Anode
In cardiac imaging, where the ability
to freeze motion is critical, SOMATOM
Definition AS Excel Edition provides you
with a very fast rotation time, making
non-invasive cardiac diagnosis routinely
available.
Vacuum
Cathode
Anode
Heat
Unique STRATON X-ray tube
To increase temporal resolution, the
proprietary STRATON® X-ray tube enables
the fast gantry rotation time of 0.33 s,
resulting in 165 ms temporal resolution
for motion artifact-free imaging of the
heart. Our unparalleled 0 MHU STRATON
X-ray tube has caused a paradigm shift
in CT imaging. The tube’s direct anode
cooling eliminates the need for heat
storage, permitting a compact design
and the fastest CT gantry rotation for all
applications.
14 Adapts to Any Patient
Cooling oil
Cathode
Conventional tube technology
Cooling oil
STRATON X-ray tube
How it works
Resolution
Alternating focal spots
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2
STRATON tube
0.4 mm objects
0.4 mm objects
Instead of decreasing the detector
elements’ size to improve spatial
resolution, z-Sharp™ Technology utilizes
two overlapping X-ray beams, resulting
in significantly increased resolution
without a corresponding increase in dose.
conventional technology
Highest spatial resolution
This provides you with the industry’s
highest isotropic resolution of 0.33 mm
at any scan and rotation speed, and at any
position within the scan field. In addition,
with our proprietary z-UHR Technology,
the system adapts for ultra-high-resolution
bone imaging for wrist, joint, or inner
ear studies. We push the boundaries
of spatial resolution even further by
providing unparalleled 0.24 mm isotropic
resolution.
64-channel data acquisition electronics
Measured signal per detector element
0.6 mm
Measured signal per detector element
0.6 mm
1
1
0
0
1
1
1
1
1
Resulting resolution
1
1
1
1
1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2 1 2
Resulting resolution
0.6 mm
Oversampling
0.6 mm
Oversampling
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How it works
Coverage
Challenging CT examinations, such as
head and neck examinations, long-range
vascular studies, or polytrauma patients,
require high-volume coverage for quick
examination. While conventional
technology is limited to a reduced pitch
in order to increase the spatial resolution,
SOMATOM Definition AS Excel Edition can
scan pitch-independently and therefore
reach a much higher sub-mm volume
coverage.
23 seconds
Conventional technology
23 seconds
Twice as fast as conventional
technology
The combination of SOMATOM Definition’s
fast gantry rotation speed and z-Sharp
Technology generates the industry’s
fastest HiRes volume acquisition for singlesource 64-slice CT systems with a speed of
87 mm per second. With this it is possible
to scan nearly twice as fast compared
to the conventional technology without
compromising image quality.
16 Adapts to Any Patient
Adaptive technology
How it works
Power
SOMATOM Definition AS Excel Edition
provides an 80 kW generator for sufficient
X-ray power reserves to enable highquality imaging in everyday clinical
routine and even with demanding obese
patients.
Enough power reserves for
everyday clinical routine
In combination with our highly efficient
UFC detector material, it requires only
the smallest possible dose to deliver
exceptional image quality.
Typical generator power in conventional 64-slice systems
SOMATOM Definition AS Excel Edition generator power
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Clinical Images
Excellent gray-white matter differentiation
in spiral and sequence head exams. Displayed
with syngo.CT Neuro Viewer.
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Cardiac CT with HR independent temporal resolution
of 165 ms and highest 0.33 mm isotropic spatial
resolution, allowing artifact-free imaging. Evaluation
with syngo.CT Coronary Analysis.*
* This product is pending 510(k) review, and is not yet commercially available in the U.S.
Speed, resolution, coverage, and power,
without compromise, enable sharp delineation
of even the smallest detail in a few seconds.
Displayed with syngo.CT Vascular Analysis.*
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20 Adapts for Complete Dose Protection
Adapts for
Complete Dose
Protection
Using the lowest possible radiation dose is important to both you and
your patients. SOMATOM Definition AS Excel Edition provides an
exceptional solution by adapting for complete dose protection. It actively
manages dose, removing clinically irrelevant radiation for every patient.
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With SOMATOM Definition AS
scanners, saving dose starts right
at the point where image data is
acquired – the Ultra Fast Ceramic
(UFC) detectors enable up to 30 %
dose reduction.
Introduction
Innovation Leadership
in Low Dose
X-ray
UFC
Light
From the very beginning, one of the most
frequent demands of our customers has
been patient safety and in Computed
Tomography. This translates primarily into
dose reduction. For this reason, Siemens
has developed many significant products
and protocols that follow – even shape
and redefine – the “As Low as Reasonably
Achievable” (ALARA) principle to reduce
radiation dose to the lowest possible
level. This lies at the heart of our CARE
(Combined Applications to Reduce
Exposure) research and development
philosophy. Over the years, Siemens has
been highly successful in integrating many
innovations into the Siemens scanners
that significantly reduce radiation dose in
comparison to other systems available
on the CT market, making Siemens the
undisputed leader in Low Dose.
Consequently, the SOMATOM Definition AS
Excel Edition delivers a unique portfolio of
hardware and software features targeted
explicitly towards saving dose; it adapts
for complete dose protection.
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CARE
Dose4D
Dose
Saving
Up to
68 %
UFC
Up to
30 %
Fully automated dose modulation
adapts dose to each individual
patient in real time, reducing dose
up to 68 %.
The tube current is switched off
within a certain range of projections,
minimizing direct exposure to the
hands during CT-guided interventions,
and saving up to 70 % of dose.
An intelligently triggered sequence
that shuts off radiation in the systolic
phase, thus enabling low dose cardiac
imaging below 3 mSv routinely.
Enables long-range dynamic
scanning with up to 50 % lower
dose utilizing an intelligent image
noise suppression algorithm.
Adaptive
Cardio
Sequence
Adaptive
Dose
Shield
4D Noise
Reduction
1–3 mSv Cardio
Up to
X-ray off
X-ray on
Adaptive
ECGPulsing
Up to
50 %
HandCARE
Up to
70 %
Pediatric
80 kV
Protocols
Up to
50 %
13 %
Up to
50 %
IRIS
Up to
60 %
Dose Shield
Image data
recon
Image
correction
Dose Shield
The heartbeat-controlled dose
modulation applies the exact dose
necessary to collect all data during
the diastolic phase, saving up to
50 % dose*.
*Results may vary. Data on file.
Enables up to 50 % dose savings in
pediatric imaging by utilizing dedicated
low kV child protocols that allow an
individual adaptation of the patient
dose to small sizes of pediatric patients.
Its ability to dynamically block
clinically irrelevant pre- and postspiral dose significantly reduces the
possibility of over-radiation, saving
up to 13 % of dose.
Multiple iteration steps in
the reconstruction process
eliminating noise, therefore
enabling up to 60 % dose
reduction.
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Introduction
Adapts for Complete
Dose Protection
Dose Shield
Dose Shield
Superb image quality at
lowest dose
Most of today’s clinical examinations
benefit from spiral acquisition techniques.
That’s where the heart of our dose
protection technologies lies. CARE
Dose4D™, our real-time dose modulation,
guarantees an unparalleled combination
of maximum image quality at minimum
dose for every patient in every spiral scan.
Eliminating over-radiation in
every spiral scan
However, the continuous demand for
more coverage and the corresponding
increase of detector size has unveiled a
new challenge for CT manufacturers –
over-radiation, both pre- and post-spiral
scan, has significantly grown.
24 Adapts for Complete Dose Protection
Our answer: Siemens’ innovative Adaptive
Dose Shield. It addresses this important
safety issue by dynamically blocking
clinically irrelevant over-radiation in spiral
scans. This simply was not possible before.
Now, we ensure that the only dose applied
to the patient is dose that is clinically
relevant with no compromise in image
quality.
Low dose cardiac imaging
Additionally, the increasing demand,
especially in cardiac imaging, is to reliably
deliver superior image quality, even during
unstable conditions, while maintaining
lowest possible dose. To offer full
flexibility, we developed dose saving
techniques for both spiral and sequential
examinations.
With Adaptive ECG-Pulsing™, our
innovative heartbeat-controlled dose
modulation, we have designed a unique
solution that reduces dose of up to 50 %*
in spiral cardiac imaging. At the same
time, its real-time monitoring of the
ECG automatically and instantly reacts
to changes and abnormalities of the
heartbeat.
Intelligently triggered
step-and-shoot
In addition, SOMATOM Definition AS
Excel Edition offers an alternative
acquisition technique called Adaptive
Cardio Sequence. Based on an intelligently
triggered step-and-shoot exam, this
approach for low heart rates
makes an even lower radiation exposure
possible, while compensating for potential
patient arrhythmia.
SOMATOM Definition AS Excel Edition
gives you the ability to control dose and
adapt it precisely to your clinical need. It’s
something all patients will appreciate.
Elimination of unnecessary dose
for every spiral scan with the
Adaptive Dose Shield.
4D dose adaptation, reducing dose
up to 68 % with CARE Dose4D.
Low dose cardiac exams with
intelligent spiral and sequence
scan modes.
Significant image quality
improvement or up to 60% dose
reduction with IRIS.
*Results may vary. Data on file.
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How it works
Adaptive Dose Shield
Conventional tube
collimation
SOMATOM Definition AS Excel Edition
eliminates over-radiation to the patient
during spiral scans (marked in red).
The Adaptive Dose Shield is part of the
innovative new STRATON X-ray tube
design. It dynamically moves shields
into place on the X-ray tube to block
unnecessary dose. The Adaptive Dose
Shield dynamically opens at the beginning
of a spiral range and then dynamically
closes at the end.
Pre-Spiral Dose
Post-Spiral Dose
Image area
Conventional technology
Eliminating over-radiation in
every spiral scan
Now all clinically irrelevant dose is
eliminated. Not only for dedicated
applications, but for every single spiral
acquisition. Giving you the ability to
additionally save up 13 % of dose for
example in cardiac or head scans.
STRATON with
Adaptive Dose Shield
No Pre-Spiral Dose
No Post-Spiral Dose
Image area
Adaptive Dose Shield
*Results may vary. Data on file.
26 Adapts for Complete Dose Protection
react
Reliable low dose spiral heart
scans
Adaptive ECG-Pulsing, our innovative
heartbeat-controlled dose modulation,
applies the exact dose necessary to collect
data projections of 180 degrees during the
diastolic phase. Its real-time monitoring
of the ECG enables a fully automated dose
adjustment, instantly reacting to changes
and abnormalities of the heartbeat. With
a temporal resolution of only 165 ms,
the time of high exposure during each
heartbeat can be cut down even further,
as compared to traditional single source
CT scanners. The MinDose feature reduces
the pulsing window to a minimum of 4 %,
giving you additional dose savings.
Low dose scans of 1–3 mSv
in clinical routine
In addition to the Adaptive ECG-Pulsing,
the SOMATOM Definition AS Excel Edition
offers a sequential cardiac acquisition
mode. We call it Adaptive Cardio
Sequence. It’s an intelligently triggered
sequence that shuts off radiation in the
systolic phase and dynamically reacts
to irregularities during the ECG trace.
The real-time ECG monitoring reacts
instantly to irregularities and stops the
scan until the heart rate becomes stable
again. This arrhythmia compensation
method allows for high dose savings
and an increased robustness of the
scan, thus avoiding re-scans.
4 % Minimum Dose
Adaptive ECG-Pulsing in Spiral Mode
scan move scan
react
scan
Adaptive Cardio Sequence in
Sequential Mode
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How it works
Iterative Reconstruction
in Image Space (IRIS)
Standard filtered back
projection
Dose reduction with CT has been
limited by the currently used filtered
back projection (FBP) reconstruction
algorithm. When using this conventional
reconstruction of acquired raw data into
image data a trade-off between spatial
resolution and image noise has to be
considered. Higher spatial resolution
increases the ability to see the smallest
detail; however, it is directly correlated
with increased image noise.
Iterative Reconstruction
in Image Space
Iterative reconstruction approaches allow
decoupling of spatial resolution and
image noise. In an iterative reconstruction,
a correction loop is introduced into the
image generation process. To avoid
long reconstruction times known from
theoretical iterative reconstruction
28 Adapts for Complete Dose Protection
Siemens has developed a new method.
The new Iterative Reconstruction in
Image Space first applies a raw data
reconstruction only once. During this
newly developed initial raw data
reconstruction, a so-called master data are
generated that contains the full amount
of raw data information yet at the expense
of significant image noise. The following
iterative corrections known from
theoretical iterative reconstruction are
consecutively performed in the image
space. They “clean up” the image and
remove the image noise without
degrading image sharpness. Therefore,
a time-consuming repeated projection
and corresponding back projection can
be avoided. In addition, the noise texture
of the images is comparable to standard
well-established convolution kernels. The
new technique results in artifact and noise
reduction, increased image sharpness,
and dose savings of up to 60 % for a wide
range of clinical applications.
Standard FBP
Raw data
recon
• Limited dose reduction
• Ultra-fast recon without
iterations
• Well-established image
impression
IRIS
Image data
recon
Image
correction
• Up to 60 % dose reduction
• Image quality improvement
• Fast recon in image space
• Well-established image
impression
Standard FBP
IRIS at 60% lower dose
IRIS with better low
contrast detectability
This image shows the use of standard
filtered back projection reconstruction.
Despite the fact that the middle image
was acquired at 60% lower dose it shows
the same low noise compared to the
original acquisition and similar noise
texture of the images maintaining a
well-established image impression.
This image shows an IRIS reconstruction
performed on the initially acquired data.
Improved image quality with better low
contrast detection can be nicely
visualized.
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Clinical Images
Excellent image quality with low noise, despite only
2.37 mSv for a 65 cm thorax abdomen scan with IRIS.
30 Adapts for Complete Dose Protection
Excellent visualization of intracranial arteries including
cerebral lesions with syngo.CT Neuro DSA. Saving up to
10 % dose in head scans with the Adaptive Dose Shield.
Excellent display of the entire thorax including small peripheral lung details
with syngo InSpace4D Parenchyma evaluation on syngo MMWP client.
* This product is pending 510(k) review, and is not yet commercially available in the U.S.
2.5 mSv imaging of the coronary arteries including sharp distal
branches with fast 0.33 s rotation time and 0.33 mm isotropic
resolution. Evaluation with syngo.CT Coronary Analysis.*
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32 Adapts for New Dimensions
Adapts for New
Dimensions
With the SOMATOM Definition AS Excel Edition, for the first time ever,
3D information for CT guided interventions is now routinely available.
By overcoming the limitations of conventional 2D CT guidance, it
provides a more accurate overview of the needle positioning and the
surrounding organs during difficult procedures.
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Introduction
Adapts for New Dimensions
3D-guided CT interventions
Conventional 2D Intervention
Adaptive 3D Intervention
34 Adapts for New Dimensions
SOMATOM Definition AS Excel Edition
puts you in full control in any plane
with 3D-guided interventions. Giving
you a more accurate overview of your
needle position and surrounding organs
during difficult procedures. This is
especially helpful when using oblique
needle positions, whether you perform
fluoroscopic or non-fluoroscopic
procedures. And, when it comes to inroom operation, SOMATOM Definition AS
Excel Edition offers the freedom to
manipulate the entire procedure with
just the touch of a button – without ever
leaving your patient’s side. From table
positioning, image windowing, or remote
mouse control.
The benefit? As a 3D minimally invasive
suite, SOMATOM Definition AS Excel
Edition makes your routine and complex
procedures easier and safer. Adding
precision while reducing procedure time.
Freeing up the CT suite for more patients
and procedures. And bringing you new
revenue opportunities.
Adaptive 3D Intervention Suite
For both sequential and spiral acquisitions
SOMATOM Definition AS Excel Edition
provides visualization of 3D images nearly
instantaneously. Giving you not only
axial images, but oblique images, too.
at the scanner. By switching to a short
spiral scan, you can extend the coverage
to visualize an area larger than a static
detector design traditionally allows.
Furthermore, the SOMATOM Definition AS
Excel Edition eliminates artifacts caused
by the needle material. Depending on the
size of the needle, the scan will be done in
a certain angulation of the gantry. Images
will be reconstructed as non-tilted axial
slices, giving you the same information
but without artifacts. Additional workflow
enhancements, such as auto needle
tracking, will speed up your workflow
by guaranteeing that you always have
the right view of your needle.
3D image guidance in minimally
invasive procedures simplifies
procedures and makes complex
interventions safer.
Optimized interventional workflow
with full in-room control from
table-side.
SOMATOM Definition AS Excel Edition
gives you the opportunity to easily switch
between fluoroscopic, sequential, or spiral
scanning, with a click of a button right
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Clinical Images
Lung biopsy with 3D visualization
of double oblique needle position.
36 Adapts for New Dimensions
3D-guided lung tumor RF ablation with
Adaptive 3D Intervention Suite.
Lung tumor RF ablation. VRT display
for control of needle position.
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38 Adapts to Your Space
Adapts to
Your Space
Now you can plan your CT according to your room. Not your room
according to your CT. With its revolutionary architecture and design,
SOMATOM Definition AS Excel Edition sets a new benchmark in versatility
of space, ease of installation, and upgradeability.
39
Introduction
Adapts to Your Space
Smallest footprint with
highest flexibility
Vendor A: 24 m2 (258 ft2)
Vendor B: 22 m2 (236 ft2)
Vendor C: 20 m (215 ft )
2
2
SOMATOM Definition AS
Excel Edition
E: 18 m2 (194 ft2)
With its small footprint of only 18 m2,
SOMATOM Definition AS Excel Edition
requires very little of your valuable floor
space. It not only adapts to the smallest
floor space, but also to your room
conditions. For the first time, a CT system
can be equipped for either water- or aircooling. Your choice.
Adapts to your needs
When it comes to clinical requirements,
SOMATOM Definition AS Excel Edition
adapts to your needs – from Radiology to
Radio Therapy to Trauma. With its unique
multipurpose table, SOMATOM Definition
AS Excel Edition instantly transforms from
Footprint area
40 Adapts to Your Space
a standard CT to a virtual CT Simulator or a
trauma unit – just exchange the standard
CT table top.
Growing with your clinical
demand
The 64-slice SOMATOM Definition AS
Excel Edition is on-site upgradeable
to the SOMATOM Definition AS 64- or
128- slice configuration. Thus grows
with your needs, giving the flexibility
to access additional functionalities
when required. Now you can upgrade
quickly and with no additional room
requirements. SOMATOM Definition AS
Excel Edition, the most cost-effective,
flexible solution on the market today.
It’s the perfect fit for your future.
How it works
Minimal footprint
With its 18 m2 footprint the SOMATOM
Definition AS Excel Edition will fit into
rooms that are often too small for highend CT scanners, like trailers or mobile
facilities.
Flexible water and air cooling
concept
In addition, SOMATOM Definition AS Excel
Edition adapts to your room conditions,
offering a selection of either water- or
air-cooling. So you have the full flexibility
of using existing room construction,
without the need for expensive and time-
consuming renovations. A water-cooled
system, for example, is ideal for the OR
because it causes no air circulation and
can easily fulfill safety requirements for
environmental sterility. If you have a room
already equipped with air-conditioning,
the air-cooled version would save you
unnecessary room preparation costs.
This kind of adaptability makes the
SOMATOM Definition AS Excel Edition the
most flexible high-end CT in the market.
On-site upgradeability enables
the SOMATOM Definition AS Excel
Edition to grow with future needs.
Minimal footprint of only 18 m2.
Easily exchangeable table tops
adapt to all patients, whether
obese, trauma, or radiation
therapy patients.
41
Images, my way.
syngo.via and Clinical Engines
My cases – ready
syngo.via
My places – networked
syngo.via* – the new imaging software,
creating an exciting experience in efficiency
and ease of use – anywhere**. Every
syngo.via already includes standard CT
applications that provide an extensive range
of functions and tools. To complement
the standard syngo.via configuration of
applications, clinically-tailored Engines with
an impressive range of advanced applications
are also available.
My needs – anticipated
* syngo.via can be used as a standalone device
or together with a variety of syngo.via based
software options, which are medical devices in
their own rights.
** Prerequisites include: internet connection to
clinical network, DICOM compliance, meeting of
minimum hardware requirements, and adherence
to local data security regulations.
*** This product is pending 510(k) review, and is not
yet commercially available in the U.S.
42 syngo.via and CT Clinical Engines
CT Acute Care Engine*** /
Engine Pro
Make lifesaving decisions, when every
second counts
CT is the modality of choice when it comes
to diagnostic imaging in acute care
situations. Whether it’s for a triple rule-out
of acute chest pain, for stroke assessment,
poly-trauma or for acute abdominal pain.
The CT Acute Care Engine provides clinical
functionality that delivers decisive results
for all of these challenging indications.
CT Cardio-Vascular Engine*** /
Engine Pro
CT Neuro Engine /
Engine Pro
CT Oncology Engine /
Engine Pro
Speed in routine – power in challenging cases
From scan to diagnosis in under 10 minutes
Holistic Oncology Imaging
Excellent functionality for the automatic
evaluation, quantification, and functional
assessment of the heart and peripheral vessels
while allowing interaction at any time. Opening
the case already saved 12 manual steps and you
can immediately start the evaluation, e.g. with
VesselSURF that allows quick 3D vessel navigation
in axial slices and One Click Stenosis for the
quantification. It also provides access to multimodality data for your differential diagnosis.
CT Neuro imaging is very often a matter of lifeand-death therapeutic decision-making. From
infarctions caused by stroke and extensive
bleeding, to subarachnoid hemorrhage and a
ruptured aneurysm. The new CT Neuro Engine
provides tools and workflows that help deliver
a complete and accurate status of the vascular
structures and the brain tissue for these patients
– from scanning to diagnosis in less than
10 minutes.
Cancer threatens the entire body. Irrespective
of whether potential lesions are found in
lung, liver, lymph nodes or other organs,
and regardless of whether the chest or the
abdominal radiologist makes findings, or
whether lesions are discovered in CT, MRI or
PET: Everybody involved in early detection,
diagnostics and the treatment of cancer can
retrieve the most complete information.
43
Customer Care. Life.
Dedicated to Your Success
Upgrades and migration
Remain one step ahead and tap the
full potential of your Siemens CT system
with our customer care program, Life.
As a worldwide innovation leader in
medical imaging, Siemens has gained an
unmatched knowledge in Computed
Tomography. You can profit from excellent
CT systems and innovative, flexible and
comprehensive service solutions that
enable you to concentrate on what is
most important for you: patient care. The
customer care program, Life, is the unique
solution from Siemens that helps you
to maximize the return on investment
throughout the entire life cycle of your
system.
44 Customer Care. Life.
Stay competitive with up-to-date
systems
Due to increasing healthcare demands you
have to stay on the cutting edge to be
competitive. We will help you to keep your
solutions up-to-date and to keep pace with
the latest technological advancements
through the syngo Evolve program.
syngo Evolve offers certainty in budget
planning, feature enhancements for
your CT, access to new applications, and
lower cost upgrades for your CT system.
Services and support
Education and training
Information and
communication
Feel confident with our proactive
service solutions
Broaden your knowledge and expertise
Be informed – get connected
Know-how is the key to success. With
our extensive portfolio of education and
training programs you can deepen your
knowledge and clinical expertise. We
show you how to maximize the benefits
that can be achieved with our advanced
technology. This will help you to optimize
your workflows so you can offer an even
higher quality of care for your patients.
To ensure you are always up-to-date
on what is happening in the CT world,
we offer you a variety of information
services including easily accessible
information portals, monthly newsletters,
our customer magazine SOMATOM
Sessions, and the SOMATOM World
Summit, our scientific user conference.
High system availability, diagnostic
confidence and optimized workflow are
crucial for the success of your CT service.
To meet your performance expectations,
we systematically focus on being proactive.
Based on real-time system monitoring
we detect system errors and alert you
before problems occur. The Siemens
Guardian Program™ helps to make
unplanned downtime a
thing of the past.
45
46
47
The World’s First Adaptive Scanner
In the event that upgrades require FDA approval,
Siemens cannot predict whether or when the FDA
will issue its approval. Therefore, if regulatory
clearance is obtained and is applicable to this
package, it will be made available according to
the terms of this offer.
On account of certain regional limitations of sales
rights and service availability, we cannot
guarantee that all products included in this
brochure are available through the Siemens sales
organization worldwide. Availability and packaging
may vary by country and is subject to change
without prior notice. Some/All of the features and
products described herein may not
be available in the United States.
For internal use only.
Do not distribute.
The information in this document contains general
technical descriptions of specifications and options
as well as standard and optional features which do
not always have to be present in individual cases.
Siemens reserves the right to modify the design,
packaging, specifications, and options described
herein without prior notice. Please contact your
local Siemens sales representative for the most
current information.
Note: Any technical data contained in this
document may vary within defined tolerances.
Original images always lose a certain amount of
detail when reproduced.
Global Siemens Headquarters
Siemens AG
Wittelsbacherplatz 2
80333 Muenchen
Germany
Global Business Unit
Siemens AG
Medical Solutions
Computed Tomography
Siemensstr. 1
DE-91301 Forchheim
Germany
Phone: +49 9191 18 0
Fax: +49 9191 18 9998
Global Siemens
Healthcare Headquarters
Siemens AG
Healthcare Sector
Henkestr. 127
91052 Erlangen
Germany
Phone: +49 9131 84-0
www.siemens.com/healthcare
www.siemens.com/healthcare
Order No. A91CT-05011-54C1-7600 | Printed in Germany | CC CT WS 03107. | © 03.2010, Siemens AG
Legal Manufacturer
Siemens AG
Wittelsbacherplatz 2
DE-80333 Muenchen
Germany
The World’s First Adaptive Scanner
SOMATOM Definition AS
Excel Edition
Answers for life.