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i-trendz Newzflash Sharing breakthrough technology that redefines healthcare Issue 08 / 2013 s siemens.co.in/healthcare IRIA 2013 Special Edition Welcome to the 66th Annual Conference of Indian Radiological & Imaging Association 2013 (IRIA 2013). Upholding our tradition, this year’s special edition i-trendz Newzflash, showcases the latest technological innovations exhibited by Siemens Healthcare at the 98th Scientific Assembly and Annual Meeting of the Radiology Society of North America (RSNA) 2012. We present to you imaging innovations that are designed to open up new possibilities for clinical detection, more accurate diagnosis and more targeted therapy, to help you overcome challenges in your clinical setting. Conscious of the challenges of increasing cost pressure on healthcare systems worldwide, Siemens Healthcare presented new high-quality, economical systems in computed tomography, magnetic resonance imaging, ultrasound and an entry-level version of its imaging software syngo.via. These advanced systems feature excellent image quality, high process efficiency and lower cost of ownership. In the following pages, we invite you to explore our new range of products, tailored to suit your clinical and operational needs. We would be delighted to share more information or to answer any of your queries. You can visit our website, www.siemens.co.in/healthcare or write to us at [email protected] or call us at our toll free number 1800 419 7477. Our latest innovations... MAGNETOM Prisma – The 3T Power Pack >> turn to page 2 SOMATOM Perspective 64-slice – Standardize. Most economical CT of its class ACUSON X700 Ultrasound System – Explore More. Experience More. Expect More. Cios Alpha – Powerful new mobile FD C-arm system ACUSON Freestyle – The World’s First Wireless Ultrasound System ACUSON P300 – A Complete, Portable Point of Care Solution MAMMOMAT Inspiration with PRIME Technology – The Reference in Low Dose Mammography >> turn to page 3 >> turn to page 4 & 5 >> turn to page 6 Artis Q and Artis Q.zen – Angiography systems for increased precision, performance and sensitivity syngo.via VA20 – Answers, Visualized. Imaging innovations helping you in clinical routine. >> turn to page 7 >> turn to page 8 Page 2 i-trendz Newz flash Issue 8 / 2012 MAGNETOM Prisma: The 3T Power Pack The new 3-Tesla MRI MAGNETOM Prisma is designed to explore new frontiers in MRI application, to help tackle the most demanding clinical research challenges, today and in the future. This 3-Tesla scanner combines high gradient capability, next generation of parallel transmits technology, state-ofthe-art receive coil technology, unique workflow solution and distinctive research applications. Magnet – Based on Tim Trio experience, the MAGNETOM Prisma is a benchmark in homogeneity - a great enabler for advanced applications. Other features: • Zero helium boil off • New high-order shim • Outstanding fat saturation Gradient – A high gradient specification of 80 mT/m and 200 T/m/s simultaneously in all three axes; makes it the only commercial whole-body system offering this one of a kind specialized configuration. This combination opens new possibilities of clinical applications e.g. Diffusion Imaging. examination times. Together with syngo ZOOMit, the world’s first application based on parallel transmit technology, exquisite details can be achieved by selective excitation. Receive Coil Technology – Tim4G, the fourth generation of Siemens’ integrated coil technology, provides ultra high density coil for maximum signal to noise ratio. With upto 128 independent receive channels and fully digital with Direct RF, image quality can be substantially increased while reducing scan time. Dot Workflow solution – Dot, guides users step-by-step through the examination and supports physicians by making it possible to select the right scanning strategy, depending on the clinical indication. Predefined Dot workflows facilitate the consistency and reproducibility measurements for a given patient at different time points or the ability to compare examinations obtained at different sites, useful for multi-site research projects. • Ultra High Performance Cooling system • Force Compensated Design for reduced vibration • Long-term stability for long duration research protocols • Minimized Acoustic noise Advanced Research Applications – MAGNETOM Prisma will offer a new level of imaging capabilities in answering the critical questions in the fields of brain function, body physiology, organ morphometry and tissue metabolism. Some advanced application like resting state fMRI, 4D Dynamic Angiography, Perfusion and Diffusion Spectrum Imaging (DSI) will benefit with unmatched 3T power. Parallel Transmit Technology – TimTX TrueShape, the next generation of parallel transmit technology provides better image quality in shorter MAGNETOM Prisma will be your vehicle to open up new possibilities to image functional processes and understanding diseases much better. Other features: Upgrade your MAGNETOM MAGNETOM Prismafit – The onsite upgrade of a MAGNETOM Trio 3 Tesla to the all new MAGNETOM Prisma. MAGNETOM Skyrafit (Tim4G + Dot) – The MAGNETOM Verio, a 70 cm wide bore + Tim system, can be upgraded to the latest generation of the integrated coil technology Tim4G and unique workflow solution, Dot. • With upto 64 channels receive technology and the architecture of Tim4G allows all transmit and receive components at the magnet for a digital-in and digital-out design. • Dot uses a suite of customizable engines allowing the user to personalize exams according to patient clinical needs resulting in increased consistency, reproducibility and higher productivity. • New software platform for a full range of advanced application like SPACE DIR, syngo ASL 3D, syngo WARP and syngo RESOLVE. New MAGNETOM Avantofit (Tim4G + Dot) – The popular MAGNETOM Avanto system can be upgraded to the latest technology with the following features: • 48 RF channels and the high-density coils of Tim4G • Dot Workflow for user friendly experience in MR examination • New generation applications for better disease diagnosis New MAGNETOM Essenza (Tim + Dot) – MAGNETOM ESSENZA is now with Dot workflow concept. This makes it most userfriendly, clinically versatile and economically attractive scanner. Page 3 i-trendz Newz flash Issue 8 / 2012 SOMATOM Perspective - 64-slice configuration: Most economical CT of its class CARE Right - The Right Dose in Computed Tomography Combined Applications to Reduce Exposure - CARE Right is a comprehensive approach to move away from low dose and get to right dose for every patient. The approach includes applying the right dose technology, understanding the right does levels that finally help in the right dose management. This translates to recurrent and sustainable clinical results, whilst at the same time adhering to ALARA principles for the highest patient safety. SAFIRE recieves FDA approval SAFIRE (Sinogram Affirmed Iterative Reconstruction), Siemens’ raw data and model-based iterative reconstruction algorithm, with 60% dose reduction, received FDA approval. Highlights The SOMATOM Perspective is now also available in a 64-slice configuration in addition to the 128-slice model. With a small footprint of just 18 square meters, a brief installation period of just one to two days and low energy consumption and cooling needs, make these state-of-the-art scanners the most economic CTs in their class. It is appropriate for use in outpatient environments and small to medium-sized hospitals, where CT tasks focus on routine applications. The eMode feature – like in the 128-slice model – automatically optimizes the scanning parameters to run the equipment more efficiently, increases the life of the systems and lowers the maintenance costs. Available as an onsite upgrade to the 128-slice configuration allows customers to expand their clinical portfolio at any time. • A dose reduction up to 60% can be achieved (claim is confirmed by the FDA) • With the reconstruction speed of up to 20 fps, it fits perfectly in the daily routine • Different reconstruction strengths are available to customize the image impression or dose reduction • SAFIRE in combination with WorkStream4D and preview functionality, enhances the workflow • SAFIRE is available for Dual Energy • SAFIRE world is available on the entire SOMATOM Definition family and the SOMATOM Perspective family, to remove image noise for a final and superior image quality at lower dose. Stellar Detector The techinical advantages of the Stellar Detector translates into Clinical benefits. large/ obese patients at lowest dose, for all applications. • Cardiology: enables sound evaluation of calcified lesion, enhances vessel contouring and vizualization of stents < 3 mm. • Dual Energy Scans: ensures lowest possible dose levels for all Dual Energy applications. • Neurology: enhanced Grey-white matter differentiation in the brain, e.g.: for stroke evaluation The Stellar Detector is available on the SOMATOM Definition Edge and SOMATOM Definition Flash. • Right dose: uncompromised image quality when scanning ACUSON Freestyle: The World’s First Wireless Ultrasound System Transducer cables have always been cumbersome for ultrasonography. Repositioning the ultrasound system to gain better patient access, overcoming the hindrance caused by cables can all be challenging in a clinical setting, particularly interventional applications. With the vision of eliminating the ever existing need of cables in ultrasonic imaging, we introduce ACUSON Freestyle, the world’s first wireless ultrasound system with... • Faster workflows • Enhanced ergonomics • Effective infection control To enable this pioneering technology, the system incorporates Commercially not available Page 4 i-trendz Newz flash Issue 8 / 2012 a large number of innovations, right from acoustics, system architecture, radio design, miniaturization to image processing. Transducers & Applications: Three wireless probes for whole body imaging. Excellent Image Quality: The system employs an advanced synthetic aperture imaging technology, an integration of proprietary hardware and software, developed for wireless signal transmission of full-resolution digital image data at very high data rates. The system design reduces the transducer’s power requirements, increasing the battery life. Sterilizability: Transducer can be fully sterilized, ensuring asepsis in guided procedures. Dedicated Ultra-Wideband Radio Technology: A dedicated ultra wideband radio technology, operating at 7.8 GHz, has been developed for wireless data transmission, devoid of interference by other electronic equipments. APPLICATIONS System Design and Ergonomics: System features 38 cm, highresolution LED display, easily mountable console and can be run on battery power. • Venous Access • Nerve Block • Anesthesia • Critical Care • Intra-Operative Applications • Intervention Cardiology • Guided Therapeutics • Biopsies ACUSON X700 Ultrasound System: Explore More. Experience More. Expect More. Other technologies like SieClear™ multi-view spatial compounding, DTI™ Doppler tissue imaging are also standard. Robust Technologies • Transducer innovations: The proprietary Micro-Pinless technology ensures highest signal fidelity and SNR. Hanafy lens technology gives continuous focusing delivering superb contrast and detail resolution. The system is compatible with probes of Siemens ACUSON X series, ACUSON S series and ACUSON Sequoia ultrasound systems. • Single Probe Solution with a 50 mm aperture, 4-12 MHz, linear transducer, for both superficial and deep imaging. • Intracardiac echocardiography (ICE) imaging, Clarify VE (clear vessel delineation), SieScape Panoramic imaging, Cadence contrast imaging, 3 Scape 3D imaging and Advanced fourSight imaging (4D) applications are also supported. The premier system of our ACUSON X series of ultrasound machines, ACUSON X700, provides exceptional image quality, robust technologies and intelligent workflow solutions at an excellent price/performance ratio! New System Design & Improved Ergonomics • 20 inch LED monitor • 2 front facing USB ports Enhanced Imaging Performance Advanced imaging technologies that were previously available only on high-end systems are now standard on the ACUSON X 700 systems to yield excellent image quality. Advanced SieClear™ spatial compounding enhances anatomic border definition and improves tissue contrast. Dynamic TCE™ reduces speckle/noise facilitating subtle tissue differentiation. • CartoSound™ communications: Integration of ultrasound with Carto 3 System technology providing an electroanatomical map of the heart combined with Soundstar™ 3D catheter imaging. Intelligent Workflow TGO (Tissue Grayscale Optimization) for instantaneous one-button image optimization, DICOM structured reporting for obstetrics/gynaec., vascular and cardiac applications and knowledge based workflows like syngo AutoOB, syngo Auto Left Heart, Axius™ edge-assisted ejection fraction measurements, syngo AHP Arterial Health Package, syngo fourSight™ TEE view, syngo Velocity Vector Imaging, Auto Follicle, all reduce exam time & increase patient throughput. Applications Abdomen, Breast, Cardiac, Emergency Medicine, Gynecology, Musculoskeletal, Obstetrics, Orthopedics, Stress Echo, TEE, Testicular, Thyroid, Vascular. ACUSON P300: A Complete, Portable Point of Care Solution The ACUSON P300™ ultrasound system is designed for high performance, mobility and ease of use. • Portable yet fully featured • Excellent image quality and workflow efficiency • An ideal choice for multi-user needs and/or facility with space constraints • Advanced imaging technologies as standard features • Offers 13 probes and high frequency imaging, 2 to 18 MHz. Page 5 i-trendz Newz flash • Backed by experienced application and service support teams Advanced Imaging Technologies • Advanced spatial compounding with up to 15 lines of sight– better border delineation enables small lesion detection • Speckle reduction – simultaneously smoothens tissue texture and enhances edges; customizable for tissue type • Panoramic imaging – provides extended field of view to enable display of the entire organ/structure, (obstetrics, MSK) • Harmonic imaging & 2D beam steering also supported Efficient Workflow • Multiple user configurable presets, background multitasking, customizable measurement & reporting packages, single Issue 8 / 2012 button 2D/color optimization Comprehensive transducer offerings Delivering an entire spectrum of applications, the system supports linear, convex, phased array, endo-cavity, laparoscopic and intraoperative probes, which are also available with disposable needle guides. ACUSON S2000 Advancements Multimodality Review Images from other modalities like CT/MR/Mammo can be imported and studied during routine ultrasound scanning. • The technology is revolutionary over the conventional time consuming fusion which requires manual CT/MR image alignment and strict patient immobility throughout the scan Advantages • Query & Retrieve multimodality datasets to guide ultrasound • Correctly identify and evaluate multiple lesions • Increased accuracy in follow-up measurements • Enhanced workflow by immediate reference to prior CT/MR eSie Fusion imaging: Large Renal Cyst eSie Guide Real-time Needle Tip Tracking gives multi-planar display allowing accurate needle path visualization and planning, both in-and outof-plane. It reduces risk of biopsy and ablation. CT to US – Renal Color Flow Nuance PowerScribe 360 | Reporting Siemens brings the powerful Ultrasound reporting solution, with its robust dragon speech recognition technology to ACUSON S2000, for more accurate and fast data transfer. It offers speech recognition, structured reporting, multisite workflow, peer review, data capture, integrated clinical content and communication tools. Advantages • Practical workflow for routine clinical use • Increased diagnostic confidence in difficult cases • Reduced dose exposure and expense of multi-modality procedures by triage of CT and MR follow ups Clinical Applications • Real-time guidance for biopsies and treatment • Follow-up on prior diagnosis • RF ablations - planning, guidance Benefits • Increased workflow efficiency • Bypasses DICOM structured reporting • Supports best practice, multi-site workflow • Seamless integration with RIS/PACS • Eliminates errors due to manual data entry eSie Fusion Industry’s 1st single click auto-registration, also available on the ACUSON S3000 platform, has been a major attraction at RSNA. • It combines the benefits of real-time Ultrasound imaging with the global imaging display of CT/MR/Mammo • Auto Registration is fast and accurate based on an ultrasound clip capture Real-time needle tracking Page 6 i-trendz Newz flash Issue 8 / 2012 Cios Alpha • New radiographic collimators automatically track and follow image rotation to help ensure that the monitors always display the maximum field of view. Power: The most powerful 25 kW mobile C-arm, to see and do more. At 25 kW, Cios Alpha is the most powerful mobile C-arm system available. This is especially beneficial when operating on obese patients, who require more system power to obtain images of sufficient quality. A special cooling system that helps to ensure high image quality. The Cios Alpha’s special cooling system that ensures consistent high image quality and removes the need to change overheated C-arm systems during long operations. Siemens presents new mobile Flat Detector (FD) C-arm, Cios Alpha. The first mobile C-arm to use Full View FD technology, with intelligent power management, unique vascular applications and effortless control for the surgeon. Full View FD: Outstanding image quality and up to 25% more coverage, even during image rotation • The system’s 30 x 30 cm detector provides high-resolution, high-contrast images and can cover the finest structures in the range of submillimeters – a particularly beneficial feature in minimally invasive surgery. • The square field of view increases the operating area field of view upto 25 % and removes geometric distortion. Ergonomically designed control system: Full table-side control and single touch positioning for effortless operability. A unique position storage feature, allows the motorized C-arm to store and revert to a previously stored projection, in one click, thereby eliminating manual repositioning. Vascular workflow: Fully integrated vascular support, featuring unique live graphical overlay, ideally suited for vascular interventions. Cios Alpha includes a range of innovative features to improve efficiency and make your life easier. Cios Alpha’s versatile features extend its flexibility to meet the needs of the most relevant clinical disciplines – from cardiac surgery, electrophysiology and gastroenterology to orthopedic, trauma, spine surgery, pain management and urology. MAMMOMAT Inspiration with PRIME Technology: The Reference in Low Dose Mammography Screening mammography subjects healthy women to ionizing radiation. This makes low dose whilst maintaining high image quality, to detect lesions, of prime importance. Siemens Healthcare presents MAMMOMAT Inspiration with PRIME Technology – the first mammography system that lowers patient dose up to 30% without compromising image quality. This new reconstruction algorithm from Siemens for the MAMMOMAT Inspiration systems is also known as PRIME (Progressive Reconstruction, Intelligently Minimizing Exposure). This unique algorithm replicates the function of the grid. It identifies scatter-causing structures and calculates a corrected image, enabling complete use of primary radiation so physicians can achieve high-quality images with lower dose. With grids no longer necessary, lower doses are sufficient to produce highquality images. Page 7 i-trendz Newz flash Issue 8 / 2012 Artis Q and Artis Q.zen: Precision, Performance and Sensitivity Artis Q Artis Q and Artis Q.zen - Visionary in Performance, Precision and Sensitivity Artis Q and Artis Q.zen, our new product lines for interventional imaging, are visionary breakthroughs in X-ray generation and detection taking performance, precision and sensitivity to the next level. Artis Q is a visionary breakthrough in X-ray generation and detection. Artis Q.zen is a visionary breakthrough in X-ray detection with unique sensitivity enabling ultra-low dose imaging. Artis Q.zen introduces for the first time a groundbreaking new detector technology based on crystalline silicon. It reduces electronic noise and allows imaging at ultra-low-dose levels. This is especially important in dose-sensitive application fields such as pediatric cardiology and radiology, or electrophysiology. Artis Q and Artis Q.zen offer unparalleled performance with the new powerful GIGALIX X-ray tube, completely built on Siemensunique flat-emitter technology, for a clearer visualization of small devices and objects in motion. It features up to 1000 mA maximum current for high contrast even in steep angulations and dose savings due to an optimized pulse spectrum of up to 57% per pulse. Artis Q.zen The new syngo Dyna3D HighSpeed feature allows the system to perform a 200 degree rotation in less than three seconds. Speed is good for patients, especially those with compromised kidney function. syngo Dyna3D HighSpeed saves a significant amount of contrast agent, because the faster you scan, the less contrast you need to inject. Speed is also essential for lung scans, where patients have to hold their breath. They will really appreciate imaging that lasts only a few seconds. Accurate visibility is crucial in interventional cardiology. Increasingly complex procedures require precise information about the stent to be implanted, as well as previously deployed stents, the location of coronary lesions and cardiac anatomy. With CLEARstent Live, enhanced imaging of the devices is now displayed in real-time, while the doctor pushes a catheter through the blood vessel. IVUSmap combines the advantages of intravascular ultrasound (IVUS) and angiography through co-registration. By linking the two modalities, the application provides spatial localization for IVUS images within the coronary tree and adds information about vessel, lumen and wall structure to angiography. Innovative applications for more precise and personalized interventional imaging New applications for Artis Q and Artis Q.zen support precise guidance during radiology, cardiology and surgery interventions. The new high-dynamic range detector with 16 bits provides four times more dynamic range than before. This enables enhanced image quality in advanced 3D imaging, for increased contrast resolution and more homogenous image quality in 3D imaging. syngo DynaPBV Body is a new 3D functional imaging protocol providing additional physiological information about the patient’s condition before and during interventional treatment. Blood volume maps visualize the distribution of blood in lesions and surrounding tissue. This insight into perfusion aids doctors in characterizing lesions and determining endpoints of treatment and mark a step further towards personalized treatment. syngo DynaCT360 syngo Neuro PBV i-trendz Newz flash Page 8 Issue 8 / 2012 syngo.via*: The 3D routine and advanced reading solution The syngo.via 3D routine and advanced reading solution helps to accelerate workflows across all modalities and is suitable for both day-to-day and more challenging cases. Siemens Healthcare introduces the new version VA20, with the range of new and improved functions, syngo.via is now easier to use. Key features • Region Growing function for interactive Segmentation allows users to better visualize anatomical structures in volume datasets. This improved view supports both diagnosis and surgery planning. • Automatic Spine Labeling - for more precise diagnosis and rapid orientation within the image data. • syngo.CT Neuro Perfusion - visualizes blood perfusion in the brain for the proper management of acute stroke. • syngo.CT Bone Reading - allows fast and comprehensive bone assessment while reading CT images. All ribs and the spine are displayed spread out in one plane for efficient assessment of the complete anatomy. • syngo.MR Vascular Analysis - optimizes the angiography workflow from scanning to evaluation. An innovative MRspecific vessel segmentation algorithm generates more consistent, reproducible results. • syngo.PET Amyloid Plaque - complements the qualitative visual interpretation of PET amyloid scans with quantitative information. • syngo.Breast Care - this client-server application for leadingedge mammography and tomosynthesis reading. It allows to tailor workflows to personal preferences, compare prior and follow-up exams, define layouts, sizes and tools and include images from other modalities such as Ultrasound and MR. • syngo.via Dual Energy - Functional and quantitative evidence adds deeper diagnostic confidence to your daily clinical routine. syngo.via with CT Dual energy Direct Angio, Lung Analysis, Calculi Characterization, Brain Hemorrhage, Heart PBV, Virtual Unenhanced and Gout applications, CT scanner obtains another level of diagnostics. syngo.Breast Care syngo.CT Neuro Perfusion syngo.CT Bone Reading syngo.MR Vascular Analysis syngo.via element Catering to your need with syngo.via Element, Siemens offers 3D reading software for both routine and advanced applications. This gives customers the flexibility they need – whether they are based at a specialized practice or a major research hospital. syngo.via Images, my way. syngo.via Element, is an entry-level solution for 3D routine and advanced reading and includes applications specifically designed for reading CT studies, in neurology and oncology. Diagnostic reading on the move With syngo.via, you don’t just read images – you get the full picture syngo.via WebViewer**, a new mobile application for iPAD. Its advanced networking functionality makes workflows more flexible by enabling physicians to view images on a mobile device, easily sharing them with colleagues. syngo.via WebViewer can be configured as an integrated solution with syngo.via, offering scalability. The modular licensing models are available and users can customize applications and layouts as they see fit. *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. **Not for diagnostic use syngo.via WebViewer Compiled by Clinical Marketing Team, Healthcare Sector, Siemens Ltd., 130, P. B. Marg, Worli, Mumbai - 400 018. Tel.: 91 22 3967 7000. Fax: 91 22 3967 7500. www.siemens.co.in/healthcare