somatom go.now clinical cases
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SOMATOM go.Now
Clinical Casessiemens-healthineers.com/somatom-go-now
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SOMATOM go.Now Run a successful CT business
The expenses that come with a CT scanner always pose a certain amount of risk, particularly to smaller institutions. In routine CT imaging, it is not just about providing answers to patients but also about running a business.
We developed the SOMATOM® go. platform to help you achieve daily success. As a member of this family, SOMATOM® go.Now comes with workflow and usability innovations that improve efficiency independent of the individual user’s level of experience. It delivers great results for routine scanning and a completely redesigned service model combined with an innovative workplace design that helps reduce costs.
Whether you are looking to replace your previous system or just starting out in CT imaging, SOMATOM go.Now addresses your routine operations needs. It makes high-quality care accessible and helps you run a successful CT business – allowing you to keep an eye on profitability and stay competitive.
SOMATOM go.Now helps you integrate complex exams into daily practice. You will be able to offer routine lung cancer screening and angiography, and assess gout or kidney stones using TwinSpiral Dual Energy. Equipped with premium technologies, SOMATOM go.Now delivers results you would not expect from a routine system.
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ContentsLung Imaging 7Abdominal, Pelvic and Whole-Body Imaging 15CT Angiography 23Head Imaging 29Musculoskeletal Imaging 39Spectral Imaging with TwinSpiral Dual Energy 47Dental Imaging 53CT-guided Interventions with Guide&GO 57How to get there 61
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Lung Imaging
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Lung Imaging
Sn110 kV / 75 mAs
CTDIvol 1.34 mGy
DLP 53.6 mGy*cm
Exposure time 18 s
Scan length 396 mm
Pitch 1.5
Rotation time 0.8 s
Collimation 16 x 0.7 mm
• Tin Filter technology cuts out lower energies to reduce dose and enhance image quality at the interface of soft tissue and air
• Beat your competition with lung imaging powered by Tin Filter technology
Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Hangzhou, P.R. China
Thick-slice MIP
Coronal MPR
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Lung Imaging
130 kV / 81 mAs
CTDIvol 4.69 mGy
DLP 151 mGy*cm
Exposure time 19 s
Scan length 336 mm
Pitch 1.5
Rotation time 1.0 s
Collimation 16 x 0.7 mm
• Excellent visualization of lung tissue
• Anticipate potential breathing artifacts by proactively characterizing the patient’s ability to comply with an acceptable breath-hold with myExam Companion
Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Hangzhou, P.R. China
Transversal15 mm thick-slice MIP
Coronal oblique MPR1 mm slice thickness
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Lung Imaging
130 kV / 188 mAs
CTDIvol 8.24 mGy
DLP 255.9 mGy*cm
Exposure time 14 s
Scan length 324 mm
Pitch 1.5
Rotation time 0.8 s
Collimation 16 x 0.7 mm
• Automatic segmentation of solid and subsolid nodules with CT View&GO
Courtesy of Tadokoro Clinic, Saitama, Japan
Thick-slice MIP
Thick-slice MIP
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Diameter: 14.5 mmMean diameter: 11.8 mmVolume: 0.975 mLWHO area: 136.2 mm2
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Lung Imaging
130 kV / 101 mAs
CTDIvol 5.29 mGy
DLP 159 mGy*cm
Exposure time 14 s
Scan length 312 mm
Pitch 1.5
Rotation time 1.0 s
Collimation 16 x 0.7 mm
• Excellent visualization of lung tissue and vessels
• Robust VRT tools at CT View&GO
• Confirm correct organ coverage and contrast agent distribution with Check&GO
Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
1 mm slice thickness axial MPR
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2 mm slice thickness coronal MPR Oblique VRT
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Abdominal, Pelvic and Whole-Body Imaging
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Abdominal, Pelvic and Whole-Body Imaging
130 kV / 225 mAs
CTDIvol 8.85 mGy
DLP 394 mGy*cm
Exposure time 21 s
Scan length 458 mm
Pitch 1.5
Rotation time 0.8 s
Collimation 16 x 0.7 mm
• Excellent visualization of very small kidney stones with the Stellar detector
• The advanced 3D antiscatter collimator minimizes image noise and increases dose efficiency
Courtesy of Tadokoro Clinic, Saitama, Japan
1 mm slice thickness coronal MPR
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Abdominal, Pelvic and Whole-Body Imaging
5 mm slice thickness
130 kV / 147 mAs
CTDIvol 7.71 mGy
DLP 379 mGy*cm
Exposure time 29 s
Scan length 505 mm
Pitch 1.5
Rotation time 1.0 s
Collimation 16 x 0.7 mm
• Excellent image quality in native abdomen scans enabled by Stellar detector technology
• Automatic MPR orientation thanks to Recon&GO
Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Hangzhou, P.R. China
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Abdominal, Pelvic and Whole-Body Imaging
130 kV / 123 mAs(each phase)
CTDIvol 8.85 mGy (each phase)
DLP 268 mGy*cm (each phase)
Exposure time 22 s (each phase)
Scan length 315 mm (each phase)
Pitch 1.0 (each phase)
Rotation time 0.8 s (each phase)
Collimation 16 x 0.7 mm (each phase)
• Excellent image quality abdomen scans enabled by Stellar detector technology
• Flexible coronal oblique MPR created for native, arterial, portal-venous and delayed scans
Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
Multiphase abdomen study
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Abdominal, Pelvic and Whole-Body Imaging
130 kV /123 mAs(each phase)
CTDIvol 8.85 mGy (each phase)
DLP 268 mGy*cm (each phase)
Exposure time 22 s (each phase)
Scan length 316 mm (each phase)
Pitch 1.0 (each phase)
Rotation time 0.8 s (each phase)
Collimation 16 x 0.7 mm (each phase)
• Coronal thick-slice MIP for portal-venous scans for visualization of the portal vein
Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
Portal venous phase
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Abdominal, Pelvic and Whole-Body Imaging
130 kV / 123 mAs(each phase)
CTDIvol 8.85 mGy (each phase)
DLP 268 mGy*cm (each phase)
Exposure time 22 s (each phase)
Scan length 316 mm (each phase)
Pitch 1.0 (each phase)
Rotation time 0.8 s (each phase)
Collimation 16 x 0.7 mm (each phase)
• CT View&GO allows you to evaluate and display tissue densities within a certain HU range (e.g., fat quantification)
• Prevent subsequent errors in multiphase scans and avoid archiving of suboptimal images with Check&GO
Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
Min / Max: -200 HU / -30 HUMean / SD: -100 HU / 25 HUArea: 163.92 cm2
Thresholds: -200 HU / -30 HU
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Abdominal, Pelvic and Whole-Body Imaging
130 kV / 120 mAs
CTDIvol 10.86 mGy
DLP 449 mGy*cm
Exposure time 19 s
Scan length 375 mm
Pitch 1.4
Rotation time 0.8 s
Collimation 16 x 0.7 mm
• Free selection between 5 levels of SAFIRE1 for different image impressions
Courtesy of Tadokoro Clinic, Saitama, Japan
FBP
SAFIRE 3
SAFIRE 1
SAFIRE 5
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CT Angiography
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CT Angiography
130 kV / 98 mAs
CTDIvol 2.34 mGy
DLP 308 mGy*cm
Exposure time 51 s
Scan length 1083 mm
Pitch 1.5
Rotation time 0.8 s
Collimation 16 x 0.7 mm
• Excellent contrast behavior to support the identification of stenoses even in fine and small vessels
• Perfect combination of correct timing and high spatial resolution
Courtesy of KGS Advanced MRI and CT Scans, Madurai, India
Curved MPR MIP reconstruction
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CT Angiography
80 kV / 281 mAs(400 mA max)
CTDIvol 4.16 mGy
DLP 132 mGy*cm
Exposure time 30 s
Scan length 330 mm
Pitch 0.75
Rotation time 0.8 s
Collimation 16 x 0.7 mm
• High Power 80 for improved iodine contrast
• Potential reduction of required contrast media dosage
• Curved MPR for vessel analysis shown
Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
SAFIRE 3
SAFIRE 5
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CT Angiography
110 kV / 150 mAs
CTDIvol 5.46 mGy
DLP 474 mGy*cm
Exposure time 41 s
Scan length 880 mm
Pitch 1.5
Rotation time 0.8 s
Collimation 16 x 0.7 mm
• Challenging lateral arm positioning supported by ALPHA (Automatic Landmarking and Parsing of Human Anatomy) technology for automatic orientations
Courtesy of KGS Advanced MRI and CT Scans, Madurai, India
Oblique MIP
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Oblique VRT
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Head Imaging
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Head Imaging
130 kV / 104 mAs
CTDIvol 44.35 mGy
DLP 683 mGy*cm
Exposure time 25 s
Scan length 167 mm
Pitch 0.55
Rotation time 1.0 s
Collimation 16 x 0.7 mm
• Excellent low-contrast performance for differentiation of gray/white matter
• X-CARE for protection of the eye lenses
• “Does the scan range include sensitive organs such as the eyes?” myExam Companion translates technical parameters into clinical language and triggers X-CARE automatically if needed
Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Hangzhou, P.R. China
Without X-CARE With X-CARE min.
max.
Absorbeddose
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Head Imaging
Sn110 kV / 182 mAs
CTDIvol 7.02 mGy
DLP 112 mGy*cm
Exposure time 18 s
Scan length 172 mm
Pitch 0.8
Rotation time 1 s
Collimation 16 x 0.7 mm
• High spatial resolution for the fine structures
• ALPHA technology for a faster, more standardized and safer workflow
Courtesy of KGS Advanced MRI and CT Scans, Madurai, India 31
Head Imaging
Sn110 kV / 125 mAs
CTDIvol 6.74 mGy
DLP 76.8 mGy*cm
Exposure time 19 s
Scan length 127 mm
Pitch 0.55
Rotation time 1.0 s
Collimation 16 x 0.7 mm
• Free selection between 5 levels of SAFIRE1 for different image impressions
• Optimized X-ray spectral shaping for improved dose efficiency with the Tin Filter
Courtesy of Tadokoro Clinic, Saitama, Japan
FBP
SAFIRE 1
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SAFIRE 2 SAFIRE 3
SAFIRE 4 SAFIRE 5
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Head Imaging
110 kV / 125 mAs
CTDIvol 8.05 mGy
DLP 65 mGy*cm
Exposure time 15 s
Scan length 107 mm
Pitch 0.55
Rotation time 1.0 s
Collimation 16 x 0.7 mm
• 0.6 mm thin-slice reconstructions thanks to Stellar detector technology
• Small bony structures sharply visualized with a balanced imaging chain: Chronon® tube + Stellar detector + SAFIRE1
Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
Slice thickness 0.6 mm
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Head Imaging
130 kV / 58 mAs
CTDIvol 33.5 mGy
DLP 313 mGy*cm
Exposure time 15 s
Scan length 107 mm
Pitch 0.55
Rotation time 1.0 s
Collimation 16 x 0.7 mm
• Thin slice reconstructions thanks to Stellar detector technology
• Small bony structures sharply visualized with a balanced imaging chain: Chronon® tube + Stellar detector + SAFIRE1
Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
0.6 mm reconstruction
0.8 mm reconstruction
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Head Imaging
130 kV / 104 mAs(each phase)
CTDIvol 45.3 mGy (each phase)
DLP 731 mGy*cm (each phase)
Exposure time 26 s (each phase)
Scan length 174 mm (each phase)
Pitch 0.55 (each phase)
Rotation time 1.0 s (each phase)
Collimation 16 x 0.7 mm
• Fast VRT postprocessing of oblique views with integrated CT View&GO tools
• Reduced artifacts even in challenging patient positioning circumstances
Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
Oblique view VRT
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Oblique view VRT
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Musculoskeletal Imaging
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Musculoskeletal Imaging
Sn110 kV / 76 mAs
CTDIvol 1.33 mGy
DLP 16.8 mGy*cm
Exposure time 14 s
Scan length 139 mm
Pitch 0.8
Rotation time 1.0 s
Collimation 16 x 0.7 mm
• Low-dose combination of iMAR + Tin Filter + SAFIRE1
• iMAR brings high-end metal artifact reduction to routine orthopedic scanning
Courtesy of Tadokoro Clinic, Saitama, Japan
Axial and VRT reconstructions
With iMAR Without iMAR
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Musculoskeletal Imaging
130 kV / 105 mAs
CTDIvol 11.2 mGy
DLP 846 mGy*cm
Exposure time 39 s
Scan length 829 mm
Pitch 1.5
Rotation time 0.8 s
Collimation 16 x 0.7 mm
• Focus on your patient. Recon&GO automatically takes care of postprocessing
• Spine labeling enables evaluation of fractures even in complex situations (in this case, T12 trauma)
• Improved workflow for the assessment of fracture extent and fragments for therapy planning
Courtesy of KGS Advanced MRI and CT Scans, Madurai, India
Transversal oblique MPR
Curved MPR reconstruction
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Musculoskeletal Imaging
130 kV / 90 mAs
CTDIvol 9.96 mGy
DLP 269 mGy*cm
Exposure time 30 s
Scan length 283 mm
Pitch 0.8
Rotation time 1.0 s
Collimation 16 x 0.7 mm
• iMAR removes or mitigates artifacts in a wide variety of clinical situations
• Metal artifact reduction handles metal implants without disrupting workflows
• “Does the patient have metal implants?” Just answer this clinical question and let myExam Companion take care of the technical adaptions
Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
With iMAR Coronal MPR
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Without iMAR Coronal MPR
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Musculoskeletal Imaging
130 kV / 90 mAs
CTDIvol 9.96 mGy
DLP 269 mGy*cm
Exposure time 30 s
Scan length 283 mm
Pitch 0.8
Rotation time 1.0 s
Collimation 16 x 0.7 mm
• iMAR brings high-end metal artifact reduction to routine orthopedic scanning
Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
VRT based on iMAR images
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Musculoskeletal Imaging
130 kV / 164 mAs
CTDIvol 19.99 mGy
DLP 487 mGy*cm
Exposure time 24 s
Scan length 257 mm
Pitch 0.9
Rotation time 1.0 s
Collimation 16 x 0.7 mm
• Multiple protrusions of disks clearly displayed
Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
Sagittal and axial oblique 2 mm MPR
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Spectral Imaging with TwinSpiral Dual Energy
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Spectral Imaging with TwinSpiral Dual Energy
Courtesy of KGS Advanced MRI and CT Scans, Madurai, India
110 kV / Sn130 kV
CTDIvol 8.41 mGy
DLP 159 mGy*cm
Exposure time 12 s
Scan length 168 mm
Pitch 1.0
Rotation time 0.8 s
Collimation 16 x 0.7 mm
• Powerful spectral separation thanks to the Tin Filter
• Recon&GO DE and syngo.CT DE applications offer you a comprehensive assessment directly at the scanner
• Reduce complexity while enhancing consistency in routine but also more advanced examinations – let myExam Compass guide you when deciding if Single or Dual Energy is the best answer for the clinical task
1 mm mixed MPR
3 mm mixed MPR
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App: Mixed / 110 / Sn130CT-Value: 1185 / 1402 / 1093 HURatio: 1.29 Volume: 61.9 mm3
Diameter: 3.8 | 3.4 mmPrecision: high
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Spectral Imagingwith TwinSpiralDual Energy
Courtesy of 1st Affiliated Hospital of Zhengzhou University, Zhengzhou, P.R. China
• TwinSpiral Dual Energy with new workflow concept of two scans integrated into one single acquisition
• Powerful spectral separation thanks to Tin Filter
• Recon&GO DE Gout for automatic results and syngo.CT DE Gout advanced application directly at the scanner V(<0): 0.04 cm3
110 kV / Sn130 kV
CTDIvol 8.41 mGy
DLP 159 mGy*cm
Exposure time 12 s
Scan length 168 mm
Pitch 1.0
Rotation time 0.8 s
Collimation 16 x 0.7 mm
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Dual Energy enables visualization of gout
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Dental Imaging
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Dental Imaging
Courtesy of Tadokoro Clinic, Saitama, Japan
130 kV / 140 mAs
CTDIvol 18.7 mGy
DLP 336 mGy*cm
Rotation time 1.0 s
Collimation 16 x 0.7 mm
• iMAR removes or mitigates artifacts in a wide variety of clinical situations
• Metal artifact reduction handles metal implants without disrupting workflows
Challenges in reading due to metal artifacts
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Without iMAR With iMAR
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CT-guided Interventions with Guide&GO
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0.5 mm MPRs (soft tissue and lung window)and Cinematic VRT
CT-guided Interventionswith Guide&GO
Courtesy of Lung Center of Philippines, Quezon City, Philippines
Planning spiral
130 kV
CTDIvol 6.9 mGy
DLP 35.4 mGy*cm
Exposure time 1 s
Scan length 57 mm
• Intuitive, tablet-based workflow with precise needle positioning even in moving organs
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CT-guided Interventionswith Guide&GO
FAST i-Sequence thorax for biopsy
130 kV
CTDIvol 90.2 mGy
DLP 81.2 mGy*cm
Exposure time 7 x 0.8 s
Scan length 9 mm
• CT-guided needle biopsy of suspicious lung lesion with Guide&GO
• Safeguard needle placement with FAST i-Sequence for instant monitoring of the needle position
Courtesy of Lung Center of Philippines, Quezon City, Philippines 59
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How to get there
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Technology overview
myExam Companion
The SOMATOM go. platform starts the era of intelligent CT scanning with myExam Companion. With it, AI turns aggregated data into built-in expertise to automatically leverage the full potential of technologies – regardless of where, when, and by whom the results have been produced.
This allows for reliable and reproducible results from day one. myExam Companion means performing all advanced CT examinations as perfectly and quickly as if they were routine, allowing even unexperienced users to find the best combination of parameters for every individual patient and procedure. Personalized imaging for precise dose and contrast media optimization, reduced unwarranted variations, and always consistent results for enhanced diagnostic experience.
Inline/offline postprocessing
SOMATOM go.Now comes with two kinds of postprocessing tools: a zero-click “inline” reconstruction toolkit and another one for “offline” diagnosis.
The inline results of Recon&GO save time, reduce workflow steps, and deliver ready- to-read, standardized images. Recon&GO offers you, among other things, the possibility of anatomical ranges, table and bone removal, vascular CPR (Curved Planar Reconstruction), and multi recon (for automated multiple reconstructions in just one step). Furthermore, you can add spine ranges, rib ranges, and Lung CAD.
For offline diagnosis, CT View&GO offers dedicated tools for smooth and efficient reading. It includes anatomical ranges, table and bone removal, vessel extension, and endoscopic view among others. In addition, it can be further enhanced with spine ranges and Lung CAD as well as the advanced applications syngo.CT Osteo and syngo.CT Neuro DSA.
Spectral Imaging with Dual Energy
SOMATOM go.Now offers spectral imaging with TwinSpiral Dual Energy that makes DE routine-ready – completely neutral in dose and workflow.
TwinSpiral offers the ability to acquire two spiral data sets in sequence at different energies. Thanks to the spectral properties of the Tin Filter, TwinSpiral DE allows better spectral separation for noncontrast examinations. By allowing you to characterize, highlight, and quantify different materials, Dual Energy gives you greater diagnostic confidence.
And combined with dedicated Spectral Viewing packages2 it allows for comprehensive assessment. No matter if you would like to do your postprocessing directly at the console or have it sent automatically to PACS by Recon&GO instead – it offers a solution for all clinical workflows.
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High Power 80
High Power 80 (high mA values in 80 kV imaging) allows you to scan with 400 mA at 80 kV for enhanced iodine contrast, which, combined with always-on sub-mm collimation, is especially beneficial for small distal vessels. The increased iodine contrast of the image allows you to reduce the amount of contrast media considerably – for better patient care and reduced examination costs.
High Power 80 is based on the mass attenuation coefficient. For lower photon energies, the mass attenuation coefficient of iodine increases, whereas soft tissue is less energy-dependent. This means that the iodine-to-soft tissue contrast in the CT image will increase with low-kV imaging – and lower average photon energy. This increase is extremely beneficial for contrast-enhanced studies.
Stellar detector
The Stellar detector lowers image noise in every scan, while advanced iterative reconstruction from SAFIRE delivers excellent image quality at very low doses.1 This provides excellent and homogeneous image quality, even in complex areas such as the base of the skull, making it especially relevant for routine neuro imaging.
The Stellar detector’s high-end technology includes fully integrated components and an advanced 3D antiscatter collimator. It keeps electronic noise low, increases dose efficiency, and improves spatial resolution. The smart configuration of the detector elements simplifies access, eases maintenance, and increases scanner uptime.
Tin Filter
Inherited from high-end Dual Source CT scanners, the Tin Filter cuts out lower energies to reduce dose and optimize image quality at the interface between soft tissue and air. This has direct benefits in lung and colon imaging, for example.
Clinical experience also shows that Tin Filter technology reduces beam hardening artifacts and improves image quality in bony structures, also making it extremely useful in orthopedic examinations.
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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 Healthineers sales organization worldwide. Availability and packaging may vary by country and are subject to change without prior notice. Some of the features and products described herein may not be available in the United States.
The information in this document contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases.
Siemens Healthineers reserves the right to modify the design, packaging, specifications, and options described herein without prior notice. Please contact your local Siemens Healthineers 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.
Published by Siemens Healthcare GmbH · Order No. CT-09342-44C1-7600 · Printed in Germany · 8466 0221 · © Siemens Healthcare GmbH, 2021
Siemens Healthineers HeadquartersSiemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com
International version. Not for distribution or use in the U.S.
1 In clinical practice, the use of SAFIRE may reduce CT patient dose depending on the clinical task, patient size, anatomical location, and clinical practice. A consultation with a radiologist and a physicist should be made to determine the appropriate dose to obtain diagnostic image quality for the particular clinical task.
2 For Mixed, Monoenergetic Plus, Gout, Calculi Characterization (kidney stones)