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€ 19.The Radiology Guide to Technology & Informatics in Europe























IT CT MRI Interventional Mammo R/F Nuc Displays / Printers Ultrasound Injectors Testing Devices

2012

Aplio’s revolutionary High Density Beamforming architecture provides you with clinical images of exceptional resolution and detail, so you can always get your diagnostic answer quickly and reliably. The system is equipped with a wide range of powerful clinical tools for advanced visualization, quantification and intervention for daily routine and clinical research.

Dear Reader,

EDITORIAL

Looking back at RSNA there are two terms that epitomize current developments and innovations in radiology: mobility and image fusion. Today, powerful image processing and image management solutions allow users to view images and access patient data on a multitude of mobile devices – not only in any corner of the hospital but also ‘on the go’ as long as a mobile phone network is available. But it is ultrasound technology that quite surprisingly has come up with some of the most stunning innovations in image processing and communication. Where a few years ago clinical detail seemed to be hidden in clutter noise and patients were offered but a tiny photo torn off a role of thermo paper today the sonographer can go on a virtual trip through cavities and vessels. But even better: Modern ultrasound systems correlate CT and 3D ultrasound data volumes and display findings from different modalities and from different planes next to each other on the console. Thus US-guided needle biopsies can now be performed based on CT data. This, in our opinion, is an outstanding example of modern technology that enhances diagnostic safety and patient comfort alike. See you at www.radbook.eu

Daniela Zimmermann Guido Gebhardt

Published by:

Imprint

EUROPEAN HOSPITAL Verlags GmbH Theodor-Althoff-Straße 45, 45133 Essen, Germany, Phone +49-201-87126-851, www.european-hospital.com and XT Media Guido Gebhardt, Adalbert-Stifter-Weg 2 b, 85661 Forstinning, Germany, Phone +49-8121-907630, www.radiologieforum.de Editor-in-Chief: Guido Gebhardt, Daniela Zimmermann, Executive Director: Daniela Zimmermann, Advertising: Ralf Mateblowski (D, A, CH), Eric Jund (E, F, I), Simon Kramer (B, GB, L, NL), Gavin Hua (China), C. H. Park (Korea), Hannah Wizer (Israel), Hanna Politis (U.S.A, Canada), Subscription: Janka Hoppe, Subscription rate: € 19.– plus postage The information and opinions expressed in articles and product entries published in RADBOOK are solely those of the manufacturers / companies, their authors and contributors, for which the publisher holds no responsibility. Errors and omissions excepted. © 2012 by EUROPEAN HOSPITAL Verlags GmbH. All rights reserved

CONTENTS 6 RAD·BOOK 2012

IT SOLUTIONS TABLE EDITORIAL COMPUTED TOMOGRAPHY

...................................................... 3, 165

R/F – DIGITAL

........................................................................ 85

Imaging made more fl exible,mobile and reliable .................................. 86 The wireless, digital AeroDR fl at panel Detector ................................... 88

.................................................................................

5

CR .................................................................................................... 90 DR .................................................................................................... 94

..............................................

7

Mobile ............................................................................................... 109

Dual Source .......................................................................................

8

Fluoroscopy ....................................................................................... 115

Volume CTs........................................................................................

8

20 to 64 Slices .................................................................................. 10 2 to 16 Slices .................................................................................... 11 Oncology CT ...................................................................................... 14 Digital Volume Tomography................................................................. 14 Accessories ....................................................................................... 16

MAGNETIC RESONANCE IMAGING

MOLECULAR IMAGING

....................................................... 120

SPECT ............................................................................................... 121 SPECT-CT ........................................................................................... 123 PET ................................................................................................... 123 PET-CT ............................................................................................... 124 PET-MR .............................................................................................. 125

............................... 18

1.5 T ................................................................................................. 22

DISPLAYS / PRINTERS

Open ................................................................................................. 26

Displays – Mammography .................................................................. 127

Surgical MRI ...................................................................................... 29

Displays – Grayscale.......................................................................... 127

Accessories ....................................................................................... 29

Displays – Color ................................................................................ 129

3 T .................................................................................................... 20

...................................................... 126

Displays – Viewing ............................................................................. 131

INJECTORS INTERVENTIONAL SYSTEMS

Displays – Large Format ..................................................................... 131

............................................................................... 32

Printers ............................................................................................. 133 Accessories ....................................................................................... 136

........................................... 37

Bi-Plane ............................................................................................. 38

ULTRASOUND

........................................................................... 138

Single-Plane ....................................................................................... 39

Ultrasound Devices ............................................................................ 139

Surgical C-arms ................................................................................. 43

The New Aplio Series ......................................................................... 152

Accessories ....................................................................................... 48

Accessories ....................................................................................... 155

IT SYSTEMS

TESTING DEVICES COMPANIES / SUPPLIERS

............................................................................ 49

Focusing more on the patient, less on technology................................. 50 PACS in the cloud .............................................................................. 52 RIS / PACS ......................................................................................... 54

................................................................. 156

............................................... 160

Advanced Visualization ....................................................................... 56 Portal Solution ................................................................................... 58 CAD .................................................................................................. 60

INDEX OF ADVERTISERS

Mammo Workstation .......................................................................... 62 Mobile RIS / PACS Viewer ................................................................... 62 Accessories ....................................................................................... 63

MAMMOGRAPHY

.................................................................. 65

Alliance ............................

5

Schiller .............................

24

Canon ..............................

97

Shimadzu .........................

2

Siemens ...........................

61

Carestream ...................... 167

Practical Considerations in Implementing Breast Tomosynthesis in a Clinical Setting ........................................... 66

Eizo ..................................

89

ESR ..................................

41

Digital Mammography ........................................................................ 69

Hitachi ............................. 141

TeraRecon ........................

3

Screen-Film Mammography ................................................................. 71

Hologic.............................

Tomtec .............................

53

Accessories ....................................................................................... 73

iba ................................... 116

Toshiba ............................ 151

Konica .............................. 113

Ulrich ...............................

R/F – FILM-SCREEN

........................................................... 75

Bucky ................................................................................................ 76 Fluoroscopy ....................................................................................... 78

64

Medicor ............................

12

Medrad .............................

15

Medtron ............................ 135

SIUI .................................. 137

31

Vital ................................. 166 Wandong ..........................

19

X-ray Mobile ....................................................................................... 81

RTI ...................................

57

XGY .................................. 168

Bone Densitometry ............................................................................. 83

Samsung Medison .............

84

Ziehm ...............................

Accessories ....................................................................................... 83

87

COMPUTED TOMOGRAPHY 7 RAD·BOOK 2012

A Division of Philips Healthcare

COMPUTED TOMOGRAPHY 8 RAD·BOOK 2012

Dual Source

Volume CT

Siemens SOMATOM Definition Flash with Stellar Detector

Block Imaging

Temporal resolution Scan speed Dual Energy

Channels

75 ms

Single, dual, 4, 6, 8, 16 and 64

458 mm/s Yes

Highlights – Flash Speed. Lowest Dose. – FAST CARE for all patients – New Stellar Detector for optimized low dose imaging and increased spatial resolution – Split-second thorax imaging: avoiding breath hold or sedation in pediatric patients – Sub-mSv heart scanning to cover the entire heart in only 250 ms – Raw-data based iterative reconstruction (SAFIRE) for up to 60% dose reduction at up to 20 images/sec – Dose neutral Dual Energy for a second contrast in daily routine

Highlights – – – – –

We buy used CT systems for refurbishment Give your equipment a 2nd chance at life Recover true value of your trade-in Free fair market valuations Professional project managers handle every detail of system deinstallation and removal – “Go Green” and recycle your equipment

v GE Discovery CT750 HD FREEdom Editon Views/s Power Resolution

Discovery CT 750 HD

Gemstone Spectral Imaging

Veo

> 7000

– Up to 0.25 msec temporal resolution – Monochromatic energies 40 to 140 keV – GSI cardiac

– Unique model based iterative reconstruction product – Imaging under 1 mSv with profound image clarity

– Single tube ultrafast low/high kVp switching at a rate up to 0.25 ms – Full 50 cm FOV – Metal artifact reduction – Material separation – Iodine quantification – + 15 clinical applications

– Comprehensive iterative reconstruction: advanced modeling of system statistics, and system optics – Delivering a combination of highquality images and low dose that was previously unthinkable.

100 kW 230 microns

Highlights – World’s 1st High Definition CT with Gemstone technologies – Best-in class spatial resolution of 0.23 mm across the whole body – First raw data iterative reconstruction with ASIR for lower dose and improved IQ for all anatomies – Industry leading cardiac spatial resolution with 18.2 lp/cm – Opportunity for < 1 mSv cardiac CTA – Intelligent coronary motion correction and cardiac scan assistance with SnapShot Freeze and SnapShot Assist – Up to 500 slices for 4D CTA with Volume Helical Shuttlet

GE Optima CT660

Hitachi Medical Systems SCENARIA Multislice CT

Channels Power Coverage Rotation

Slices Power Coverage / rotation in mm

64 or 128 72 or 120 kW 40 mm isotropic 0.4 s/mm (cardiac 0.35 s/mm)

64 / 128 72 kW 40

Highlights – – – – – – – – –

64 and 128 slices imaging Leadership in advanced cardiac CT Up to 40% dose reduction across the body Up to 500 slices coverage for perfusion 60% lower CO2 emission and energy saving Scalable and modular Compact for easy siting (18 sqm) Integrated ASiR reconstruction Latest innovations in a 40 mm detector CT

Highlights – – – – – – –

X-ray tube: 7.5 MHU Minimum scan time: 0.35 seconds Minimum slice thickness: 0.625 mm Open design concept. Diameter of aperture: 750 mm First CT system, equipped with a 2-dimensional anti-scattered X-ray collimator Touch vision control panel 475 mm wide patient table with “side-slide” capability for easy ideal positioning

COMPUTED TOMOGRAPHY 9 RAD·BOOK 2012

Philips Ingenuity scanners

Philips iCT scanners

Channels Power in kW Coverage/ Rotation in mm

iCT TVI iCT

iCT SP

256

256

128

120

120

100

80

80

40

Ingenuity Ingenuity Ingenuity CT Core128 Core Channels Power in kW Coverage/ Rotation in mm

128

128

64

80

80

80

40

40

40

Highlights Highlights – – – – – –

Low energy imaging for a large number of patients Full cardiac function at near background radiation levels Sub-mSv coronary CTA for a large number of patients Low-dose brain perfusion Majority of factory protocols reconstructed in under one minute 50% improvement in spatial resolution at low dose

Siemens SOMATOM Definition Edge Temporal resolution Scan speed Dual Energy

– High throughput for a 24 hour operation – Up to 57% improvement in spatial resolution at low dose – Up to 33% improvement in z-axis visualization with 128 slices for thin slice helical acquisitions – Low dose without sacrificing image quality – MRC Ice x-ray tube for reliability and fast cooling – In-room upgradability path as needs evolve

Siemens SOMATOM Definition AS+ FAST CARE Channels

142 ms

(Slices / Rot)

230 mm/s Yes

4D CT coverage Dual Energy

128 (384) 415 mm Yes

Highlights

– The Reference in Single Source CT – Unprecedented routine spatial resolution of 0.30 mm – New Stellar Detector for optimized low dose imaging and increased spatial resolution – Raw-data based iterative reconstruction (SAFIRE) for up to 60% dose reduction at up to 20 images/sec – Routine ready Single Source Dual Energy and Metal-Artifact-Reduction – Dynamic imaging up to 48 cm

– Maximize Outcome. Minimize Dose. – Uncompromised diagnosis at outstanding speed and image quality with the 0 MHU STRATON tube and z-Sharp – Workflow optimization for more reliable and reproducible scanning with FAST – Automated, kV setting with CARE kV for up to 60% dose reduction – Raw-data based iterative reconstruction (SAFIRE) for up to 60% dose reduction at up to 20 images/sec – 3D-guided CT interventions – Freely selectable air- or water cooling

Siemens SOMATOM Definition AS+ Excel Edition

Toshiba Aquilion CXL

Highlights

Channels (Slices / Rot)

4D CT coverage Dual Energy

128 (384) 255 mm

Slices Coverage / Rotation Rotation Speed

64 / 128 32 mm 0.35 sec

Yes

Highlights – Maximize Outcome. Minimize Dose. – Uncompromised diagnosis at outstanding speed and image quality with the 0 MHU STRATON tube and z-Sharp – Workflow optimization for more reliable and reproducible scanning with FAST – Automated, kV setting with CARE kV for up to 60% dose reduction – Raw-data based iterative reconstruction (SAFIRE) for up to 60% dose reduction at up to 20 images/sec – 3D-guided CT interventions – Freely selectable air- or water cooling

Highlights – – – – – – – – –

AIDR 3D and Active Collimator – fast reconstruction Cardio, automatic optimization of scan and reconstruction parameters Low dose Helical Cardiac Prospective scanning Up to 35 ms cardiac temporal resolution CT DSA with SURESubtraction Variable helical pitch combines two scans in one run (e.g. ECG-gated and Run-off) 300 kg patient load table with lateral movement SURE Xtension, remote access for instant reporting 0,5 mm detector technology with best low contrast resolution 2 mm @ 3HU SURE

COMPUTED TOMOGRAPHY 10 RAD·BOOK 2012

Toshiba Aquilion ONE

Toshiba Aquilion PRIME

Slices Coverage / Rotation Rotation Speed

Slices Coverage / rotation Rotation speed

640 160 mm 0.35 sec

Highlights

Highlights

– – – – – – – – – –

– – – – – – – – – –

Worlds first Dynamic Volume CT – AIDR 3D and Active Collimator Cardiac Sub mSv, irregular beat and perfusion scanning Complete organ perfusion coverage without table movement Isophasic dynamic organ scans at superior temporal resolution (20 vol/s) CT DSA runs of dynamic scans – dual Energy at 50 cm Field of View UltraHelical, fast scanning with outstanding quality 300 kg patient load table with lateral movement SURE Xtension, remote access for instant reporting 0,5 mm detector technology with best low contrast resolution 2 mm @ 3HU Hybrid gantry with energy regeneration

160 40 mm 0.35 sec

Dynamic volume CT with 78 cm bore AIDR 3D and Active Collimator Low dose Helical Cardiac Prospective scanning CT DSA with SURESubtraction – dual Energy with 50 cm Field of View Fast helical scanning with outstanding quality Up to 60 images/sec reconstruction 300 kg patient load table with lateral movement SURE Xtension, remote access for instant reporting 0,5 mm detector technology with best low contrast resolution 2 mm @ 3HU Hybrid gantry with energy regeneration

20 to 64 Slices Philips Brilliance CT 64 Brilliance 64 with Essence technology Channels Power in kW Coverage/ Rotation in mm

64 60

Siemens SOMATOM Definition AS Excel Edition Channels (Slices / Rot)

Gantry bore Dual Energy

64 (192) 78 cm Yes

40

Highlights

– – – – –

Routine procedures with advanced clinical capabilities Wide coverage facilitates fast acquisitions in trauma situations and cardiac Personalized image quality depending on clinical needs Now with iDose4 for improved image quality at low dose DoseWise design delivers optimal dose efficiency without compromising image quality – Essence technology with the latest X-ray tube, detector and reconstruction advancements improving image quality

– Maximize Outcome. Minimize Dose. – Uncompromised diagnosis at outstanding speed and image quality with the 0 MHU STRATON tube and z-Sharp – Workflow optimization for more reliable and reproducible scanning with FAST – Automated, kV setting with CARE kV for up to 60% dose reduction – Raw-data based iterative reconstruction (SAFIRE) for up to 60% dose reduction at up to 20 images/sec – 3D-guided CT interventions – Freely selectable air- or water cooling – Fully onsite upgradeable to 128 slices

Siemens SOMATOM Definition AS

Siemens SOMATOM Definition AS Open

Highlights

Channels (Slices / Rot)

Gantry bore Dual Energy

40 (120) 78 cm Yes

Channels (Slices / Rot)

Gantry bore Dual Energy

20 (60) 80 cm Yes

Highlights

Highlights

– Maximize Outcome. Minimize Dose. – Uncompromised diagnosis at outstanding speed and image quality with the 0 MHU STRATON tube and z-Sharp – Workflow optimization for more reliable and reproducible scanning with FAST – Automated, kV setting with CARE kV for up to 60% dose reduction – Raw-data based iterative reconstruction (SAFIRE) for up to 60% dose reduction at up to 16 images/sec – 3D-guided CT interventions – Freely selectable air- or water cooling – Fully onsite upgradeable to 128 slices

– Maximize Precision. Minimize Dose. – Uncompromised diagnosis at outstanding speed and image quality with the 0 MHU STRATON tube – Workflow optimization for more reliable and reproducible scanning with FAST – Automated, kV setting with CARE kV for up to 60% dose reduction – Raw-data based iterative reconstruction (SAFIRE) for up to 60% dose reduction at up to 16 images/sec – 3D guided CT interventions (optional) – Freely selectable air- or water cooling – Dedicated RTP support functionalities, like 65 cm HD Field of View

COMPUTED TOMOGRAPHY 11 RAD·BOOK 2012

Toshiba Aquilion RXL

Siemens SOMATOM Perspective (Slices / Rot)

64 (128)

Total footprint

18 m2

Channels

Slices Coverage / Rotation Rotation Speed

(incl. system control room)

Scan speed

16 / 32 32 mm 0.40 sec

100 mm/s

Highlights

Highlights

– Enter the Business Class in CT – Manage your financial performance with the unique eMode in combination with innovative service offerings – Widen your clinical portfolio with high-end imaging at extremely low dose – Ease your working day with a fast recon speed of up to 20 images/sec and the Illumination Moodlight – Raw-data based iterative reconstruction (SAFIRE) for up to 60% dose reduction at up to 15 images/sec – Efficient gantry design with industry’s shortest focal spot to isocenter distance

– – – – – – – – –

AIDR 3D and Active Collimator Fast reconstruction Cardio, automatic optimization of scan and reconstruction parameters Low dose Helical Cardiac Prospective scanning Up to 40 ms cardiac temporal resolution CT DSA with SURESubtraction SURE Xtension, remote access for instant reporting 0,5 mm detector technology with best low contrast resolution 2 mm @ 3HU Reduced energy consumption

SURE

2 to 16 Slices GE BrightSpeed Series

Channels Power Coverage

Rotation

GE BrightSpeed Series

BS 16 Elite

BS 16

BS 8

BS 4

16

16

8

16 – 4

53.2 kW

42 kW

42 kW

42 kW

16 x 0.625 or 16 x 1.25

16 x 0.625 or 16 x 1.25

2 x 0.625 or 8 x 1.25 or 8 x 2.5

2 x 0.625 or 2 x 0.625 or 4 x 2.5 or 4x5

0.5 s/mm

0.8 s/mm

0.8 s/mm

0.8 s/mm

Channels Power Coverage Rotation

Discovery 590 RT

Optima 580 Series

16

8 or 16

100 kW

55 or 100 kW

16 x 0.625 or 16 x 1.25

8 x 1.25 or 16 x 1.625 or 16 x 1.25

0.5 s/mm

0.8 or 0.5 s/mm

Highlights – ASiR for lower dose and improvement on image quality (on 16sl) – BS 16 Elite: speed and coverage with high resolution at a very low radiation exposure – BS 16: sub-mm microvoxels for incredible detail – BS 8: any organ in a breath-hold – BS 4: perform long coverage and high grade CT-A

Highlights

GE Discovery CT590 RT & GE Optima CT580 Series

GE Optima CT520

Channels Power Coverage Rotation

– – – – – – – – –

Discovery 590 RT

Optima 580 Series

16

8 or 16

100 kW

55 or 100 kW

16 x 0.625 or 16 x 1.25

8 x 1.25 or 16 x 1.25

0.5 sec

0.8 or 0.5 sec

8/16 slices imaging systems Wide bore geometry (CT580W) GE MicroVoxel technology Biopsy and interventional modes – obese patient capability up to 295 kg All tables TG66 compliant (225 and 295 kg max) Up to 40% dose reduction across the body with integrated ASiR reconstruction Respiratory gating solutions with RPM camera and ANZAI belt 4D gating reconstruction on the operator console Complete and ease to use RT simulation planning solution with AD Sim

Channels Power Coverage / Rotation

16 53 kW 40 mm

Highlights – – – – – – – – – –

8 /16 slices imaging systems GE MicroVoxel technology Biopsy and interventional modes Wide bore geometry (CT580W) Obese patient capability up to 295 kg All tables TG66 compliant (225 and 295 kg max) Up to 40% dose reduction across the body with integrated ASiR reconstruction Respiratory gating solutions with RPM camera and ANZAI belt 4D gating reconstruction on the operator console Complete and ease to use RT simulation planning solution with AD Sim

Highlights – – – –

Users centered CT designed for flawless patients management New standard for clinical excellence and diagnostic versatility Full set of tools to help manage dose, from optidose to ASiR Ergonomic and environmentally-conscious design

GE Brivo CT325 Channels Power Coverage

2 24 kW 2 x 0.6 mm – 2 x 10 mm

Medizintechnik auf höchstem Niveau Die Grundlage für eine gesunde Zukunft

Highlights – – – –

Multi-slice scanning for everyone and everywhere New ultracompact design Streamlined exams workflow for ease of use Wide breadth of advanced applications

Hitachi Medical Systems ECLOS 4 / 8 / 16 Slices Power

4 / 8 / 16 42 kW

Weltweite Partnerschaften garantieren diesen Anspruch. Q Tomosynthese und digitale Vollfeld-Mammographie (FFDM) Highlights

Q erstes dediziertes Brust-PET-System (PEM) QVakuumbiopsiesysteme für Ultraschall, Stereotaxie und MRT Q Kontrastmittelinjektoren für MRT, CT und DSA

– – – – –

X-ray tube: 3.5 to 5.0 MHU Sub-second, real-time image reconstruction Minimum scan time 0.8 sec and maximum Field of View 500 mm Preventive examination supported by fatPointer or riskPointer Straight forward patient registration and easy system handling

Q CAD-Systeme für MRT, CT, Thorax- und Mammadiagnostik Q Intraoperative Bestrahlungstherapie mit MammoSite

Philips Brilliance CT 16

Q Ultraschallsystem mit einzigartiger 3D-Scherwellenelastographie Q Lokale Tumor-Therapie mit Cryo- und Mikrowellen-Ablation

Channels Power in kW Coverage/ Rotation in mm

16 48 24

Q Non-invasive Tumor-Therapie mit hochfokussiertem Ultraschall (HIFU)

Besuchen Sie uns unter: www.medicor.biz MMS Medicor Medical Supplies GmbH Heinrich-Hertz-Straße 6 50170 Kerpen Telefon +49 2273 9808-0 [email protected]

Medicor Medical Supplies GmbH Weyringergasse 6 1040 Wien Tel.: +43 1 50 46671-0 [email protected]

Medicor Medical Supplies GmbH Gewerbestraße 10 6330 Cham Tel.: +41 41 74940-83 [email protected]

Highlights – – – – –

High image quality with fast acquisition times enabled by 2.4 cm coverage Now with iDose4 for improved image quality at low dose Philips DoseWise features help reduce radiation exposure Access to a full suite of applications to meet your clinical needs Built on proven technology like the fast cooling MRC X-ray tube for high reliability and throughput

COMPUTED TOMOGRAPHY 13 RAD·BOOK 2012

Philips MX CT scanners Channels Power in kW Coverage/ Rotation in mm

Philips MX 16EVO CT scanner

MX 4000 Dual

MX 6000 Dual

2

2

28

42

20

20

Channels Power in kW Coverage/ Rotation in mm

16 50 24

Highlights Highlights – Multislice technology doubles performance for hard-to-image anatomy – Advanced applications right at console: 3D, MIP, MPR, volume rendering, CTA, virtual endoscopy, etc. – 0.8* sec rotation; 0.9* sec reconstruction; 0.8* mm slices – People-centric design improves user productivity and patient comfort

Siemens SOMATOM Emotion 16 Channels

– – – – – –

Siemens SOMATOM Emotion Excel

16

Channels

(Slices / Rot)

Fastest rotation time Total footprint

Full handling of routine procedures such as heads, chest, abdomen and CTA Enhanced dose management and long tube life with DoseWise kit Super image quality with the EVOEYE algorithm improving LCD and 1024 matrix Visualization of critical structures with metal artifact reduction High patient throughput with 24mm detector, up to 20ips Fully compatible with Brilliance Workspace, Extended Brilliance Workspace and the IntelliSpace Portal

16

(Slices / Rot)

0.5 sec 18 m2

Fastest rotation time Total footprint

(incl. system control room)

0.5 sec 18 m2

(incl. system control room)

Highlights

Highlights

– The Most Popular CT in the World – Perfection in image detail with the smallest tube focal spot size and up to 68% dose reduction with CARE Dose4D – Clinical efficiency simplified with the breathing indicator, CT storage box in gantry and up to 16 images/sec recon – Savings in every scan with the smallest Footprint required for installation and lowest power and air-conditioning requirements – Iterative reconstruction (IRIS) for significant image quality improvement or up to 60% dose reduction

– The Most Popular CT in the World – 16-slice technology now available to more institutions through the costeffective SOMATOM Emotion Excel Edition – Perfection in image detail in daily routine – Clinical efficiency simplified with up to 16 images/sec recon – Savings in every scan with the smallest Footprint required for installation and lowest power and air-conditioning requirements – Iterative reconstruction (IRIS) for significant image quality improvement or up to 60% dose reduction

Siemens SOMATOM Emotion 6

Siemens SOMATOM Spirit

Channels

6

Channels

(Slices / Rot)

Fastest rotation time Total footprint

2

(Slices / Rot)

0.6 sec 18

Fastest rotation time Gantry bore

0.8 sec 70 cm

(incl. system control room)

Highlights

Highlights

– The Most Popular CT in the World – Perfection in image detail with the smallest tube focal spot size and up to 68% dose reduction with CARE Dose4D – Clinical efficiency simplified with the breathing indicator, CT storage box in gantry, up to 16 images/sec recon and remote access to acquisition workplace – Savings in every scan with the smallest space required for installation and lowest power and air-conditioning requirements

– – – – – – –

Modern. Easy. Reliable. Easy user interface provides simplicity and a short learning curve Outstanding overall system uptime due to robust design and stability One of the best patient throughput-to-investment ratios on the market Low heat dissipation of < 3.6 kW CARE Dose4D enables a dose reduction up to 68% Increased volume coverage with gantry rotation speed of up to 0.8 sec

COMPUTED TOMOGRAPHY 14 RAD·BOOK 2012

Toshiba AQUILION RX

Toshiba Activion 16

Slices Coverage / Rotation Rotation Speed

Slices Coverage / Rotation Rotation Speed

16 32 mm 0,5 sec

16 2,0 cm 0,75 sec

Highlights Highlights – – – – – –

Adaptive Iterative Dose Reduction CT DSA with SURESubtraction (option) 25% faster reconstruction SURE Xtension, instant access to scan results* 0,5 mm detector technology with best low contrast resolution 2 mm @ 3HU Reduced energy consumption

– – – – – – –

CT DSA with Sure Subtraction (option) Powerful 3D-software with auto bone removal 0,35 mm isotropic spatial resolution Easy “Ready-Set-Go” user concept Ultra low dose scanning Real time multislice fluoroscopy 0,5 mm detector technology with best low contrast resolution 2 mm @ 3HU

Oncology CT Philips Brilliance CT Big Bore

Toshiba Alexion Slices Coverage / Rotation Rotation Speed

16 16 mm 0.75 sec

Channels Power in kW Coverage/ Rotation in mm

16 60 24

Highlights – – – – – – – –

AIDR 3D CT DSA with SURESubtraction (option) Powerful 3D-software with auto bone removal 0,35 mm isotropic spatial resolution Easy “Ready-Set-Go” user concept Ultra low dose scanning Real time multislice fluoroscopy 0,5 mm detector technology with best low contrast resolution 2 mm @ 3HU

Highlights Oncology Highlights Radiology – Answers many unique clinical challenges in the emergency department – Beriatric table, 295 kg – 85 cm gantry opening – 60 cm true scan field-of-view (FOV) – Extended FOV to 70 cm

– – – –

4D respiratory imaging TG66 compliant table 85 cm gantry opening 60 cm true scan Field-of-View (FOV) – Extended FOV to 70 cm

Digital Volume Tomography Medicor NeuroLogica BodyTom Portable CT-Scanner

Medicor NeuroLogica CereTom® Adjustable Slice Thickness Field of View Power Rotation Speed KV Range Patient Dose

1.25, 2.5, 5 and 10 mm 25 cm 1.4 kW multipulse 0.5 sec 80 – 140 kV at 7.5 mA CTDI 41mGy

Highlights – – – – – – – – – –

32 Slice x 1.25 mm = 4 cm of coverage KV Range 80 – 140 kVat 300 mA Focal spot size 1.2 mm x 1.4 mm 85 cm gantry – 60 cm FOV – scout scanning DICOM 3.1 with modality worklist Internal lead shielding Compatible with all surgical navigations Weight 1270 kg, L 223 cm x W 91 cm x H 202 cm Advanced visualization software package 2D, 3D and MPR tools – Dose display prior to scan

Highlights – Images compatible with surgical navigation systems – wireless connectivity to PACS and DICOM 3 compliant with modality worklist – Intraoperative scanning capabilities with DORO® CERETOM® intraoperative cranial stabilisation system – Immediate 2D, 3D and MPR images with custom pre-set protocols – Advanced visualisation solutions powered by Barco’s Voxar 3T™

DO YOU KNOW WHAT YOU’RE MISSING? THE INDUSTRY’S FIRST CONTRAST DOSE MANAGEMENT™ SOLUTION 1

Products in the Certegra™ Informatics Platform work in any combination with the MEDRAD Stellant® CT Injection System to: •

Enable a higher percentage of diagnostic studies* 2, 3 – and reduced potential for unnecessary rescans 3



Allow radiologists to relate clinical-image evaluations to changes in prescribed protocols made at the point-of-care



Actively manage operational results

Eliminate busy work. Speed-up information flow. Rely on accurate data to reveal actionable insight. Now you can automatically document and integrate CT contrast-injection records into PACS; individualize contrast protocols at the point-of-care; and activate department-wide reporting throughout all shifts.

1 DF-119378 rev 01 2 Presented at Society of Thoracic Radiology (2008) Poster Session; Christopher R. Deible, MD, PhD. Study supported by MEDRAD 3 510(k) FDA clearance number: K082905 * At a slightly higher contrast dose when compared to a standard protocol of 80ml

© 2011– 2012 MEDRAD, INC. All rights reserved. BAYER and the Bayer Cross are registered trademarks of Bayer. MEDRAD®, Stellant® and Certegra™ are trademarks of the Bayer group of companies.

Each dose matters.

COMPUTED TOMOGRAPHY 16 RAD·BOOK 2012

Planmed Verity Extremity Scanner

SCS – Planmeca Med Series – H23

Resolution

0.4, 0.2 mm (0.1 mm high res mode)

Scan Time KV-Range

20 s

Voxel size Scan time Scan Volume

80 – 96 kV

Highlights

Highlights

– – – – – –

– – – – – –

Cone Beam CT (CBCT) scanner dedicated to extremity imaging High quality 3D-imaging with low dose Compact, mobile, easy to site Motorized, soft-surface gantry adapts to the patient TearDrop shaped bore with target specific positioning system Optional weight-bearing CT

80 µm 18 – 26 sec Ø 230 mm x 260 mm, Ø 230 mm x 160 mm, Ø 100 mm x 130 mm, Ø 100 mm x 90 mm, Ø 100 mm x 55 mm, Ø 50 mm x 55 mm

Amorphous silicon flat panel with CsI Scintillator Sensor active area 19.3 x 24.2 cm, 1516 x 1900 pixels, sensor pixel size 127 µm 15 bit dynamic range, 32768 gray values Single 210 / 360 degree rotation Scan time 18 – 26 sec Exposure time 2.4 – 18 sec depending on image size and resolution mode

SCS – Planmeca Med Series – H16

VILLA Sistemi Medicali – Rotograph Evo 3D

Voxel size Scan time Scan Volume

Voxel size Scan time Scan Volume

80 µm 18 sec

166 µm 11.2 sec (exposure) Ø 85 x 85 mm

Ø 40 x 50 mm, Ø 40 x 70 mm, Ø 70 x 50 mm, Ø 70 x 70 mm, Ø 90 x 50 mm, Ø 90 x 90 mm, Ø 160 x 50 mm, Ø 160 x 90 mm, Ø 160 x 160 mm

Highlights

Highlights

– Direct deposit CsI coated CMOS flat panel sensor capable for 30 frames/sec image read out – Sensor active area 13 x 13 cm, 1024 x 1024 pixels, sensor pixel size 127 µm – 15 bit dynamic range, 32768 gray values – Single 200 / 360 degree rotation – Scan time 18 – 26 sec – Exposure time 2.4 – 18 sec depending on image size and resolution mode – Exposure time 12 sec in high resolution and normal modes and 2.8 sec in low dose mode

– 3-in-1 dental system with “Cone beam” technology – Pan-3D detector always ready to operate: no need to switch it from Pan to 3D mode – Can be integrated with Cephalometric arm – Optional Evo Xp examination module enlarges the traditional panoramic views – Accessible to any patient, including ones on wheelchairs – Reconstruction time as low as 45 sec – Upgradeable to 145 x 114 x 95 mm FOV volume

Accessories / Complementary Systems Alliance Medical – modular building solutions

Alliance Medical – flexible diagnostic imaging services

Highlights Highlights Engineering, rental, sale of modular buildings MRI, CT, PET, PET / CT including or excluding diagnostic equipment

– Static diagnostic imaging centers MRI, CT, PET, PET/CT – Interim services for bridging downtimes – Regular „routing“ services

COMPUTED TOMOGRAPHY 17 RAD·BOOK 2012

Amedo-LNSTM Lasernavigation

CIVCO RAD-GUIDE™

Highlights

The amedo-LNSTM is a novel navigation system for CT-guided interventions in radiology such as biopsy, drainage or tumor ablations. The CE-marked system improves intervention accuracy, fastens the treatment and most important reduces X-ray exposure for patients and medical stuff. The first clinical trial in spinal intervention showed significant advantage compared to free-hand procedures with regards to precision, treatment time and radiation exposure. Further clinical trials are ongoing.

The RAD-GUIDE is a manual surgical instrument for general use and can be used for computed tomography (CT) or fluoroscopy-guided needle procedures. – Guide provides proper needle support and orientation for everyday problems such as needle navigation while corresponding to a CT image – Ideal for ablations, core tissue biopsies and drainage – Needle guide allows physicians to reduce high dose radiation exposure with a “hands-free” approach to all types of puncture – Single-use design reduces risk of cross-contamination and increases productivity with ease and safety – The guide features a removable, break-away top-plate for instrument quickrelease when required and will accept a range of sizes including: 9 – 14 GA

Dunlee CT replacement tubes

Philips Refurbished Systems

Highlights

Highlights

* All product listed may be trademarked by the referenced OEM

Philips Diamond Select provides reliable, like-new refurbished imaging systems at an attractive price. With the financial challenges in healthcare today, Diamond Select equipment is a simple, economical alternative to purchasing new equipment. Diamond Select offers up-to-date technology to expand the variety of high-quality services available to patients, while helping healthcare providers aim for increased profitability. All systems undergo a thorough five-step refurbishment process in order to maintain the high standards set by Philips. The Philips Diamond Select line of fully configurable refurbished systems is available for the following imaging modalities: CT, MR, cardiovascular (CV) X-ray, surgical/interventional X-ray, ultrasound and nuclear medicine.

Philips Ambient Experience

TeraRecon Aquarius

Highlights – Replacement for GE LightSpeed VCT and select Series* CT systems – Offers the same warranty as the OEM product – Keep your system operational without breaking the budget

Product Technology

Aquarius workstation

AquariusNET server

3D diagnostic workstation

Client-server 3D architecture

Highlights Ambient Experience is a purposely designed healthcare environment. With a refreshingly creative eye, Ambient Experience integrates technology, spatial design, and workflow improvements to create a more comfortable, stress-reducing environment for both patients and staff. Every project is a solution tailored to suit individual institutional needs – guided by the four fundamental pillars of Ambient Experience: – Physical and emotional comfort – Patient and staff contact – Experience personalization – Hospital workflow

Highlights – – – – –

Thin client-server solution enterprise-wide VolumePro: handling many 3D-sessions at once Rendering on central server, results streamed to PC Fast and efficient in the reading workflow AquariusNET runs on almost any standard PC

MAGNETIC RESONANCE IMAGING 18 RAD·BOOK 2012

MAGNETIC RESONANCE IMAGING 19 RAD·BOOK 2012

MAGNETIC RESONANCE IMAGING 20 RAD·BOOK 2012

3T Block Imaging Channels

Single, dual, 4, 6, 8, 16 and 64

GE Healthcare Discovery* MR750w 3.0 T Field Gradient Slewrate

3.0 T 44 mT/m 200 T/m/s

Highlights

We buy used MRI systems for refurbishment Give your equipment a 2nd chance at life Recover true value of your trade-in Free fair market valuations Professional project managers handle every detail of system deinstallation and removal – “Go Green” and recycle your equipment

– Patient centric design – 70 cm bore with full 50 x 50 x 50 cm FOV – Geometry Embracing Method (GEM**): lightweight and flexible coils, embedded posterior array, open face head/neck unit, feet first imaging – Multi-drive RF transmit improves RF uniformity and signal homogeneity – Optical RF – analog to digital-optical signal conversion * Discovery is a trademark of General Electric Company. The MR750w cannot be put into service until it has been made to comply with CE marking. It may not be available in all regions, 510(k) pending at FDA. Not available for sale in the USA ** The GEM coil suite available on MR450w and MR750w cannot be put into service until it has been made to comply with CE marking. It may not be available in all regions, 510(k) pending at FDA. Not available for sale in the USA

GE Healthcare Discovery MR750 3.0 T

GE Healthcare Signa HDxt 3.0 T – Optima Edition

Highlights – – – – –

Field Gradient Slewrate

3.0 T 50 mT/m 200 T/m/s

Field Gradient Slewrate

3.0 T 50 mT/m 150 T/m/s

Highlights

Powerfully simple – Express preparation exam – ”Can‘t miss“ applications and HD coils simply powerful – Shorter TE/TR and faster acquisitions with unique gradients architecture – Faster reconstruction – 27% more SNR with optical RF technology

– Patient centric design – 70 cm bore with full 50 x 50 x 50 cm FOV – Geometry Embracing Method (GEM**): lightweight and flexible coils, embedded posterior array, open face head/neck unit, feet first imaging – Optical RF – analog to digital-optical signal conversion * Optima is a trademark of General Electric Company ** The GEM coil suite available on MR450w cannot be put into service until it has been made to comply with CE marking. It may not be available in all regions, 510(k) pending at FDA. Not available for sale in the USA

GE Healthcare MRgFUS

Philips Ingenia 3.0 T

Highlights

Field Technology Clinical Applications

1.5 T / 3.0 T Combination of MR imaging and highly intense ultrasound ExAblate 2000 (InSightec)

Ingenia 3.0 T: The first-ever digital broadband MR system

Uterine fibroids / bone tumors* / breast cancer* liver tumors* / prostate cancer*

Highlights Highlights – No radiation – Visualizes and controls treatment by monitoring tissue effect real time – Limited conscious sedation (except for liver application general anaesthetic; necessary) – Quick recovery, low rate of complications * Investigational use

– – – – – –

Increase SNR by up to 40% Plug-and-play expansion Largest homogeneous FOV for a 70 cm bore As much as 30% improvement in throughput Significant reduction of routine tasks Contrast uniformity, speed, consistency MultiTransmit 4D brings the benefits of MultiTransmit technology to cardiac imaging. It adapts RF signals to each patient, addressing dielectric shading to provide superb image uniformity, contrast and consistency, as well as faster imaging

MAGNETIC RESONANCE IMAGING 21 RAD·BOOK 2012

Philips Achieva 3.0 T TX

Philips Achieva 3.0 T X-series

Field Gradient Slewrate

Field Gradient Slewrate

3.0 T 80 mT/m 200 mT/m/ms

3.0 T 80 mT/m 200 mT/m/ms

Highlights – MultiTransmit technology for enhanced speed, image quality and consistency through patient-adaptive imaging – Productivity and efficiency with SmartExam: 1 click for consistent and reproducible MR exams. Available for brain, spine, knee, shoulder and breast – Advanced functionality: high SENSE acceleration capabilities, ultra-fast MR angiography with 4D-TRAK, cardiac imaging with k-t BLAST, 2k imaging for ultra-high spatial resolution and unique applications like DWIBS, ASL and SENSE spectroscopy

Highlights

Siemens Magnetom Skyra, A Tim + Dot System

Siemens Magnetom Verio, A Tim + Dot System

Field Gradient Slewrate

Field Gradient Slewrate

3T 45 mT/m 200 T/m/s

– Wide open, patient-friendly, flared short bore design with 50 cm imaging coverage for comfortable and efficient patient imaging – High productivity and efficiency with SmartExam: 1 click for consistent and reproducible MR exams. Available for brain, spine, knee and shoulder – Advanced functionality for speed and resolution: high SENSE acceleration capabilities, ultra-fast MR angiography with 4D-TRAK, cardiac imaging with k-t BLAST, 2k Imaging for ultra-high spatial resolution

3T 45 mT/m 200 mT/m/s

Highlights Highlights – Boost productivity with Tim® (Total imaging matrix) and Dot (Day optimizing throughput) – Ultra-light and short 3 T system – Greater patient access and comfort with 70 cm Open Bore design – TrueForm design for increased homogeneity – DirectRF – for higher signal purity and improved stability – New fixed and Tim dockable table options

– Combination of 3 T, 70 cm Open Bore, Tim (Total imaging matrix) and Dot* (Day optimizing throughput) – Ultra-light magnet with zero helium boil-off – Large Field of View, supporting a full range of clinical applications – TrueForm magnet design offers enhanced image quality by optimizing the homogeneity * The product is still under development and not yet commercially available. Its future availability cannot be ensured.

Siemens Magnetom Trio, A Tim System

Siemens Biograph mMR

Field Gradient Slewrate

Field Gradient Slewrate

3T 45 mT/m 200 T/m/s

3T 45 mT/m 200 T/m/s

Highlights

Highlights

– Excellent 3 T magnet with unmatched homogeneity and strong gradients with AudioComfort – Tim with up to 32 RF channels for outstanding image quality, speed and flexibility – Trendsetting applications make the extraordinary routine

– One fully integrated MR and PET system for simultaneous data acquisition from both modalities – World’s first simultaneous, whole-body molecular MR – Obtain a comprehensive diagnostic picture with only one scan – One exam – one room – one whole-body solution

MAGNETIC RESONANCE IMAGING 22 RAD·BOOK 2012

1.5 T Toshiba Excelart Vantage Titan 3T

GE Healthcare Discovery MR450 1.5 T

Field Gradient Slewrate RF

Field Gradient Slewrate

3T 30 mT/m 200 mT/m/ms

1.5 T 50 mT/m 200 T/m/s

128 x 32

Highlights Highlights – – – – –

patient friendly 71 cm opening with 50 x 50 x 205 cm scan area Pianissimo gradient system Next generation of contrast-free angiography FBI, CIA, t-slip, TSA optical data transfer Image reconstruction rate of up to 4000 img/sec

GE Healthcare Signa HDxt 1.5 T – Optima Edition Field Gradient Slewrate

1.5 T 33 mT/m 120 T/m/s

Powerfully simple – Express preparation exam – ”Can‘t miss“ applications and HD coils simply powerful – Shorter TE/TR and faster acquisitions with unique gradients architecture – Faster reconstruction – 27% more SNR with optical RF technology

GE Healthcare Optima* MR450w with GEM Suite Field Gradient Slewrate

1.5 T 34 mT/m 150 T/m/s

Highlights

Highlights

– Patient centric design – 70 cm bore with full 50 x 50 x 50 cm FOV – Geometry Embracing Method (GEM**): lightweight and flexible coils, embedded posterior array, open face head/neck unit, feet first imaging – Optical RF – analog to digital-optical signal conversion * Optima is a trademark of General Electric Company ** The GEM coil suite available on MR450w cannot be put into service until it has been made to comply with CE marking. It may not be available in all regions, 510(k) pending at FDA. Not available for sale in the USA

– Patient centric design – 70 cm bore with full 50 x 50 x 50 cm FOV – Geometry Embracing Method (GEM**): lightweight and flexible coils, embedded posterior array, open face head/neck unit, feet first imaging – Optical RF – analog to digital-optical signal conversion * Optima is a trademark of General Electric Company ** The GEM coil suite available on MR450w cannot be put into service until it has been made to comply with CE marking. It may not be available in all regions, 510(k) pending at FDA. Not available for sale in the USA

GE Healthcare Optima* MR430s 1.5 T

GE Healthcare Optima MR360 1.5 T

Field Gradient Slewrate

1.5 T 70 mT/m 300 T/m/s

Field Gradient Slewrate

1.5 T 33 mT/m 100 T/m/s

Highlights – High field MR speciality system for extremity imaging – Innovative design offers improved MR experience for patients as well as more efficiencicy and simplicity for technologists – Minimal space requirements (20 m2) – Most powerful gradients commercially available – Healthymagination validated product * Optima is a trademark of General Electric Company. The MR430s cannot be put into service until it has been made to comply with CE marking. It may not be available in all regions, 510(k) pending at FDA. Not available for sale in the USA

Highlights – – – –

Remarkable flexibility and efficiency to match a wide range of imaging needs High image quality and lower total cost of ownership Technologists benefit from ease of use and confidence Radiologists benefit from expanded diagnostic capabilities administrators benefit from more satisfied patients, efficient throughput, and opportunities for growth

MAGNETIC RESONANCE IMAGING 23 RAD·BOOK 2012

Hitachi Medical Systems Echelon

GE Healthcare Signa HDe 1.5 T Field Gradient Slewrate

Field Gradient Slewrate

1.5 T 23 mT/m 50 T/m/s

1.5 T 33 mT/m 150 T/m/s

Highlights – – – – – –

Compact MR design – only 25 m2 siting space Low operating costs – 25% less than other 1.5 T systems High fidelity gradients to achieve accurate gradient pulses Broad range of high density coils for all applications Exclusive HD applications Consumes 41% less energy than previous generation systems, GE ”ecomagination“ certified

Highlights – Short bore, low running costs HF MRI system – High magnetic field homogeneity – Dedicated technology and sequences for artefacts suppression, very effective fat suppression / separation – Scalable RF system, 32 RF coils available – Low cryogen boil-off technology

Hitachi Medical Systems Echelon Oval

Philips Ingenia 1.5 T

Field Gradient Slewrate

Ingenia 1.5 T: The first-ever digital broadband MR system

1.5 T 34 mt/m 150 T/m/s

CE mark pending

Highlights – Revolutionary design featuring the 74 cm wide “oval bore” shaped to accommodate the human body – Allows greater freedom for positioning, accomodation of larger patients and decreased anxiety – WIT RF coil system and WIT mobile table for significant workflow advantages – AutoPose, automatic slice selection for improved workflow and increased consistency in examinations – Superb magnetic homogeneity – Low cryogen boil-off technology

Highlights – – – – –

Increase SNR by up to 40% As much as 30% improvement in throughput Plug-and-play expansion Largest homogeneous FOV for a 70cm bore Significant reduction of routine tasks

Philips Achieva 1.5 T A-series

Philips Achieva 1.5T SE

Field Gradient Slewrate

Field Gradient Slewrate

1.5 T 66 mT/m 180 mT/m/ms

1.5 T 33 mT/m 122 mT/m/ms

Highlights

Highlights

– – – – –

– A true value-for-money 1.5 T system with comprehensive imaging capabilities – Smarter economics with PowerSave (reduces energy bill by upto 50%) and compact siting (only 27m2) – Built on proven Achieva platform offering wide choice of easy and economical upgrade paths

SmartExam – 1 click for consistent and reproducible MR scans 4D-angio’s (time resolved) with 4D-TRAK and SENSE parallal imaging A full range of high-channel SENSE coils for high resolution and speed New contrast in oncology applications with DWIBS whole body diffusion Advanced 3D-cardiac, neuro, breast and spectro imaging

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MAGLIFE Serenity

Philips Intera 1.5 T Field Gradient Slewrate

1.5 T 33 mT/m 80 mT/m/ms

Highlights – – – –

SmartExam – 1 click for consistent and reproducible MR scans NetForum community access with ExamCards for all studies Investment value – FreeWave platform based – ready for new applications SENSE for fast imaging in all applications

Philips Sonalleve MR-HIFU Philips Sonalleve MR HIFU system for uterine fibroid therapy and bone pain therapy

Highlights – A planning stage in which 3D-MRI is used to plan and simulate the procedure – A non-invasive treatment stage in which a high-intensity focused ultrasound energy beam penetrates through the skin and soft tissue, causing localized high temperatures to coagulate tissue only in the focus area and leaving the skin and intermediate tissue unharmed. The process is monitored and controlled by MR imaging and feedback. During treatment, the ultrasound focus is moved electronically over the volume to be ablated – A therapy verification stage in which contrast-enhanced MRI is used to assess the procedure Not available in the U.S.A.

Siemens Magnetom Aera, A Tim + Dot System

MR-compatible Monitoring MAGLIFE Serenity guarantees highest ECG quality during MRI scanning even under strongest gradient LQÁXHQFH,WLVVSHFLÀFDOO\GHYHORSHGWRPRQLWRU DOOYLWDOSDUDPHWHUVGXULQJDQDHVWKHVLDRIDGXOWV FKLOGUHQDQGQHRQDWHVLQDQ05,HQYLURQPHQW

Field Gradient Slewrate

1.5 T 33 mT/m 125 T/m/s

Highlights – Boost productivity with Tim (Total imaging matrix) and Dot (Day optimizing throughput) – Greater patient access and comfort with 70 cm Open Bore design – Ultra-light and short 1.5 T system – TrueForm design optimizes the 50 x 50 x 45 cm FoV – DirectRF – for higher signal purity and improved stability – New fixed and Tim dockable table options Headquarters: SCHILLER AG, Altgasse 68, CH-6341 Baar, Switzerland, Phone +41 41 766 42 42, Fax +41 41 761 08 80, [email protected], www.schiller.ch

MAGNETIC RESONANCE IMAGING 25 RAD·BOOK 2012

Siemens Magnetom Espree, A Tim System

Siemens Magnetom Avanto, A Tim + Dot System

Field Gradient Slewrate

Field Gradient Slewrate

1.5 T 33 mT/m 100 T/m/s

1.5 T 45 mT/m 200 T/m/s

Highlights

Highlights – – – –

70 cm open bore Broad range of dedicated applications Unparalleled flexibility, accuracy, and speed – thanks to Tim® Zero Helium boil-off minimizes life-cycle costs

– Leading applications with Tim (Total imaging matrix) and Dot* (Day optimizing throughput) – 500 mm Field of View, zero eddy-currents – AudioComfort: ear protection not mandatory – Parallel imaging from head to toe * The product is still under development and not yet commercially available. Its future availability cannot be ensured.

Siemens Magnetom Symphony, A Tim System

Siemens Magnetom Espree – Pink

Field Gradient Slewrate

Field Gradient Slewrate

1.5 T 30 mT/m 100 mT/m/s

1.5 T 33 mT/m 100 T/m/s

Highlights Highlights – – – –

Established performer at 1.5 T MRI Ultra-short, lightweight system delivers the flexibility, accuracy and speed of Tim Low total cost of ownership Easy to site, easy to learn, easy to operate

– – – –

Dedicated breast scanner with short system length of only 125 cm Variable coil geometry (VCG) for both imaging and biopsy Pink Comfort – 70 cm open-bore for increased patient comfort Pink Applications – wide range of applications dedicated to improve diagnostic confidence – Pink Workflow – comprehensive tools that support the continuum of breast care

Toshiba Excelart Vantage powered by Atlas

Toshiba Excelart Vantage

Field Gradient Slewrate

Field Gradient Slewrate

1.5 T 30 or 33 mT/m 130 or 200 mT/m/ms

1.5 T 30 mT/m 50 or 130 mT/m/s

Highlights – – – – –

Pianissimo gradient system Connectivity of up to 128 coil elements with 16 or 32 channel-readout Image reconstruction rate of up to 4.000 images/sec FBI MR angiography without contrast medium 55 x 55 x 205 cm scanning region

Highlights – Pianissimo gradient system – FBI MR angiography without contrast medium

MAGNETIC RESONANCE IMAGING 26 RAD·BOOK 2012

Toshiba Excelart Vantage Titan

XinGaoYi Ningbo (XGY) Oper – 0.35 T

Field Gradient Slewrate

Field Gradient Slewrate

1.5 T 30 mT/m 130 mT/m/ms

0.35 T 19 mT/m 60 mT/m/ms

Highlights – – – – –

Patient-friendly 71 cm opening with full clinical FOV of 55 x 55 x 50 cm Pianissimo gradient system Up to 128 coil elements connected to up to 32 channel-readout Next generation of contrast-free angiography: FBI, CIA, t-slip, TSA Image reconstruction rate of up to 4.000 images/sec

Highlights – Excellent images, full range of scanning sequences – Low power consumption, low failure rate – Small installation site

Open Esaote C-Scan

Esaote S-Scan

Field Gradient Slewrate

Field Gradient Slewrate

0.2 T ± 10 mT/m 40 mT/m/ms

0.25 T ± 20 mT/m 25 mT/m/ms

Highlights – In-office MRI unit for the MRI diagnosis of the upper and lower extremities – Permanent magnet with integrated RF-shielding, no external RF-shielding necessary – Direct operator – patient contact – Patient positioning outside the magnet – Only 9 m2 room size needed

Esaote G-Scan Field Gradient Slewrate

0.25 T ± 20 mT/m 25 mT/m/ms

Highlights – MRI unit for all musculoskeletal MRI, from foot to shoulders including the most important spine segments such as lumbar and cervical spine – Open permanent magnet design – High efficiency – Only 18 m2 room size needed

Esaote O-Scan Field Gradient Slewrate

0.31 T ± 20 mT/m 50 mT/m/ms

Highlights

Highlights

– – – – –

– New generation of dedicated MRI for MSK applications – Excellent MRI capabilities, wide FOV, enhanced productivity, full connectivity and superior cost-effectiveness – Its unique design and ergonomy provides optimal patient comfort and eliminates claustrophobic reactions

MRI unit for weight bearing musculoskeletal examinations Open permanent magnet design Tilting magnet mechanism 0° – 90° Weight bearing examinations of lumbar spine, knee and foot Functional MRI of the cervical spine in seated patient positioning

MAGNETIC RESONANCE IMAGING 27 RAD·BOOK 2012

Hitachi Medical Systems APERTO Lucent

Hitachi Medical Systems AIRIS Vento LT

Field Gradient Slewrate

Field Gradient Slewrate

0.4 T 25 mT/m 55 T/m/s

0.3 T 22 mT/m 55 T/m/s

Highlights Highlights – Wide, 320 degrees open permanent MRI system – Features top field strength – 0.4 T – amongst the permanent MRI systems presently on the market. – Newly developed built-in technologies keep Aperto Lucent delivering image quality comparable with entry level HF MRI scanner – Fast processing chain allows increasing patient throughput – Reduced running costs allowing fast return of investment

– – – – – –

Comfort class compact open MRI system Less intimidating compact architecture Laterally aligned table Allows newly developed technologies available at an excellent cost of ownership High magnetic field homogeneity Environment friendly: extremely low power consumption and reduced installation requirements – Reduced running costs allowing fast return of investment

Hitachi Medical Systems AIRIS Vento

Hitachi Medical Systems OASIS

Field Gradient Slewrate

Field Gradient Slewrate

0.3 T 22 mT/m 55 T/m/s

1.2 T 33 mT/m 100 T/m/s

Highlights

Highlights

– Comfort class permanent open MRI system, which keeps enhanced capabilities meeting sophisticated open design – Allows newly developed technologies available at an excellent cost of ownership – High magnetic field homogeneity – Environment friendly: extremely low power consumption and reduced installation requirements – Reduced running costs allowing fast return of investment

– Wide, truly open HF MRI system: latest technology milestone in MRI scanners design. A new standard for effective MR Imaging – Fit for every patient: bulky (up to 300 kg), kids, elderly, anxious – Genuine “human” centric design: patient, nurses, radiologists, … – Highest field strength presently available on the market for open HF MRI systems – Unique system: allows application development and keeps owners having something different from others

Mindray MagSense 360 MRI System Field Gradient Slewrate

0.36 T 25 mT/m 60 T/m/s

Highlights – C-Shape permanent magnet – Unique “inScan” technology / MRI exams can be operated by the touchscreen and images can be shown on the screen directly – 330° wide open / largest when comparing with other competitors – EcZero Eddy compensation technology / eliminate the “eddy effect” – Volume 4D-shimming technology / realtime 3D-shimming for the field uniformity – Comprehensive software package for different position imaging – Q-film technology / can review and print the images at the same time

Please visit us at

www.radbook.eu

MAGNETIC RESONANCE IMAGING 28 RAD·BOOK 2012

Philips Panorama HFO Oncology Configuration

Philips Panorama HFO

Philips Panorama HFO oncology configuration Imaging that fits your planning

Field Gradient Slewrate

1.0 T 28 mT/m 120 mT/m/ms

Highlights

– Imaging in treatment position enabled by the open spacious design of the system – Streamlined clinical workflow with MR images customized for radiation therapy planning – Quality assurance for geometric deformation

– Patient friendly: three times larger patient aperture than conventional MR to handle stressed and claustrophobic patients, children, elderly and large patients – High-field performance comparable to 1.5 T ina truly open configuration – Increased productivity with SmartExam, one-click planning, scanning and processing – Enables unique applications not possible with cylindrical systems

Siemens Magnetom C!

WDM i_Open 0.5 T Permanent MRI System

Field Gradient Slewrate

Field Gradient Slewrate

Highlights

0.35 T 24 mT/m 55 mT/m/ms

0.5 T 30 mT/m 70 T/m/s

Highlights

Highlights – – – – –

Easy 270° accessibility Patient-friendly side loading Extraordinary image quality in head-to-toe applications Minimal sitting requirements: Less than 30 m² (325 sq.ft) Excellent Return-on-Investment: decreased costs – optimized profitability

– – – – – – – –

Highest magnetic field strength in permanent MR field Two column, large span, super open design Six-way movement motorized patient table Automatic laser positioning with touchscreen control panel Passive and digital shimming Light weight of magnet 19 t Four channels digital RF system Comprehensive sequences and functionalities: SE, GE, IR, FSE, FGE, MRA, STIR, FLAIR, MTC, MRCP, TOF, etc. – CE and FDA approved

WDM i_Open 0.36 T Permanent MRI System

Xingaoyi Ningbo (XGY) Oper – 0.3 T

Field Gradient Slewrate

Field Gradient Slewrate

0.36 T 26 mT/m 65 T/m/s

0.3 T 15 mT/m 48 mT/m/ms

Highlights – – – – – – –

High field strength 0.36 T, C-shape permanent magnet Passive and digital shimming Unique design of active shielding flat gradient coil Patient gap 380 mm Light weight of magnet 12.5 t Two channel phase array receiving coils Comprehensive sequences and functionalities: SE, GE, IR, FSE, FGE, MRA, STIR, FLAIR, MTC, MRCP, TOF, etc. – High performance workstation with DICOM 3.0 – CE and FDA approved

Highlights – Complete function, excellent images, full range of scanning sequences – Clear quick scan image with high slew rate – Extremely low power consumption and very low failure rate

MAGNETIC RESONANCE IMAGING 29 RAD·BOOK 2012

Xingaoyi Ningbo (XGY) Oper – 0.4 T

Xingaoyi Ningbo (XGY) Oper – 0.5 T

Field Gradient Slewrate

Field Gradient Slewrate

0.4 T 20 mT/m 66 mT/m/ms

0.5 T 24 mT/m 70 mT/m/ms

Highlights

Highlights

– – – –

– The first mid-field permanent magnet MRI system used in clinical application worldwide – Full range of scanning sequences, best images – High throughput, shorter scanning time

Higher SNR and larger imaging range with Multi-RF channels Excellent images and full range of scanning sequences Low power consumption, low failure rate, high operating ratio Requires little space for installation

Surgical MRI XinGaoYi Ningbo (XGY) Oper – 0.35 T

Medtronic Polestar® Surgical MRI System

Field Gradient Slewrate

Magnetic Field Gradient Slew Rate Gradient Slewrate

0.35 T 19 mT/m 60 mT/m/ms

0.15 T 23.5 mT/m 80 T/m/S Compact and mobile

Highlights – – – – – –

Highlights – Excellent images, full range of scanning sequences – Low power consumption, low failure rate – Small installation site

Designed for integration in most OR’s using mobile RF shielding Compatible with most existing surgical equipment Perfect match to neurosurgical workflow Fits under OR table and moves up to patient for imaging Standard patient positioning, no patient movement needed during procedure Integrated StealthStation® Image Guided Surgery System to maintain navigational accuracy throughout the surgery – Auto-registration of images to patient – Confirmation of completeness of resection and absence of complications prior to closing

Accessories / Complementary Systems Alliance Medical – modular building solutions

Alliance Medical – flexible diagnostic imaging services

Highlights Highlights Engineering, rental, sale of modular buildings MRI, CT, PET, PET / CT including or excluding diagnostic equipment

– Static diagnostic imaging centers MRI, CT, PET, PET/CT – Interim services for bridging downtimes – Regular „routing“ services

MAGNETIC RESONANCE IMAGING 30 RAD·BOOK 2012

NORAS CPC 8Ch Multifunctional Coil

NORAS 4Ch Biopsy Breastcoil

Highlights The 8Ch multifunctional ClothesPin Coil “CPC” enables acquisition of high resolution images of many anatomical regions due to its high coil density (diameter of single channel only 5cm). Extremities, joints, jaw joint and carotis can be examined. Thanks to our special positioning devices, the coil can be used for pediatrics or motion studies in orthopedics. The coil pair is held together by a holder, which ensures the position of the coil halves on the patient.

Highlights

NORAS Neurosurgery Solution

NORAS 4Ch Dental-Array and 4Ch Orbit-Array

This 4Ch Biopsy Breastcoil serves for diagnostics as well as for biopsy removals. The design of the whole setup is very open to ensure optimal access to the breast for interventions. With the NORAS biopsy units (post & pillar or grid) a biopsy or a wire placement can be performed laterally, medially and craniocaudally. NORAS also offers biopsy units compatible to GE and Invivo breastcoils.

Highlights Highlights This is a stereotactic head holder integrated in an 8Ch iMRI head coil for imaging and intervention in the neurosurgical OR environment. None of the coils or cables need to be sterile anymore. Several retractors can be attached, such as the Sugita®, Budde® Halo or Greenberg™ retractors. BrainLab AG is providing the accessories for automatic image registration.

Philips Refurbished Systems

Highlights Philips Diamond Select provides reliable, like-new refurbished imaging systems at an attractive price. With the financial challenges in healthcare today, Diamond Select equipment is a simple, economical alternative to purchasing new equipment. Diamond Select offers up-to-date technology to expand the variety of high-quality services available to patients, while helping healthcare providers aim for increased profitability. All systems undergo a thorough five-step refurbishment process in order to maintain the high standards set by Philips. The Philips Diamond Select line of fully configurable refurbished systems is available for the following imaging modalities: CT, MR, cardiovascular (CV) X-ray, surgical/interventional X-ray, ultrasound and nuclear medicine.

4Ch Dental-Array: – MR imaging of teeth, can provide very useful information about theet postions without exposing the patient to radiation. – The dedicated 4Ch array provides superior imaging quality. 4Ch Orbit-Array: – By using the dedicated 4Ch Orbit-Array high resolution images of the eye-area can be produced.

Philips Ambient Experience

Highlights Ambient Experience is a purposely designed healthcare environment. With a refreshingly creative eye, Ambient Experience integrates technology, spatial design, and workflow improvements to create a more comfortable, stress-reducing environment for both patients and staff. Every project is a solution tailored to suit individual institutional needs – guided by the four fundamental pillars of Ambient Experience: – Physical and emotional comfort – Patient and staff contact – Experience personalization – Hospital workflow

-$6 1 ' + . *7  # 2 2 # 0

Schiller Maglife Serenity

[email protected]Ä3GDÄJDXÄ[email protected]ÄENQÄÄ [email protected]Ä@FDMSÄHMIDBSHNMR SJPGAFKCBGA?J®!2!-,2012%#,2',(#!2-0 Highlights – – – – –

MRI compatible up to 3 Tesla Mains and battery driven (1.5 and 6 hours) 12.1" colour display Optical core and skin temperature Configuration for anaesthesia, cardiac and intensive care applications – Patented artefact inhibition – 6 optical gating outputs – Optimized for adult children and neonates

Ä[email protected]ÄHMIDBSHNMÄMNSÄNMKXÄ RN OQNSDBSRÄSGDÄ[email protected] ÄATSÄ@KRNÄ SGDÄTRDQÄmÄHMÄ@KKÄQDRODBSR 6HSGÄSGHRÄHMÄLHMC ÄSGDÄ"3Ä MSKXÄ LNSHNMÄ[email protected]ÄBNMRHRSDMSKXÄ JDÄ [email protected]Ä[email protected]Ä[email protected] ÄKHJDÄ @Ä[email protected]ÄOQDRRTQDÄKHLHS Ä @ÄSTAHMFÄRXRSDLÄVHSGÄSGQDDÄ OQDRRTQD [email protected]ÄBGDBJ [email protected]Ä@MCÄ@Ä[email protected]ÄROHJDÄ [email protected]@SHNMÄ[email protected]

Schiller Maglife light

MDCÄ BHDMBXÄBNLAH ,@WHLTLÄDEÆ SX ED [email protected] Ä HB GXFHDM VHSGÄGHFGDRSÄ

Highlights – – – – – – –

MRI compatible up to 3 Tesla Parameter: SPO2 and / or NIBP Mains and battery driven (1.5 hours) Optimized for day to day application No installation necessary HTML printing function Optimized for adult children and neonates

TeraRecon Aquarius Product Technology

Aquarius workstation

AquariusNET server

3D diagnostic workstation

Client-server 3D architecture

® al medic ulrich TORS INJEC

Highlights – – – – –

Thin client-server solution enterprise-wide VolumePro: handling many 3D-sessions at once Rendering on central server, results streamed to PC Fast and efficient in the reading workflow AquariusNET runs on almost any standard PC

TKQHBGÄ&LA'ÄÄ"N Ä*& !TBGAQTMMDMVDFÄÄÄKÄÄÄ4KLÄÄKÄÄ[email protected] /GNMDÄ Ä ÄÄKÄÄ%@WÄ Ä  HMIDBSNQ[email protected] BNLÄÄKÄÄVVV [email protected] BNL

INJECTORS 32 RAD·BOOK 2012

INJECTORS 33 RAD·BOOK 2012

Covidien Angiomat Illumena Angiography injector Capacity Pressure limit

Flow rate

Covidien Optivantage DH Dual Head CT injector Capacity

50, 75, 100, 125 ml high pressure prefilled; 150 ml, 200 ml empty 75 – 1200 psi (5.17 – 82.74 bar) in angio-cardiac and peripheral modes, 75 – 300 psi

Pressure limit Flow rate

50, 75, 100, 125 ml high pressure prefilled; 200 ml empty 50 – 325 psi (3.5 – 22.4 bar) 0.1 – 10.0 ml/s

(5.2 – 20.7 bar) in CT mode 0.1 – 40.0 ml/s angio-cardiac and peripheral modes; 0.1 – 10.0 ml/s CT mode

Highlights Highlights Injector for angiography, cardiology and CT contrast delivery Digital powerhead display automatically “flips” as powerhead is rotated Fill control bar allows easy, one finger operation Latex free and transparent syringes provide crystal clear view of the contrast medium – Sensitive touchscreen display for direct and easy setup

– Contrast delivery injector with simultaneous injection capability for dual head injector protocols – Fully programmable powerhead: color coded display – Patency check feature: saline flush prior to injection – Timing bolus feature: to determine ideal scan – Auto-fill feature: automatically filling of syringes – Drip mode: changing drip rate, volume and duration

Covidien Optistar Elite MRI injector

Imaxeon Avidia

Capacity Pressure limit Flow rate

Capacity Pressure Flow-Rate

– – – –

10, 15, 20, 30 ml high pressure prefilled; 60 ml empty 20 – 150 psi (1.4 – 10.3 bar) for 60 ml syringes 0.1 – 0.8 ml/s

150 ml 1200 / 82 psi/bar 0.1 to 50 ml/sec

Highlights

Highlights

– – – – – –

– Fully automatic microprocessor controlled contrast medium injector for angiography applications with volume, flow and time control – Power cable free, battery operated, fully mobile on a pedestal, with interface – Up to 20 single phase or multi phase injection programs possible – Display of injector parameters on the injector head – User control console with display and start button

Dual syringe injector for magnetic resonance tomography Battery free operation Single bolus and dual phase injections Full color touchscreen for a greater visibility Switch from injection to drip mode at any time Drop in syringe loading reduces preparation time

Imaxeon Salient Contrast Media Injector Syringe Pressure Flow-Rate

Medicor Nemoto CT-Injector Dual Shot GXV Syringes

190 ml 300 psi 0.1 – 10.0 ml/sec in 0.1 ml/sec increments

Pressure Throughput

A: Contrastmedia A: 200 ml, 100 ml with adapter B: Saline 100 ml A: 300 psi, B: 300 psi A: 1 – 100 ml / 200 ml in 1-ml-steps B: 1 – 100 ml in 1-ml-steps

Highlights Simplicity: – User friendly touch screen interface – Easy to program routine or multiphase protocols Mobility: – No cords to limit movement – Battery or AC/mains powered – Compact design and light weight Reliable, Flexible Performance: – Streamlined, icon driven touch screen – Simple protocol management Accessories – Wireless Control room monitor – On or off line contrast loading

Highlights – – – – –

Needle positioning test Progammable autofill function Program memory on CF memory card Creation of an optimized program by input of injection parameters Advanced programming functions

INJECTORS 34 RAD·BOOK 2012

Medicor Nemoto CT-Injector Dual Shot Alpha B200 Syringes

Pressure Throughput

A: Contrastmedia A: 200 ml, 100 ml with adapter / 125 ml with Prefilled syringe adapter B: Saline 200 ml, 100 ml with adapter

Medicor Nemoto CT-Injector A 60 Syringes Pressure Throughput

200 ml, 100 ml with adapter 300 psi 0,1 – 10 ml/s in 0,1-ml/s-steps

A: 300 psi, B: 300 psi A: 1 – 100 / 125 / 200 ml in 1-ml-steps B: 1 – 100 / 200 ml in 1-ml-steps

Highlights – – – – – –

Needle positioning test Progammable autofill function Program memory on CF memory card Advanced programming functions Timing bolus option Auto prime function

MEDRAD Avanta Advanced Fluid Management System Capacity Pressure Flow-Rate

150 ml Selectable pressure increasement 300 / 1200 psi/bar Variable 1 to 10 ml/sec

Highlights – LCD-display – Real time monitoring of the injection parameters – Economical entrance model

MEDRAD Mark 7 Arterion Syringe Pressure Flow-Rate

150 ml 100 – 1200 psi 0.1 – 45.0 ml/sec; 0.1 – 59.9 ml/min; 0.1 increments

Highlights

– – – –

Contrast and saline flush cardiovascular power injector Precise fluid delivery, fluid level sensing and gross air detection. Accurate injection pressure control with user adjustable pressure limits Bolus sharpness delivering exact variable and fixed contrast via a responsive syringe – Color graphical user interface with on screen tutorial for simplified setup

The Mark 7 Arterion Injection System is the latest in MEDRAD’s “Mark” series of angiographic injectors. – The Mark 7 Arterion is lighter (compared to earlier systems), more maneuverable and easier to use so you can focus more on the patient – It has a clear and intuitive user interface and a unique front-load system to simplify set-up and enable a cleaner tear-down – The clear syringe facilitates purging air – Multiple configurations for maximum configuration flexibility

MEDRAD Dual Syringe CT Injector Stellant D

MEDRAD SPECTRIS SOLARIS® EP

Highlights

Syringe Pressure Flow-Rate

A and B: 200 ml 325 psi (22.1 bar) A and B: 0.1 – 10 ml/sec in 0.1 ml/sec increments

Syringe Pressure Flow-Rate

Contrast Media 65 ml – Saline 115 ml Maximum 325 psi / 2240 kpa Selectable from 0.01 ml/sec to 10 ml/sec

Highlights Highlights – – – – –

Saline Flush Capability for contrast efficiency Automated loading, filling, and priming Stores and recalls up to 32 programs Precisely times contrast delivery with real-time display of injection pressure. MEDRAD‘s P3T Personalized Patient Protocol software automates personalized protocols for each patient, enabling a higher percentage of diagnosticquality images (vs. standard protocols) while maintaining efficient workflow

– Flexible power management with battery operation or continuous battery charging through AC power connection – switch to either battery or wall power in seconds – Pressure Limit selection from one of six preset maximum pressure limits, and the ability to view pressure during injection on the control room display. – 3.0 T compatibility even when placed right next to the magnet opening – Multi-phase injection control with 6 user-programmable phases including PAUSE and HOLD – Programmable and independent KVO separate from the injection profile

INJECTORS 35 RAD·BOOK 2012

MEDRAD Intego™ PET Infusion System Flow-Rate

Medtron Accutron CT-D

1 ml/sec

Capacity Delivery Pressure Flow Range

200 ml (CM), 200 ml (NaCl) Easy Loading Syringe (ELS) 21 bar (304 psi) For both injection units: 0.1 – 10 ml/s, programmable in steps of 0.1 ml/s

Highlights

Imagine, smarter, safer, simpler PET™ Automate Infusion, Standarize Protocols, Personalize Doses, Reduce Technologist Exposure MEDRAD is redefining PET with smarter, simpler and safer FDG or NaF administration. Using a simple touch screen, the power-driven Intego™ PET Infusion System infuses doses-on-demand from a multi-dose vial providing you with greater flexibility, enhanced workflow, added protection, and more accurate, repeatable, patient-specific dosing.

– – – – – – – – – –

Medtron Accutron CT

Medtron Accutron MR

Highlights

Capacity Delivery Pressure Flow Range

Absolutely wireless injector unit with rechargeable batteries Integrated heated syringe holder for Easy Loading Syringe (ELS) Wireless touchscreen remote control Use of prefilled syringes (as an option) Up to 6 phases Secured injection position (built-in sensor) Alternatively, display of injection parameters or pressure graph Aluminium housing Wall or ceiling syspension system(as an option) CANopen Interface (as an option)

Capacity

200 ml Easy Loading Syringe (ELS) 21 bar (304 psi) 0.1 – 10 ml/s, programmable in steps of 0.1 ml/s

Delivery Pressure Flow Range

65 ml or 200 ml (CM), 65 ml or 200 ml (NaCl) Easy Loading Syringe (ELS) 21 bar (304 psi) For both injection units: 0.1 – 10 ml/s, programmable in steps of 0.1 ml/s

Highlights – Absolutely wireless injector unit, rechargeable batteries – Integrated heated syringe holder with Easy Loading Syringe (ELS) 200 ml – Touchscreen control panel with different languages – Wireless touchscreen remote control – Secured injection position (built-in sensor) – Up to 6 phases – Use of prefilled syringes (as an option) – Alternatively, input of flow rate or phase duration – Display of injection parameter or pressure graph at the remote control – Interface capability (as an option) – Aluminium housing

Highlights

Medtron Accutron HP-D

Medtron Accutron HP

Capacity Delivery Pressure Flow Range

200 ml (CM), 200 ml (NaCl) Easy Loading Syringe (ELS)

– – – – – – – – –

Absolutely wireless injector unit with rechargeable batteries Touchscreen control panel with different languages Wireless touchscreen remote control Up to 6 phases Secured injection position (built-in sensor) Use of prefilled syringes (as an option) Alternatively, input of flow rate or phase duration Pressure graph Aluminium housing

Capacity Delivery Pressure

83 bar (1203 psi) 0.1 – 30 ml/s, programmable in steps of 0.1 ml/s

Flow range

200 ml Angio mode: 83 bar (1203 psi) CT mode: 21 bar (304 psi) Angio mode: 0.1 – 30 ml/s CT mode: 0.1 – 10 ml/s

Highlights Highlights – – – – – – – – – –

Absolutely wireless injector unit with rechargeable batteries Multiphase program controlled injection of CM and NaCl Single or multi injection mode Integrated heated syringe holder for Easy Loading Syringe (ELS) Touchscreen control panel with different languages Wireless touchscreen remote control Up to 3 phases – Pressure graph Secured injection position (built-in sensor) 60 injection protocols can be definded and stored by the user Interface (as an option) – Aluminium housing

– Two specialists in one device: fast high-pressure injections for angiography and multiphase injection profiles for computed tomography – Absolutely wireless injector unit with rechargeable batteries – Wireless touchscreen remote control (as an option) – Up to 3 phases – Wall or ceiling suspension system (as an option) – Integrated heated syringe holder for Easy Loading Syringe (ESL) 200 ml – 120 injection profiles can be defined and stored by the user (60 angio mode / 60 CT mode) – Aluminium housing

INJECTORS 36 RAD·BOOK 2012

ulrich INJECT CT motion

ulrich medical missouri (XD 2001)

Media containers

Media containers

Pressure Flow-Rate

CA max. 2 x 500 ml, NaCl max. 1 x 1000 ml

Pressure Flow-Rate

17 bar (246.6 psi) in 0.1 ml/s increments, 0.1 – 10.0 ml/s

CA max. 2 x 1000 ml, NaCl max. 1 x 2000 ml 16 bar (232 psi) in 0.1 ml/s increments, 0.2 – 8.0 ml/s

Highlights Highlights – – – – – – – – –

The brilliant combination of safety, efficiency and flexibility Roll pump injector for CT Direct and multiple injections from all commercially available media containers Selectable range of pressure limits 5 detectors to reliably prevent air injection Two-piece tubing system with check valves and particle filter Display with user guidance on the injector Wireless-enabled administration with Bluetooth and battery Available as pedestal version or with 3D ceiling mount

– The classic one – Roll pump injector for CT – Three media accesses for use of all commercially available media containers – Large media supply for several injections consecutively from one media container – Integrated pressure control system – Sensors to prevent air injection – Two-part hose system with check valves and particle filter – Fast patient changeover – Various software options available

ulrich medical ohio tandem (XD 2002)

ulrich medical tennessee (XD 2003)

Media containers

Media containers

Pressure Flow-Rate

CA max. 2 x 1000 ml, NaCl max. 1 x 2000 ml 16 bar (232 psi)

Pressure Flow-Rate

in 0.1 ml/s increments, 0.2 – 8.0 ml/s

CA max. 2 x 1000 ml (for CT), CA max. 2 x 100 ml (for MRI), NaCl max. 1 x 2000 ml 16 bar (232 psi) in 0.1 ml/s increments, 0.2 – 8.0 ml/s

Highlights – Two in one – Roll pump injector for CT – Three media accesses for use of all commercially available media containers – Tandem function for choice between two different contrast agents without change of media containers – Integrated pressure control system – Sensors to prevent air injection – Two-part hose system with check valves and particle filter – Fast patient changeover – Various software options available

Highlights

ulrich medical ohio M (XD 2004)

ulrich medical mississippi (XD 2000)

Media containers

Media containers

Pressure Flow-Rate

CA max. 2 x 1000 ml (for CT), CA max. 2 x 100 ml (for MRI), NaCl max. 1 x 2000 ml

– – – – – – – – –

16 bar (232 psi)

Ready for use at all times Roll pump injector for MRI up to 3T Mains-operated, battery-free handling Three media accesses for use of all commercially available media containers Large media supply for several injections consecutively from one media container Integrated pressure control system Sensors to prevent air injection Two-part hose system with check valves and particle filter Fast patient changeover

Pressure Flow-Rate

in 0.1 ml/s increments, 0.2 – 8.0 ml/s

CA max. 2 x 1000 ml (for CT), CA max. 2 x 100 ml (for MRI), NaCl max. 1 x 2000 ml 16 bar (232 psi) in 0.1 ml/s increments, 0.2 – 8.0 ml/s

Highlights – One for all – Roll pump injector for MRI – Three media accesses for use of all commercially available media containers – Choice between two different contrast agents without change of media containers – Integrated pressure control system – Sensors to prevent air injection – Two-part hose system with check valves and particle filter – Fast patient changeover – Various software options available

Highlights – – – – – – – – –

The flexible one Roll pump injector for MRI up to 3T Three media accesses for use of all commercially available media containers Large media supply for several injections consecutively from one media container Integrated pressure control system Sensors to prevent air injection Two-part hose system with check valves and particle filter Fast patient changeover Various software options available

INTERVENTIONAL SYSTEMS 37 RAD·BOOK 2012

INTERVENTIONAL SYSTEMS 38 RAD·BOOK 2012

Bi-Plane GE Healthcare Innova IGS 630 Design Detector DQE Size

Innova IGS 630 Biplane Angio system 77% 30 x 30 cm frontal 30 x 30 cm lateral

GE Healthcare Innova IGS 620 Design Detector DQE Size

Highlights

Highlights

– – – – –

– – – – –

Optimal detector size for dedicated neuro applications Innova CT HD, enhanced 3D imaging High detector DQE & AutoEx for dose optimization Advanced 3D guiding technology Integrated large display monitor

Innova IGS 620 Biplane cardiac system 79% 20 x 20 cm frontal 20 x 20 cm lateral

Smart gantry for optimal C-arm positioning High detector DQE & AutoEx for dose optimization Complete integration of intra-vascular-ultrasound, FFR InnovaSense patient contouring Integrated large display monitor

Shimadzu BRANSIST safire HB/VB Slender

Siemens Artis zee biplane

Detector Resolution Size

Design Detector Resolution Size

Direct-conversion flat panel detector (a-Se) 3.3 lp/mm 9" x 9" (23 x 23 cm)

Bi-plane flat detector angiography system 2 k a-Si with CsI Scintillator 1920 x 2480 pixel, 3.25 lp/mm 30 x 40 per plane

Highlights

– – – –

Bi-plane Angio/Cardio system Flat panel detector technology for outstanding image quality Grid controlled X-ray tube for superior dose management Exclusive „Cyber Chase“ feature to keep the ROI automatically in bi-plane rotation – Excellent coverage without moving a patient – Motion-artefact-free by patented mask-less DSA technology

– Advanced 3D-imaging at low dose – Functional imaging in the interventional suite with syngo iFlow – Slim-line design and flexible positioning capabilities for easy patient access with full body coverage – Largest bi-plane anatomical coverage available today – Clinical flexibility – from neurovascular to spine and abdominal imaging – New ergonomic system controls for smooth table-side operation – Complete 3D-portfolio including cross-sectional imaging with syngo DynaCT and syngo iPilot (3D-roadmapping) – Real time needle navigation with syngo iGuide and the FD-integrated laser light

Toshiba Infinix VF-i/BP

Toshiba Infinix CF-i/BP

Design Detector

Design Detector Tube

Highlights

Tube Power

Bi-plane 5-axis floor mounted C-arm and ceiling mounted Ω-arm 30 cm x 30 cm and 30 cm x 40 cm or 30 cm x 30 cm and 30 cm x 30 cm flat panel detector Triple focus, 3 MHU, 200 mA pulsed fluoroscopy

Power

Bi-plane 5-axis floor mounted C-arm and ceiling mounted Ω-arm 20 cm x 20 cm flat panel detector Triple focus, 3 MHU, 200 mA pulsed fluoroscopy 100 kW

100 kW

Highlights

Highlights

Vascular intervention demands speed, precision, and optimum performance. The Infinix VF-i/BP is designed to take advantage of the latest technological innovations to reduce dose and to save time. A revolutionary graphic user interface and a multi-tasking computer enable the system to fully meet the requirement for optimum image quality, safety, ease of use, advanced efficiency and improved workflow. The unique multi-axis floor mounted system enables unprecedented patient access and is supplied with the latest generation Flat Panel Detector to present high quality fluoroscopic and fluorographic images.

Cardio intervention demands speed, precision, and optimum performance. The Infinix CF-i/BP is designed to take advantage of the latest technological innovations to reduce dose and to save time. A revolutionary graphic user interface and a multi-tasking computer enable the system to fully meet the requirement for optimum image quality, safety, ease of use, advanced efficiency and improved workflow. The unique multi-axis floormounted system enables unprecedented patient access and is supplied with the latest generation Flat Panel Detector to present high quality fluoroscopic and fluorographic images.

INTERVENTIONAL SYSTEMS 39 RAD·BOOK 2012

Single Plane Toshiba Infinix DP-i

Block Imaging

Design Detector Tube

Design

Power

Dual-plane ceiling mounted C-arm and floor mounted C-arm

Single and biplane

20 cm x 20 cm and 30 cm x 40 cm flat panel detector Triple focus, 3 MHU, 200 mA pulsed fluoroscopy 100 kW

Highlights A single room X-ray solution with dedicated imaging chains for interventional cardiac and angiography procedures that share a common generator, table, monitors and digital acquisition system. Designed for both diagnostic and interventional examinations. Space, time and dose saving technology are key design elements of the Infinix DP-i; a cardiac dedicated floor-mounted C-arm for interventional cardiology and an advanced ceiling-suspended C-arm for angiographic and interventional application in one room.

Highlights

GE Healthcare Innova IGS 540

GE Healthcare Innova IGS 530

Design Detector DQE Size

Floor-mounted C-arm 2 k a-Si 77% 41 x 41 cm

– – – – –

We buy used interventional labs for refurbishment Give your equipment a 2nd chance at life Recover true value of your trade-in Free fair market valuations Professional project managers handle every detail of system deinstallation and removal – “Go Green” and recycle your equipment

Design Detector DQE Size

Highlights

Highlights

– – – – –

– – – – –

Large imaging Field of View High detector DQE & AutoEx for dose optimization Latest 3D-guiding solutions Integrated large display monitor Functionalities integration at tableside

GE Healthcare Innova IGS 520 Design Detector DQE Size

Floor-mounted C-arm 1 k a-Si 79%

Floor-mounted C-arm 1.5 k a-Si 77% 30 x 30 cm

Optimal detector size for combo procedures Fast gantry with patient contouring system High detector DQE & AutoEx for dose optimization Integrated large display monitor Functionalities integration at tableside

Shimadzu BRANSIST alexa F12 Detector Resolution Size

Flat panel detector (a-Si, CsI) 2.58 lp/mm 12" x 12" (30 x 30 cm)

20 x 20 cm

Highlights

Highlights

– – – – –

– – – – –

Optimal detector size for cardiac interventions Fast gantry with patient contouring system High detector DQE & AutoEx for dose optimization Integrated large display monitor Complete integration of intra-vascular-ultrasound, FFR

Floor-mounted C-arm High sensitive detector technology for outstanding image quality Six-axis triple-pivot construction for wide body coverage SUREengine: realtime image enhancement processing Unique pioneering imaging technology – RSM-DSA

INTERVENTIONAL SYSTEMS 40 RAD·BOOK 2012

Shimadzu BRANSIST alexa C12

Shimadzu BRANSIST safire VC/HC

Detector Resolution Size

Detector Resolution Size

Flat panel detector (a-Si, CsI) 2.58 lp/mm 12" x 12" (30 x 30 cm)

Highlights

Highlights

– – – – –

– – – – –

Ceiling-mounted C-arm Wide coverage of C-arm (287 cm longitudinal and 160 cm transverse movement) Direct Memory offers unsurpassable ease of operation Unique pioneering imaging technology – RSM-DSA SUREengine: realtime image enhancement processing

Shimadzu BRANSIST safire VF/HF Detector Resolution Size

Direct-conversion flat panel detector (a-Se) 3.3 lp/mm 9" x 9" (23 x 23 cm) or 17" x 17" (43 x 43 cm)

Direct-conversion flat panel detector (a-Se) 3.3 lp/mm 9" x 9" (23 x 23 cm) or 17" x 17" (43 x 43 cm)

Ceiling-mounted C-arm Flat panel detector technology for outstanding image quality Grid controlled X-ray tube for superior dose management High-speed C-arm up to 60°/sec. rotational DSA Excellent coverage without patient moving

Siemens Artis zeego Design Detector Resolution Size

Bi-plane flat detector angiography system 2 k a-Si with CsI Scintillator 1920 x 2480 pixel, 3.25 lp/mm 30 x 40 per plane

Highlights Highlights – – – – – –

Floor-mounted C-arm Flat panel detector technology for outstanding image quality Grid controlled X-ray tube for superior dose management High-speed C-arm up to 60°/sec. rotational DSA Excellent coverage without patient moving Flexibility and reliability with triple pivots

– Cross-sectional imaging with Large Volume syngo DynaCT to visualize the whole liver or the whole lumbar spine – Functional imaging in the interventional suite with syngo iFlow complete 3D-portfolio including syngo iPilot (3D-roadmapping) – Real time needle navigation with syngo iGuide and the FD-integrated laser light – Small footprint and multiple park positions – Ideally suited for the OR environment – Flexible working height reduces fatigue associated with longprocedures – Pre- and post-operative high-end imaging directly in the OR

Siemens Artis zee floor-mounted

Siemens Artis zee ceiling-mounted

Design Detector Resolution Size

Design Detector Resolution Size

Universal floor-mounted flat detector angiography system 2 k a-Si with CsI Scintillator 1920 x 2480 pixel, 3.25 lp/mm 30 x 40

Universal ceiling-mounted flat detector angiography system 2 k a-Si with CsI Scintillator 1920 x 2480 pixel, 3.25 lp/mm 30 x 40

Highlights Highlights – Advanced 3D-imaging at low dose – Slim-line design and flexible positioning capabilities for easy patient access with full body coverage – New ergonomic system controls for smooth table-side operation – Complete 3D-portfolio including cross-sectional imaging with syngo DynaCT and syngo iPilot (3D-roadmapping) – Real time needle navigation with syngo iGuide and the FD-integrated laser light

– Advanced 3D-imaging at low dose – Functional imaging in the interventional suite with syngo iFlow – Slim-line design and flexible positioning capabilities for easy patient access with full body coverage – New ergonomic system controls for smooth table-side operation – Complete 3D-portfolio including cross-sectional imaging with syngo DynaCT and syngo iPilot (3D-roadmapping) – Real time needle navigation with syngo iGuide and the FD-integrated laser light

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INTERVENTIONAL SYSTEMS 42 RAD·BOOK 2012

Toshiba Infinix CF-i/SP

Toshiba Infinix CC-i

Design Detector Tube Power

Design Detector Tube

Monoplane 5-axis floor mounted C-arm 20 cm x 20 cm flat panel detector Triple focus, 3 MHU, 200 mA pulsed fluoroscopy 100 kW

Power

Monoplane ceiling mounted C-arm 20 cm x 20 cm flat panel detector Triple focus, 3 MHU, 200 mA pulsed fluoroscopy 100 kW

Highlights

Highlights

Cardio intervention demands speed, precision, and optimum performance. The Infinix CF-i/SP is designed to take advantage of the latest technological innovations to reduce dose and to save time. A revolutionary graphic user interface and a multi-tasking computer enable the system to fully meet the requirement for optimum image quality, safety, ease of use, advanced efficiency and improved workflow. The unique multi-axis floor mounted system enables unprecedented patient access and is supplied with the latest generation Flat Panel Detector to present high quality fluoroscopic and fluorographic images.

Cardio intervention demands speed, precision, and optimum performance. The Infinix CC-i is designed to take advantage of the latest technological innovations to reduce dose and to save time. A revolutionary graphic user interface and a multi-tasking computer enable the system to fully meet the requirement for optimum image quality, safety, ease of use, advanced efficiency and improved workflow. The advanced ceiling suspended system enables unprecedented patient access and is supplied with the latest generation Flat Panel Detector to present high quality fluoroscopic and fluorographic images.

Toshiba Infinix VF-i/SP

Toshiba Infinix VC-i

Design Detector Tube

Design Detector Tube

Power

Monoplane 5-axis floor mounted C-arm 30 cm x 30 cm or 30 cm x 40 cm flat panel detector Triple focus, 3 MHU, 200 mA pulsed fluoroscopy 100 kW

Power

Monoplane ceiling mounted C-arm 30 cm x 30 cm or 30 cm x 40 cm flat panel detector Triple focus, 3 MHU, 200 mA pulsed fluoroscopy 100 kW

Highlights

Highlights

Vascular intervention demands speed, precision, and optimum performance. The Infinix VF-i/SP is designed to take advantage of the latest technological innovations to reduce dose and to save time. A revolutionary graphic user interface and a multi-tasking computer enable the system to fully meet the requirement for optimum image quality, safety, ease of use, advanced efficiency and improved workflow. The unique multi-axis floor mounted system enables unprecedented patient access and is supplied with the latest generation Flat Panel Detector to present high quality fluoroscopic and fluorographic images.

Vascular intervention demands speed, precision, and optimum performance. The Infinix VC-i is designed to take advantage of the latest technological innovations to reduce dose and to save time. A revolutionary graphic user interface and a multi-tasking computer enable the system to fully meet the requirement for optimum image quality, safety, ease of use, advanced efficiency and improved workflow. The advanced ceiling suspended system enables unprecedented patient access and is supplied with the latest generation Flat Panel Detector to present high quality fluoroscopic and fluorographic images.

WDM CGO Series Design Detector Size

Floor mounted / ceiling suspending CCD / FPD –

Highlights – High frequency 100 kW / 200 kHz generator – Floor mounted / ceiling suspending C-arm, large range of movement along three axes, affiliated with longitudinal movement of cath-table enables more clinic applications – Cath-table: four way movement of tabletop, electric up / down movement – 40 cm × 30 cm CsI FPD/ 12" three fields I.I. – InvaRay digital imaging platform, DSA – Comprehensive image processing workstation capable of handling various complicated procedures

Please visit us at

www.radbook.eu

INTERVENTIONAL SYSTEMS 43 RAD·BOOK 2012

Surgical C-arms Block Imaging Size

Canon XEPHILIO MC-1100

9" and 12"

Highlights

We buy used mobile C-arms for refurbishment Give your equipment a 2nd chance at life Recover true value of your trade-in Free fair market valuations Professional project managers handle every detail of system deinstallation and removal – “Go Green” and recycle your equipment

Canon is known for advanced imaging technologies, producing 14 generations of premium flat panel detectors for various applications. Now, for the first time, Canon has taken innovation to the next level in developing a complete X-ray solution: the XEPHILIO mobile C-arm. – High resolution dynamic imaging – High sensitivity with low noise and minimal dose – Flexible patient positioning for all body sizes – Fluoroscopic endurance – Transitional work flow ease – Advanced applications – seamless integration and archiving capabilities

GE Healthcare OEC 9900 Elite

GE Healthcare OEC FluoroStar 7900

Power II-Format

Power II-Format

Highlights – – – – –

15 kW 11 cm, 15 cm, 23 cm and 31 cm

Highlights

Highlights

– – – – –

– – – – –

DRM (Dynamic Range Management) Intuitive touchscreen interface Comfortable viewing with flat screen monitors Easy archiving: CD / DVD and DICOM Fully motorized imaging system

Hologic Fluoroscan™

2.2 kW 11 cm, 15 cm and 23 cm

Compact monitor cart and C-arm Superb image quality – 1 k x 1 k Simple touchscreen interface Innovative connectivity solution: CD/DVD, USB and DICOM Available as Compact, Compact2, Compact+ and Series

Intermedical RADIUS XP 100 CARDIO Power Image System Size

100 kW Image Intensifier 9" – 13"

Highlights Highlights – – – –

Precision and versatility in extremity surgery Ultra-fine fluoroscopy images Tremendous maneuverability Automated adjustments that deliver the optimum image every time, for every patient – Assists surgeons in virtually all surgical procedures of the extremities – it is also extremely useful in the emergency department, as well as in private practice

The new solution for the market demand: higher features at a lower price! Excellent manouvrability with a slim-line design. – Up to 1000 mA, 100 kW power – Liquid cooled X-ray tube – Suspended LCD screens – Control room screens – E-motion remote control (all C-arm movements are motorized) – DICOM interface

INTERVENTIONAL SYSTEMS 44 RAD·BOOK 2012

Intermedical RADIUS XP

Intermedical RADIUS DFG

Power Image System Size

Power Image System Size

20 kW Image Intensifier 9" – 13"

5 kW Image Intensifier 9" – 12"

Highlights Highlights – – – – – – –

Large Power reserve of 20 kW Excellent 1 k x 1 k image quality Outstanding versatility: flexible configurations suitable for all the examinations 12, 25 or 30 frames sec. image acquisition depending on the chosen software E-motion: all C-arm movements can be motorized Dual Cooling System: liquid-to-air heat exchanger Dual Power System: power reserve system

Modular configurations, from the base one to the top one (DSA Full), even after-sale, just with a USB-key-hardware. – Progressive scan CCD digital camera 1 k x 1 k – Memory capacity: more than 200.000 images – 40 kHz X-ray monobloc generator, 120 kV, rotating anode – Memory configurations: DFG Base (15 frames/second); DFG Vascular (30 frames/second) – DICOM 3

Medtronic O-arm® System

Philips Veradius Neo

Power II-Format

Power Field of view

32 kW Digital flat panel detector 30 x 40 cm

15 kW 26.2 x 26.2 cm

Highlights – – – – – – – – – –

Fast 13 sec 3D scan Fully mobile Flexible intra-operative 2D- and 3D-imaging Large 2D-image size and large 3D scan volume Seamless integration in OR workflow Easy in use: All motions motorized, simple control panel Position memory remembers scan positions Easy draping of the breakable gantry Seamless integrating with StealthStation® Navigation Full DICOM3, USB, CD / DVD interfacing

Philips Veradius Power Field of view

15 kW 27 x 27 cm

Highlights – – – – – –

True multi purpose top-end system with flat detector Optimized C-arm geometry with 73 cm C depth Smooth movement and color coding for easy positioning Super thin flat detector frees up valuable space Superb image contrast thanks to high dynamic range of Trixell detector State-of-the-art wireless data communication with RIS/HIS

Philips BV Endura 2 Power II-Format

3.15 kW 31 / 23 / 17 cm

Highlights

Highlights – – – –

Super thin flat detector frees up valuable space Superb contrast thanks to high dynamic range Insensitive to magnetic fields No geometrical distortions

– Versatile workhorse designed for routine and vascular interventions – SmartVision – a fully digital imaging chain including powerful image processing functions – High quality images at a low dose, time after time – Optimally designed mobile view station providing a unique intelligent viewing concept – Extended rotation

INTERVENTIONAL SYSTEMS 45 RAD·BOOK 2012

Philips BV Pulsera 2 Power II-Format

15 kW 31 / 23 / 17 cm

Philips BV Pulsera with 3D-RX Power II-Format

15 kW 31 / 23 / 17 cm

Highlights – An interventional powerhouse, covering the widest range of applications, including cardiac interventions – SmartVision – a fully digital imaging chain including powerful image processing functions – High quality images at a low dose, time after time – Pulsed acquisition 30 pulses / sec – Rotating anode power

Highlights

Shimadzu Opescope Activo

Shimadzu Opescope Pleno

Power II-Format

Power II-Format

2.0 kW 16 / 23 cm

– Based on the BV pulsera – Unique combination of conventional 2D-C-arm flexibility and top-quality 3D-imaging in a single compact system – 12" image intensifier for largest 3D-reconstruction, expanding clinical applications – Motorized propeller movement of 200 degrees in only 30 sec acquisition

Highlights

Highlights

– – – – –

– – – – –

Fully balanced C-arm for fast and easy positioning Pulsed fluoroscopy at up to 15 frames/sec Configurable application programs Optional digital imaging processing functions Optional DICOM function

2.0 kW 16 / 23 cm

Fully balanced C-arm for fast and easy positioning 1 Megapixel CCD camera Realtime DSA Configurable application programs and touchscreen operation Fully DICOM compliant

Siemens SIREMOBIL Compact L

Siemens ARCADIS Avantic

Power II-Format

Power II-Format

1.4 kW 23 cm

25 kW 33 cm

Highlights Highlights – – – –

High projection flexibility of 130° Minimum radiation with CARE (Combined Applications to Reduce Exposure) MEMOSKOP CX provides a large image memory with up to 5.000 images Optional DICOM compatibility

– – – – –

Maximum overview through industry leading 13" (33 cm) image intensifier Excellent performance due to its large power reserve of 25 kW Brilliant images in every situation thanks to EASY (Enhanced Acquisition System) Remote user interface for direct control from within the sterile field Full DICOM compatibility

INTERVENTIONAL SYSTEMS 46 RAD·BOOK 2012

Siemens ARCADIS Orbic/Orbic 3D

Siemens ARCADIS Varic

Power II-Format

Power II-Format

2.3 kW 23 cm

2.3 kW 23 cm

Highlights Highlights – – – –

Highly versatile intraoperative 3D-imaging based on truly isocentric design Brilliant images in every situation thanks to EASY (Enhanced Acquisition System) Full DICOM compatibility NaviLink interface for 3D-navigation

– – – – –

Intuitive system operation Small footprint and lightweight design Continuous 1K2 digital imaging chain with up to 23 mA tube current Brilliant images in every situation thanks to EASY (Enhanced Acquisition System) Full DICOM compatibility

TECHNIX TCA6 S / TCA6 R

TECHNIX TCA6 R 12"

Power Image System Size

Power Image System Size

3.5 kW (TCA6 S) / 5 kW (TCA6 R) Image intensifier 9"

Highlights

Highlights

– – – –

– – – – – – – – – –

– – – – –

Stationary anode (TCA6 S) / Rotating anode (TCA6 R) 0.5 k x 0.5 k camera Image storage: LIH + 330 / 2700 / 80000 Compact version without cart and 17" monochromatic LCD on-board monitor / lightweight or high configuration cart with 19" LCD monitors Cost-effective solution for routine procedures Up to 25 fps acquisition Optional ± 30° motorized rotation for lithotripsy interventions Anatomical programs DICOM connectivity (LAN or wireless)

up to 7.2 kW Image intensifier 12"

Rotating anode – 1 k x 1 k camera Image storage: up to 144000 High configuration cart with 19" monochromatic LCD monitors Acquisition up to 25 fps Anatomical programs DICOM connectivity (LAN or wireless) CD / DVD and USB for image exporting Remote control Virtual collimators (for dose reduction) DSA, roadmap, stenosis analysis

VILLA Sistemi Medicali – Arcovis 3000 S Compact

VILLA Sistemi Medicali – Arcovis 3000 S/R

Power II-Format

Power II-Format Pulse frequency

3.5 kW 9"

3.5 kW (fixed anode) / 5 kW (rotating anode) 9" / 12" up to 25 fps

Highlights

Highlights – Compact C-arm unit available with 9" I.I. and stationary anode tube – Equipped with an on-board 17" LCD monitor, not requiring external displays on trolleys – Last image hold and storage system based on non-volatile technology – ± 45° rotating control panel for immediate operation even in the most difficult environment

– Surgical C-arm unit for application in urology, cardiology, orthopedics and general surgery – Perfect balance between image quality, ease of positioning and ergonomics – Choice between fixed anode (Arcovis 3000 S) or rotating anode (Arcovis 3000 R) versions – Choice between either 9" I.I. (with stationary or rotating anode) or 12" I.I. with rotating anode – Choice of 0.5 K2 or 1 K2 camera and several image storage options to satisfy all applications – Large 19" LCD monitors

INTERVENTIONAL SYSTEMS 47 RAD·BOOK 2012

WDM HHMC Series Power Image System Size

5 kW / 10 kW / 16 kW CCD Camera with 1 Million Pixels

Ziehm Imaging – Ziehm Vision Power II-Format

2 kW 23 cm / 31 cm



Highlights

Highlights

– Main purpose: peripheral angiography and organ imaging also can fit orthopedic diagnostic and treatment. System is compatible with PACS (Picture Archiving and Communication System) – Advantages: 16 kW / 10 kW / 5 kW high frequency generator; 1 million pixels CCD camera; Toshiba X-ray tube; Storage Function

– – – – –

Ziehm Imaging – Ziehm 8000

Ziehm Imaging – Ziehm Vision R

Power II-Format

Power II-Format

2 kW 15 cm / 23 cm

High-resolution thanks to 1 k x 1 k technology Active cooling for unlimited fluoroscopy time Object Detected Dose Control (ODDC) for optimized image quality Intuitive Ziehm Vision Center user interface Smallest footprint

Highlights

Highlights

– – – – –

– – – – –

Optimal image quality on a high-resolution split-screen High contrast ensures crystal clear images on screen Image processing such as edge enhancement, windowing and zoom Metal correction and soft tissue program to eliminate irradiations Proven C-arm technology

7,5 kW / 20 kW 23 cm / 31 cm

Powerful 20 kW monoblock generator Smallest footprint and highest performance Advanced active cooling for unlimited fluoroscopy SmartVascular software for improved workflow Rotating anode with 4 – 30 ms pulse width for optimal image quality

Ziehm Imaging – Ziehm Solo

Ziehm Imaging – Ziehm Compact

Power II-Format

Power II-Format

2 kW 23 cm

Highlights

Highlights

– – – – –

– – – – –

Full size monitor mounted on C-arm High-resolution thanks to 1 k x 1 k technology Pulsed monoblock generator for optimal image quality Intuitive touchscreen user interface Available as Ziehm Solo Portable suited for field operations

2 kW 15 cm / 23 cm

Light-weight design with smallest footprint High resolution 18" screen mounted on the C-arm Anatomical programs for all imaging scenarios Optional monitor cart Individual start-up configuration

INTERVENTIONAL SYSTEMS 48 RAD·BOOK 2012

Ziehm Imaging – Ziehm Vision FD

Ziehm Imaging – Ziehm Vision RFD

Power II-Format

Power II-Format

2 kW Digital flat-panel detector 20 x 20 cm

Highlights

Highlights

– – – – –

– – – – –

Pulsed monoblock generator for outstanding image quality Flat-panel technology with 1 k x 1 k matrix for highest resolution Fully digital imaging chain to process images without loss of quality Easy handling in the OR thanks to a larger C-arm opening Optimal skeleton and soft tissue imaging

7.5 kW / 20 kW Digital flat-panel detector 30 x 30 cm

Pulsed monoblock generator with up to 20 kW power Rotating anode with 4 – 50 ms pulse width Advanced active cooling for unlimited fluoroscopy Suited for hybrid room applications Optional: Remote Vision Center for sterile bedside control

Ziehm Imaging – Ziehm Vision FD Vario 3D

Ziehm Imaging – Ziehm Vision Vario 3D

Power II-Format

Power II-Format

2 kW Digital flat-panel detector 20 x 20 cm

Highlights

Highlights

– – – – –

– – – – –

2D- and intraoperative 3D-imaging with one system Fully digital flat-panel technology for processing images without loss of quality Variable isocenter for easy positioning of patients during surgery Open interface (Ziehm NaviPort) to navigation systems Optional: Remote Vision Center for sterile bedside control of the complete C-arm

2 kW 23 cm

Compact 3D-imaging Variable isocenter for easy positioning of patients during surgery 2D-imaging for standard use in clinics 3D-imaging for multi planar reconstruction Open interface (Ziehm NaviPort) to navigation systems

Accessories / Complementary Systems Intermedical ANGIO TABLE

ulrich medical – CO2 Insufflator for virtual colonoscopy Pressure Insufflation rate Setting

0 – 30 mmHG, infinitely variable, preselectable 1 – 4 l/min, arbitrary supported by voice confirmation system

Highlights Highlights – Mobile table studied and designed to host the C-arm keyboard and the E-motion joystick (plus the table control panel) – Ample longitudinal travel – Longitudinal and transversal tilting – Maximum ease of handling and quick centering the area to examine – Complete set of accessories – Main applications: peripheral angiography, electrophysiology, endoscopy, neuroangiography, urology

– Inspiringly gentle – Automatic insufflation of CO2 into the colon for virtual colonoscopy examinations in CT – Significant improvement of diagnostic results compared to manual room air insufflation – Increase of patient comfort due to automatic adjustment of over pressure and faster resorption – Easy setting of gas volume and pressure – Display of gas consumption – Four adjustable flow rates

IT SYSTEMS 49 RAD·BOOK 2012

IT SYSTEMS 50 RAD·BOOK 2012

syngo.plaza at University Hospital in Würzburg, Germany

Focusing more on the patient, less on technology The University Hospital of Würzburg just

migrated from Siemens SIENET Magic

to syngo.plaza, marking a further step toward optimizing workflow economy

and medical quality. It is now one of the system’s biggest users in Germany, with plans for 100 users to operate approximately 170 modalities in radiology, urology, gastroenterology, neuroradiology, and pediatric radiology.

The switch marked a major leap forward. Professor Dietbert Hahn, MD, director of the hospital’s Institute of Radiology, points out unequivocally: “we took another step toward optimizing workflow economy and medical quality with the hospital-wide introduction of syngo.plaza”. Both, time savings and quality enhancement were

major factors driving the move. Tools such as the findings Navigator, for instance: “With syngo.plaza, we can visualize measurements of tumors or other lesions in an action log. When we reopen the series later, we automatically see the images with the measurements from that time. That saves time and helps during the diagnostic process.”

IT SYSTEMS 51 RAD·BOOK 2012

Switching to the Next View in Seconds1 Another example is the Cross Reference mode, which is used for reporting CT or MRI studies. The radiologist marks a certain spatial point within a series and can then automatically locate that point in a different view. Detlef Klein, MD, senior physician in the hospital’s radiology department cites a real-world example to explain the benefits of this process: “Using the Cross Reference tool, I can switch perspectives in seconds1 to find out whether an air pocket is located within the intestine or is extraluminal.” In principle, the site’s former PACS also offered the ability to call up multiple orthogonal views, of course. “But it is significantly faster now, with just one click from the mouse menu,” Klein says. Indeed, time savings and speed are what the switch is all about. Downloading a polytrauma case with 1,600 images now takes just a few seconds1 at most, where the radiology team in Würzburg used to wait several minutes for the same process to finish in the past. Speed also affects communication within the team, as Hahn points out: “It used to take a minute and a half to load an MRI or CT series. That was unbearably long for clinical demonstrations or tumor conferences. With syngo.plaza, the images now appear onscreen right away.” Since these kinds of conferences often involve discussing images from twenty or more patients, including preliminary scans, it is easy to see how much time the new PACS saves.

“The idle times we experienced during tumor conferences while we waited for the images is now – finally – a thing of the past for us.” Prof. Matthias Beissert, MD, Managing Physician at the Institute of Radiology Individual series now load in three to four seconds1 since they are no longer transferred to the interpretation console 1 Results may vary. Data on file.

locally, and are available on the hospital’s network. In this context, Hahn lays out a simple calculation: “If it took a minute and a half to call up a study using the old PACS, and we open 400 studies per day, we can see, in purely arithmetic terms, that syngo.plaza will now help save us several hours of loading time – time that we can better use elsewhere. The image memory is large enough that we can even access the images for multiple patients at the same time.” On the topic of work speed and waiting times, Professor Matthias Beissert, MD, managing physician at the Institute of Radiology, can’t resist a slight dig at Siemens: “We had to wait a bit longer than we had originally expected for syngo.plaza,” he notes. Developing an advanced PACS simply takes time. “And a new PACS from Siemens is no exception,” he says. But jokes and critical comments aside, Beissert does ultimately have praise for Siemens as a longstanding, valued partner: “The wait was worthwhile – well worthwhile, even.” One factor in his positive overall assessment of syngo.plaza is the Smart Select function, a personalized tool that each radiologist can arrange according to his or her routines. The radiologist selects the eight most frequently used functions and places them in the “star”, where they can then be clicked directly, instead of having to use the navigation bars for access. This helps ensure that users move forward quickly, with just a few clicks, saving “mouse meters” and allowing the radiologist to concentrate completely on the image.

The fact that the data transfer took only about eight months is due to a number of factors, including the optimized management of the migration process. Those responsible for the project pinpointed a transfer speed that allowed radiologists to do their work without issues during the migration, while still keeping the preliminary studies generated earlier available for comparison purposes without long wait times. During the migration process, Siemens maintained its own office within the radiology institute to monitor the data transfer and remain available to PACS users at all times. “We always have an expert contact person nearby to help us right away with all our technical questions and issues relating to using the system,” says Klein, praising the support provided for the project.

Data Sets from 1.2 Million Scans Migrated to New PACS

So what’s the final verdict on syngo. plaza? Beissert pauses, then answers: “We are focusing less on the technology and more on the benefits that the technology brings us for our reporting. That means syngo.plaza has taken our radiology department into the future.” The new PACS is a tool that allows radiologists once again to concentrate more on the original purpose of the profession in their day-to-day practice: That is actually the best compliment syngo.plaza could hope to earn. After all, it was developed for physicians – not for engineers.

The facility in Würzburg decided on “everything in a single archive” as a solution. All of the existing data from ten years of digital radiology – 1.2 million scans, totaling 50 terabytes in all – was transferred to the new system. The department’s former PACS, SIENET Magic, has definitely been put out of commission now that the data migration is complete, and the radiologists are working exclusively with syngo.plaza.

“The support we received from Siemens during the migration was everything we could have hoped for.” Detlef Klein, MD, Senior Physician at the Institute of Radiology at the University Hospital of Würzburg

For Physicians, Not Engineers

www.siemens.com/syngo.plaza

IT SYSTEMS 52 RAD·BOOK 2012

When Replacing Legacy PACS Systems, Healthcare Groups Embrace The Flexibility of Cloud-Based Services

PACS in the Cloud Public and private healthcare facilities in Europe are leading the world in the implementation of cloud-based PACS and archiving services. In an environment of rapid technological advances, it makes sense to select the most flexible platform possible for the management and distribution of imaging exams and associated patient information.

Cloud-based services offer the following advantages: – The provider assumes responsibility for all aspects of the service including upgrades to hardware and software; adopting and maintaining security measures and conforming to regulatory requirements in each country. – This highly scalable solution can accommodate multiple authorized users and facilities, regardless of physical location. This greatly facilitates the sharing of imaging studies among affiliated and unaffiliated facilities and remote radiologists and specialists; and

– The ability to pay for capabilities on a per-use basis. When replacing legacy PACS systems, healthcare providers are now relying upon cloud-based services to efficiently distribute, manage and store imaging exams and related data. Images can be quickly and easily transmitted via a secure Internet connection to on-site or off-site radiologists for reading. Studies can be shared with referring physicians or other clinicians at any location over a basic Internet connection. Cloud-based services also can allow patients to access their own records and share them with their physicians.

IT SYSTEMS 53 RAD·BOOK 2012

Carestream Health is one of the world’s premier providers of large cloud-based healthcare IT infrastructures. The company currently manages over 1 billion images worldwide, supported by data centres across the U.S., Europe, Latin America and Japan. Carestream Vue Cloud PACS delivers full PACS functionality for image review, storage and distribution throughout the enterprise including delivering advanced reading tools to remote radiologists. The company’s Vue Cloud Archive offers virtualised, vendor-neutral storage as well as data protection and disaster recovery of clinical data and can reduce costs by up to 30 percent. The Vue Cloud Community enables healthcare providers that use the company’s archive service to allow access to that data by authorised clinicians anywhere in the world through a simple Internet connection, making it ideal for inter-hospital collaboration.

Hospital Group Implements CloudBased Archiving, Access Portal Algemeen Stedelijk Ziekenhuis Aalst (ASZ) in Flanders, Belgium, is marrying a new generation on-site CARESTREAM Vue PACS with cloud-based archiving for all radiology studies delivered from the Carestream regional

data centre. The Vue Cloud Portal* will make data from a 40 terabyte legacy archive accessible to Internetbased users. The 600-bed ASZ is a large hospital group that operates across three sites and manages more than 320,000 studies annually. “Carestream offered the latest state-of-the-art technology for PACS capabilities and vendor-neutral archiving,” said Dr. Van Hedent, Chief Radiologist of the ASZ. “With the new system we will enjoy the best native post-processing capabilities on the market and also embedded reporting tools with speech recognition and remote access.” Mr. Brantegem, the group’s Finance Manager, reports the pay-perstudy payment model presented significant advantages. “It provides total transparency of use and a predictable total cost of ownership, while reducing the need to maintain and upgrade our infrastructure.”

Need for Collaboration Drives Selection of Cloud-Based Services The University Hospital of SaintEtienne in France is installing a CARESTREAM Vue Cloud PACS and Vue Cloud Archive to enable collaboration with other healthcare facilities in the

region. The new contract is part of the hospital’s modernisation strategy. To oversee the project, a control group was established consisting of public health and medical-social institutions, cooperative health groups and non-profit organisations. The group will share the purchase and use of services and equipment. “For our project the service model approach offered the best guarantee of success, by virtue of its great adaptability to address the needs of the different participants and its capacity for sharing economies of scale,” said Jean-Christophe Bernadac, Information System Manager at the University Hospital of Saint-Etienne. “Outsourcing the platform to Carestream’s approved data centre also allows us to fully conform with regulations.” Vue is the new brand for the company’s comprehensive healthcare IT platform that includes radiology, cardiology, enterprise workflow, vendorneutral archiving and cloud-based services. Vue merges Carestream Health’s lineage of imaging innovation with leading-edge IT technology. With thousands of proven implementations worldwide, Vue healthcare IT solutions deliver streamlined workflow, clinical excellence and superior patient care. www.carestream.com

* Works-in-progress

IMAGE-ARENA The Platform for Review, Analysis and Datamanagement for Ultrasound in Radiology! Multivendor reads dynamic 2D, 3D, 4D data from many ultrasound systems

Workflow integration seamless integration and connectivity to existing PACS, RIS or HIS

2D/3D/4D Ultrasound Analysis provides a comprehensive portfolio of clinical and advanced applications

TomTec Imaging Systems GmbH Edisonstrasse 6 85716 Unterschleissheim · Germany Phone: +49(0)89/32 175 - 500 www.tomtec.de TomTec Corporation USA 525 West Monroe Street Suite 23620 Chicago, Il. 60661 – USA Toll Free 1-866-735-3740

IT SYSTEMS 54 RAD·BOOK 2012

RIS / PACS Agfa IMPAX 6

Esaote SUITESTENSA Web PACS

Highlights

Highlights

IMPAX 6 is a next generation PACS, designed to streamline your enterprise workflow and deliver increased efficiency and productivity to your hospital or care facility. It is a single workflow-based system that can serve your needs within, and outside, the walls of your facility. By proving an electronic workflow system, streamlining study reviews, offering a persona-based design, and enabling improved reporting and results distribution, IMPAX 6 adapts to your specific needs.

SUISTESTENSA WEB PACS is a software application for the distribution of images by INTRANET / INTERNET. By means of an interface accessed over the web, all the services for managing images and their display by means of a networked PC can be enabled, configured and managed. The main features include: java based, multi-platform, scalable, management of various image types and formats (including cineloops), bandwidth dependent image compression, advanced image manipulation functions.

Esaote SUITESTENSA RIS CIS PACS

Hectec mediQR PACS Connetivity

Highlights There are no more lines that separate RIS CIS from PACS: SUITESTENSA bridges applications in a new and innovative way with the result of simplifying the workflow. Multi-departmental and multi-site healthcare departments introduce new needs in terms of software architecture and hardware set-up. SUITESTENSA RIS CIS PACS easily supports mixed architectures to perform optimally under any circumstance, adapting a project to customer needs and available infrastructures.

Image iQ-SYSTEM PACS

Highlights mediQR PACS Connectivity for mediCAD. mediCAD works with the DICOM standard. For special adaptations to other digital systems, please contact us. With a range of partners we have already implemented a successful connection.

iSOFT Radiology Fusion

Highlights – Full-featured enterprise-wide PACS offering a full range of solutions for any medical branch – Both web based and workstation based system – Highest compatibility supporting virtually all imaging modalities in the market – Integrations done with most HIS, RIS and EMR vendors – Add-on modules available, e.g. for 3D post-processing, orthopedic templating, nuclear medicine and more – Online storage capacity of up to 500 million images in a single database – Portal for referring physicians

Highlights iSOFT Radiology Fusion is a complete solution for continuous mapping of processes in radiology, mammography, nuclear medicine and radiotherapy. Choosing the most appropriate technology, architecture and software component, the solution is designed to transfer patients quickly and seamlessly from diagnosis to therapy. Core Features: – 3D functionality and segmentation – Pre-operative endo-prothetics with mediCAD module – Multimedia interface / import and export functionality

IT SYSTEMS 55 RAD·BOOK 2012

ITZ Hyper.PACS with archive Hyper.ARC

Highlights – – – –

Fast – stable – save Best strategic concept: Data of all departments in one database Data in and out in the same format as stored Archive with silent cubes a trademark of Fast-LTA embedded in ITZ-parallel-archiving-concept – Mandatory-DICOM-database with unlimited size – DMS: document archiving included

Please visit us at

www.radbook.eu

medigration ImageBroker

medigration ImageWeb

Highlights

Highlights

– – – – – –

Easy, fast and efficient image management and long term storage Can be specifically configured for every practice / medical care unit / hospital size Reliable and scalable image and result archiving Individual workflow-orientated handling Ideal platform for in-house and inter-site intercommunication (multi-site PACS) Low investment and follow-up costs thanks to the systematic use of standard components – Straightforward HIS integration (HL7)

– Simple and quick availability to examinations throughout the entire facility – On demand access to every workplace in the network – Images and results can be called up within seconds due to intelligent data compression – DICOM images are displayed in high quality (support of the full bit depth and resolution) – Extremly easy to use and manage – Individually definable access regulations (optional)

NEXUS / PACS

Protec PROPAXX

Highlights

Highlights – – – –

All-in-one PACS solution Archiving and viewing as one system Easy to use – changing the tools with just one click Intelligent hanging protocols – no waste of time for searching the studies and setting the display – Workflow based CD-import and export – makes it open for the communication with other institutes or doctors – 3D-cursor – direct orientation within the different series

State-of-the-art software for viewing, processing and archiving that offers multifunctional and flexible support in the diagnosis of X-ray images. Key features: – Tools to optimize and analyse image data – Useful administrative and assisting functions‚ as e.g. the integrated interface for reporting the clinical findings or synchronic viewing of X-ray images – Detailed 10-Bit display of the X-ray images – Configurable menu with guide access – lndividual system size: single or multiple workstations – Integrated backup function – Communication interfaces enable PROPAXX to direct data and image exchange with image acquisition systems and modality consoles (e.g. PROTEC’s CONAXX)

IT SYSTEMS 56 RAD·BOOK 2012 Sectra PACS

Sectra LiteView

Highlights Sectra PACS is built on Sectra RapidConnect™ technology. It enables the rapid image and data delivery required for a competitive radiology workflow allowing you to efficiently share radiology services across geographic and subspecialty boundaries. Sectra PACS provides you with the environment to perform your work as smoothly and efficiently as possible. You have instant access to all the tools and images you need in one single diagnostic workstation. Efficient tools and excellent overviews reduce waiting times to a minimum, and support fast and accurate diagnoses. Sectra workstations are designed to streamline the workflow of their clinical role, enabling them to perform their work as effectively, safely and quickly as possible. Single workstation-reporting with embedded speech recognition further improves your efficiency and productivity.

Highlights

Siemens syngo.plaza

Siemens syngo® Dynamics

Sectra is offering a platform independent enterprise mobile viewer with zero footprint to serve the workflow needs of physicians. The solution enables physicians to have instant access to images and reports via smart phones and tablets like iPad. The solution also integrates well with Hospital Information Systems and other clinical portals.

Highlights

Highlights syngo.plaza is the PACS for the clinical routine enabling 2D-, 3D-, and 4Dreading in one place. It is scalable in procedure range and suitable for smaller Diagnostic Imaging Centers as well as large hospitals. – Wide application range with advanced functionalities at one workplace – Powerful integration with Advanced Visualization – Tools and layouts individually adapted to your needs – Fast reading through prompt loading and optimized tools

SIEMENS syngo® Dynamics Cardiovascular Workplace provides a holistic patient-centric view of the cardiovascular record and enables exam review, reporting and distribution through a single point of control.1 – Multi-modality open-standard image management with flexible evidencebased structured reporting – syngo.via cardiovascular applications for advanced visualization and auto case preparation2 – Web-accessiblity: patient & procedure management and remote reporting3 – iOS support4 1

The information about this product is preliminary. The product is under development and Is not commercially available and its future availability cannot be ensured. 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. 3 Prerequisites include: internet connection to clinical network, DICOM compliance, meeting of minimum hardware requirements and adherence to local data security regulations. 4 This application is not for diagnostic use. Apple®, the iPhone®, the iPad®, iPod Touch® are trademarks of Apple Inc., registered in the U.S. and other countries. 2

Advanced Visualization Esaote SUITESTENSA PIE Medical CAAS / 3Mensio

Hologic Aegis™

Highlights Highlights SUITESTENSA offers software packages image analysis with a complete range of tools. Esaote PIE Medical CAAS product range allows performing accurate and reproducible measurements of the dimensions of coronary arteries, peripheral blood vessels as well as left and right ventricles. Esaote 3mensio aims to simplify your pre-op workflow for transcatheter aorticvalve implantations and endovascular aneurysm interspace repair.

– A dedicated plug-in for the Aegis platform software – Powerful real-time 4D- (3D- + time) image processing, combining speed, flexibility, and dedicated breast MRI algorithms – With advanced hanging protocols, dynamic real-time processing and interventional guidance to multiple targets, Aegis breast software is an industry leader in breast – MRI visualization and interventional guidance – Available both as a workstation and as thin client solution enabled by PureWeb™

IT SYSTEMS 57 RAD·BOOK 2012

Hologic Quantra™

Hologic C-View™

Highlights – Creates synthesized 2D breast image sets from Selenia® Dimensions® digital breast tomosynthesis projection data, thus eliminating the need for a conventional 2D-exposure during a breast tomosynthesis exam – While the C-View software provides enhanced image data sets, the overall combo-mode exam time is reduced, helping to improve workflow and patient throughput – C-View software preserves the important details from the breast tomosynthesis slices, resulting in bright, clear calcifications and defined linear structures in the synthesized 2D-image – C-view system is CE Marked and meets the legal requirements for selling the product throughout the European Economic Area and in other countries recognizing the CE Mark

Image iQ-VIEW PRO 3D

Highlights – Estimate fibroglandular and breast volumes, and calculate breast density – Easily track breast density change between year-to-year studies – Track the fibroglandular tissue within the breast separately

ITZ Hyper.PACS Reporting and Advanced Visualisation

Highlights iQ-VIEW PRO 3D is an easy-to-use multimodality radiology workstation for any 2D- and 3D-readings including MPR, MIP and volume rendering. – Supports virtually any image modality including MRI, CT, PET CT, CR, DR, US, mammography, SPECT images, fluoroscopy, tomosynthesis – MPR, MIP, MinIP, SSD, VRT – Many RIS / HIS / EMR integrations available – Integrated DICOM structured reporting module

Highlights – – – – – –

One graphical interface all over the hospital. Parallel-multilingual-solution Web-based. No software on the clients to take care of. Only server-updates Viewing history, session parking, MRT-space-time-presentation Real-time cardiology viewing. LVA,QCA and 3D-high-end-postprocessing Full support for Citrix-Clients Unlimited lists for demo, science and presentations

SMART, DIRECT & AFFORDABLE Cobia Smart – for quality assurance of X-ray devices Coobia Smart is a simple-to-use instrument for cheecking that the output from an X--ray raa tube is correct. You simply place it beneath tthe X-ray tube, take an X-ray exposure, and rapidly get an accurate reading. Thee measured vallues can be read d re di rectly tl ffrom CCobia bi SSmart’s t’ llarge andd clear l di display l y, even from f a ddiistance. istance t N No addju just s ments are required, making it exceptionally eeasy a to use. Meas M Me eas a urred e values available with the Cobia Smart are: kVVp, p Tim ime, Dose, Dose Rate, and HVL.

RTI

World Headquarters

Flöjelbergsgatan 8 C

E-mail: E-m mail: [email protected] [email protected] se

Phone: + 46 31 746 36 00 Ph

RTI Electronics AB

SE-431 37 Mölndal, SWEDEN

www.rti.se

Fax: + 46 31 27 05 73

IT SYSTEMS 58 RAD·BOOK 2012

medigration ImageVision

Protec PROPAXX

Highlights

Highlights

– Easy to use, high performance examination and analysis system for radiological routines – Access to all images (including previous images) within seconds – Unique and hierarchical data compression without any loss – Individually configurable hanging protocols – Extremely easy to use – Independent individual scaling of your interfaces – Perfect integration into everyday practice life – Low investment and follow-up costs

State-of-the-art software for viewing, processing and archiving of X-ray images. Key features: – Tools to optimize and analyse image data – Useful administrative and assisting functions, as e.g. the integrated interface for reporting the clinical findings or synchronic viewing of X-ray images – Detailed 10 bit display of the X-ray images – Communication interfaces enable PROPAXX to direct data and image exchange with image acquisition systems and modality consoles (e. g. PROTEC’s CONAXX)

Sectra Volume Visualization Package (IDS7)

Siemens syngo.via

Highlights Highlights All Sectra PACS workstations have built in MPR and 3D-packages tailored for effective general purpose usage across the enterprise. Sectra Volume Visualization is designed to increase review efficiency and result communication in highproduction environments. It supports the radiologist by offering extremely fast reading of volumetric image data and by enabling a superior service to referring physicians through the interactive 3D-presentation of findings. In addition, Sectra offers closely integrated clinical applications from third parties for specialized diagnostic needs.

syngo.via1 is the new SIEMENS client server based Advanced Visualisation software, creating an exciting experience in efficiency and ease-of use-virtually anywhere2. – Offers a wide range of 61 clinical Apps for radio-, onco-, cardio- and neurology – syngo.via prepares cases automatically, networks modalities and IT for fast multimodality reading – Images are available even on mobile devices (for non-diagnostic purpose) for easy sharing with clinical partners 1

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. 2 prerequisites include: internet connection to clinical network, DICOM compliance, meeting of minimum hardware requirements, and adherence to local data security regulations.

Portal Solution TeraRecon iNtuition

Digihurst on call service portal

iNtuition is TeraRecon’s flagship offering for advanced visualization and decision support. iNtuition provides a suite of advanced imaging tools for volumetric interpretation of CT, MR and PET data.

Highlights

Highligths

– Broadest range of advanced volumetric clinical applications available via a true server-based, thin-client solution, enterprise wide – Smallest hardware footprint with the largest user capacity in the industry – iNtuition CLOUD – iNtuition solution in the form of an Internet-based service, or a proven private CLOUD – Image-enable the EMR with iNtuition’s zero-footprint enterprise medical viewer

on call service portal ensures safe exchange of radiological image data via the internet for radiologists on call. The computer center of Digithurst / Telepaxx is equipped with a web server which receives encrypted and pseudonymized image data and makes them available for download via a web interface. Thus the radiologist on call does not have to be on site for reading purposes but can view the images on any PC with internet access.

IT SYSTEMS 59 RAD·BOOK 2012

Digihurst WebPortal

medigration PraxisPortal

Highlights Highligths WebPortal receives images as a Storage Class Provider (SCP) in the DICOM network and makes them available for retrieval via a website (portal). Upon selection of an examination the images and the appropriate DICOM viewer are transferred to the browser for display. Different image compression modes ensure quick transmission. Dedicated user and user group administration protect patient data from unauthorized accesses. IPSEC encryption (with certificate key) guarantees safe and secure internet communication.

medigration webConnect

– – – – – –

To connect your referring practices Efficient and encoded transferral of image data Secure, user-defined access control Fast display of images and findings as PDF or SR No elaborate VPN neccessary For PC / MAC: intuitive, web-based tool, to be launched without any installation via any standard browser – For iPad / iPhone: installation and updates easily via AppStore requires medigration PortalServer

Philips IntelliSpace Portal

Highlights

For flexible multi-site networking Uncomplicated exchange of image data via the internet Highly cost effective since only the actual transferred data is calculated Images and results can be called up within seconds due to intelligent data compression – Total security by means of 128 bit AES encryption – No VPN connection necessary – Extremly easy to use

The Philips IntelliSpace Portal turns virtually any PC into an advanced multimodality imaging systems workspace. Work on advanced visualization in your preferred environment, using patient data without worrying about the modality of origin or moving to a specialized workstation. – Rich clinical applications: unlock the full potential of your CT, MR, and nuclear medicine systems in order to quickly quantify and diagnose – Multimodality access anywhere: advanced clinical applications, new workflow and collaboration tools available anywhere – Collaborative workflow: ability to access, create and communicate actionable information anywhere

Sectra PACS - IDS7

Siemens syngo.share

Highlights – – – –

Examples – Median Technologies: Automated and standardized solutions for tumor response assessment. Analyze and compare CT images of cancerous lesions in order to track the impact of cancer treatments over time. – Merge Healthcare: CADstream enhances the efficiency and workflow of breast MRI studies by automating data analysis, improving image management and correcting for patient movement. – iCAD SecondLook: SecondLook from iCAD provides an effective computeraided detection (CAD) solution for early breast cancer detection and workflow efficiencies.

Highlights syngo.share1 is the smart VNA from Siemens. With its modular and scalable architecture, syngo.share can be deployed as departmental, enterprise-wide or regional solution. – Universal data management and universal web viewer (DICOM, native nonDICOM and multimedia) – Dynamic data management for efficient usage of storage – Multi-site data exchange (IHE XDS / XDS-I) and data management – Supporting tumor boards, research, case collection, thin-slices handling, etc. 1

syngo.share is a medical device of ITH icoserve technology for healthcare GmbH, Innsbruck, Austria. syngo.share currently is not available in all countries.

IT SYSTEMS 60 RAD·BOOK 2012

CAD Agfa HealthCare iCAD SecondLook Digital

Hectec mediCAD Classic

Highlights Highlights – SecondLook Digital is a second opinion tool for Agfa HealthCare‘s CR mammography – Adds value in daily routine – Can be used in mammography screening as well as by diagnostic HealthCare providers – Markers that indicate potential microcalcifications and/or masses are visible on Agfa HealthCare‘s IMPAX Breast Imaging Workstation

mediCAD Classic is developed in collaboration with doctors for doctors. For you and your patients, this means: – first and most common planning program on market worldwide – ready to use in 22 languages – time savings up to 85% compared to conventional planning processes – largest implant data base with more than 90 international implant manufacturers already integrated – Made in Germany

Hectec mediCAD Mobile

Hectec mediCAD Veterinary

Highlights Highlights mediCAD Mobile gives you direct access to planning regardless time and location. According to American market researchers, more than 80 million tablet computers will be used for medical applications in 2012. Users of these devices save tremendous amounts of time. X-ray images, analyses, PACS images, planning files, and a wide variety of documents can be used directly at the point of care.

mediCAD Veterinary the preoperative planning software for the veterinarian. – Angle according to Norberg – Ready to use in 22 languages – Time savings up to 85% compared to conventional planning processes – Rapid sizing of the implants – Made in Germany

Hologic ImageChecker®

Hologic ImageChecker®

Highlights – Uses sophisticated algorithms to search tomosynthesis data sets for microcalcifications potentially associated with breast cancer – The 3D-CAD marks can be displayed with a single click on the SecurView® workstation – RightOn™ CAD marks indicate clusters of calcifications and PeerView™ marks provide anatomic outlines of individual calcifications – ImageChecker 3D-Calc CAD provides flexibility to the radiologists to choose from three sensitivity settings

Highlights – Sophisticated pattern recognition software proven to help find breast cancers at an earlier stage – Identifies features and brings them to the radiologist’s attention in order to minimize observational oversights – Often compared to a second pair of eyes, it serves as an interpretive aid during image review – The most widely used mammography CAD system worldwide

IT SYSTEMS 61

A91IM-9189-A2-7600

RAD·BOOK 2012

www.siemens.com/healthcare

Images, leading the way. Together, let‘s celebrate the clinical image and its potential to improve care for more patients around the globe.

The medical image continues to grow in importance for the diagnosis and treatment of diseases. As a direct result of the imaging innovations of the past decades, today diseases can be detected earlier and better. Treatment decisions can be made with higher confidence based on more specific clinical information. Medical procedures get less and less invasive, with reduced dose and less open surgery. And, higher affordability

of imaging and higher productivity with imaging enable more and more nations around the globe to give their populations access to modern care. With that, imaging today contributes significantly to advancing human health. We at Siemens are passionate about innovation that advances human health. Together with you we want to celebrate the medical image and its potential to do just that.

Read the QR code with the QR code reader in your mobile!

Answers for life.

IT SYSTEMS 62 RAD·BOOK 2012

Mammo Workstations medigration MammoView

Philips IntelliSpace Breast Solution

Highlights – – – –

Extremely easy to use and manage Access to all images (including previous images) within seconds Direct findings in the image Hanging protocols can be configured individually to automate your routine workflow – Outstanding image quality (2048 grayscale) – Excellent price / performance ratio

Highlights

Philips MammoDiagnost VU

Siemens syngo MammoReport

– Save space in the reading room by viewing all studies from multiple modalities and multiple vendors on a single workstation – Save time to review patient history by having prior mammography, US and MRI images automatically opened in an intuitive arrangement – Improve quality of care – report consistently in compliance to standards thanks to integrated BI-RADS reporting

Highlights Highlights – High performance mammography workstation for screening and diagnostic review – Connects to Philips IntelliSpace PACS or to any other PACS – Features include: · Mammography hangings with user-preferred review order · Automatic breast tissue alignment · Rapid patient exam switching capabilities · Supports CAD from other systems · Dedicated keypad for one-touch handling

– First real multi-modality solution for breast care – Offers 2D- and 3D-reading and it unites mammography, tomosynthesis, 2Dand 3D-ultrasound, and breast MRI in one – Connection with third-party imaging and IT systems, including multiple RIS at a time – Customization to personal workflow and image arrangement, controllable with a single key – Advanced display layouts for different demands – DICOM and IHE workflow compliance

Mobile RIS / PACS Viewer Siemens syngo MammoCAD

iSOFT RadHeart

Highlights – Advanced image processing capabilities with state-of-the-art pattern recognition technology – Up to 4 DICOM input connections – Up to 10 DICOM output connections – CAD processing of a four-image case within less than 90 seconds – Designed for MAMMOMAT Novation and MAMMOMAT Inspiration

Highlights Mobile Radiology Information System (RIS) with focus on radiologist’s workflow issues. Display of the individual workload of radiologists, active messaging about updates (e. g. new exams which have to be reported). The solution contains also features for fast and easy release of reports as well as sms and email messaging to referrers and patients.

IT SYSTEMS 63 RAD·BOOK 2012

ITZ Hyper.PACS Mobile Solutions

Image iQ-MOBILITY

Highlights

Highlights – Hyper.PACS supports all kind of mobile devices and tablet-PC – Save encrypted and anonymized transmission – You can receive your images where ever you are with high image quality

– World’s first portable medical display offering DICOM calibrated grayscale diagnostics to perform diagnostic multimodality readings from any location – Powerful portable laptop with a high-end 17" diagnostic display – Mobile reading / reporting workstation software – Standard and advanced radiology reading tools included – Class A medical display according to German standards – Calibrated luminance of ~ 300 Cd/m², < 10% homogeneity deviance – Anti-glare front glass – Color or grayscale edition

Accessories / Complementary Systems Image iQ-WEB2GO

iSOFT’s Lorenzo Speech Integration

Highlights iQ-WEB2GO is a portable viewer of radiology images on iOS™, Symbian™ or Android™ based mobile, handheld devices including the iPhone, iPad, Samsung™ Galaxy SII or Samsung™ Galaxy Tab. – Instant access to any radiology image without running an installer – Excellent solution for clinical reference for referring physicians – Useful for remote and subspecialty consultation – Image display in full-screen mode – Zoom / pan options – Quick, easy and secure

v NEXUS Nuance Solution

Highlights Information transfer quality and speed are of great importance in the field of diagnostic imaging. The fast and efficient creation of reports makes it possible to continue treatment without delay. iSOFT’s Lorenzo Speech Integration offers the ideal supplementary workflow with digital dictation and speech recognition software. Seamlessly integrated into iSOFT Radiology it provides you with the latest state-of-the-art speech recognition for healthcare applications: Nuance SpeechMagic.

Sectra Visualization Table

Highlights

Highlights – Easy to use speech recognition – Direct integration with the NEXUS / RIS – Learning by dictate – better results with every use

Sectra Visualization Table is the perfect tool for collaborative visualization in a clinical environment. The 46" multi-touch screen allows the user to interact with the virtual body simply by touching the screen. Command can easily be handed over between team members thanks to the Visualization Table’s unique format and touch interface. Features include unrestricted basic interaction tools such as rotate, pan and zoom. Applying organ presets and adjusting window / levels help to visualize organs and functions, while bookmarks of findings serve as starting points to quickly and easily find essential information.

IT SYSTEMS 64 RAD·BOOK 2012

To help radiologists find cancers missed with conventional 2D mammography. 1

The Selenia® Dimensions® system allows you to harness the power of breast tomosynthesis to identify and characterize individual breast structures with clarity and certainty never before possible.

Selenia Dimensions breast tomosynthesis delivers demonstrated benefits including: t#SFBTUDBODFSTDSFFOJOHXJUICSFBTU tomosynthesis has a higher cancer detection rate than conventional 2D mammography.1 t.BTTFT EJTUPSUJPOTBOEBTZNNFUSJD densities are better visualized with breast tomosynthesis.2 t#SFBTUUPNPTZOUIFTJTHJWFT radiologists the confidence to reduce recall rates.3

To learn more about breast tomosynthesis please visit breasttomo.com

hologic.com 1

Skaane P, Gullien R, Eben EB, et. al. Reading time of FFDM and tomosynthesis in a population-based screening program. Radiological Society of North America annual meeting. Chicago, Il, 2011.

2

Bernardi D, Ciatto S, Pellegrini M, et. al. Prospective study of breast tomosynthesis as a triage to assessment in screening. Breast Cancer Res Treat. 2012 Jan 22 [Epub ahead of print].

3

FDA PMA submission P080003.

This advertisement is intended for medical professionals and/or specific product users residing in Europe and other countries and should not be considered as a solicitation or promotion of any product or of an indication of any product that is not authorized by the laws and regulations of another country where the reader resides. This advertisement could refer to products that are or may not be available a instead of any particular country, and/or may not have received market clearance by a governmental regulatory body for indications and restrictions in different countries. ADS-00667

MAMMOGRAPHY 65 RAD·BOOK 2012

MAMMOGRAPHY 66 RAD·BOOK 2012

Since the approval of the first commercial systems in 2000, digital mammography has become an accepted standard of care in breast cancer screening and diagnosis worldwide and has paved the way for the newest groundbreaking technology in this arena - breast tomosynthesis. Breast tomosynthesis is a screening and diagnostic modality that acquires images of a breast at multiple angles during a short scan. The individual images are then reconstructed into a series of thin, high-resolution slices typically 1 mm thick, which can be displayed individually or in a dynamic ciné mode.

Andrew Smith, Ph.D., Vice President - Imaging Science, Hologic

Practical Considerations in Implementing Breast Tomosynthesis in a Clinical Setting A tomosynthesis data set virtually eliminates detection challenges associated with overlapping structures in the breast, which is the primary drawback of conventional 2D analog and digital mammography. In addition, breast tomosynthesis offers other potential benefits including increased lesion and margin visibility, help in localizing structures in the breast, a reduction in recall rates, and increased cancer detection.

Tomosynthesis has been available in Europe and other countries recognizing the CE mark since 2008. In February 2011, Hologic’s Selenia® Dimensions® breast tomosynthesis system was the first commercial system approved by the U.S. Food and Drug Administration. With the Hologic tomosynthesis system, an examination takes only seconds longer than a conventional two dimensional digital mammogram. The system was approved for use in the same clinical indications as 2D mammography including breast cancer screening and diagnosis. Prior to introducing tomosynthesis into a clinical practice, there are a number of practical considerations that

should be evaluated. Most breast imaging centers have multiple digital mammography systems, and it may not be economically feasible to immediately replace every 2D system with a Tomo-capable units. It is likely that many facilities will implement tomosynthesis in phases, beginning with one or two systems initially, similar to the pattern seen in the transition from analog to digital mammography. During this implementation phase, facilities will need to develop criteria for determining which patients will receive Tomo exams and processes to ensure efficient patient management in a mixed 2D and tomosynthesis environment. In addi-

MAMMOGRAPHY 67 RAD·BOOK 2012

Patient Selection The tomosynthesis reconstructed slice shown on the right reveals a definitive spiculated mass that is only faintly revealed in the 2D image shown on the left. (Diagnosis: invasive ductal carcinoma)

tion to patient management planning, there are a number of other issues to be considered, including: how comparison to priors will be handled; methods to ensure radiologists receive appropriate training prior to reading Tomo exams; how reading times for Tomo exams will affect workflow; and the impact tomosynthesis will have on archiving and display requirements. These issues are discussed in more detail below, drawing from the experiences of users who have adopted tomosynthesis.

Some facilities offer tomosynthesis using the ‘next available free system’ model. In this scenario, if the room with the tomosynthesis system is free, the next patient will be triaged to the room, regardless of their breast density. Some facilities also offer full access to a tomosynthesis exam for any woman who requests the procedure. This is accomplished through the use of special after-hours or otherwise scheduled blocks of time to assure access to the system. Figure 1 shows some of the possible implementation scenarios for tomosynthesis. All of these scenarios are reasonable implementation strategies. Complete conversion to tomosynthesis All screening and diagnostic patients receive tomo exams

Use of Tomosynthesis for Women with Dense Breasts Tomosynthesis has been shown to have value in both fatty and dense breasts, but it has a greater impact for women with dense breasts. Therefore, if a practice does not have enough systems to screen all women, it is reasonable to reserve tomosynthesis for women with dense breasts. However, as tomosynthesis offers a benefit in both fatty and dense breasts, the eventual goal should be to screen all women using tomosynthesis imaging.

Use for diagnostic exams only

– Prior Year(s): 2D mammograms were acquired. – Current Year: Combo-mode exam acquired. The radiologist can diagnose from the 2D and Tomo dataset, and uses the current year’s 2D to compare to prior years’ 2D images. – Next Year: A 2D only exam or a combo-mode exam may be acquired, depending upon whether the patient is triaged to a 2D or Tomo-capable system. · If a combo-mode exam is acquired, the radiologist has both 2D and Tomo currents and priors. · If a 2D only exam is acquired, the radiologist can compare the current year 2D to the next year 2D and also to the current year Tomo, if desired. (continue next page)

Use for some screening patient subgroups, such as women with dense breasts

Use of Tomosynthesis for Screening or Diagnostic Imaging Tomosynthesis has shown value in a diagnostic evaluation of a symptomatic breast. It also can be used as a screening tool to improve sensitivity and reduce recalls. Therefore, either or both indications are acceptable uses of tomosynthesis. Since diagnostic procedures often take longer than screening exams, more women per day can be accommodated on machines dedicated to screening use. This might be a consideration in situations where a limited number of Tomocapable systems are available.

Partial conversion to tomosynthesis

These types of scenarios are illustrated in Figure 2, and represent a hypothetical clinic that switches, in the current year, some but not all of their screening systems to tomosynthesis.

Use for some screening patients, as the tomosynthesis system(s) are available

Figure 1: Various Implementation Strategies for Tomosynthesis

Handling Priors Standard mammography practice involves the comparison of current images to images from a previous exam (priors). The use of combo-mode imaging gives the radiologist access to a 2D current for comparison to 2D priors. This combo-mode procedure also offers some advantages in the scenarios mentioned above where a patient this year might get a tomosynthesis study and in the next year receive only a 2D study because of scheduling constraints or equipment access. In such a situation, the radiologist reading the study in the following year would have access to the 2D exams from previous combo-mode studies. Figure 2: Represents a hypothetical clinic that switches in the current year to some but not all of their screening systems to tomosynthesis

2D

Prior Year

2D + Tomo

2D 2D + Tomo

Current Year

Next Year

MAMMOGRAPHY 68 RAD·BOOK 2012

Radiologist Training Proper training on the interpretation of tomosynthesis images is of critical importance, as was demonstrated in Hologic’s reader studies. To ensure access to appropriate training, Hologic has set up training classes around the world, taught by radiologists experienced in tomosynthesis. These classes cover the appearance in tomosynthesis of different density parenchymal patterns, along with benign and malignant lesions. Actual clinical cases are included in the training files, and self-assessment practice cases are reviewed and discussed to give radiologists an opportunity to test their learning. The following is a link to Hologic’s tomosynthesis training page for radiologists: www.hologic.com/radtomo

An image reconstruction algorithm creates synthesized 2D images from tomosynthesis datasets, eliminating the need for 2D screening exposures, thereby reducing both compression time and dose.

Tomosynthesis Reading Time Reading a tomosynthesis study involves the evaluation of significantly more images than a 2D mammography exam, as readers view each slice from a tomosynthesis data set containing an average of 50 or more slices. Typical slice thicknesses range from 0.5 to 1.0 mm, with more slices to review as the slice thickness is made thinner. Recent studies conclude that reading times for tomosynthesis are not unreasonable for a screening environment. The increase in the number of images reflects the increase in the information available to the radiologist, and the increased reading time is justified by the superior clinical performance.*

idly implement and support the viewing of tomosynthesis images, now that the systems are in widespread use in Europe and the U.S. In planning a site, careful consideration must be given to the size of the images. The images from a tomosynthesis study can be 5 times larger than the corresponding size of a 2D digital mammography dataset. Network speeds and PACS storage must be adequate for the increased data flow. These larger datasets are a natural result of tomosynthesis offering more information than digital mammograms.

Conclusions

Archiving and Display Tomosynthesis display and storage is covered by a DICOM standard.** Nonetheless, at this time not all PACS vendors support either the storage or display of these images. Hologic has developed, as an interim solution, a storage method whereby the tomosynthesis images are stored in a secondary capture format, which allows the storage in PACS, but for display one must use a Hologic SecurView diagnostic workstation. It is expected that PACS companies will rap-

Tomosynthesis is an exciting new technology that offers the potential for improvements in both screening and diagnostic evaluations. The improvements in clinical performance, compared to 2D mammography, are significant. Hologic’s clinical study results demonstrate that 2D mammography plus Tomo can offer either improved cancer detection rate, or reduced recall rate, or both, compared to 2D alone. These are certainly very positive results, and are much stronger than the ACRIN DMIST study results which

compared the performance of digital to screen-film mammography, and found no average difference in performance between the two technologies.*** There is a growing body of evidence that tomosynthesis has the potential to reduce the number of exposures needed for diagnostic imaging and provide other diagnostic benefits including enhanced performance in assessing tumor size and stage and more clearly demonstrating margins and extent of lesions. Future advances in tomosynthesis include CAD algorithms to facilitate the rapid identification of suspicious clusters of calcifications, development of a synthesized 2D image to reduce the number of exposures in an exam while still providing a 2D-equivalent image for ease of review, and contrast enhanced imaging for patients where access to breast MRI is limited or contraindicated. Certain implementation issues should be considered when adopting tomosynthesis, particularly in environments that will include a mix of 2D and tomosynthesis-capable systems. Careful planning will help to ensure a successful transition to tomosynthesis. www.hologic.com

* Skaane P, Gullien R, Eben EB, et. al. Reading time of FFDM and tomosynthesis in a population-based screening program. Radiological Society of North America annual meeting. Chicago, Il, 2011. ** ftp://medical.nema.org/medical/dicom/final/sup125_ft.pdf *** http://www.accessdata.fda.gov/cdrh_docs/pdf8/P080003b.pdf

MAMMOGRAPHY 69 RAD·BOOK 2012

Digital Mammography Block Imaging Detector

Analog and digital

FUJIFILM Amulet S Detector Resolution Size

Direct optical switching, a-Se 50 µm 4728 x 5928 pixel by (24 x 30 cm), 3540 x 4740 pixel by (18 x 24 cm)

Highlights

– – – – –

We buy used mammography systems for refurbishment Give your equipment a 2nd chance at life Recover true value of your trade-in Free fair market valuations Professional project managers handle every detail of system deinstallation and removal – “Go Green” and recycle your equipment

– – – – – – – – –

FUJIFILM Amulet F

GE Healthcare Senographe Essential

Detector Resolution Size

Technology Resolution Size

Highlights

Direct optical switching, a-Se 50 µm 4728 x 5928 pixel by (24 x 30 cm), 3540 x 4740 pixel by (18 x 24 cm)

50 micron pixel at extremely low radiation dose High DQE and high MTF Direct optical switching technology Auto positioning Single-touch function Ergonomically designed for improved usability and patient comfort Display / color LCD Compatible with digital mammography CAD Specially designed AWS (Acquisition Workstation)

a-Silizium 100 µm 24 x 31 cm

Highlights – – – – – – – – –

50 micron pixel at extremely low radiation dose High DQE and high MTF Direct optical switching technology – auto positioning Single-touch function Stereotactic biopsy examinations optional – lateral biopsy optional 3D mammography optional Ergonomically designed for improved usability and patient comfort Compatible with digital mammography CAD Specially designed AWS (Acquisition Workstation)

GE Healthcare SenoCare Technology Resolution Size

Highlights – – – – – – –

High patient throughput Dual track tube Mo/Rh Automatic Optimization of Parameters (AOP) Ergonomic paddles that shape to the breast Stereo-option available SenoBright – option available Tomosynthesis upgrade – when it will be available

Hologic Selenia® Dimensions®

a-Silizium 100 micron 24 x 31 cm

Highlights Highlights – Combination of iodinated contrast medium and digital mammography with a-Silizium detector – Reliable, affordable system – Optimized image quality and dose efficiency – super IQ for dense breast – Dual track tube Mo/Rh-Stereo – option available

– Reconstructed tomosynthesis slices reduce or eliminate the problems caused by tissue overlap and structure noise in mammography imaging, offering improved diagnostic confidence – Quickly acquire a traditional digital mammogram and a breast tomosynthesis scan in the same compression – Designed to deliver outstanding image quality at the lowest possible dose

MAMMOGRAPHY 70 RAD·BOOK 2012

Hologic Selenia®

IMS Giotto Tomo Detector Resolution Size

Highlights

Amorphous Selenium 6 lp/mm – 85 µm 24 x 30 cm

Highlights

– Exceptionally sharp digital images with superb contrast and resolution at the lowest possible radiation dose – Flexible and interactive tools for the radiographer to use to increase productivity and optimize workflow – Seamless integration with hospital infrastructure, assuring the best possible care – Smart paddle system streamlines technologist workflow

– – – – –

IMS Giotto Image 3D / 3DL

Philips MammoDiagnost DR with Advanced Stereo

Detector Resolution Size

Technology Resolution Size

Amorphous Selenium 6 lp/mm – 85 µm 18 x 24 cm or 24 x 30 cm

Tomosynthesis functions characterized by variable angles and dose 40° total scan angle and 13 exposures High speed amorphous Selenium detector 24 x 30 cm “C-arm” stand type for tomosynthesis, mammography and biopsy Unit prearranged for motorized, automatic biopsy examination using the tomo images

Amorphous Selenium 85 µm 24 x 30 cm

Highlights Highlights – – – – –

3D-movements of the circular arm Isocentric rotation, prearranged for stereotactic biopsy Very low X-ray dose High DQE and high MTF Amorphous Selenium detector: 2 models avilabe in 18 x 24 cm or 24 x 30 cm

Philips MicroDose Mammography Technology Resolution Size

Photon counting 50 µm, 14 bit 24 x 26 cm

– Optimized workflow thanks to the intuitive Eleva user interface and ergonomic Design Award winning system – Excellent, UNIQUE-processed images to facilitate diagnosis – Advanced stereo option: target planning tool supports efficient biopsies – Optional AmbiScene lighting to create a more positive atmosphere – Smooth procedures to make your patients feel at ease

Planmed Nuance Excel Anode Filter kV Range

Mo or W (optional) Mo/Rh or Rh/Ag (optional) 20 – 35

Highlights – Low radiation dose: clinical studies show up to 50% dose reduction compared to other FFDM systems – Superb image quality: high-contrast resolution of 50 µm, 100% pixel warranty – Unique photon counting detector technology: high quantum efficiency, scatter DQE of 97% – High patient throughput: exam time < 5 minutes – Simplified and enhanced workflow with a single click operation and userfriendly design – Curved and warm breast support for more patient comfort – Technology opens up opportunities for advanced future breast applications

Highlights – Low dose FFDM unit with 23.9 x 30.5 cm a-Se detector and fully automatic Flex-AEC with tissue type recognition – Acquisition workstation (AWS) with 3 megapixel TFT monitor and optional Nuance Acquire Station with motorized height adjustment – Integrated MaxView Breast Positioning System – Side access for optimal patient positioning and ergonomics – Optional geometric magnification kit – Optional stereotactics with Nuance DigiGuide

MAMMOGRAPHY 71 RAD·BOOK 2012

Planmed Nuance

Siemens Mammomat Inspiration

Anode Filter kV Range

Technology Resolution Detector size

Mo or W (optional) Mo/Rh or Rh/Ag (optional) 20 – 35

W/Rh, a-Se 85 µm 24 x 30 cm

Highlights – FFDM Unit with 17.1 x 23.9 cm a-Se detector and fully automatic Flex-AEC with tissue type recognition – Acquisition workstation (AWS) with 3 megapixel TFT monitor and optional Nuance Acquire Station with motorized height adjustment – Integrated MaxView Breast Positioning System – Side access for optimal patient positioning and ergonomics – Optional geometric magnification kit – Optional stereotactics with Nuance DigiGuide

Highlights – – – – – –

Screening, upgradable to stereotactic biopsy and 3D-imaging with tomosynthesis Dual target anode W/Rh reduces dose up to 50% especially for dense breasts Comprehensive system solution with syngo-based acquisition workstation Streamlined workflow: one-click-to-image Special MoodLight function Broad range of accessories

Siemens Mammomat Inspiration with 3D Tomosynthesis*

VILLA Sistemi Medicali – Melody III d

Technology Resolution Detector size

Technology Resolution Size

W/Rh, a-Se 85 µm 24 x 30 cm

a-Selenium 85 µm pixel size 18 x 24 cm or 24 x 30 cm

Highlights

Highlights – Platform for multiple mammography applications: screening, diagnostics, stereotactic biopsy and tomosynthesis in one system and one acquisition workstation – 3D-imaging via the acquisition of breast images taken at multiple angles (+25° to –25°): improved capability to diagnose especially very dense breasts – Offers all applications and can be upgraded to 3D-tomosynthesis – The largest angular range in industry increases depth resolution and contrast * Tomosynthesis is not commercially available in all countries. Due to regulatory reasons its future availability cannot be guaranteed. Please contact your local Siemens organization for further information.

– High performance integrated X-ray generator with wide kV range (20 – 35 kV) and fine adjustment (0.5 kV step) – Auxiliary display showing applied compression force, C-arm angulation, compressed breast thickness and tagging keyboard for ACR codes – AEC with dual modality: PRE in function of effective breast density and FAST in function of compressed breast thickness – Motorized C-arm with ± 180° rotation – Version with isocentric C-arm dedicated for biopsy procedures – FFDM BYM 3D stereotactic biopsy device with computerized parameters calculation and needle positioning

Screen-Film Mammography GE Healthcare Performa

Philips MammoDiagnost

Technology Resolution Size

Anode Filter kV Range

Mo Mo/Rh 20 – 35 cm

Mo/W (Dual Track) Mo/Rh 23 – 35

Highlights – – – – –

Bi-directional compression ECS Enhanced patient comfort Increased amount of breast tissue images VectorPoint-AEC for optimized image quality Compact, small system

Highlights – Efficient workflow for screening and diagnosis – High image quality to aid diagnosis – Smooth procedures make your patients feel at ease

MAMMOGRAPHY 72 RAD·BOOK 2012

Planmed Nuance Classic

Planmed Sophie Classic

Anode Filter kV Range

Anode Filter kV Range

Mo Mo/Rh 20 – 35

Mo Mo/Rh 20 – 35

Highlights – – – – – –

High-end analog mammography unit with Flex-AEC Field upgradeable to full field digital mammography Side access patient positioning Optional MaxView Breast Positioning System Stereotactics system available as an add-on CR interface available

Highlights – – – – –

Versatile mid-tier film unit with multiple options Optional Flex-AEC with tissue type recognition Optional MaxView or TwinComp compression systems Optional magnification and stereotactics Optional CR interface

Planmed Sophie Classic S

Siemens Mammomat 3000 Nova

Anode Filter kV Range

Anode Filter kV Range

Mo Mo/Rh 20 – 35

Highlights

Highlights

– – – –

– – – –

Entry-level film unit Optional magnification Optional stereotactics Optional CR interface

Mo/W Mo/Rh 23 – 35

Pivoting buckys, easy switching between 18 x 24 and 24 x 30 Prepared for stereo biopsy OpDose auto-selects best anode/filter combination (Mo/Mo, Mo/Rh, W/Rh) OpComp – Siemens’ exclusive optimized compression system

Siemens Mammomat 1000

VILLA Sistemi Medicali – Melody III

Anode Filter kV Range

Anode Filter kV Range

Mo Mo/Rh 23 – 35

Molybdenum Mo/Rh 20 – 35 kV

Highlights

Highlights – Cost-efficient system, ideally suited for screening – OpComp – Siemens’ exclusive optimized compression system – Soft speed – two speed compression

– High performance integrated X-ray generator with wide kV range (20 – 35 kV) and fine adjustment (0.5 kVstep) – Auxiliary display showing applied compression force, C-arm angulation, compressed breast thickness – AEC with selection of exposure parameters in function of effective breast density – C-arm with ± 180° rotation – Version with isocentric C-arm dedicated for biopsy procedures – Available with 18 x 24 / 24 x 30 cm bucky or special potter accepting both cassettes

MAMMOGRAPHY 73 RAD·BOOK 2012

Accessories / Complementary Systems Hologic® Breast MRI coils

Hologic MammoSite®

Highlights – Available as: · A design award winning patient stretcher with integrated breast MRI coils · A tabletop configuration leveraging the same open access features of the patient stretcher – Both configurations provide extensive access for patient positioning and intervention, optimal patient comfort and improved workflow – Unlike competitive breast coils, Variable Coil Geometry™ feature allows for the diagnostic coils and biopsy grid positioning to be customized to each patient, contributing to improved image quality, decreased set-up time, increased patient accommodation and improved access to lesions for biopsy

Hologic Affirm™

Highlights – 5-day radiation therapy after breast lumpectomy – Multi-lumen device gives radiation oncologists the ability to shape the radiation does for typical cases – Treats patients who are otherwise not appropriate candidates for traditional brachytherapy – Targets area where cancer is most likely to recur – Spares healthy tissue and organs from the side effects of radiation

Hologic ATEC®

Highlights Highlights – Designed for the Hologic Selenia® Dimensions® digital mammography system – Provides ability to offer minimally invasive breast biopsy and wire localization services right in the breast imaging suite – Quick and easy transition from mammography to upright biopsy – A cost-effective, space-saving and upgradeable system to expand the site’s range of service offerings

– One system for use under all 3 imaging modalities (stereotactic, MRI and ultrasound) – A quick, efficient biopsy procedure with one minute set-up and tear down and a 4.5 second tissue acquisition cycle – Fluid management system to assist in minimizing pain and bleeding – Multiple needle options for diagnostic tissue sampling and benign breast tissue removal to address a wide spectrum of patients

Hologic Trident™

Hologic Eviva®

Highlights – Allows for instant verification of samples right in the procedure or operating room – Leverages Hologic’s amorphous selenium direct-conversion detector technology resulting in exceptional sharp digital images – A cost-effective workflow solution for clinicians performing breast biopsies

Highlights – One unified system for imaging, biopsy and site marking – A quick, efficient biopsy procedure with one minute set-up and tear down and a 4.5 second tissue acquisition – Fluid management system to assist in minimizing pain and bleeding

MAMMOGRAPHY 74 RAD·BOOK 2012

Hologic MammoPad®

Hologic MultiCare®

Highlights

Highlights – Designed to provide a warmer, more comfortable mammogram – Enables technologist to more easily position patients’ breasts – Optimizes clinical outcomes with increased tissue acquisition and compression

– – – – – – – –

MultiCare® Platinum prone biopsy table and maximum comfort package Minimally invasive stereotactic breast biopsy table Pinpoint accuracy Superb image quality Adjustable breast tray compensates for breast thickness Cartesian coordinates system ensures accurate targeting True 360 degree access Premium memory foam cushions for patient comfort and apertures for easier access and arm-through procedures

Hologic SecurView®

Highlights – Supports the display, manipulation and interpretation of DICOM images from multiple modalities including ultrasound, MRI, PET and nuclear medicine – Flexible, intuitive image review capabilities – Unlimited hanging configurations – Work interactively and intelligently through information-sharing

Please visit us at

www.radbook.eu

IMS Mammo-Bed

Philips MammoDiagnost DR Advanced Stereo

Detector Resolution Size

Optional mammography chair

Amorphous Selenium 6 lp/mm – 85 µm 18 x 24 cm and 24 x 30 cm

Highlights – Prone biopsy and mammography with the same a-Selenium detector, guarantee that the lesion visualized during the mammography exam will also be visible during biopsy – Biopsy with lateral, straight and inclined holders – 360° needle access to the breast, enabeling the radiologist to choose the shortest way to the lesion

Highlights – Suitable for seated or recumbent positioning for biopsies – Gliding floor rollers and battery-operated elevation controls designed to make positioning the patient easy – Special cushioning molds to patient’s anatomy

R / F – FILM-SCREEN 75 RAD·BOOK 2012

A Division of Philips Healthcare

R / F – FILM-SCREEN 76 RAD·BOOK 2012

Bucky Philips BuckyDiagnost room – ceiling mounted

Philips BuckyDiagnost room – floor mounted

Design Table

Ceiling-mounted tube carrier for highest demands

Design Table

Floor-mounted system for standard patient throughput

Power

30 – 80 kW with several options

Power

30 – 80 kW with several options

Height adjustable with various table top sizes

Height adjustable with various table top sizes

Highlights – Combines a high degree of reliability with completely intuitive handling – Effective operating procedures enable to switch fast and easily from table exams to chest or skull exposures – Motorized functions like automatic collimation, move-to-position and tracking enhance workflow procedures – Future-proof with digital upgrade possibilities via PCR Eleva or digital detector – Features APR, automatic exposure control, VarioFocus which lengthens the lifetime of the X-ray tube, and electronic tomography

Highlights

Protec PRS 500 FS/ES

Protec PROGNOST XP-series

Design Table

Design Table Power

Floor-mounted Fixed / adjustable height

– Ideal solution for a moderate room size, patient throughput, and budget – Excellent ergonomics facilitate convenient handling – Motorized functions like automatic collimation, move-to-position and tracking enhance workflow procedures – Digital upgrade possibilities via PCR Eleva or digital detector – Features APR, automatic exposure control, VarioFocus which lengthens the lifetime of the X-ray tube, and electronic tomography

Movable Fixed / adjustable height Line or battery

Highlights

Highlights

– – – – – –

– Mobile table to position the patient directly above the corresponding image receptor – For digital DR detectors or with bucky tray integrated – Elevated and floating carbon fibre table top – Line connection or battery powered – Table with or without elevation

Compact bucky system for minimal space requirements PROVARIO HF generator integrated into the table (40 – 80 kW) Anatomical programs and AEC Automatic coupling device to center tube and bucky lncluding wall bucky stand Table with or without elevation

Shimadzu RADspeed series

Shimadzu EZy-RAD Pro

Design Table Power

Design Table Power

Floor-mounted or ceiling-mounted X-ray tube assembly Motorised height adjustable 50 / 65 / 80 kW

Highlights

Highlights

– – – – –

– – – – –

Parameter setting next to the patient Up to 400 application programs Auto-positioning function Automatic tracking functions Flat panel detector upgradability

Floor-mounted X-ray tube assembly standard table with soft table top 16 / 20 kW

Extremely compact system On-Touch-Guide Up to 432 application programs for easy operation Easy positioning via linked mechanism X-ray dose management

R / F – FILM-SCREEN 77 RAD·BOOK 2012

Siemens Multix Fusion

STEPHANIX RAD Series E+

Design Table Power

Design Table Power

Ceiling-mounted tube Free-floating, height adjustable, up to 300 kg 55 kW, 65 kW, 80 kW

Highlights

Highlights

Multix Fusion – fits your needs – fits your budget – Key components adapted from Ysio like table, tube, bucky wall stand and many more – Highly versatile detector – fits virtually all clinical applications – Small space requirements – fits your room and your budget – Prepared for the future – digitize your system whenever you prefer

– – – – – –

Floor mounted Fixed height table from 32 kW to 80 kW

Compact and reliable solution Cost efficient general rad rooms User friendly workflow Floating tabletop for easy patient positioning Touch screen generator interface in option Scalable to DR solution

STEPHANIX RAD Series Pro Design Table Power

Floor mounted Variable height from 32 kW to 80 kW

Highlights – – – – – – –

Compact and reliable solution Ergonomic design Cover a wide range of procedures Possibility to have a touch screen generator with 864 APR Tomography capabilty Ceiling suspension optional Scalable to DR solution

Toshiba Radrex Design

Ceiling or floor mounted radiography system with optional portable FPD

Table Power

Motorized height adjustable with floating tabletop

Please visit us at

www.radbook.eu VILLA Sistemi Medicali – Moviplan Design Table Power

Bucky room with floor-mounted or ceiling suspended tubestand Fixed or elevating tabletop 32 – 80 kW

50 kW or 80 kW

Highlights Toshiba recommends Radrex compact radiographic systems for general-purpose radiography, being highly accurate and efficient. It is possible to expand the original system to meet the particular clinical requirements of the user. When the system is combined with a portable FPD (35 cm x 43 cm) and digital processor, a wide range of applications can be performed with a single-panel system that incorporates many automatic functions to minimize workload.

Highlights – Modular bucky system for general radiographic applications, muscoskeletal diagnostic room or emergency ward – Several configuration options: table available with motorized lift, floormounted or ceiling suspended tubestand – Optional tomographic functionalities

R / F – FILM-SCREEN 78 RAD·BOOK 2012

Fluoroscopy Philips MultiDiagnost Eleva Design II-Format Image System

Multifunctional C-arm 38 cm 1 k, 12 bit CCD

Philips EasyDiagnost Eleva – DRF value room Design II-Format Image System

Nearby controlled R/F system with added radiography capabilities 23 / 31 / 38 cm 1k, 12 bit CCD

Highlights

Highlights

– Covers broad range of RF applications in vascular and interventional procedures – Easily absorbs changes in application mix and adds to departmental efficiency as overflow system for dedicated rooms – Offers ultimate customization by adjusting the system to preferences – Proven scan principle with C-arm moving around the patients – 180 degree isocentric C-arm rotation increases projection flexibility

– Digital radiography with one wireless portable detector for all DR exams plus fluoroscopy – Attractively priced configuration for a wide variety of fluoroscopic and radiographic applications – Increased room utilization and fast processes by adding digital radiography – Cost-efficiency with one wireless portable detector for fixed and free exams

Philips EasyDiagnost Eleva – DRF high performance room

Philips EasyDiagnost Eleva – DRF high perf. bariatrics room

Design II-Format Image System

Nearby controlled R/F system with added radiography capabilities 23 / 31 / 38 cm 1 k, 12 bit CCD

Design II-Format Image System

Nearby controlled R/F system with added radiography capabilities 23 / 31 / 38 cm 1 k, 12 bit CCD

Highlights

– Extended digital radiography with fixed detector and wireless tray plus advanced fluoroscopy – Excellent room utilization with direct digital radiography and fluoroscopy – More coverage and patient turnover with 43 cm x 43 cm digital detector – One wireless portable detector for general radiography and free exposures

– Two 43 cm x 43 cm DR detectors for coverage of all patients combined with fluoroscopy – Exceptional utilization with fixed digital detectors in the table and the vertical stand – 43 cm x 43 cm fixed detector coverage is especially suited to bariatric patients – Grid Controlled Fluoroscopy (GCF) enables penetration of obese patients with superb image quality

Philips EasyDiagnost Eleva – Classic fluoroscopy room

Philips EasyDiagnost Eleva – Classic RF room

Highlights

Design II-Format Image System

Nearby controlled R/F system 23 / 31 / 38 cm 1 k, 12 bit CCD

Design II-Format Image System

Nearby controlled R/F system with added radiography capabilities 23 / 31 / 38 cm 1k, 12 bit CCD

Highlights

Highlights

– High load fluoroscopy with powerful penetration, superb X-ray dose efficiency and intuitive workflow – Full clinical coverage for all classic fluoroscopy applications – Intuitive workflow, customizable pre-sets and motorized geometry movements – Comprehensive X-ray dose management with DoseWise features

– Proven fluoroscopy with table and chest radiography for cost-efficient room utilization – Enhanced room utilization with added radiography capabilities – Philips fold-out cassette holder EasyLat for quickly available lateral exposures – Option to go digital in a cost-effective way with PCR Eleva

R / F – FILM-SCREEN 79 RAD·BOOK 2012

Philips wireless portable detector sharing

Philips DuoDiagnost

Technology Resolution

Design II-Format Image System

Size

a-Si, CsI-Scintillator 7,1 Megapixel; 3 k x 2,4 k image matrix; 143 µm pixel size 35 cm x 43 cm

Free arm R/F system 23 / 31 / 38 cm 1k

Highlights Highlights – Philips wireless portable detector sharing allows sharing detectors between Philips mobile units, premium radiography rooms and fluoroscopy rooms – Lower initial investment while assuring a high level of flexibility – Back-up solution for continuous uptime – Smart starting point for upgrades, i.e. adding more detectors to hospital departments in the future

– Smart combination of radiography and fluoroscopy with comprehensive clinical functionality in a cost-effective system – Unique geometry with detachable tube arm provides outstanding flexibility even in small rooms – Field-tested reliability with Philips durable components backed up by worldwide customer support and service – Available in a digital version that provides all benefits of digital X-ray technology

Shimadzu Fluorospeed 300

Shimadzu Flexavision series

Design II-format Image system

Design II-format Image system

90 / 90 Digital local R/F table 16" or 12" Digital

Highlights

Highlights

– – – –

– – – –

High performance GI to angiographic studies High image quality High throughput

Shimadzu Sonialvision Versa series Design II-format Image system

Universal remote R/F table 12" or 16" Digital

90 / 30 Digital or analog local R/F table 12" or 9" Digital or analog

Flexible configuration Meets all requirements for routine R/F exams High reliability Turnable footrest

Toshiba Plessart VIVO Design Detector Tilt angle Power

Digital remote controlled R/F system 9" or 12" image intensifier – 30° to + 89° 50 kW

Highlights Highlights – – – –

1 Megapixel CCD camera Proven reliability Perfect design Large storage capacity

The Plessart VIVO is a digital remote control R/F system comprising a R/F diagnostic table with an over-table X-ray tube configuration, an X-ray high-voltage generator, and a digital imaging system. This system is intended for use as a general-purpose system for abdominal angiography, general abdominal radiography, general skeletal radiography, support of endoscopic procedures, etc.

R / F – FILM-SCREEN 80 RAD·BOOK 2012

VILLA Sistemi Medicali – Apollo

VILLA Sistemi Medicali – Apollo EZ

Design Image System II-Format

Design Image System II-Format

Premium 90 / 90 remote-controlled RF table Analog or Digital with I.I. 9" / 12" / 16"

Compact 90 / 30 remote-controlled RF table Analog or Digital with I.I. 9" / 12"

Highlights

Highlights

– Premium remote controlled system for full clinical coverage: Radiography, Arthroscopy, G.I., Urology, Angiography, Flebography – Full patient exploration by moving only the tube-receptor assembly without patient repositioning – SFD with cross divisions and one-hand cassette loading / unloading – Up to 180 cm Source-to-Image-Distance (SID) – Oblique projections at table edges and bar-less tomography – User-friendly Touch Screen console

– Compact and cost-effective system fo r all the needs of radiographic and RF imaging – Available with 2-way or 4-way flat tabletop, plastic or carbon-fiber – SFD with either line or cross divisions and one-hand cassette loading / unloading – Variable Source-to-Image-Distance (SID): up to 180 cm – Oblique projections at table edges and bar-less tomography – User-friendly Touch Screen console

VILLA Sistemi Medicali – Apollo Open

VILLA Sistemi Medicali – Vision

Design Image System II-Format

Premium 90 / 90 remote-controlled RF table with “OPEN” tabletop Analog or Digital with I.I.

Design Image System II-Format

Conventional 90 / 15 RF tilting table Analog or Digital with I.I. 9" / 12"

9" / 12" / 16"

Highlights – Premium remote controlled system with OPEN technology, allowing 4-side access to the patient – Standard carbon fiber tabletop – Full patient exploration by moving only the tube-receptor assembly without patient repositioning – SFD with cross divisions and one-hand cassette loading / unloading – Up to 180 cm Source-to-Image-Distance (SID) – Oblique projections at table edges and bar-less tomography – User-friendly Touch Screen console

Highlights

WDM HF81 Series

WDM HF51 Series

Design

Design

Image System Tilt Angle

80 kW High frequency diagnostic system CCD imaging system – 45° ~ 90°

– – – –

Available with 2-way or 4-way tabletop Powerful SFD with line / cross divisions Can mount either 9" or 12" image intensifiers Ready for connection with Diva digital acquisition system

Image System Tilt Angle

50 kW high frequency diagnostic system CCD imaging system – 25° ~ 90°

Highlights

Highlights

The HF81 Series are 80 kW high frequency diagnostic X-ray system. The best cost performance and stable quality of this system makes it widely praised by hospitals and doctors – High frequency 80 kW / 200 kHz generator – Remote tilting table – 45º / 90º – SID adjustable 110 cm / 150 cm – 12" / 9" three fields I.I. – 1 k x 1 k high resolution with 30 fps image acquisition rate – InvaRay digital imaging platform – Comprehensive digital imaging processing workstation

The HF51 series are 50 kW high frequency diagnostic X-ray system. The best cost performance and stable quality of this system makes it widely praised by hospitals and doctors – High frequency 50 kW generator – Remote tilting table – 25º / 90º – SID adjustable 110 cm / 150 cm – 12" / 9" three fields I.I. – 1 k x 1 k digital RF imaging / 512 x 512 TV system – Optional InvaRay digital imaging platform – Two-table two-tube configuration is available

R / F – FILM-SCREEN 81 RAD·BOOK 2012

X-ray Mobile Philips Practix Convenio

Philips Practix 360

Power kV Range mAs Range

Power kV Range mAs Range

30 kW 40 – 125 0.1 – 320

16kW or 30 kW 40 – 125 0.1 – 220

Highlights – Robust electrical and technical concept with swiveling column and telescopic tube arm – Powerful motor drive for outstanding maneuverability on the spot, on ramps and over obstacles – Long-life batteries due to smart single charging management – Ergonomic design and intuitive user guidance – winner of the iF and the I.D. design award 2006 – Digital with Philips Computed Radiography including UNIQUE image processing

Highlights – Quick and easy access to patients with four swivel wheels allowing movement in all directions – Supports routine and pediatric examinations – Equipped with a LED collimator light that is 150% brighter as conventional collimator lights – Fixed SID laser light option showing the source to image position

Philips Practix 33 plus

Shimadzu MobileArt eco

Power kV Range mAs Range

Power kV Range mAs Range

3.3 kW 40 – 110 0.2 – 250

Highlights

Highlights

– – – –

– – – –

Cost-effective solution for all basic needs in plaster rooms and healthcare programs Small and solid workhorse for rough environments Easy handling, high system reliability and wide application range Microprocessor-controlled 3.3 kW X-ray converter generator

12.5 kW 40 – 125 0.32 – 100 (200)

Telescopic arm Easy positioning Wide coverage Compact design

Shimadzu MobileArt Evolution

Shimadzu MobileArt Evolution

Power kV Range mAs Range

Power kV Range mAs Range

12.5 kW 40 – 125 0.32 – 320

32 kW 40 – 133 0.32 – 320

Highlights Highlights – – – – –

Superb image quality Easy handling User-friendly operation Sophisticated radiographic functions Low noise motorized system

– – – – – –

Superb image quality Easy handling User-friendly operation Sophisticated radiographic functions Low noise motorized system DR ready: Flat panel detector upgradability

R / F – FILM-SCREEN 82 RAD·BOOK 2012

Siemens Polymobil

Power kV Range mA Range

Siemens Mobilett Family

POLYMOBIL III

POLYMOBIL Plus

2.5 kW

20 kW

40 – 100

40 – 125

0.32 – 200

0.5 – 300

Power kV Range mA Range

MOBILETT XP

MOBILETT XP Eco

MOBILETT XP Hybrid

30 kW, 450 mA (max.)

20 kW, 400 mA (max.)

30 kW, 450 mA (max.)

40 – 133

40 – 125

40 – 133

0.32 – 200

0.5 – 125

0.32 – 360

Highlights Highlights – – – – –

Lightweight Minimum exposure time 4 ms for reduced motion artifacts Touchscreen keys and digital display for easy and quick settings Adjustable collimator Compact design

– Extremely short exposure time as low as 1 ms – Self-calibrating high image output with up to 30 kW and 360 mAs – Optimal for semi-sterile environments such as ICU, neonatal and pediatric departments – Lightest system in its class, offers outstanding maneuverability – Supports a wide range of applications

Siemens Multimobil 10/2.5

STEPHANIX Movix Series E+

Design Detector Size

Power kV Range mAs Range

Highly versatile and economical X-ray system – –

From 16 to 32 kW From 40 to 150 kV up to 500 mAs

Highlights – Power: · Multimobil 10 with a 10 kW high frequency generator up to 160 mA · Multimobil 2.5 with a 2.5 kW high frequency generator up to 63 mA – Short exposure times reduce kinetic blurring – Delivering constant imaging power even when the power supply voltage falls to 170V/180V or rises to 265V – Dose yield is over 60% higher than with conventional 2 pulse generators – Reproducibility of all exposure parameters by automatic calibration (selfcorrection) process

Highlights – – – – – –

Cost effective solution Generator power ensures a wide range of procedures Compact and lightweight design ensures an easy handling User-friendly operation Dual focal spots A short exposure time

WDM HM Series Power mAs Range kV Range

1.6 kW / 3.2 kW / 20 kW 40 ~ 90 kV / 40 ~ 110 kV / 40 ~ 125 kV 1 – 250 mAs / 5 – 160 mAs

Highlights – High frequency mobile unit – Main purpose: conventional radiography for emergency room; operating room and ward – Advantages: 1.6 kW / 3.2 kW / 20 kW high frequency generator; Toshiba X-ray tube; remote control hand break

Please visit us at

www.radbook.eu

R / F – FILM-SCREEN 83 RAD·BOOK 2012

Bone Densitometry Block Imaging

Hologic Discovery™

Highlights

Highlights – – – – –

We buy used bone densitometry systems for refurbishment Give your equipment a 2nd chance at life Recover true value of your trade-in Free fair market valuations Professional project managers handle every detail of system deinstallation and removal – “Go Green” and recycle your equipment

– Offers one comprehensive platform for the assessment of three significant health risks · With exceptional precision and accuracy, the discovery DXA system helps clinicians identify patients at risk for osteoporosis and fractures · Provides the highest resolution vertebral imaging through the instant Vertebral Assessment™ HD for the visualization of AAC, a major risk factor for cardiovascular disease and vertebral fractures · Advanced body composition assessment produces color images displaying the distribution of fat, lean tissue and bones, translating the information into an easy-to-interpret report for the management of obesity, various growth disorders, aging, neuromuscular changes and the effects of physical training

Accessories / Complementary Systems Dunlee Smit Röntgen Fiber Interspaced Grids

Highlights

Please visit us at

www.radbook.eu Dunlee Replacement Tubes

– Standard grids, mammography grids and grids designed for special applications – Low absorption because of the fiber interspacer – Higher SNR with detectors in digital applications, and a significant dose advantage over aluminum interspaced grids – Any focal distance between 70 cm and 300 cm – Less weight than aluminum interspaced grids, up to 1⁄ 3

Protec PROGNOST XP-series

Highlights – Replacement tubes for more manufacturers than any other company in the industry (GE, Siemens, Toshiba, Shimadzu, Philips, Elscint or Picker) – Tube stocks at major airport hubs throughout the United States, Asia, Europe and Latin America – 24 / 7 – 365 days per year – Shipment of most popular replacement tubes, typically with same-day or next-day delivery

Highlights – Mobile patient table to position the patient directly above the corresponding image receptor – For digital DR detectors or with bucky tray integrated – Fixed table height or elevating, with floating carbon fiber table top – Elevating versions with line connection or battery powered

R / F – FILM-SCREEN 84 RAD·BOOK 2012

SAMSUNG’S DIGITAL X-RAY XGEO GC80 HAS ARRIVED

A TOUCH MOVES IT The soft-handling robotic arm technology guarantees convenient equipment preparation.

A PRESS READIES IT The auto positioning guarantees frequently used positions for efficient procedures.

A CLICK DISPLAYS ALL The accelerated image processing technology guarantees fast delivery of patient results.

www.samsung.com

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