160-slice CT SCANNER / New Standard for the Future

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1 TECHNOLOGY HISTORY For over 130 years, Toshiba has been a world leader in developing technology to improve the quality of life. Our 50,000 global patents demonstrate a long, rich history of leading innovation. It might surprise you to learn about some of the things we ve invented Japan s fi rst X-ray tube 1990 First helical CT scanner 2002 First 400 ms CT scanner 1954 First digital computer 1993 First real-time CT fluoro 2004 First Quantum Denoising Software 1977 First cardiac ultrasound scanner 1995 First DVD 2007 First dynamic volume CT scanner 1985 First slip-ring CT scanner 1999 First quiet MRI 2009 First 160-row Helical 1986 First laptop computer 1999 First 0.5 mm multidetector CT 2010 First iterative recon technique for 320 Detector Row CT Toshiba Medical Systems Corporation meets internationally recognized standards for Quality Management System ISO 9001, ISO Toshiba Medical Systems Corporation all rights reserved. Design and specifications subject to change without notice. Model number: TSX-302A MCACT0209EAA TME/D Toshiba Medical Systems Corporation Nasu Operations meets the Environmental Management System standard, ISO Made for Life, Aquilion ONE, Aquilion, Exposure, Boost3D, Xtension, Cardio, Subtraction, conexact, Technologies, Plaque, Fluoro and Start are trademarks of Toshiba Medical Systems Corporation. Printed in Japan 160-slice CT SCANNER / New Standard for the Future

2 New standard platform that can meet clinical requirements today and in the future ULTRA LOW DOSE EXAMINATION In today s healthcare environment, CT systems that satisfy a wide range of clinical requirements have been eagerly awaited. Aquilion PRIME incorporates cutting edge technologies that not only meet current clinical requirements, but can also serve as a new standard platform in the future. These new technologies make it possible to obtain high-quality clinical images with a low dose and also optimize workflow. In addition to supporting all routine examinations, the system comes with advanced clinical applications to meet a wide variety of clinical requirements. Aquilion PRIME incorporates Toshiba s latest technologies to reduce exposure dose, while maintaining high image quality. AIDR 3D (Adaptive Iterative Dose Reduction 3D) Active Collimator Exposure 3D Boost3D Dose Report Dose Index Value Display ULTRA FAST WORKFLOW Aquilion PRIME ensures fast data to diagnosis that meets the requirements of increasingly complex examinations and accelerate the process of providing the information you need to make treatment decisions. Fast Reconstruction 80-detector row helical 78 cm gantry aperture Metal-free Head rest Metal-free Arm up holder Xtension * FAMILY APPLICATION The sophisticated suite of clinical applications that have been developed for Aquilion ONE are also incorporated into Aquilion PRIME, providing streamlined post processing. Body Perfusion* Dual Energy* Lung Volume Analysis* Cardio * CBP Study* / Subtraction * *option 2 3

3 Ultra low dose - Technology designed to minimize dose - Ultra Low Dose Aquilion PRIME incorporates a variety of advanced technologies into a new-generation platform to ensure high quality image while minimizing the exposure dose. ACTIVE COLLIMATOR EXPO 3D vhp (VARIABLE HELICAL PITCH)* CONEXACT WITH DOUBLE SLICE TECHNOLOGY In Helical scanning, exposure is needed before the start and after the end of the planned scan range in order to reconstruct images at these positions. This over-ranging requires at least one extra rotation, although only a small portion of this data is utilized. Active collimation synchronizes the width of the x-ray beam at the ends of the scan range to the clinically useful area needed for image reconstruction. By eliminating exposure that is not used for diagnosis, patient dose can be reduced by up to 20%. Exposure 3D is an user-friendly solution for applying automatic exposure controls that can be programmed into every examplan preset. Based on the user-specified level of image quality and the automatic attenuation measurements obtained from the patient scanogram, the tube current (ma) is automatically adjusted in the X, Y and Z planes to maintain image quality at a constant level. As a result, Exposure 3D alone can achieve a dose reduction of up to 40% depending on the individual patient and the anatomy to be scanned. Variable Helical Pitch (vhp) allows to prescribe an exam that automatically changes the helical pitch at a user defined location during acquisition without stopping the table motion. For example, in a CTA aorta examination, ECG gated scanning with a slow pitch is performed for the thoracic, seamlessly switching to non-gated scanning with a faster pitch for the abdominal aorta. vhp provides greater flexibility when performing combined studies while signifi cantly reducing contrast and radiation dose. Developed for Aquilion ONE dynamic volume CT, new proprietary algorithms using the conexact technology are available for Aquilion PRIME. Taking full advantage of the conexact technology, acquired volume data can be reconstructed in double density, resulting in a more true-to-original reconstruction in MPR and 3D rendered images. Conventional Scan slices ECG Gated Heilcal Pitch Low ma Reconstruction Volume Standard ma 150 ma 120 ma 100 ma 120 ma 150 ma 200 ma Table Speed Change Standard Helical Pitch 0.5 mm x 160 slices slices *option 4 5

4 Ultra low dose - Low dose imaging and built-in protection - Ultra Low Dose An advanced noise reduction algorithm is provided to reduce patient dose. Aquilion PRIME incorporate a host of both automatic and stand-by safety features to achieve the ALARA principle and prevent accidental exposure of the patient to unnecessary radiation. AIDR 3D (ADAPTIVE ITERATIVE DOSE REDUCTION 3D) DOSE INDEX VALUE DISPLAY DOSE REPORT Adaptive Iterative Dose Reduction 3D (AIDR 3D) has been developed as the next step in the evolution of noise reduction technology. AIDR 3D is an iterative algorithm, where noise is removed from the original data, the results are analyzed and the process is repeated until the target level of noise reduction is achieved. This iterative algorithm is superior in removing background noise while preserving diagnostic information compared to non-iterative approaches. AIDR 3D can be applied to all acquisition modes for routine clinical use and is able to remove up to 50% of image noise resulting in dose reduction of up to 75%. During scan planning the predicted total exposure dose of an examination is calculated and the estimated dose index values are displayed. Published reference dose values are available for review. As specified by IHE, the Radiation Exposure Monitoring Profile is available in the software. This function automatically records all scanning data so the amount of dose for a particular patient or study can be accurately tracked. Acquired Projection Data Scanner Model Projection Noise Reduction Anatomical Model Based Optimization Update Object + AIDR 3D Image Statistical Model Blending % Original Reconstruction AIDR 3D Reconstruction 6 7

5 Ultra fast workflow Fast Workflow Aquilion PRIME has a new-generation platform to optimize productivity and enhance diagnosis. FAST RECONSTRUCTION UNIT With a reconstruction speed of up to 60 fps*, all images are available shortly after scanning, even when scanned with Toshiba s unique 0.5 mm slice thickness. 60 fps ADVANCED HELICAL SCANNING With Aquilion PRIME, helical scans can be performed using up to 0.5 mm x 80 rows, signifi cantly reducing scan times for areas such as lung and abdomen. The newly developed V-TCOT reconstruction algorithm guarantees superb image quality at all helical scan speeds. In case of emergencies the combination of 80 row helical scanning and fast reconstruction assures short scan times and fast access to images to make an accurate diagnosis. 4 seconds LARGEST APERTURE AVAILABLE IN A HIGH-END CT SYSTEM: 78 CM IN DIAMETER The gantry has a 78 cm aperture, the largest available in a high-end CT system. In combination with 300 kg couch* and lateral table movement*, this makes it possible to scan heavy and difficult to position patients easily. WORKFLOW EXPANDABILITY WITH XTENSION* Xtension provides access to Toshiba s powerful post processing applications from any PC as thin client. CT datasets can be viewed and analyzed at your computer anywhere on the network. With the additional display console and Xtension, Aquilion PRIME provides an efficient and cost-effective post processing solution. *option 8 9

6 family - Advanced clinical application - ONE family Aquilion PRIME incorporates the latest clinical applications that have been developed for Aquilion ONE, ensuring accurate diagnosis. BODY PERFUSION* LUNG VOLUME ANALYSIS* DUAL ENERGY* Body perfusion software analyzes the blood perfusion of an organ from dynamic scan images. The perfusion application can provide additional information for the diagnosis, treatment and follow up of lesions. Lung volume analysis automatically identifi es tissues in the lung fields with a CT number lower than the specifi ed value (regions of pulmonary emphysema) for visualization and analysis. Dual-energy helical scanning alternates between high and low kv with each gantry rotation. Also the ma is automatically adjusted for the two different energies to ensure a matched signal to noise ratio which increases the accuracy of dual energy analysis. In addition, Aquilion PRIME can automatically turn X-ray exposure off when the X-ray tube passes the front of the patient, thus minimizing exposure to radiosensitive organs such as the breasts and eye lenses. X-ray OFF Low kv High kv MAXIMIZING CLINICAL CAPABILITY Aquilion PRIME supports Toshiba s sophisticated suite of Technologies and other advanced software tools to improve image quality, lower dose requirements and deliver the scan for diagnosis fastest in the industry. Continuous development of optional fi eld upgradable software enhancements means that when it comes to maintaining state-of-the-art capabilities, your investment is always protected. FOR NEURO - Subtraction* - CBP Study* FOR CARDIAC - Plaque * - Cardio Scoring* - Cardiac Function Analysis* FOR BODY - Vessel View* - Colon View* - Fat Index View* OTHERS - Fluoro * - Dental Analysis* *option 10 11

7 High quality images while minimizing dose Helical scan with AIDR 3D showing a brain metastasis. Cardiac CTA using Cardio Prospective. Abdominal aortic aneurysm rendered using on console 3D. Liver CTA using Start and on console 3D. Low dose lung scan with AIDR 3D. Bone cyst reconstructed with super resolution. Lower limb demonstrating right popliteal is stenosis. Distal tibia fracture rendered using console 3D

8 Patient and technologist friendly Every aspect of clinical performance has been considered in creating Aquilion PRIME. As a result, we improved patient comfort and clinical access, reduced need for radiation exposure and contrast media, boosted productivity while providing a new standard platform for treating a broader patient population with a wider range of applications. INFORMATION COMMUNICATION MONITOR i STATION i station offers multilingual prompts and movies to enhance patient compliance during scanning. The ECG trace is displayed for operator convenience and workflow enhancement. Colorful cartoons are available for pediatric examinations. EASY ACCESS AND LONG SCAN RANGE The patient couch can be lowered to 33 cm above the fl oor. The couch can be positioned flexibly, allowing easy access for pediatric, elderly, and emergency patients. In addition, the couch-top width has been increased to 47 cm to minimize patient discomfort. The scan range of up to 1800 mm, makes it possible to cover multiple regions in a single scan setup, ideal for emergency patients. Additionally, lateral movement* is possible to center the scan target without patient discomfort. * Option with 300 kg couch NOISE REDUCTION DESIGN BASED ON FLUID ANALYSIS As a preventive measure against vibration, drive noise, and noise from air turbulence occurring during gantry rotation due to high scanning speeds, advanced fluid analysis has been employed in the design of the gantry. The new gantry design reduces vibration caused by high-speed rotation, minimizing noise and improving patient comfort. ENVIRONMENTALLY FRIENDLY - EVOLUTION GANTRY - The electric regeneration function has been installed in the gantry. This converts energy generated during gantry deceleration into electricity that can be used in the system. As well as achieving energy savings, the countermeasures against heat generation that are used for gantry slowdown are no longer required, saving space in the gantry

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