Discover a new world.

Siemens Computed Tomography.

Always Thinking Ahead.
 Confidential for internal use only
2

Discover
a World of Excellence
Thomas Flohr
Head of CT Physics and Applications
Alexander Zimmermann
Global Product and Marketing Manager High-End CT
15.10.2005
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SOMATOM

DefinitionExcellence in CT
 4

SOMATOM Definition
Excellence in CT

z-Sharp CARE
STRATON
Unprecedented Image Quality and Detail
Lowest Patient Exposure

Engines
Diagnostic Speed and Confidence in CT
Clinical

DSCT
Explore the New
Trends with Dual Source
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z-Sharp
Unprecedented Image Quality and Detail
 6

SOMATOM Definition
Unprecedented Image Quality and Detail
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SOMATOM Definition
Unprecedented Image Quality and Detail

STRATON
Combination of industrys fastest gantry rotation speed of 0.33 s
with DSCT enables motion artefact free imaging

Visualization of smallest anatomical structures with industrys

highest isotropic resolution of < 0.4 mm

z-Sharp
at highest volume coverage
at any position within the scan field
with no increase in dose
Previously unknown sharpness and clarity
with complete spiral artifact elimination

z-UHR
Ultra-high resolution bone imaging with 0.24 mm isotropic detail
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Clinical

Engines
Diagnostic Speed and Confidence in CT
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SOMATOM Definition
Diagnostic Speed and Confidence in CT

Oncology Neuro Cardiac Acute Care

Engine Engine Engine Engine

SOMATOM
Definition

syngo CT.3D
syngo applications
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DSCT
Explore the New Trends with Dual Source
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Multi-Source CT
Utilizing a well known idea

1981, in Newton and Potts CT of the Skull and Brain

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SOMATOM Definition
Excellence in CT

The idea behind

SOMATOM Definition
is as simple as
ingenious.It uses
two X-ray sources
and two detectors at
the same time.
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SOMATOM Definition

A CT scanner completely unlike anything you have seen before.

A scanner that will revolutionize the world of CT.
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The introduction of Dual Source CT

portends one of the most significant
technology shifts since the
introduction of spiral and MSCT.

This novel advance promises not

only improvements in speed and
Explorecoverage but also
the New Trends withnew
Dualclinical
Source
advances and applications.
Michael Modic, MD
Chairman, Division of Radiology
The Cleveland Clinic Foundation, Cleveland, USA
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SOMATOM Definition
The Worlds First Dual Source CT

Faster
Faster thanthan
Every Every Beating Heart
Beating Heart

Full Cardiac
Full Cardiac Detail
Detail at Half theat Half the Dose
Dose

One-Stop Diagnosis
One-Stop Diagnosis in Acute Care
in Acute Care

Beyond Visualization
Beyond Visualization with Dual Energy
with Dual Energy
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Faster than
Every Beating
Heart
Explore the New Trends with Dual Source
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Single Source CT
Temporal resolution of maximum 165 ms

Temporal Resolution =
Rotation Time 330 ms
=
2 2
= 165 ms
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Single Source CT
Technical challenge with high heart rates
60 bpm 120 bpm
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SOMATOM Definition
Heart rate independent temp. resolution of 83 ms

Temporal Resolution =
Rotation Time 330 ms
=
4 4
= 83 ms
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SOMATOM Definition
Reliable imaging of all heart rates
60 bpm 120 bpm
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Faster than Every Beating Heart

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Single Source Image Reconstruction

180 of scan data are necessary for an image

Temporal Resolution =
Phase Shift Rotation Time 330 ms
=
2 2
= 165 ms
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Single Source Multi-Segment Reconstruction

Small segments acquired in different heart cycles
are combined to a 180 data interval

Temporal Resolution varies

between 83 and 165 ms
Phase Shift
(2 segments)
Limited clinical
stability !
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Temporal Resolution for Single Source Cardiac CT

Single segment and 2-segment reconstruction
220

200

Temporal resolution in ms
180
Single Source CT, 0.33s
160

140

120

100

80

60

40
50 60 70 80 90 100
Heart rate in bpm

- Temporal resolution varies between 83 ms and 165 ms

- Only few sweet spots with optimum resolution
- Complete periodicity of the heart motion required
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SOMATOM Definition
Dual source CT: A quarter gantry rotation is
sufficient for an image

Temporal Resolution =
Phase Shift Rotation Time 330 ms
=
4 4
= 83 ms

Independent of the heart rate !

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SOMATOM Definition
Dual source CT: stable 83 ms temporal resolution
220

200

Temporal resolution in ms
180
Single Source CT, 0.33s
160

140

120

100
SOMATOM Definition
80

60

40
50 60 70 80 90 100
Heart rate in bpm

- Temporal resolution 83 ms at all heart rates

- Superior clinical stability
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SOMATOM Definition
Evaluation with simulation study

Single source CT SOMATOM Definition

75 bpm, end-systole for functional evaluation

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SOMATOM Definition
Evaluation with phantom study

Single source CT SOMATOM Definition

Moving coronary with stent, rest phase 100 ms

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SOMATOM Definition
Faster than Every Beating Heart

All heartrates without -Blocker

< 6s scan at normal heart rate (e.g. 80 bpm)

Outstanding plaque and stent delineation

Explore the New Trends with Dual Source
Scanning of arrhythmic patients
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Full Cardiac
Detail at Half
the Dose
Explore the New Trends with Dual Source
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SOMATOM Definition
Full Cardiac Detail at Half the Dose

2 x Sources
= Dose ?
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Single Source CT Maintains slow acquisition

even with higher heart rates

60 bpm single source CT 120 bpm single source CT

Slow Acquisition Speed Slow Acquisition Speed

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SOMATOM Definition
Faster acquisition at higher heart rates

60 bpm Dual Source CT 120 bpm Dual Source CT

Normal Acquisition Speed Fast Acquisition Speed

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SOMATOM Definition images the heart 2 x fast,

reducing the ECG-pulsing window by > than 1/2

120 bpm single source CT 120 bpm Dual Source CT

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Full Cardiac Detail at Half the Dose

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SOMATOM Definition
Cardiac CT at half the dose

The three steps to dose saving:

Optimized cardiac bowtie-filter avoids unnecessary

exposure outside the central heart region

Single segment reconstruction at all heart rates

enables efficient adaptation of the table feed

New, optimized ECG-pulsing allows for reduced

exposure even in the presence of arrhythmia
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SOMATOM Definition
Cardiac CT at half the dose

Non-optimized dual tube system:

2 sources = 1.9 x dose*

200% DSCT
Non-optimized

150%
Single
Source
100%

50%

* Measurements by Thomas Flohr, PhD, Siemens

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SOMATOM Definition
Cardiac CT at half the dose

Dual tube system + cardiac bowtie-filter

2 sources = 1.53 x dose*

DSCT Focus
200%
Non-optimized
Additional
150% + Cardiac cardiac
Single bowtie
bowtie
Source Regular
100% bowtie

50%

* Measurements by Thomas Flohr, PhD, Siemens

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SOMATOM Definition
Cardiac CT at half the dose

Adaptation of the table feed to the heart rate

Overlapping
Spiral Images
z - Position

Recon
Recon
Recon
Delay

Time
Time
Low heart rate = low table feed for continuous volume coverage
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SOMATOM Definition
Cardiac CT at half the dose

Adaptation of the table feed to the heart rate

z - Position

Recon
Recon
Recon

Time
Time
High heart rate = high table feed for continuous volume coverage
thanks to restriction to single segment reconstruction
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SOMATOM Definition
Cardiac CT at half the dose

Dual tube system + cardiac bowtie-filter +

adaptation of the table feed
2 sources = 0.65 - 1.53 x dose*
200% DSCT
Non-optimized

150% + Cardiac + Pitch adaptation

Single
bowtie
Source
100%

50%

< 55 55-70 70-90 >90 bpm

* Measurements by Thomas Flohr, PhD, Siemens
 44

SOMATOM Definition
Cardiac CT at half the dose

Optimized ECG-pulsing with short exposure

applicable even in arrhythmic patients

Recon
Recon
100%
Current

Single source CT
20%
Dual source CT

Time
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SOMATOM Definition
Cardiac CT at half the dose

Dual tube system + cardiac bowtie-filter +

adaptation of the table feed + new ECG-pulsing
2 sources = 0.33 0.58 x dose*
200% DSCT
Non-optimized

150% + Cardiac + Pitch adaptation

Single
bowtie
Source
100%
+ Optimized ECG-pulsing
50%
Window 210 ms

< 55 55-70 70-90 >90 bpm

* Measurements by Thomas Flohr, PhD, Siemens
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One-Stop
Diagnosis in
Acute Care
Explore the New Trends with Dual Source
 47

SOMATOM Definition accumulates the power

of 2 sources resulting in unprecedented 160 kW

Single source CT Dual Source CT

1 x Power 2 x 80 kW

Low Speed + Good IQ High Speed + Good IQ

Insufficient power for Sufficient power for sharp
high-speed scanning of and detailed images at
obese patients any scan speed
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SOMATOM Definition accumulates the power

of 2 sources resulting in unprecedented 160 kW

Single source CT Dual Source CT

High Speed + Low IQ High Speed + Good IQ

Insufficient power for Sufficient power for sharp
high-speed scanning of and detailed images at
obese patients any scan speed
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One-Stop Diagnosis in Acute Care

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SOMATOM Definition
The power of two sources

Increased speed for routine and obese patients

Single source CT

Increase of effective mAs requires

table feed reduction for dose accumulation
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SOMATOM Definition
The power of two sources

Increased speed for routine and obese patients

Routine use

Obese

DSCT

Single source CT

Full speed for all routine applications

Increased power and speed for obese patients
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SOMATOM Definition
One-Stop Diagnosis in Acute Care

Single source CT Dual Source CT

Insufficient power for high-speed Sufficient power for sharp and

scanning of obese patients detailed images at any scan speed
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SOMATOM Definition
One-Stop Diagnosis in Acute Care

78 cm gantry bore and Field of View + 200 cm scan range

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SOMATOM Definition
One-Stop Diagnosis in Acute Care

All patient sizes with full image

quality and full speed

Trauma imaging with 200cm

scan, 78cm Bore & FoV

Explore
12s theprotocol,
Chest Pain New Trends with Dual Source
independent of the heart rate
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Beyond
Visualization
with
Explore the New Trends with Dual Source

Dual Energy
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SOMATOM Definition
Beyond Visualization with Dual Energy

80kV
Bone
670 HU Iodine
296 HU

Bone
450 HU Iodine
144 HU

140kV
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Beyond Visualization with Dual Energy

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SOMATOM Definition
Beyond visualization with dual energy

Simultaneous data acquisition with different spectra

Mean Energy:
56 kV 76 kV

Tube 1

Tube 2

-> Dual energy CT can measure chemical composition

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SOMATOM Definition
Beyond visualization with dual energy

Automatic separation of iodine and calcium

Auto-bone removal even in complicated anatomical situations
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SOMATOM Definition
Beyond visualization with dual energy

Automatic separation of iodine and calcium

Detection of calcified plaques in a contrast filled vessel

Contrast filled aorta

with hard plaques
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SOMATOM Definition
Beyond visualization with dual energy

Quantification of fat, tissue and contrast agent

Characterization of liver tumors Single source CT

Contrast agent? Hypo-lipid area!

Red: tissue Blue: fat

Green: contrast agent Yellow: bone
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SOMATOM Definition
Beyond Visualization with Dual Energy
DSCT opens the field of dual energy research
Potential applications: - Dual-energy bone subtraction

- Characterization of fatty/cirrhotic liver

and liver tumors

- Characterization of stones in the

kidneys / gall bladder

- Early detection of bone metastasis (spine)

- Characterization of plaques in vessels

- Lung ventilation with Xenon

- ........... ?
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SOMATOM Definition
Excellence in CT

z-Sharp CARE
STRATON
Unprecedented Image Quality and Detail
Lowest Patient Exposure

Engines
Diagnostic Speed and Confidence in CT
Clinical

DSCT
Explore the New
Trends with Dual Source
 64

Questions
and Answers
 65

siemens.com/
Dualsource
 66

siemens.com/Dualsource
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siemens.com/Dualsource
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of your customers
should register
 69

Questions and
Answers
discussion Board

Register yourself

Review latest
materials and
Q&A

Let us know our

questions
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Competition
to the SOMATOM Definition
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Whats More?
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SOMATOM Definition
Installation Requirements
Gantry weight: 2700 kg (700 kg > than S64)
Higher static pointload of Gantry floor: 8000 Nm (S64: 5140 Nm)
Power consumption: 255 kVa (using w/w, S64: 104 kVa)
Minimum size: 26.5 m 2 (3.5 m2 > than S64 ;
1 add. power cabinet, but w/w cooling build in gantry: in total)

Heat dissipation to water cooling environment: max. 15 kW

(S64: 15 kW)

same local room dose as S64: No extra shielding needed

Patient table adjustment. Higher allowance
of floor unevenness: 5 mm (S64: 3 mm)
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SOMATOM Definition
First Installation

The Worlds First Dual Source CT was

successfully installed at the University of
Erlangen (Institute of Medical Physics)
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Target
for the Fiscal Year 2005/2006
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Units
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Making
of SOMATOM Definition
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