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Siemens AG
Wittelsbacherplatz 2
Healthcare Headquarters
Siemens AG
Flash speed. Lowest dose.
80333 Muenchen Healthcare Sector
Germany Henkestr. 127
91052 Erlangen
SOMATOM Definition Flash
Germany
Phone: +49 9131 84-0
www.siemens.com/healthcare
4
patient care – as well as excellent financial Siemens CT Vision 4
investments that will enjoy a long life
in all clinical applications – especially SOMATOM Definition Flash 8
in cardiac scanning.
Split-second thorax 10
Flash speed. Lowest dose. Sub-mSv heart 18
Single dose Dual Energy 26
Now, with the introduction of the Organ-sensitive dose protection 34
SOMATOM Definition Flash, we took on
CT’s most pressing challenge and made Workflow 42
dose reduction the centerpiece of our
research. Its core innovation – the Customer Care. Life. 44
revolutionary Flash Spiral – can be
summarized in four words: Flash speed.
Lowest dose. The new SOMATOM
Definition Flash was therefore designed
specially to make CT exams much
healthier for your patients.
5
6
7
Flash speed Now, even demanding patients, i.e. obese extra dose. At the same time, X-CARE
and trauma patients, restless children, etc. allows protecting individual organs and
The SOMATOM Definition Flash opens a will hardly cause a ripple in your daily the most radiation-sensitive body regions –
door to new levels of patient friendliness routine. All can be scanned quickly and for example, female breasts – by
with the speed to cover the entire thorax efficiently. accurately and efficiently minimizing
in less than a second – if necessary even exposure.
without a breath hold. Lowest dose
A full 2 meter scan requires less than
5 seconds, while for perfusion or Maybe even more important – and
dynamic vascular imaging, long range impressive – is the incredible reduction in
scans become routine and gated chest dose for all scans, resulting, e.g. in dose
CTs become sub-second procedures. Your down to sub-mSv for cardiac imaging.
patients will be off the table faster than In its second generation, Dual Energy
ever before and can go back with positive automatically provides a second contrast
feelings about their scan experience. for the best possible diagnosis without
8
Flash
SOMATOM Definition Flash
9
10 Split-second thorax
Split-second
thorax
How often has your daily routine been interrupted or delayed by fragile,
sick, or trauma patients who cannot hold their breath or become
impatient with normal scan procedures? The answer to this question is
what has motivated us to design the world’s fastest CT, combining Dual
Source capabilities with our patient-friendly Flash concept. Scan times
are no longer a consideration. Whether routine patients, difficult adults
or young children, the scan is complete in a flash.
11
Introduction
Split-second thorax
12 Split-second thorax
With Flash speed, scan time is no longer long-range dynamic imaging of up to
an issue. In addition, the 78 cm bore 48 cm. It enables the visualization and
allows almost unrestricted access to the evaluation of the entire thoracic aorta Split-second thorax
patient and table options include a multi- in separate phases by capturing the
purpose table with a dedicated trauma arterial and venous phase in a single No breath hold required
tabletop. scan. So you’re able to not only delineate
aneurysms and other vascular diseases, Sharp coronaries even in a fast
Long-range dynamic scanning but also to identify the source of bleedings
or assess venous thrombosis. It provides thorax
Previously, limited detector coverage full coverage of any organ in 4D, be it
was a major bottleneck in acquiring stroke assessment of the whole brain Triple rule-out with < 5 mSv
4D information. Even the addition of or perfusion studies of an entire organ –
increasing detector elements did not intelligent filtering with 4D Noise Whole body trauma < 5 sec
adequately solve this problem because Reduction allows acquisition with up
imaging remained limited to to 50 % lower dose. Down to ½ dose perfusion imaging
the width of the detectors themselves.
But today, the SOMATOM Definition Flash
opens new dimensions for functional
4D imaging by combining the unique
Adaptive 4D Spiral with Flash speed,
introducing Adaptive 4D Spiral Plus for
13
How it works
Flash Spiral
Even the most advanced single source The result is an unprecedented scan speed
CTs are limited in their scan speed by the of 430 mm/s, fast enough to cover an
maximum table feed that can be used and entire body in less than 5 seconds. Vol
still allow the acquisition of contiguous
data. The SOMATOM Definition Flash Increased patient friendliness
breaks through this barrier primarily by
simultaneously integrating data from a Difficult and/or uncooperative patients,
second source during the scan. By whether obese or young children, are no
combining this Dual Source technology longer a problem. Additional effects of
with fastest available hardware this technology include increased patient
components including a gantry that rotates care and comfort.
at 0.28 s, a patient table that can handle
immense table feeds and ultra-fast data
transmission technology makes possible
the fastest scan mode in CT history. Vol
14 Split-second thorax
How it works
In 2007, Siemens first introduced the For example, the SOMATOM Definition
revolutionary scan mode, Adaptive 4D Flash can perform a phase resolved CTA
Spiral, overcoming the then existing study over a length of 480 mm, providing
limitations of dynamic CT studies. a clear separation of arterial and venous
With conventional CT and its restricted phase.
coverage, whole organ perfusion studies
or long-range phase resolved CTA studies, 4D Noice Reduction
were just not possible. The industry’s Repeated bi-directional table
initial attempts to conquer these Now for the first time in perfusion studies, movement for smooth spiral
limitations focused on detector size but you can cover virtually any organ in 4D, shuttle scan.
made no significant progress in covering such as a complete stroke assessment
entire organs. of the entire brain. An exciting further
development, 4D Noice Reduction, makes
Up to 48 cm dynamic scanning it possible to significantly improve image
quality with no increase in dose or,
Today, through our innovative Adaptive alternately, reduce dose up to 50 %
4D Spiral Plus, we apply a continuously without compromising image quality.
repeated bi-directional table movement,
moving the patient smoothly in and out of
the gantry over the desired scan range. It’s
how we’re able to overcome the coverage
limitation of a static detector design.
4 cm (64 slices)
16 cm (320 slices)
48 cm (Adaptive 4D Spiral Plus)
15
Clinical Images
Triple rule-out without breath hold in less than See the entire disease and its root cause –
one second – at a dose below 5 mSv fusion of Brain Volume Perfusion and CTA
16 Split-second thorax
Follow-up after aortic stenting with Adaptive 4D
Spiral Plus, e.g. to identify endoleaks (early to late
arterial phase in one scan – 48 cm)
17
18 Sub-mSv heart
Sub-mSv heart
But, when Dual Source technology is combined with Flash speed, the
possibilities for cardiac imaging become even more impressive. The
power of two tubes allows the industry’s fastest temporal resolution of
75 ms, in addition, a table speed of 430 mm/s makes scanning the heart
instantaneous – if necessary even without breath hold. Most important,
it allows reducing dose to an absolute minimum, minimizing dose-risk
for the patient.
19
Introduction
Sub-mSv heart
20 Sub-mSv heart
blockers, e.g. in certain cases of Widest range in cardiac
pulmonary disease. All this makes the imaging
Flash Cardio Sequence the industry’s Sub-mSv cardio scan for early
most versatile low dose mode for
cardiac imaging. The SOMATOM Definition Flash assures detection
today’s widest range of cardiac imaging
Heart Perfusion Scanning capabilities, while providing true temporal No motion artifacts, no ß-blocker
resolution of 75 ms in all scan modes.
The SOMATOM Definition Flash takes its It covers functional imaging at high All patients, all heart rates
temporal resolution beyond coronary heart rates as well as low dose coronary
imaging, by combining high speed and scanning down to sub-mSv patient 75 ms true temporal resolution
smart scan concepts without the need exposure. It opens the doors to patient-
for ultra-wide detectors. It applies its fast friendly cardiac imaging with the shortest Heart Perfusion Scanning
temporal resolution to every single image possible breath hold, or even no breath
when scanning the myocardium. This hold at all, while applying the lowest
smart shuttle mode visualizes perfusion known possible dose.
defects even with high heart rates,
strongly suggesting that the SOMATOM All this will make the SOMATOM Definition
Definition Flash will offer its users the Flash the cornerstone of a successful
opportunity to preform stress perfusion cardiac CT program in your institution.
studies.
21
How it works
Single source
Our heartbeat-controlled, revolutionary speed used with single source scanners 15 mSV
scan mode Flash Spiral Cardio, collects would create gaps in the data volume,
data projections of the entire heart in making the complete dataset useless. 10 mSV
ultrafast 250 ms within a single diastolic
phase. This performance is a direct result Dose down to below 1 mSv
of having 2 detectors, simultaneously 5 mSV
collecting information. Combined On the other hand, by maximizing speed
with unprecedented table feeds of and thus minimizing overall exposure 1 mSV
430 mm/s, it achieves a true temporal time, the SOMATOM Definition Flash can
resolution of 75 ms for each individual reduce dose down to an unprecedented
image, made possible also by the rotation 1 mSv or less.
speed of 0.28 s. This incredible table
5 mSV
4 mSV
3 mSV
2 mSV
1 mSV
Flash
Single source cardiac spiral scanning requires
overlapping data acquisition, resulting in relatively
high patient exposure (top).
When fully flexible X-ray pulsing meets For the first time, a step and shoot mode
75 ms of temporal resolution, the result is robust and fast enough to freeze the
is the Flash Cardio Sequence, the most heart and visualize the coronary arteries Low dose
versatile low dose cardio scan on the even at high heart rates, thus allowing no function
market. even low dose cardiac CT without the
Dose
need for beta-blockers.
Low dose cardiac for all
heart rates Functional information
It’s an intelligently triggered sequence that And, finally, the Flash Cardio Sequence
shuts off radiation in the systolic phase introduces the Siemens-only dual-step High dose
when not required and dynamically reacts pulsing, that maintains a low dose level with function
to irregularities during the ECG trace. The during the systolic phase to calculate
real-time ECG monitoring reacts instantly ejection fraction in addition to coronary
and stops the scan until the heart rate imaging. Therefore, the never before
becomes stable again. This arrhythmia possible combination of low dose coronary
Flash Cardio Sequence
compensation method allows for high imaging and functional information now
Dose
dose savings and an increased robustness becomes a reality.
of scan.
Low dose
with function
27
Introduction
29
How it works Single source CT
Dual Energy
The X-ray tube’s kilo voltage (kV) less when exposed to low-energy scans
120 kV
determines the average energy level of compared to high-energy voltage
the X-ray beam. Changing the kV setting examinations.
results in an alteration of photon energy
and a corresponding attenuation Spiral Dual Energy
modification of the materials scanned.
In other words, X-ray absorption is energy Spiral Dual Energy exploits this effect:
dependent, e.g. scanning an object with Two X-ray sources running simultaneously Dual Source CT
80 kV results in a different attenuation at different energies acquire two data sets
than with 140 kV. In addition, this showing different attenuation levels. In
attenuation depends also on the type of the resulting images, the material-specific
tissue scanned. Iodine, for instance, has difference in attenuation enables an easy
its maximum attenuation at low energy, classification of the elementary chemical
while its CT-value is only about half in composition of the scanned tissue. In
high-energy scans. The attenuation of addition, a fused image is provided for
bones, on the other hand, changes much initial diagnosis.
80 kV 140 kV
Attenuation B Attenuation A
photon energy
The cumulative results of our efforts over the years are best reflected
in the SOMATOM Definition Flash. Its Adaptive Dose Shield prevents
clinically irrelevant dose for spiral examinations and is now
supplemented by organ-sensitive dose reduction with X-CARE, as well
as unrivaled thorax and cardiac dose efficiency with Flash Spiral.
35
Introduction
37
How it works
X-CARE
Dose reduction up to 25 %
Now all clinically irrelevant dose is
eliminated, not only for dedicated STRATON with
applications, but for all standard spiral Adaptive Dose Shield
acquisitions. Giving you the ability to
save up to an additional 25 % of dose
in routine exams. No Pre-Spiral Dose No Post-Spiral Dose
Image area
39
Clinical Images
X-CARE reduces direct exposure of dose sensitive organs, e.g. X-CARE dose distribution
minus 40 % for breast tissue – while maintaining a showing lower dose levels for
homogeneous image quality over the entire scan field of view the breast tissue
CT Clinical Workplaces
42 Workflow
syngo WebSpace
Know-how is the key to success. With To ensure you are always up-to-date on
our extensive portfolio of education and what is happening in the CT world, we
training programs you can deepen your offer you a variety of information services
knowledge and clinical expertise. We – easily accessible information portals,
show you how to maximize the benefits monthly newsletters, our customer
of advanced technology. This will help magazine SOMATOM Sessions, and the
you to optimize workflows. So you can SOMATOM World Summit, our scientific
offer an even higher quality of care for user conference.
your patients.
45
Configuration Overview
*optional
46
Flash speed. Lowest dose.
In the event that upgrades require FDA approval,
Siemens cannot predict whether or when the FDA
will issue its approval. Therefore, if regulatory
clearance is obtained and is applicable to this
package, it will be made available according to Local Contact Information
the terms of this offer.
In the USA:
On account of certain regional limitations of Siemens Medical Solutions USA, Inc.
sales rights and service availability, we cannot 51 Valley Stream Parkway
guarantee that all products included in this Malvern, PA 19355
brochure are available through the Siemens Phone: +1 888 826 9702
sales organization worldwide. Availability and Phone: +1 610 448 4500
packaging may vary by country and is subject Fax: +1 610 448 2554
to change without prior notice. Some/All of the
features and products described herein may not In China: In Asia:
be available in the United States. China Medical Solutions Siemens Medical Solutions
7, Wangjing Zhonghuan Nanlu Asia Pacific Headquarters
The information in this document contains general Chaoyang District The Siemens Center
technical descriptions of specifications and options P.O.Box 8543 60 MacPherson Road
as well as standard and optional features which do Beijing 100102, P.R.China Singapore 348615
not always have to be present in individual cases. Phone: +86 10 6476 8888 Phone: +65 6490 8182
Fax: +86 10 6476 4706 Fax: +65 6490 8183
Siemens reserves the right to modify the design,
packaging, specifications, and options described In Japan: In Germany:
herein without prior notice. Please contact your Siemens-Asahi Siemens AG
local Siemens sales representative for the most Medical Technologies Ltd. Healthcare Sector
current information. Takanawa Park Tower 14 F Computed Tomography
20-14, Higashi-Gotanda 3-chome Siemensstr. 1
Note: Any technical data contained in this Shinagawa-ku DE-91301 Forchheim
document may vary within defined tolerances. Tokyo 141-8644 Germany
Original images always lose a certain amount of Phone: +81 35423 8510 Phone: +49 9191 18 0
detail when reproduced. Fax: +81 35423 8740 Fax: +49 9191 18 9998
Siemens AG
Wittelsbacherplatz 2
Healthcare Headquarters
Siemens AG
Flash speed. Lowest dose.
80333 Muenchen Healthcare Sector
Germany Henkestr. 127
91052 Erlangen
SOMATOM Definition Flash
Germany
Phone: +49 9131 84-0
www.siemens.com/healthcare