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To:STANDARDCUSTOMERSD_000_C2-0251SOMATOMMultislicecomputedtomographyscannerforefficientwholebodyexaminations.Thecontinuouslyrotatingtube-detectorsystemacquirestwoslicesperrotation.SOMATOMSpiritisaCTscannerfordailyroutine–itenablesstandardCTexaminationsand3Dpostprocessing.SOMATOMSpirithasbeendesignedforexcellentimagequalitywithlowradiationexposure.TheCTscannerexcelsthroughitsintuitiveoperation,userguidanceandexpedientautomatedworkflow.Acomputedtomographyscannerwithanappealingandtrendsettingdesign.SOMATOMSpiritsystemsurveyHighgantryrotationspeedwithpremiumdetectorsystemforfastimageacquisitionandreal-timedisplay.Excellentvisualizationoffineboneandsofttissuestructures,withafinestructureresolutiondownto1.0PatentedSiemensUFC-UltraFastCeramic-detectormaterialforfastacquisitionoflargevolumeswithoutstandingresolution.SureViewTM-multisliceimagereconstructionsystem.Consistentimagequalityatanyscanspeed,independentofselectedpitch(pitchselectablebetween0.5and2.0).CAREDoseReal-timedosemodulationallowsdoessavingsofupto56%withoutcompromisingimageHigh-contrastresolution-0%MTF(±10%):15.5syngouserinterface-easyandintuitiveoperation,userguidanceandautomatedworkflow,whereexpedient.Uniformworkingenvironmentforanduniquenetworkingofimagingtechniques.Toolsforfast3Dpostprocessingforeffectivevisualization,analysis,quantificationanddocumentationofclinicalstructures.(reconstructionspeed:3s/image).Imagedisplayin1024x1024matrixonflicker-free48cm(19")flatscreen(fordeliveriesbeforeNovember2005a17"monitorisdelivered)Slimgantry(68.5cm)withwideaperture(70cm)increasespatientcomfortandexaminationspeedandenablegoodpatientaccess.Smallfootprint(17m2)andfastinstallationduetocompactsystemdesign.High-efficiencyaircooledsystem-nowatercoolerrequired.Appealing,trendsetting2SpiritStandardPackageRotationspeedoftheacquisitionsystem60rpmwitharotationspeedof1.0s(0.8sSystemconfigurationconsistsof:Scanningunit(gantry);2.0MHUDURAX-raytube;patientpositioningtable;controlandevaluationconsole;26kWX-raygenerator;computersystemandstorage;SureView™multisliceimagereconstructionsystem;CAREDose4D;syngousersoftwareandnetworkmodule.SOMATOMSpiritsystemconfigurationin1.Gantryaperturediameter:70cm,tiltangle:±25degrees.Gantryrotationspeed:60rpm;rotationtime/revolution:1.0second.UFCdetector:dual-rowCTmeasurementsystemdesignedforoptimumimagequalitywithminimumdose(specifiedlowcontrastat90mAs).1344measuringchannelsallowexcellenthigh-contrastandlow-contrastresolutioninconnectionwiththepatentedUFCdetector(UltraFastCeramics,Siemenspatent).High-performancerotating-anodetubeDURA202-MV,max.tubepower:26kWat9000rpm;Anodeheatstoragecapacity:1.3MJ=2.0MHU;focalspotsizes:0.8x0.4mm,0.8x0.7mm(IEC336/93);High-voltagerange:80and130kV;tubecurrentrange:30-180mA.PatientMotor-driventableheightadjustment:45-83cm(measuredatuppertablesurface);scannablerange(metal-free):145cm.Positioningaccuracy:±0.25mm.Operationpossiblefrombothsidesofthegantry.Manualoperationpossibleincaseofemergencystoporpowerfailure.PositioningPositioningmatforcomfortableandconvenientpatientpositioning.ThematisattachedtothetabletopbymeansofVelcrotapes.headholderforpositioningthepatient'scushionsetforthecomfortableandsafepositioningofthepatient'sheadintheheadpositioningaidforcomfortableheadandarmpositioningduringexaminationsofthechest,abdomenandlumbarspineanatomicallyshapedcushionforreducingspinecurvatureduringlumbarspineexaminationsandforcomfortablepositioningofthelegsduringallexaminationsheadholderforstandardpositioningofthecoronalsupineheadsetofrestraintstrapsforthesafepositioningofthepatientonthepatientadditionalpositioningaccessoriesControlandevaluationControlelements,keyboard,CTcontrolboxandmouse.Intercomsystemwithuser-programmablepatientinstructionsystem.Deskandcomputercabinetoptional.X-rayDURAMATICmicroprocessor-controlled,low-noise,high-frequencyX-raygeneratorwithintegrated,automaticself-testsystemforcontinuousmonitoring.Parameters:high-voltagerange:80and130kV;tubecurrentrange:30to180mA,max.power:26kW,fineComputersystemandSiemensIMS(ImageManagementSystem)consistingofIRS(ImageReconstructionSystem)andICS(ImageControlSystem).TheIRSpreprocessesandreconstructstheCTdataandstoresthecurrentrawdata.Reconstructiontime:upto5images/second.TheICSplansandexecutestheCTexaminationincludingevaluationandmanagementofCTimages.Magneticharddiskstorageunitwith146GBfordigitalstorageofimagesandrawdata.Storagecapacity:atleast240,000imagesof512x512matrixuncompressedandapprox.6,000scansecondsofrawdata.ThecomputersystemincludesaCDread/writedriveforofflinestorage.Storagecapacityper700MBCDmedium:atleast1,100imagesin512x512matrixuncompressed.SPIRALContinuousvolumescanningtechniquewithuninterruptedtablefeedinthemulti-rotationmode.Max.scantimeandscanrange:60secondsand145cmvolumelengthatfullimagequality-low-contrastresolution.Automaticpitchselectionbetween0.5and2.Rotationtimeperrevolution:1.0and1.5seconds,optional0.8s.Tablefeedspeed:1-100SureViewTM-MultisliceImageReconstructionSureViewisthespiralimagereconstructionsystemforallSiemensmultisliceCTEasy-to-usescanprotocols-userselectsscanvolume(range),mAs,scantimeandslicewidth.AllotherparametersareautomaticallycalculatedbytheCTscanner.Multiplytheclinicalperformanceofyourscanner-anypitchfactorbetween0.5and2canbeautomaticallyselectedbytheCTscanner-withconstantIQandnoslicebroadening.Excellentimagequalitywithanypitchfactor-IQremainsconstantwithanyscanspeed,independentofselectedscanrangeandscanUpto20%dosesavingsinspiralCAREDoseThissoftwarefeatureprovidesautomatic,real-timeX-raydosemanagementforallscanmodes.TheminimumX-raydoselevelneededtoobtainoptimalimagequalityisdeterminedfromextensivecomputeranalysisofthetopogramimageandalsofromthedatacollectedduringeveryslicescanned,onareal-timebasis.ThisautomaticapproachensuresoptimalimagequalityatthelowestpossibleX-raydose.Withthismethodofdosecontrol,theinitialorstartingtubecurrentforeveryaxialslicepositionisdeterminedfromtheTopogramimage.Then,duringthedataacquisitionforeachaxialslice,theX-rayattenuationvaluesarecloselymonitoredandthetubecurrentisadjusted,onareal-timebasis,tooptimizetheX-raydoselevelforthespecificorgansandanatomyintheX-raypath.SeveralclinicalbenefitsareachievedwithCAREDoseSignificantx-raydosereduction(upto68%)possibleforallbodyregionsscannedcomparedwithstandardsequenceorspiralscanning;Consistent,optimalimagequalitywiththex-raydoseleveluniqueforeverypatientandforeveryanatomicalregion;Thinneraxialslicesand/orlongerscanrangespossiblebecauseofreducedtubeloading;Ultra-lowdoseexaminationsforpaediatricpatients.syngousersoftwaresyngofeaturesanintuitiveandthuseasy-to-learnuserinterfacedevelopedfromprototypestestedinclosecooperationwithcustomers.Theexaminationisperformedinindividualprocessstepsontheusertaskcards,suchaspatientregistrationorexamination.Anumberoffunctionsandinputparameters,aswellasthelanguageused,canbeselectedaccordingtoindividualrequirements.PatientThepatientacceptspatientdataindifferentways.Theseincludeenteringthedatafromthekeyboardortransferringaworklistviathenetwork.DICOMWorklist:SoftwaremoduleforacceptinglistsofpatientdataandexaminationrequirementsfromaRadiologyInformationSystem(RIS)viaDICOMGetWorklistfunctionality.Theprogramenablesveryefficientworkflowandensuresconsistentpatientdata.Inemergencycases,fastregistrationispossible.Inthiscasethesystemautomaticallyassignsanemergencynumberwhichcanlaterbereplacedbythecorrectpatientdata.Theinputprofilecanbeindividuallydefined.ExaminationThescannerisprogrammedwithalargenumberofpredefinedexaminationprotocols,makingexaminationplanningaveryfastandefficientprocedure.Example:The3-phaseliverscanprotocolispreprogrammedandonlyneedstobeadaptedtospecificpatientrequirements.Theuserguidanceintegratedintheexaminationcardhelpstheuserperformtheexamination.Theuserisguidedthroughtheexaminationstepbystep.Onlytherelevantinformationisshownineachviewandtheselectionandentryfieldsarecustomizedtotheview,providingtheuserwithacleardisplay.Examination-specificentriesandadjustmentscanbeperformedquicklyandeasilywiththemouse.ViewingOntheViewingcarditispossibletomoveinteractivelywiththemousethroughtheimagevolumeoftheongoingexamination.Theimagesofdifferentexaminationscanbedisplayedinparallelforcomparison.Alargenumberoffunctionsareavailableforevaluation,documentationandarchiving.FilmingAvirtualfilmsheetshowsapreviewofthefilmsheetstobeprintedonalasercameraorprinter.Imagere-windowing,auto-filmingparalleltoimageacquisition/reconstructionandalargenumberofevaluationfunctionsarealsopossibleontheFilmingcard.3DThe3DtaskcardcomprisestheuserinterfaceforoperatingtheMIP(MaximumIntensityProjection),SSD(SurfaceShadedDisplay)andMPR(MultiplanarReconstruction)three-dimensionalpostprocessingUpto3imagesetsfromdifferentpatients-preferablywithslicesthinnerthan3mm-canbeloadedsimultaneouslyintothe3DcardandpostprocessedwithMIP,SSDandMPR.OthertaskcardsandfunctionssuchassyngoVRT,syngoOsteoCT,syngoDentalCTandsyngoFlyThroughareavailableasoptionsiftheapplicationsareinstalled.ExaminationandevaluationScanningperspectives:anterior-posterior(ap),posterior-anterior(pa),lateral(lat);scanfieldlengths:128to1024mm;scanfieldwidth:512mm;upto9differentexaminationregions.Sizeofscanfield:50Scantimes:1.0und1.5secondsaswellas2-foldmulti-rotationscans.Slicethicknesses:2x1;2x1.5;2x2.5;2x4;and2x5mm;High-voltagevalues:80kVand130kV;Tubecurrent:30to180mAin19Automatedscansequenceswithcycletimesof2.5seconds.Programforfunctionaldynamicstudies.Serialscanningtechniqueinasingleslicepositionwithscancycletimestoexaminetime-relatedcontrastmediumdynamics.Thescanseriesistriggeredatthecontrolconsole.Cycletime:2.5secondswithupto99scansinuninterrupted,continuoussequence.Scantime:1.0and1.5seconds.Inter-scantime:1second.AsynchronousAsynchronousReconallowsformultipleimagereconstructionsandreformatsparalleltoscanning.Withthisfeature,upto3reconstructionjobrequestscanbeloadedintoascanprotocol.Immediatelyuponcompletionofthescanacquisition,thesereconstructionjobsareautomaticallyexecutedinthebackgroundwithoutdelayingthestartofthenextpatientexamination.Imagereconstruction,512x512reconstructionmatrix,reconstructiontime:1second/image,reconstructionfieldsof5cmto50cmusingrawdatazoomwiththepossibilityoffreelyselectingtheimagecentereitherbeforescanning(prospectively)orretrospectively.Patient-relatedstorageofimageandrawdata.Image1024x1024displaymatrix;selectablescreensplittingofmonitordisplayinto1,4,9or16imagesegments;1280x1024imagematrix;CTvaluescaleforwindowsetting-1024to+3071HU.ForverydenseobjectstheCTvaluescalecanbeextendedfrom-10240to+30710HU.ImageComplete,software-guidedimageevaluationprogramforalldiagnosticMultiplanarReal-timeMPRforreal-timereconstructionofsecondarySliceorientation:coronal,sagittal,irregularaswellasmultiplanarwithSIRandOblique.Cutlinescanbedeterminedusingthereferencetomogramorinsagittalreformattedimages(SRI).512x512reconstructionCTSoftwareprogramforthereconstructionofobliqueprojectionsfromtheimagesofaspiraldatafile,fordisplayanddiagnosisofaneurysms,plaques,stenoses,vascularanomaliesorvascularorigins.Theobliqueprojectionsarereconstructedaroundapre-definedaxis,wherebyforeachobliqueprojectionthemaximumCTvalueinthisdirectionisselected.Theresultingseriescanbeviewedwitha3DimageeffectusingtheCinefunction.syngo3DSoftwareprogramforthethree-dimensionaldisplayofsurfacesfromaseriesofcontiguousslices.Usedtodisplayandanalyzecomplexanatomies,e.g.skull,pelvisandhips,forthepurposeofplanningsurgicalinterventions.The3Dobjectscanbetiltedandrotatedonthemonitorand/ordisplayedinnon-transaxialviewsinrealtime.RealTimeSoftwareprogramthatprovidesinstantaneous512x512imagedisplaycoincidingwiththeactualtube/detectorposition.Thisfeatureisespeciallyusefulforsituationswhenreal-timeviewingofascanisCINEPresentationtechniquefortime-relatedprocessesand3Dsurveyofanentireanatomicregionachievedwithafastframerate.Aseriesofupto1,000imagescanbedisplayedina512x512imagematrixatarateof10MultitaskingSimultaneousprocessingduringMETROForSEQUENCEandSPIRALscans:ImagereconstructioncanbeperformedparalleltoMETROSimultaneousdocumentationofimagesfromanypreviouslyexaminedpatientwhilethecurrentpatientisbeingscanned.METROAutomaticimagetransfertoaDICOMnodeintheMetroAutomaticarchivaltoanoptionallocalarchive10.NetworkFortheconnectiontoalocalEthernetnetworkforcommunicationwithnetworkprinters,diagnosticandtherapyworkstations,RISsystemsandteleradiologyrouters.ScopeofConfigurablenetworkstationsUnlimitedselectionofSupportofDICOM3.0standards(DigitalImagingandCommunicationsinMedicine)forthetransferofinformationbetweenDICOMcompatibleunitsfromdifferentmanufacturers.ThescopeoffunctionsisdescribedindetailintheDICOMConformanceStatementandcomprisesthefollowingstandardfunctions:DICOMSend/ReceiveDICOMPrintDICOMStorageCommitmentDICOMMPPS(ModalityPerformedProcedureImagedataexchangewithMRandtherapyunitsaswellasworkstationsandteleradiologyrouterswhichsupporttheDICOM3.0standardExchangeofCTimageswithotherunitsoftheSiemensSOMATOMCTfamilyviatheDICOM3.0Simultaneousdocumentationofimagesfromanypreviouslyexaminedpatientduringtheexaminationonaselectablenetworkpri

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