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CT Clinical
                                                               Engines
                                                               2013
                                                               Edition




     www.siemens.com/ct-acute-care


     Get further. With the
     CT Acute Care Engine.
     Driving progress for reliable therapy decisions against the clock

International version. Not for distribution in the U.S.




                                                            Answers for life.
What is a CT Clinical Engine?
    •  powerful combination of software applications and
      A
      scanner features – tailored to meet your clinical challenges

    •  solution that helps you get the most from your CT scanner
      A

    With a CT Clinical Engine, you can continually enhance
    speed, workflow efficiency, and diagnostic information.




2
2013 Edition: Overview




How far can you get
           with your CT?
Rising patient expectations, increasing efficiency needs: The best way to meet these
challenges is to get detailed diagnostic information faster.

Whether it’s for triple rule-out of acute chest pain, for stroke assessment, poly-trauma,
or acute abdominal pain – the CT Acute Care Engine provides clinical functionality
that delivers decisive results for all of these challenging indications. Automatic Case
Preparation has your case ready for reading as soon as it is opened. Above all, speed and
dependability add confidence for critical decisions made against the clock.


Driving progress for reliable therapy decisions against the clock.




                                                                                              3
Rapid
    generation of images
				for comprehensive

surgical planning
 			 in thorax and
						 spine trauma.




4
2013 Edition: What‘s the top innovation?




                                           5
Rapid generation of images
for surgical planning
Rapid Results Technology and Bone  Vessel                       Technology produce the decision basis in the acute care
Isolation Mode                                                   scenario, whether in severe trauma cases or rule-out of
                                                                 aortic dissections. Save time in the “golden hour” by auto-
In trauma cases requiring surgical intervention for the spine,
                                                                 matically creating just the right amount of information –
the orthopedic surgeon usually requires several standard-
                                                                 for standardized and reproducible surgical planning.
ized views of the affected region to aid in a comprehensive
pre-procedural workup. Generating these different views          Bone  Vessel Isolation Mode enables you to selectively
can be time-consuming, which is particularly challenging in      highlight vessels, soft tissue, and bone fragments caused
an emergency. Furthermore, conventional single-volume            by fractures. It assists you in alignment assessment when
rendered techniques can make it challenging to selectively       there is a suspicion of acute trauma to the spine. Bone 
highlight bone fragments attributed to a fracture.               Vessel Isolation Mode facilitates identification of spinal
                                                                 fractures, injuries to the spinal cord, and damage to the
With Rapid Results Technology you can automatically gen-
                                                                 vascular system, thus providing a sound basis for surgical
erate visualizations of the spine and general vessels in var-
                                                                 planning.
ious types and orientations. Be creative and design your
own personal protocols that suit your institution’s standards
best. Define your workflow once and let Rapid Results

6
2013 Edition: What‘s the top innovation?




Unparalleled speed whenever time is of the essence             fractures or lesions. Additionally, with the STRATON tube
The SOMATOM Definition Edge and Rapid Results                  and the newly designed gantry using Siemens’ most ad-
Technology                                                     vanced patient table, this high spatial resolution is
                                                               achieved even at an acquisition speed of up to 230 mm/s.
In acute care scenarios unconscious or severely injured
                                                               This takes motion out of the equation, increasing the di-
patients have to be scanned quickly. Here the “golden
                                                               agnostic reliability in crucial cases like acute care patients.
hour” to diagnosis mandates precise localization and iden-
tification of critical injuries. Therefore one of the most     By combining the strengths of the SOMATOM Definition
challenging demands is providing high acquisition speed        Edge and Rapid Results Technology Siemens offers a fast
without compromising spatial resolution.                       and reliable basis for tackling the challenges in the acute
                                                               care setting.
The SOMATOM Definition Edge with the Stellar Detector
is in a class of its own. The new level of image detail with
a routine spatial resolution of up to 0.30 mm provided
by the Stellar Detector allows visualizations of very fine




                                                                                                                             7
syngo.CT Neuro Perfusion*                                        syngo.CT Cardiac Function – Enhancement




Lifesaving decisions, when
every second counts
Quantitative evaluation of dynamic CT data                       Localize the perfusion defect – assess the
syngo.CT Neuro Perfusion*                                        hemodynamic relevance
                                                                 syngo.CT Cardiac Function – Enhancement**
In acute stroke it may be challenging to differentiate the
core infarct from tissue at risk for infarction (penumbra).      A coronary CTA might yield an intermediate coronary ste-
This is important, however, as the latter is potentially         nosis with unclear hemodynamic relevance. The evaluation
salvageable with further therapy.                                in standard cardiac planes may be challenging, since
                                                                 the correlation to the coronary vessel in question can be
With a range of unique features syngo.CT Neuro Perfusion
                                                                 difficult.
helps you easily assess the potential benefit of treatment.
It directly visualizes tissue at risk in 3-D color maps, based   syngo.CT Cardiac Function – Enhancement solves this
on the mismatch between blood volume and flow. Alter-            issue. It features AHA-compliant 17-segment polar maps
natively, feel free to select individual mismatch parame-        for first pass myocardial perfusion data. Perfusion defects
ters such as Siemens’ Time-To-Drain. Refined algorithms          are easily localized and the overlay with the VRT in the
offer automated gray matter segmentation so you can              Hybrid View helps to correlate a defect with the supplying
immediately focus on the relevant tissues.                       coronary artery.


                                                                 Rule out coronary artery disease in less than a minute
                                                                 syngo.CT Coronary Analysis
                                                                 When suspecting an acute coronary syndrome, it is essen-
                                                                 tial to assess the entire coronary tree. Severe stenoses may
                                                                 degrade a detailed visualization of the coronary vessels.
8
2013 Edition: What else is new?




syngo.CT Coronary Analysis                                     syngo.CT Vascular Analysis




Nevertheless, you may need to make a confident decision       In syngo.CT Vascular Analysis, reference markers are now
in a very short period of time.                               displayed in the VRT, enabling an easy placement at, e.g.
                                                              ostia or the iliac bifurcation. The exact position can now
syngo.CT Coronary Analysis now features a robust seg-
                                                              be fine-tuned through direct scrolling in cross sections
mentation of the coronary vessels and provides a compre-
                                                              along the curved centerline. Also, the system automati-
hensive visualization of the coronary tree, despite high-
                                                              cally provides effective vessel diameters, based on cross-
grade stenoses. You can reliably assess the case and make
                                                              sectional area and perimeter.
a sound decision – even when time is close.

                                                              *	 Not commercially available in the U.S.
Comprehensive length and diameter measurements                **	Optional
for therapy planning
syngo.CT Vascular Analysis
                                                                   Your benefits at a glance
Accurate measurement is key to reliable AAA and TAA stent
planning. Inexact placement of start and end points of a
                                                                   •  ore comprehensive – differentiate between the
                                                                     M
distance measurement compromises the optimal choice of
                                                                     core infarct and penumbra
the implant device. The calculation of the effective vessel
diameter can be cumbersome, since vessel cross sections            •  asier – detect perfusion defects and correlate
                                                                     E
are usually noncircular.                                             them with the supplying coronary artery
                                                                   •  ounder – experience robust coronary
                                                                     S
                                                                     segmentation despite high-grade stenoses


                                                                                                                           9
Quick risk assessment and coronary   Comprehensive global and local left   Right ventricular analysis –
age calculation                      ventricular analysis                  even with MinDose data
syngo.CT CaScoring                   syngo.CT Cardiac Function             syngo.CT Cardiac Function –
                                                                           Right Ventricular Analysis*




Automatic detection of pulmonary     Dynamic quantitative myocardial       Volumetric quantification and differentiation
filling defects                      perfusion assessment                  of lipid, fibrous, and calcified plaques
syngo.CT PE CAD**                    syngo Volume Perfusion CT Body –      syngo Circulation Plaque Analysis*
                                     Myocardium*




Get further – with our
          CT Acute Care Engine

10
Do you know the whole picture in acute care CT?




Dynamic vessel evaluation                Zero-click tracing of the main              Accurate bone removal with Dual Energy
syngo.CT Dynamic Angio*                  general vessels                             syngo.CT DE Direct Angio*
                                         syngo.CT Vascular Analysis –
                                         Autotracer*




Detailed visualization of the cerebral   Zero-delay quantitative aortic annulus      Quantification of myocardial iodine uptake
vasculature                              assessment                                  with Dual Energy
syngo.CT Neuro DSA                       syngo.CT Cardiac Function – Valve Pilot**   syngo.CT DE Heart PBV*




                                                                                                  *	
                                                                                                     Optional
                                                                                                  **	
                                                                                                     Optional and not commercially
                                                                                                     available in the U.S.




and optional applications

                                                                                                                                  11
Global Siemens Headquarters                    Global Business Unit
Siemens AG                                     Siemens AG
Wittelsbacherplatz 2                           Medical Solutions
80333 Muenchen                                 Computed Tomography
Germany                                         Radiation Oncology
                                               Siemensstr. 1
                                               DE-91301 Forchheim
Global Siemens                                 Germany
Healthcare Headquarters                        Phone: +49 9191 18 0
Siemens AG                                     Fax: +49 9191 18 9998
Healthcare Sector
Henkestrasse 127
91052 Erlangen
Germany
Phone: +49 9131 84 0
www.siemens.com/healthcare



Order No. A91CT-15018-22C1-7600 | Printed in Germany
CC CT WS 11120.5 | © 11.2012, Siemens AG




In the event that upgrades require FDA approval,              The information in this document contains general
Siemens cannot predict whether or when the FDA will           technical descriptions of specifications and options as
issue its approval. Therefore, if regulatory clearance        well as standard and optional features which do not
is obtained and is applicable to this package, it will be     always have to be present in individual cases.
made available according to the terms of this offer.
                                                              Siemens reserves the right to modify the design,
On account of certain regional limitations of sales           packaging, specifications, and options described herein
rights and service availability, we cannot guarantee          without prior notice. Please contact your local Siemens
that all products included in this brochure are available     sales representative for the most current information.
through the Siemens sales organization worldwide.
Availability and packaging may vary by country and is         Note: Any technical data contained in this document
subject to change without prior notice. Some/all of the       may vary within defined tolerances. Original images
features and products described herein may not be             always lose a certain amount of detail when reproduced.
available in the United States.




www.siemens.com/healthcare

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Ct acute care

  • 1. CT Clinical Engines 2013 Edition www.siemens.com/ct-acute-care Get further. With the CT Acute Care Engine. Driving progress for reliable therapy decisions against the clock International version. Not for distribution in the U.S. Answers for life.
  • 2. What is a CT Clinical Engine? • powerful combination of software applications and A scanner features – tailored to meet your clinical challenges • solution that helps you get the most from your CT scanner A With a CT Clinical Engine, you can continually enhance speed, workflow efficiency, and diagnostic information. 2
  • 3. 2013 Edition: Overview How far can you get with your CT? Rising patient expectations, increasing efficiency needs: The best way to meet these challenges is to get detailed diagnostic information faster. Whether it’s for triple rule-out of acute chest pain, for stroke assessment, poly-trauma, or acute abdominal pain – the CT Acute Care Engine provides clinical functionality that delivers decisive results for all of these challenging indications. Automatic Case Preparation has your case ready for reading as soon as it is opened. Above all, speed and dependability add confidence for critical decisions made against the clock. Driving progress for reliable therapy decisions against the clock. 3
  • 4. Rapid generation of images for comprehensive surgical planning in thorax and spine trauma. 4
  • 5. 2013 Edition: What‘s the top innovation? 5
  • 6. Rapid generation of images for surgical planning Rapid Results Technology and Bone Vessel Technology produce the decision basis in the acute care Isolation Mode scenario, whether in severe trauma cases or rule-out of aortic dissections. Save time in the “golden hour” by auto- In trauma cases requiring surgical intervention for the spine, matically creating just the right amount of information – the orthopedic surgeon usually requires several standard- for standardized and reproducible surgical planning. ized views of the affected region to aid in a comprehensive pre-procedural workup. Generating these different views Bone Vessel Isolation Mode enables you to selectively can be time-consuming, which is particularly challenging in highlight vessels, soft tissue, and bone fragments caused an emergency. Furthermore, conventional single-volume by fractures. It assists you in alignment assessment when rendered techniques can make it challenging to selectively there is a suspicion of acute trauma to the spine. Bone highlight bone fragments attributed to a fracture. Vessel Isolation Mode facilitates identification of spinal fractures, injuries to the spinal cord, and damage to the With Rapid Results Technology you can automatically gen- vascular system, thus providing a sound basis for surgical erate visualizations of the spine and general vessels in var- planning. ious types and orientations. Be creative and design your own personal protocols that suit your institution’s standards best. Define your workflow once and let Rapid Results 6
  • 7. 2013 Edition: What‘s the top innovation? Unparalleled speed whenever time is of the essence fractures or lesions. Additionally, with the STRATON tube The SOMATOM Definition Edge and Rapid Results and the newly designed gantry using Siemens’ most ad- Technology vanced patient table, this high spatial resolution is achieved even at an acquisition speed of up to 230 mm/s. In acute care scenarios unconscious or severely injured This takes motion out of the equation, increasing the di- patients have to be scanned quickly. Here the “golden agnostic reliability in crucial cases like acute care patients. hour” to diagnosis mandates precise localization and iden- tification of critical injuries. Therefore one of the most By combining the strengths of the SOMATOM Definition challenging demands is providing high acquisition speed Edge and Rapid Results Technology Siemens offers a fast without compromising spatial resolution. and reliable basis for tackling the challenges in the acute care setting. The SOMATOM Definition Edge with the Stellar Detector is in a class of its own. The new level of image detail with a routine spatial resolution of up to 0.30 mm provided by the Stellar Detector allows visualizations of very fine 7
  • 8. syngo.CT Neuro Perfusion* syngo.CT Cardiac Function – Enhancement Lifesaving decisions, when every second counts Quantitative evaluation of dynamic CT data Localize the perfusion defect – assess the syngo.CT Neuro Perfusion* hemodynamic relevance syngo.CT Cardiac Function – Enhancement** In acute stroke it may be challenging to differentiate the core infarct from tissue at risk for infarction (penumbra). A coronary CTA might yield an intermediate coronary ste- This is important, however, as the latter is potentially nosis with unclear hemodynamic relevance. The evaluation salvageable with further therapy. in standard cardiac planes may be challenging, since the correlation to the coronary vessel in question can be With a range of unique features syngo.CT Neuro Perfusion difficult. helps you easily assess the potential benefit of treatment. It directly visualizes tissue at risk in 3-D color maps, based syngo.CT Cardiac Function – Enhancement solves this on the mismatch between blood volume and flow. Alter- issue. It features AHA-compliant 17-segment polar maps natively, feel free to select individual mismatch parame- for first pass myocardial perfusion data. Perfusion defects ters such as Siemens’ Time-To-Drain. Refined algorithms are easily localized and the overlay with the VRT in the offer automated gray matter segmentation so you can Hybrid View helps to correlate a defect with the supplying immediately focus on the relevant tissues. coronary artery. Rule out coronary artery disease in less than a minute syngo.CT Coronary Analysis When suspecting an acute coronary syndrome, it is essen- tial to assess the entire coronary tree. Severe stenoses may degrade a detailed visualization of the coronary vessels. 8
  • 9. 2013 Edition: What else is new? syngo.CT Coronary Analysis syngo.CT Vascular Analysis Nevertheless, you may need to make a confident decision In syngo.CT Vascular Analysis, reference markers are now in a very short period of time. displayed in the VRT, enabling an easy placement at, e.g. ostia or the iliac bifurcation. The exact position can now syngo.CT Coronary Analysis now features a robust seg- be fine-tuned through direct scrolling in cross sections mentation of the coronary vessels and provides a compre- along the curved centerline. Also, the system automati- hensive visualization of the coronary tree, despite high- cally provides effective vessel diameters, based on cross- grade stenoses. You can reliably assess the case and make sectional area and perimeter. a sound decision – even when time is close. * Not commercially available in the U.S. Comprehensive length and diameter measurements ** Optional for therapy planning syngo.CT Vascular Analysis Your benefits at a glance Accurate measurement is key to reliable AAA and TAA stent planning. Inexact placement of start and end points of a • ore comprehensive – differentiate between the M distance measurement compromises the optimal choice of core infarct and penumbra the implant device. The calculation of the effective vessel diameter can be cumbersome, since vessel cross sections • asier – detect perfusion defects and correlate E are usually noncircular. them with the supplying coronary artery • ounder – experience robust coronary S segmentation despite high-grade stenoses 9
  • 10. Quick risk assessment and coronary Comprehensive global and local left Right ventricular analysis – age calculation ventricular analysis even with MinDose data syngo.CT CaScoring syngo.CT Cardiac Function syngo.CT Cardiac Function – Right Ventricular Analysis* Automatic detection of pulmonary Dynamic quantitative myocardial Volumetric quantification and differentiation filling defects perfusion assessment of lipid, fibrous, and calcified plaques syngo.CT PE CAD** syngo Volume Perfusion CT Body – syngo Circulation Plaque Analysis* Myocardium* Get further – with our CT Acute Care Engine 10
  • 11. Do you know the whole picture in acute care CT? Dynamic vessel evaluation Zero-click tracing of the main Accurate bone removal with Dual Energy syngo.CT Dynamic Angio* general vessels syngo.CT DE Direct Angio* syngo.CT Vascular Analysis – Autotracer* Detailed visualization of the cerebral Zero-delay quantitative aortic annulus Quantification of myocardial iodine uptake vasculature assessment with Dual Energy syngo.CT Neuro DSA syngo.CT Cardiac Function – Valve Pilot** syngo.CT DE Heart PBV* * Optional ** Optional and not commercially available in the U.S. and optional applications 11
  • 12. Global Siemens Headquarters Global Business Unit Siemens AG Siemens AG Wittelsbacherplatz 2 Medical Solutions 80333 Muenchen Computed Tomography Germany Radiation Oncology Siemensstr. 1 DE-91301 Forchheim Global Siemens Germany Healthcare Headquarters Phone: +49 9191 18 0 Siemens AG Fax: +49 9191 18 9998 Healthcare Sector Henkestrasse 127 91052 Erlangen Germany Phone: +49 9131 84 0 www.siemens.com/healthcare Order No. A91CT-15018-22C1-7600 | Printed in Germany CC CT WS 11120.5 | © 11.2012, Siemens AG In the event that upgrades require FDA approval, The information in this document contains general Siemens cannot predict whether or when the FDA will technical descriptions of specifications and options as issue its approval. Therefore, if regulatory clearance well as standard and optional features which do not is obtained and is applicable to this package, it will be always have to be present in individual cases. made available according to the terms of this offer. Siemens reserves the right to modify the design, On account of certain regional limitations of sales packaging, specifications, and options described herein rights and service availability, we cannot guarantee without prior notice. Please contact your local Siemens that all products included in this brochure are available sales representative for the most current information. through the Siemens sales organization worldwide. Availability and packaging may vary by country and is Note: Any technical data contained in this document subject to change without prior notice. Some/all of the may vary within defined tolerances. Original images features and products described herein may not be always lose a certain amount of detail when reproduced. available in the United States. www.siemens.com/healthcare