Asteion Multi, 29 September 2003

“CVR”
TSX-021A/3G 48kW, Barco
TSX-021A/3K 48kW, Eizo
TSX-021A/5K 36kW, Barco
TSX-021A/5O 36kW, Eizo
All DDR
All four slices

Computed
Volume
Radiology
 Multi

Real Multislice CT

4 slices / rotation

Sub-Second Scan Aspire-CI

0.75 sec full scan
RTH 12frames/sec
　Half-mm Slice
0.5mm slice
 Multi
Due to the Fast scan speed of the Aquilion CT scanner,
NO Cardiac Motion Artifacts are seen on the 0.3 sec partial scan

1sec 0.75sec 0.5sec 0.3sec

Multi

Multislice detector:
Four slices per revolution
 Multi
Significantly short exam time
1 sec. Single-slice 0.75 sec. Multislice

10mm-slice 8mm/HP6.0
30cm in 30sec 30cm in 4.7 sec
 Multi
Improved Z-Resolution
1 sec. Single-slice 0.75 sec. MultiｰSlice

10mm-slice 5mm/HP3.0 0.5mm/HP3.0

30cm in 30sec 30cm in 15sec 4cm in 20sec
 Multi

Single Slice Detector

Beam trimmer
Detector
Principle Multi-Slice Detector

i o n
t
D i re c
Z
Multi
Multi
 4 x 0.5mm
15 x 1mm 15 x 1mm

24CH.
Multi

33,296 ch
TOSHIBA
32mm at iso center

16 x 1.25mm

GE
16CH.

LIGHTSPEED QX/i

20mm
1mm
1. 5mm 1.5mm
2. 5mm 2. 5mm
5mm 5mm
Comparison of Detectors

PICKER
SIEMENS

20mm
 Multi
TOSHIBA GE LightSpeed QX/i
0.5 - 8 mm Helical 4 slices 1.25/ 2.5/ 3.75/ 5mm 4 slices
10mm 2 slices 6.75/ 7.5/ 8.75/10mm 2 slices
8 slice width selection
1.25 mm

0.5 mm
16 channels

34 channels
 Multi

TOSHIBA SIEMENS/ MARCONI

0.5 - 8 mm Helical 4 slices (ELSCINT)
10mm 2 slices 1/ 2.5/ 5 mm 4 slices
8 slice width selection 0.5/ 8 mm 2 slices

1 mm
0.5 mm
8 channels

34 channels
 Comparison of 0.5mm
Multi
GE SIEMENS TOSHIBA
Marconi
Upper collimator

Post collimator

Accuracy of slice thickness
depends only on upper
collimator and it is bad.
Also, penumbra and lots of
scatters are acquired. And,
only 2 slices are simultaneous.
For narrow (0.5mm) and
large slice, accuracy is
not good. Only 2 slices
are simultaneous.
Matrix-type
Can get most accuracy
data for slice thickness,
even for narrow or large
slice. Moreover, 4 slices
are simultaneous !
 Multi
Standard Geometry vs Short Geometry
①comparison at 5mm slice thickness

②Comparison at same corn angle (8mm)

Partial VolumeArtifact
Multi

Short Geometry

Causes big distortion

= Artifact / Bad image quality
 Multi
Why Standard Geometry ???

>>> Less distortion

= Less artifact
Good image quality
 Multi
Helical Pitch
= Table Slide / Beam Slice Thickness
L (mm/rev.)
Beam Slice Thickness : Table Slide
(mm) ２nd 3rd
１st rot. z direction
0°

180°

360°
Direct data
View angle
Complementary data
(central channel)
 Multi
Single-slice CT 360 degree Interpolation
Z direction
0

180

360

(degree) Table Position to be

reconstructed
 Multi
Single-slice CT 180 degree Interpolation
Z direction
0

180

360

Slice orbit
(degree) Table Position to be (Complementary data)
reconstructed
 Multi

Helical Scan in Multi-slice CT

Complementary data
Beam slice thickness 3rd Rotation
2nd Rotation 1 2
1st Rotation 1 2 3 4 Real data
1 2 3 3 4
0 4

180

360
Reconstruction slice plane

FW Multiple Point Interpolation

 Multi
Filter Width = Image Slice Thickness
1 2 3 4 1 2 3 4 1 2 3 4
0 0

180 180

360 360

FW： 3mm FW： 5mm

 Multi
Image Quality Changes with Different FW
Beam Slice Thickness: 1mm

1mm 3mm 5mm

FW１ FW５

By changing FW, Image slice thickness can be set within

1 to 5 times thicker than the original beam slice thickness
(Max. 20mm)
 Multi

Helical Scan in Single-slice CT

0°

180°

360°
 Multi

Helical Scan in Single-slice CT

0°

180°

360°
 Multi

Helical Scan in Multi-slice CT Helical pitch = 4.0

0°

180°

360°
 Multi

Helical Scan in Multi-slice CT Helical pitch = 4.0

0°

180°

360°
 Multi

Helical Scan in Multi-slice CT Helical pitch = 4.5

4.5
0°

180°

360°
 Multi

Helical Scan in Multi-slice CT Helical pitch = 4.5

4.5
0°

180°

360°
 Multi

Helical Scan in Multi-slice CT Helical pitch = 3.0

3.0
0°

180°

360°
 Multi

Helical Scan in Multi-slice CT Helical pitch = 3.0

3.0
0°

180°

360°
 Multi

Helical Pitch versus Image Quality

0 1 2 3 4 5 6
2.5
good Temporal Resolution
wide Scan Range
good
Image Noise
Isotropic same
good good
Helical Artifact
3 5 ~ 5.5
 Multi
Standard Geometry vs Short Geometry
①comparison at 5mm slice thickness

②Comparison at same corn angle (8mm)

Partial VolumeArtifact
 Specifications Overview
Multi

Components
• Installation area 20 m2
• Components 4
• Gantry
• Couch
• Console (2 monitor)
• Transformer
 Outstanding Patient Handling
Multi
Gantry & Couch
Easy accessibility

• Home position for Gantry and Couch

• Tilting of 30º
• Gantry aperture, 72 cm
• Remote control of
• Gantry/Couch
 Specifications Overview
Multi
Patient couch

• Min. couch height 30cm

• Couch-top width 47cm

• Couch-top stroke 182cm

• Scannable range 140 (metal-less couch)

 High Throughput
Multi
High Performance X-Ray Tube

• Waiting times are

reduced by a full metal anode
for most effective heat-
distribution.
• Image quality is
improved through a very stable
rotation, which could be realised
through a hydro-dynamic bearing
based upon Gallium, a liquid metal alloy .
 High Throughput
Multi
High Performance X-Ray Tube

• Waiting times are

reduced by a full metal anode
for most effective heat-
distribution.
• Image quality is
improved through a very stable
rotation, which could be realised
through a hydro-dynamic bearing
based upon Gallium, a liquid metal alloy .
 Reduction in dose
Multi
Advanced Technology
Focussed on Reducing Exposure
Highly sensitive SSD detector with “Direct-Reflecting” technology

• 99 % photon capture efficiency

• 896 channels

Scintillator Reflector

Photon Light

Reflector
 Reduction of examination-times
Multi

DAS/SSD
Highest Quality Images at 0.75 second scan-time

• Density resolution : 3 mm at 0.2%

• Spatial resolution : 0.27 mm (18lp/cm)

 Multi

“Isotropic”
Precise 1mm slice profile
Z-Direction with beam trimmer Z-direction
= Better 3-D image
(Competitors)
3 axis same shape
TOSHIBA
 Multi

　 Half-millimeter slice thickness

　 【Longitudinal(Z-axis) Resolution】
2.5mm/rot 4.5mm/rot 6.0mm/rot

0.6mm 0.5mm 0.4mm 0.3mm

 Expandability & Economy
Multi
Innovative 3D Functions*
A new Generation in Diagnostic Imaging

• Developed by TOSHIBA

• Revolutionary new 3-D

Processing Algorithms

• Shaded Volume Rendering for strong 3-D “feel”

•Setting the desired degree of opacity

•Shadows using the gray scale level of each voxel.

* optional
 Reduction of examination-times
Multi

Reconstruction Power

• Image Reconstr. time 0.5 s

• Real-time Helical Scan 8 fr./sec. (max 12 fr)

 Specification Overview
Multi
Impressive performance

• Generator power 48kW (Option 54/60kw)*

• Tube current 10 to 400 mA (Option 450 or 500mA)*

• Tube voltage 80, 100, 120, 135kV

• Tube capacity 4.0MHU (6.5MHu)*

• Tube cooling rate 864 kHU/min (924 kHU/min)*

* 6.5MHu and 54/60kw must be a set.

 Specification Overview
Multi
Impressive performance

• Scan Time (sec.) 0.5*, 0.75, 1.0, 1.5, 2.0 , 3.0

• Max. FOV (cm) 50
• Gantry aperture (cm) 72
• Gantry tilt +/- 30°
• Detector Solid State Detector
• Number of channels 896 x 34rows
• Slices Thickness 0.5, 1, 2, 3, 4, 5, 8 x 4 rows
 Specifications Overview
Multi
Image display & storage

• Display monitor 21” color x 2 monitors

• Hard disk capacity 45 Gbyte

• Image data 16,000

• Raw data 4,000 rot.

• Magn. Opt. Disc 2.4 Gbyte (9,600 images)

 Multi

Data Handling
Automatic Reconstruction
of MPR after the scan

Axial
　 Sagittal

Coronal

“Multi View”
 Multi
Data Handling

“Cine View”
Continuous sliding of the images
by dragging the mouse

Speed(reference)
　Image display：　20 pieces/sec (0.05sec/ piece)
　Retrieving ：　0.2sec/ piece (Image can be displayed piece by piece)
 Wider field of clinical applications
Multi

Real-Time Technology

• RealTime Helical scanning at 8 frames/sec.

• Sure Start, Contrast-Capture, automatic or manual

 Sub-second High-Quality Imaging
Multi
RealTime Helical CT *
8 frames/sec.
Scan start
0.125 sec.

0.5 sec.

1 sec.

• RealTime Helical images, every : 0.125 sec.

• Viewing rate : 8 frames/sec
• Delay-time, just : 0.375 sec.
 Sub-second High-Quality Imaging
Multi
RealTime Helical CT*
• 0.125 second reconstruction (Aspire CI)*
You can watch the scanned images in real-time at a
speed of 8 frames per second.
♦ Minimal and adequate scan range
♦ Watching the result Scan start
0.125 sec.
♦ Contrast effect
♦ Movement 0.5 sec.

♦ Patient throughput
1 sec.
♦ Quick decision
♦ Emergency cases
♦ Minimal dose / tube burden
 Reduce Contrast medium?
Since whole liver can be scanned even in 2 sec, all the slice may miss the timing
→　SureStart is indispensable

HU 2sec

SEC
 Multi
Advanced SureStart
ROI Setting Monitoring scanning Graph Display（Realtime）

Scan start

Real Time Recon.

 Wider field of clinical applications
Multi
RealTime Technology
SureStart
• Ensures precise timing

of contrast studies resulting

in dramatic savings.

• Potential savings of

25 - 40 cc. per exam.

• Assuming a cost of $0.75 per cc. of contrast, with 15 contrast

exams per day, 260 days per year , you can save

$73,125 - $117,000 annually * (source USA 12/’

12/’97)
 Expandability & Economy
Multi
CT Fluoroscopy
Interventional CT Radiology

• Aspire CT , CT Fluoroscopy
• Real-Time Interventional CT
• Precise allocation of target
• Quick, and safe procedure
• Low current X-Ray
• 8 frames / sec.
• 100 sec. continuous exposure
• Reducing hospitalization costs
* option
 Expandability & Economy
Multi
CT Fluoroscopy
Clinical cases

CTF Liver CTF Lung

CTF Brain CTF Nerve-block

* option
 Multi

Multislice CT Fluoro
　◇　3 plane reconstruction and display
　◇　display : 8 frames/sec x slices
　◇　reconstruction : 0.125 x 3 slices
　◇　better accuracy for injection
　◇　shorter operation (injection) time
　◇　more safe

* option
 Unsurpassed connectivity
Multi
Wide range of connectivity

Other
Modal
ity RIS
♦ DICOM Storage SCU
HIS
Syste PACS
m
Color
Printer DICOM
♦ DICOM Print SCU Laser ALATO
Imager VIEW
Toshiba

♦ DICOM MWM * CT
Network
Auklet
Xvision/
GX
Ethernet
♦ DICOM Q/R SCP *
Aquilion

♦ DICOM Q/R SCU *

Asteion

* Works in Progress, future option

 Multi
Sub-second High Quality Imaging

High throughput

MULTISLICE
Outstanding Patient Handling

Advanced Technology for optimal Image Quality

“CVR” Outstanding operability

Focussed on reducing exposure

Unsurpassed connectivity

Expandability & Economy