2.

HEALTHCARE SECTOR:

1.DETECTION AND DIAGNOSIS 2.WORKFLOW 3.IMAGING AND IT

1.DETECTION AND DIAGONISTICS 1.General X-Ray 2.CT 3.MRI 4.US 5.Oncology 6.Nuclear Medicines 7.Special Products

X-Rays:
Discovered by Roentgen. Wavelength: 10nm to .01nm Frequency:30 peta Hz to 30 exa Hz.

Produced when fast moving accelerated electrons hits a target metal.(generally tungsten or its alloy with rhenium). General X-Ray techniques: 1.Interventional Radiology a.Angiography 2.Cardiology : deals with the disorders of heart and bloodvessels. 3.Radiology a.Conventional(uses films) b.Flat Detectors(Digital) 4.Fluoroscopy

ANGIOGRAPHY:
X-Ray image is taken out to visualize the inside or of blood vessels and organs of body. (generally in arteries,veins and heart chamber) Two types of angiography : a.Coronary angiography b.Peripheral angiography Contrast agents that are used in angiography : Barium sulfate(only used in digestive tract) and Iodine solution. Iodine solution can be organic or inorganic(side affect due to hyperosmolar solution is that they deliver more iodine and which results in more dense X-ray effect.) Choice of contrast agent: Iso osmolar non-ionic or hypo osmolar non-ionic(if iso is not available) Advers effects: a.causes allergy(due to anaphylactoid reactions ) b.causes damage or disease to kidney. Products: Artis Zee family: Artis Zee Biplane System Artis Zee Multipurpose System Artis Zee Ceiling mounted System Artis Zee Magnetic Navigation Artis Zeego Multi axis System

FLUOROSCOPY :
The video signal from tv camera is processed by digital image processor and presented on display.This technique is called fluoroscopy. Siemens fluoroscopy systems provide the capability for a wide range of applications, from fluoroscopy, including gastro-intestinal and genito-urinary exams, to special procedures, to routine radiographic work. The product selection also provides a choice of under-table or over-table systems, depending on the customer's preference. Additionally, Siemens also offers a product spectrum to fit every budget, from fully digital, to cassette analog systems. Axiom series: a.LUMINOUS TF b.LUMINOUS drf c.Iconos R200 d.Iconos MD e.Iconos R100

COMPUTED TOMOGRAPHY:
Produces a video image that represents a trans axial slice taken through a patient.Slice consists of small boxes (.5.5mm). No film is used in CT.(Detector is used here.) Here detector as well as X-ray source,both rotates to collect attenuation information from different angular positions. Problems with traditional X-ray technique: a.Objects with different size produce same attenuation and thus images are of same size. b.If two objects are of different density and one lies in the path of another one ,smaller object may not be visible at all. In 1971,first CT scanner was made and siemens had introduced its first full body scanner in 1976.(Siretom) Products: SOMATOM Spirit SOMATOM Emotion SOMATOM Sensation SOMATOM Definiton

MAGNETIC RESONANCE:
Procedure to probe nuclei in a non destructive manner. Principle used: Each nucleus gives of different frequencies when placed in magnetic field of different strengths and vice-versa. Gradients are used which are just like an electromagnet that can be turned on at specific times during scan to alter magneticfield in given direction. Four components are required : a.Compact magnet b.RF Transmitter c.RF receiver d.DAS(digital acquisition system) NUMARIS is the software tthat is used. Advantages of MRI : Images are sharper. Soft tissues contrast No harmful radiation

Disadvantages: Bones turns out to be invisible. Can be Uncomfortable Dangerous for patients with metallic implants. Expensive. Lengthy.

Product Line: MAGNETOM Series 1. MAGNETOM c!(.35 tesla permanent) 2. MAGNETOM Symphony(1.5 tesla superconducting) 3. MAGNETOM Essenza(1.5 tesla superconducting) 4.MAGNETOM Avanto(1.5 tesla superconducting) 5. MAGNETOM Espree(1.5 tesla large bore) 6. MAGNETOM Trio(3 tesla superconducting) 7.MAGNETOM Verio(3 tesla ,largebore)

ULTRASOUND:
Medical imaging procedure that generates cross sectional images of internal structures(moving or static). Images are formed using echoing beams of ultrasonic low intensity beams using transducer. Ultrasound cannot be used for respiratory system,due to the presence of air. It is used in these areas basically: a.cardovascular system b.obstetrics and gynecologists. c.prostate d.Pediatrics and small parts. e.Musculoskeletal.

Product line :
ACUSON SC2000 ACUSON Sequoia ACUSON X300 ACUSON P50 ACUSON P10 ACUSON Cypress ACUSON CV70 ACUSON Acunav ACUSON 2000 ACUSON X500 ACUSON X150

SONOLINE Antares Systom SONOLINE G60 System SONOLINE G50 System SONOLINE G50 System

ONCOLOGY:
Study of tumors and seeks to understand the growth , diagnosis ,treatment and prevention. Diagnosis methods are X-Ray,CT,US,MRI etc. Different ways of treatment are : a.Surgery b.Chemotherapy c.Radiation Therapy. Product line: 1.Linear accelerator a.Primus b.Oncor c.Artiste

d.CT vision 2.CT systems 3.Treatment Tables a.ZXT b.550 TXT

NUCLEAR MEDICINES
a.PET b.SPECT a.PET: Positron emission tomography. A nuclear medicine technique which produces a 3-d image or map of functional process in the body.The system detects a pair of gamma rays emitted indirectly by a positron emitting radionuclide(tracer),which is introduced into the body on a biologically active molecule. Images are then reconstructed using computer analysis CT scanners are used for imaging. The combination of PET and CT is available. PET-CT combination gives metabolic as well as anatomical imaging.LSO detectors are used by siemens. At siemens ,this machine is called as Biograph. Limitations :High cost cyclotrons used to produce short-lived radionuclides for PET scanning. Application: 1.Oncology 2.Neurology 3.Cardiology etc. Product line: 1.RS Biograph Duo LSO 3. Biograph 6 2.RS Biograph 16 4. Biograph 64

b.SPECT: Single Photon emission computed tomography. Is a nuclear medicine tomographic imaging technique using gamma rays. Imaging is done using gamma cameras(it gives 2-d view of 3-D distribution of radionuclide.) Gamma Camera is rotated totally around the patient inorder to take the complete image of patient. Application: Tumor imaging,infectio imaging and thyroid imaging. Product line: 1.Symbia E 2.Symbia s

3.Symbia T2,T6,T16

SPECIAL PRODUCTS
a.Mammography : X-Ray examination of breasts. b.Surgery Systems c.Urology Systems 1.Ultradiagnostics Products: UROSKOP Access and MODULARIS Uro. 2.Lithotripsy : medical treatment of kidney stones. Products: Lithoskop and Modularis

2.CLINICAL WORKFLOW SOLUTIONS :

a.BREAST CARE SOLUTIONS b.CARDIOLOGY c.HEALTHCARE CONSULTING d.HOSPITAL PROJECTS e.NEUROLOGY f.ONCOLOGY g.RADIOLOGY

a.BREAST CANCER : As your partner in patient care, Siemens comprehensive approach to womens health is helping to improve the standard of healthcare worldwide helping detect, diagnose, and treat disease earlier, faster, and with greater precision. If there is one thing we in the healthcare field have learned, its that every breast cancer patient is different, and, for that reason, differing imaging modalities, laboratory diagnostics, and therapy systems may help you to better detect, track, and treat an individuals disease. With that in mind, Siemens offers a range of breast care solutions, all designed to help you find the answers you seek, take the best possible course of action, and, ultimately, follow your patient through to recovery. MAGNETIC RESONANCE

MOLECULAR IMAGING ULTRASOUND

MAMOGRAPHY SOLUTION : digital mammography solution is designed to handle workflow from patient registration and image acquisition to reading and reporting through finaldata storage.

b.CARDIOLOGY :
A CRITICAL point in heart and cardiovascular care. The next generation of cardiac patients is entering the health care systems. CARDIOLOGY IS DIVIDED INTO TWO PARTS : 1.INVASIVE IMAGING 2.NONINVASIVE IMAGING APPLICATIONS IN INVASIVE IMAGING: Computed tomography Echocardiography Nuclear cardiography Magnetic resonance

APPLICATIONSIN NON INVASIVE IMAGING : Angiocardiography Coronary quantification Recording Magnetic assisted intervention

c.ONCOLOGY :
MRI &(faster tumor diagnosis) Adaptive radiation theraphy Serum tests for monitoring effectiveness Other software tools for automated theraphy control

d.NEUROLOGY :
Angiography Magnetic resonance Computed tomography

3.IMAGING AND INFORMATION TECHNOLOGY

IT SOLUTIONS AND CONSULTING INTEGRATED RIS/PACS COMPUTER AIDED DIAGNOSIS eHEALTH SOLUTIONS

1.IT Solutions and Consulting: Healthcare extends beyond one person, in one department, in one building. It is an active process that requires communication, collaboration, and decision-making-across care providers and care settings. Siemens solutions help you eliminate silos, so patient information flows to the authorized care team-enabling better collaboration, and more informed and efficient decision-making. We offer solutions that break down barriers to help you solve business problems, improve patient safety, strengthen the revenue cycle, and enable technology to improve patient care.

Learn how Siemens helps you achieve better patient outcomes with innovative information technology (IT) solutions today

Products and solutions : Siemens offers a full spectrum of comprehensive, integrated solutions that help enable better care and lower costs across the healthcare continuum. By making information available when and where its needed, our solutions enable better decisions and practices at the point of care and beyond. Eliminate Silos:So patient information flows to the authorized team enabling better collaboration and more informed and better decision making. Soarian Transform the process of care delivery with the new-generation IT solution that streamlines patient access, optimizes throughput, and lets your healthcare enterprise operate at peak performance

Soarian MedSuite

Soarian MedSuite is an integrated HIS that can help healthcare organizations thrive in today's global marketplace and well into the future - laying the foundation for the next horizon of healthcare. SAP Healthcare SAP AG and Siemens Medical Solutions combine the strengths of two of the worlds leading IT providers to help improve efficiency and reduce costs for healthcare supply chain management.

Across the world, healthcare institutions are facing greater demands with regard to quality of care. At the same time hospitals require the maximum possible operational efficiency and cost transparency to meet increasingly tighter budgets. Integrated system solutions that support healthcare providers effectively are one of the keys to success.

In response to the growing demands on the healthcare market, Siemens Medical Solutions and SAP have significantly expanded our 10-year partnership. Together, our companies pursue the aim of creating an IT solution that helps healthcare providers realize enterprisewide integration. The goal of this joint solution is to help our customers improve patient care, increase efficiency and transparency, and reduce total operating costs. Because financial, administrative, and clinical processes influence each other, it is necessary to develop a homogenous, integrated IT solution that takes these mutual influences into account. This requires systematic integration that strictly avoids stand-alone solutions. Based on enterprisewide information, it is possible to create greater transparency of hospital operations, which enhances overall hospital management. Siemens OPENLink Connect disparate applications and support enterprisewise communication and workflow with Siemens OPENLink, an application-independent integration engine that has been enabling connectivity for more than 20 years

Computer-Aided Diagnosis (CAD):

Siemens is expanding the boundaries of computer-aided diagnosis (CAD) by developing a broad portfolio of innovative CAD tools for diagnostic imaging and healthcare IT. Siemens CAD tools cover multiple imaging modalities and applications, providing support for early detection, diagnosis and follow-up tasks.

As part of comprehensive healthcare solutions, the CAD tools are seamlessly integrated into the workflow to help enhance efficiency and improve the quality of care.

syngo Lung CAD

syngo Colonography PEV

syngo BRACE

syngo TrueD

syngo Auto Ejection Fraction

eHealth Solutions : Clinical productivity depends on rapid access to information, seamless data flow, and reliable clinical networks. Reducing complexity results in higher efficiency. Thats why our eHealth Solutions provide you with a global IT infrastructure for integrated healthcare based on both clinical and IT security expertise. We focus on Integrated Care Solutions that improve processes along the healthcare continuum and clinical pathways, e.g. by featuring an electronic health record. Our Identity Solutions, in turn, enable secure access and efficient administration. This adds up to effective cooperation for healthcare providers and a better quality of patient care at reduced costs giving relevant answers to the demands of integrated healthcare. Soarian Integrated Care: For patient-centered cooperation: With Soarian Integrated Care* (Soarian IC), we provide you with a web-based eHealth solution for the communication of patient-related data, forms and documents among connected partners using a secure connection. Soarian IC optimizes the flow of information and integrates communications media into existing treatment workflows and systems across all sectors, for both regional healthcare networks and national healthcare programs. Some of the features: Patient register for managing master data Variable search functions and search filters Variable record views, visualization of multimedia data and display of common file formats Storage of documents, document cross-references, administrative case data, caserelated and non-case related clinical data and documents Interfaces to external systems via HL7 Mechanisms for secure user authentication as well as policy-based access monitoring according to the ISO/IED 10183 security standard

Patient-related, structured documentation via integrated external form systems Integrated, customizable Master Patient Index

Identity Solutions :
Process optimization in the medical sector aims at cutting costs while also increasing the quality of care. This requires cutting-edge IT technology that must meet very specific requirements:

The greatest possible protection of sensitive data Access to information and resources solely for authorized persons and as tasks Secure transport of information An ideal way to meet these needs is with secure identities. It must be possible to establish beyond a doubt and at all times who accesses which data when and with what permissions. This is a necessary element of optimizing healthcare processes. Without it, it is not possible to achieve higher productivity, the use of electronic communications, controlled compliance with legal requirements and thus more time to focus on core tasks. needed for their

Smart Card Solutions : Smartcards enable access to information, workflows and other resources to be precise the authentication for identifying a person

Identity and Access Management : It provides the subsequent steps in the authorization process authorization, audit and administration.

Secure Communication Technologies : It reliably protect confidential medical data, their transmission and environment

Integrated RIS/PACS
The Integrated syngo Suite(A solution to PACS):

syngo Suite represents a paradigm shift, as it integrates the complete Imaging Management Workflow to a unified work environment. It increases the efficiency of diagnostic and therapeutic cycles, giving you fast, intuitive, and role-based access to information. syngo Suite stands for speed and flexibility, the factors which drive an efficient workflow. It offers advanced RIS, PACS, and Processing in a comprehensive package for all imaging needs in radiology and cardiology and comprises:

syngo Workflow syngo Imaging syngo Dynamics

syngo Workflow: syngo Workflow drives the radiological workflow from order entry to image and report distribution. syngo Imaging: A modular, scalable PACS solution for highest customer demands with focus on workflow, speed and usability syngo Dynamics: A multi-modality, dynamic image review, diagnosis and archiving system for cardiology, general imaging .