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The Difference in Computed Tomography
SOMATOM Sessions
Cover Story
SOMATOM DefinitionFlash Dual Source CT:Leaving Dose Behind
Page 6
News
Dual Source CT onScientific Center Stage
Page 14
Business
As Radiation Dose GoesDown, Attractiveness ofCT Rises
Page 20
ClinicalOutcomes
Coronary CTA with FlashSpiral Scanning in300 msec Scan Time
Page 26
Science
CT put to the Test
Page 56
2
Issue Number 23/November 2008RSNA Edition | November 30
th
– December 05
th
, 2008
 
2
SOMATOM Sessions · November 2008 · www.siemens.com/healthcare-magazine
Editorial
“Lowest radiation doseis important tophysicians and patients.It’s important to us.”
Sami Atiya, PhD, Chief Executive Officer,Business Unit CT, Siemens Healthcare, Forchheim, Germany
 
SOMATOM Sessions · November 2008 · www.siemens.com/healthcare-magazine
3Editorial
Dear Reader, 
For the Siemens Healthcare Sector, be-ing the industry’s innovative leader inmedical technology – year after year –has become almost routine. But innova-tion leadership in pioneering new clini-cal terrain with unmatched technologyalone is not sufficient: From the verybeginning, we have maintained a strictfocus on patient safety as well. And incomputed tomography (CT), patientsafety translates primarily into dose re-duction. For this reason, we have, fromthe earliest days, always given dosereduction top priority.The actual danger caused by X-ray radia-tion in rather low amounts as requiredfor CT scanning is difficult to measuresince there exists almost noadequate information or scientific stud-ies on the problem. We have thereforecommitted ourselves to the ALARA(i. e. As Low As Reasonably Achievable)principle of exposing patients only to theminimum amount of radiation absolutelynecessary to achieve the best possiblediagnosis.Consequently, in recent years, we havedeveloped many significant productsand protocols to conform to the ALARAprinciple, for example, Adaptive DoseShield and others that reduce radiationdose to the lowest possible level.Following closely on the developmentand introduction of Dual Source CT(DSCT) in 2005, we have once againachieved a new milestone in CT dosereduction with the new SOMATOM®Definition Flash scanner. This scannerdelivers greatly improved diagnosticquality with levels of dose lower thanever before possible because its modernand future oriented technology effi-ciently utilizes the next generationDSCT.With its revolutionary Flash Spiralmode resulting in very high speed, theSOMATOM Definition Flash scanner isnot only the lowest dose scanner knowntoday, it is also the fastest, being ableto virtually eliminate the need for breathholds and do a whole body scan in fourseconds or to scan an entire thorax inless than one second. And it accomplish-es these breath-taking performanceswith the lowest dose known world-wide.Flash speed plus lowest dose are thecore of the new scanners’ advantages.Even under unfavorable conditions, thepatient’s dose exposure is less than whatis required for diagnostic cardiac cath.And triple rule-out examinations arepossible with doses below 5 mSv, up tofour times lower than any other scanneravailable on the market.Furthermore the SOMATOM DefinitionFlash can selectively reduce sensitive-area exposure up to 40% without lossof image quality by turning down theX-ray tube while scanning dose-sensitivebody areas such as female breasts. TheSOMATOM Definition Flash opens newdimensions for functional 4D imagingby combining the unique Adaptive 4DSpiral with Flash speed, thereby intro-ducing Adaptive 4D Spiral Plus for long-range dynamic imaging of up to 48 cm,enabling dynamic imaging with half thedose. An additional dose-saving featureis the Selective Photon Shield, filteringout unnecessary photons of the highenergy X-ray tubes resulting in a betterseparation of 80/140 kV images by simul-taneously providing dose-neutral, SpiralDual Energy.In addition to the advanced technologyrequired for lowest dose imaging, ade-quate training is provided by our highlycompetent application team so that youand your medical team will be able totake full advantage of both the superiorscanning performance and the dose-reducing features of the new scanner.With the SOMATOM Definition Flash allpatients benefit from the extremely lowdose levels, thus making CT a healthierexamination than ever before. And yourwork will be easier and faster, your diag-noses more accurate with completelynew clinical applications that only DualSource CT can provide.Enjoy reading,
André Hartung,
Vice PresidentMarketing and Sales
André Hartung
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