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CT Clinical Image Gallery

Volume 1
Table of contents

Brain ....................................................................................................................................................4

Paranasal Sinuses .........................................................................................................................6

Emphysema ....................................................................................................................................8

Right Arm CT Angiogram .................................................................................................... 10

Colorectal Mass ......................................................................................................................... 12

Lumbar Spine ............................................................................................................................. 14

Abdomen...................................................................................................................................... 16

Lower Limb CTA ........................................................................................................................ 18

Left Total Hip Replacement ................................................................................................20

Wrist .................................................................................................................................................22
Brain

Patient History Findings


This 40-year-old man presented with a severe headache. Noncontrast brain CT was performed. No abnormalitie is seen.

Scan Effective
Scan Rotation Dose CTDIvol DLP
Collimation Contrast Pitch kVp mAs Range Dose k
Mode Time (s) Reduction (mGy) (mGy·cm)
(mm) (mSv)
AIDR* 3D
Helical 0.5 mm × 16 - Detail 120 150 0.75 140 60.5 946.5 1.99 0.0021
Standard

* Adaptive Iterative Dose Reduction


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Paranasal Sinuses

Patient History Findings


This 21-year-old man presented with nasal obstruction. A CT of the paranasal sinuses was performed. No abnormality is seen.

Scan Effective
Scan Rotation Dose CTDIvol DLP
Collimation Contrast Pitch kVp mAs Range Dose k
Mode Time (s) Reduction (mGy) (mGy·cm)
(mm) (mSv)
SURE
Exposure AIDR 3D
Helical 0.5 mm × 16 - Standard 80 0.6 99 1.9 21.1 0.04 0.0021
Standard Standard

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Emphysema

Patient History Findings


This 76-year-old man presented with general malaise and shortness of breath. A postcontrast Small paratracheal lymph nodes are seen. In the lung windows, extensive emphysematous bullae
chest CT was performed. are seen throughout both lungs. Lung Volume Analysis shows the Low Attenuation volumes to be
46% in the right lung and 39.7% in the left lung.
Scan Effective
Scan Rotation Dose CTDIvol DLP
Collimation Contrast Pitch kVp mAs Range Dose k
Mode Time (s) Reduction (mGy) (mGy·cm)
(mm) (mSv)
SURE
Exposure AIDR 3D
Helical 1.0 mm × 16 CE Fast 120 0.6 372 3.6 151.6 2.12 0.014
Standard Standard

Injection Volume (ml) Rate (ml/s)

Contrast 80 4.0

Saline 30 4.0

Lung Volume Analysis depicts the Low Attenuation


regions in yellow.
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Right Arm CT Angiogram

Patient History Findings


This 52-year-old man presented with thoracic outlet syndrome. A CTA of the right arm was performed. Compression of the upper limb vessels is not seen, indicating that this is not the cause of his symptoms.

Scan
Scan Rotation Dose CTDIvol DLP
Collimation Contrast Pitch kVp mAs Range
Mode Time (s) Reduction (mGy) (mGy·cm)
(mm)
SURE
Exposure AIDR 3D
Helical 1.0 mm × 16 CE Standard 120 0.6 768 2.3 1777.7
Standard Standard

Injection Volume (ml) Rate (ml/s)


MIP SD-VR Fusion
Contrast 100 4.0

Saline 30 4.0

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Colorectal Mass

Patient History Findings


This 69-year-old woman presented with a colorectal mass found on prior imaging. Arterial-phase An apple-core lesion is seen in the rectosigmoid colon. There are several liver lesions with
CT of the liver and venous-phase CT of the abdomen and pelvis were performed. peripheral enhancement typical of colorectal metastases. Several small metastases are also seen in
both lungs.
Scan Effective
Scan Rotation Dose CTDIvol DLP
Collimation Contrast Pitch kVp mAs Range Dose k
Mode Time (s) Reduction (mGy) (mGy·cm)
(mm) (mSv)
SURE
Exposure AIDR 3D
GG-Hel 1.0 mm × 16 CE Standard 100 0.6 218.0 5.4 199.4 2.99 0.015
Standard Standard
SURE
Exposure AIDR 3D
GG-Hel 1.0 mm × 16 CE Standard 100 0.6 420.0 6.5 337.0 5.05 0.015
Standard Standard

Injection Volume (ml) Rate (ml/s)

Contrast 100 4.0

Saline 30 4.0

Arterial Arterial

Venous Venous

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Lumbar Spine

Patient History Findings


This 59-year-old woman presented with the sudden onset of lower back pain. A CT of the lumbar Multiplanar images of the L4/5 disc show a central disc bulge (arrows). No bony injury is seen.
spine was performed.

Scan Effective
Scan Rotation Dose CTDIvol DLP
Collimation Contrast Pitch kVp mAs Range Dose k
Mode Time (s) Reduction (mGy) (mGy·cm)
(mm) (mSv)
AIDR 3D
Helical 1.0 mm × 16 - Detail 120 SURE
Exposure 3D 0.6 198.0 14.7 328.1 4.92 0.015
Standard

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Abdomen

Patient History Findings


This 73-year-old man presented for a checkup following a prostatectomy. Arterial-phase liver and No evidence of metastases is seen.
venous-phase abdomen and pelvis CT were performed for routine follow-up.

Scan Effective
Scan Rotation Dose CTDIvol DLP
Collimation Contrast Pitch kVp mAs Range Dose k
Mode Time (s) Reduction (mGy) (mGy·cm)
(mm) (mSv)
SURE
Exposure AIDR 3D
GG-Hel 1.0 mm × 16 CE Standard 100 0.6 218.0 7.8 198.2 2.97 0.015
Standard Standard
SURE
Exposure AIDR 3D
GG-Hel 1.0 mm × 16 CE Standard 120 0.6 420.0 7.9 356.9 5.35 0.015
Standard Standard

Injection Volume (ml) Rate (ml/s)

Contrast 100 4.0

Saline 30 4.0

Arterial Arterial

Venous Venous

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Lower Limb CTA

Patient History Findings


This 69-year-old man presented with exercise claudication. An aortofemoral runoff CTA was performed. The right common iliac artery shows almost total occlusion immediately distal to the aortic
bifurcation. The right curved MPR shows string flow of contrast around the occlusive lesion. The
3D bone segmentation does not remove the calcification from the vessel walls. Lower leg
Scan Rotation
Scan
Dose CTDIvol DLP
Effective subtraction shows complete occlusion of the left popliteal artery and enlarged perforating artery
Collimation Contrast Pitch kVp mAs Range Dose k
Mode Time (s)
(mm)
Reduction (mGy) (mGy·cm)
(mSv)
branches providing collateral flow runoff.
SURE
Exposure AIDR 3D
GG-Hel 1.0 mm × 16 - Fast 80 0.6 574 0.6 40.9 0.03 0.0008
Low Dose Standard
SURE
Exposure AIDR 3D
GG-Hel 1.0 mm × 16 CE Fast 100 0.6 1200 4.1 509.5 3.90 0.00765
Standard Standard

Injection Volume (ml) Rate (ml/s)

Contrast 100 4.0

Saline 30 4.0
3D Volume Rendering Inverted MIP 3D-VR Fusion

3D Volume Rendering Right Femoral Artery Left Femoral Artery

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Left Total Hip Replacement

Patient History Findings


This 70-year-old woman presented following implantation of a prosthesis in the left hip. A CT of The acetabular bed and prosthetic cup are easily assessed in the SEMAR reconstructions.
the pelvis was performed. The surrounding soft tissues are well visualized. No fluid collections are seen.

Scan Effective
Scan Rotation Dose CTDIvol DLP
Collimation Contrast Pitch kVp mAs Range Dose k
Mode Time (s) Reduction (mGy) (mGy·cm)
(mm) (mSv)

Helical 1.0 mm × 16 - Standard 135 90 0.6 265 AIDR 3D Mild 16.3 486.1 8.30 0.017

Original SEMAR Original SEMAR

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Wrist

Patient History Findings


This 55-year-old man presented with wrist pain and a history of an old wrist injury. A CT of the No bony injury is identified. Slight separation of the pisiform from its usual close proximity to the
wrist was performed. triquetrum is seen.

Scan Effective
Scan Rotation Dose CTDIvol DLP
Collimation Contrast Pitch kVp mAs Range Dose k
Mode Time (s) Reduction (mGy) (mGy·cm)
(mm) (mSv)
AIDR 3D
Helical 0.5 mm × 16 - Standard 120 36.0 0.6 86 6.5 64.3 0.05 0.0008
Standard

Disclaimer: Any reference to X-ray exposure is intended as a reference guideline only. The guidelines in this document do not substitute for the judgment of a healthcare provider.
Each scan requires medical judgment by the healthcare provider about exposing the patient to ionizing radiation.
In clinical practice, the use of the AIDR 3D feature may reduce CT patient dose depending on the clinical task, patient size, anatomical location and clinical practice.
A consultation with a radiologist and a physicist should be made to determine the appropriate dose to obtain diagnostic image quality for the particular clinical task.
Due to local regulatory processes, some of the products included in this brochure may not be available in each country.
Please contact your sales representative for the most current information.
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Design and specifications are subject to change without notice.
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Aquilion Lightning, SUREExposure, SEMAR and Made for Life are trademarks of
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