Computed Tomography

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Clinical Cases

© Siemens Healthcare GmbH, 2017

Lung Imaging

© Siemens Healthcare GmbH, 2017

Low-dose lung imaging
with Tin Filter

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Collimation: 0.7 mm
Scan time: 18 s
Scan length: 396 mm
Rotation time: 0.8 s
Pitch factor: 1.5
Scan parameters: Sn110 kV / 75 mAs
CTDIvol : 1.34 mGy
DLP: 53.6 mGy cm

• Tin filter technology cuts out lower energies to reduce

dose and enhance image quality at the interface of soft
tissue and air
thick-slice MIP coronal MPR

Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Computed Tomography 3

Hangzhou, P.R. China © Siemens Healthcare GmbH, 2017
Low-dose lung imaging
with Tin Filter

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Collimation: 0.7 mm
Scan time: 20 s
Scan length: 403 mm
Rotation time: 0.8 s
Pitch factor: 1.4
Scan parameters: Sn 110 kV / 131 mAs
CTDIvol : 2.67 mGy
DLP: 52 mGy cm

• Adaptive Signal Boost amplifies low signal areas of

the CT data when high attenuation is present – such
as when imaging obese patients
• Optimized X-ray spectral shaping for improved dose
efficiency with the Tin Filter

Computed Tomography 4
Courtesy of KGS Advanced MRI and CT Scans, Madurai, India © Siemens Healthcare GmbH, 2017
Lung imaging
without contrast media application

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Collimation: 0.7 mm
Scan time: 19 s
Scan length: 336 mm
Rotation time: 1.0 s
Pitch factor: 1.5
Scan parameters: 130 kV / 81 mAs
CTDIvol : 4.69 mGy
DLP: 151 mGy cm

• Excellent visualization of lung tissue

• Balanced parameter utilization for high
resolution scanning transversal 15 mm thick-slice MIP coronal oblique MPR 1 mm slice thickness

Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Computed Tomography 5

Hangzhou, P.R. China © Siemens Healthcare GmbH, 2017
Lung imaging
without contrast media application

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Collimation: 0.7 mm
Scan time: 17 s
Scan length: 306 mm
Rotation time: 1.0 s
Pitch factor: 1.5
Scan parameters: 130 kV / 81 mAs
CTDIvol : 7.46 mGy
DLP: 218 mGy cm

• Excellent visualization of lung tissue

• Balanced parameter utilization for high resolution
3D scanning
1 mm slice thickness sagittal and coronal oblique MPR
1 mm slice thickness

Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Computed Tomography 6

Hangzhou, P.R. China © Siemens Healthcare GmbH, 2017
Lung imaging
without contrast media application

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Collimation: 0.7 mm
Scan time: 18 s
Scan length: 307 mm
Rotation time: 1.0 s
Pitch factor: 1.5
Scan parameters: 130 kV / 81 mAs
CTDIvol : 5.36 mGy
DLP: 158 mGy cm

• Stellar detector enables fine visualization of

details
• Scars, infiltrates and lung texture changes
shown (arrows)
• 1 mm slice thickness shown

Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Computed Tomography 7

Hangzhou, P.R. China © Siemens Healthcare GmbH, 2017
Pulmonary hamartoma

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Collimation: 0.7 mm
Scan time: 14 s
Scan length: 324 mm
Rotation time: 0.8 s
Pitch factor: 1.5
Scan parameters: 130 kV /188 mAs
CTDIvol : 8.24 mGy
DLP: 255.9 mGy cm

• Stellar detector enables fine visualization of

details
• Stellar detector lowers image noise and
enhances scan results with less dose

Computed Tomography 8
Courtesy of Tadokoro Clinic, Saitama, Japan © Siemens Healthcare GmbH, 2017
Lung imaging
with i.v. contrast media application

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Collimation: 0.7 mm
Scan time: 14 s
Scan length: 312 mm
Rotation time: 1.0 s
Pitch factor: 1.5 3 mm slice thickness axial MPR
Scan parameters: 130 kV / 101 mAs
CTDIvol : 5.29 mGy
DLP: 159 mGy cm

• Excellent visualization of lung tissue and vessels

• Robust VRT tools at CT View&GO
• Confirm correct organ coverage and contrast
agent distribution with Check&GO
2 mm coronal MPR oblique view VRT

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 9
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Abdominal, Pelvic and
Whole-Body Imaging

© Siemens Healthcare GmbH, 2017

Native abdomen kidney stones visualization

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Collimation: 0.7 mm
Scan time: 21 s
Scan length: 458 mm
Rotation time: 0.8 s
Pitch factor: 1.5
Scan parameters: 130 kV / 225 mAs
CTDIvol : 8.85 mGy
DLP: 394 mGy cm
1 mm slice thickness coronal MPR

• Excellent visualization of very small kidney

stones with the Stellar detector
• The advanced 3D anti-scatter collimator
minimizes image noise and increases dose
efficiency.
Computed Tomography 11
Courtesy of Tadokoro Clinic, Saitama, Japan © Siemens Healthcare GmbH, 2017
Abdomen imaging
without contrast media application

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Collimation: 0.7 mm 1
2
Scan time: 29 s
Scan length: 505 mm
Rotation time: 1.0 s
Pitch factor: 1.5 2
Scan parameters: 130 kV / 147 mAs
CTDIvol : 7.71 mGy
DLP: 379 mGy cm

• Excellent image quality in native abdomen scans 3

enabled by Stellar detector technology 3
• Balanced parameter utilization for high
resolution 3D scanning throughout the whole
body
• Automatic MPR orientation thanks to Recon&GO
5 mm slice thickness

Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Computed Tomography 12

Hangzhou, P.R. China © Siemens Healthcare GmbH, 2017
Pelvic imaging
without contrast media application

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Collimation: 0.7 mm
Scan time: 28 s
Scan length: 505 mm
Rotation time: 1.0 s
Pitch factor: 0.8
Scan parameters: 130 kV / 90 mAs
CTDIvol : 9.17 mGy
DLP: 236 mGy cm

• Balanced parameter utilization for high

1 mm slice thickness
resolution 3D scanning throughout the whole
body
• Standardized image quality for all users with
Recon&GO

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 13
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Upper abdomen imaging
with i.v. contrast media application 1/2

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Collimation: 0.7 mm (each)

Scan time: 22 s (each)
Scan length: 315 mm (each)
Rotation time: 0.8 s (each)
Pitch factor: 1.0 (each)
Scan parameters: 130 kV / 123 mAs (each)
CTDIvol : 8.85 mGy (each)
DLP: 268 mGy cm (each)

• 3 mm MPR shown for native, arterial,

portal-venous and delayed scans
• Correct timing supported by the unique
timeline

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 14
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Upper abdomen imaging
with i.v. contrast media application 2/2

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Collimation: 0.7 mm (each)

Scan time: 22 s (each)
Scan length: 315 mm (each)
Rotation time: 0.8 s (each)
Pitch factor: 1.0 (each)
Scan parameters: 130 kV / 123 mAs (each)
CTDIvol : 8.85 mGy (each)
DLP: 268 mGy cm (each)

• Excellent image quality abdomen scans enabled

by Stellar detector technology
• 3 mm coronal oblique MPR shown for native,
arterial, portal-venous and delayed scans

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 15
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Abdomen imaging
with i.v. contrast media application 1/2

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Collimation: 0.7 mm (each)

Scan time: 22 s (each)
Scan length: 316 mm (each)
Rotation time: 0.8 s (each)
Pitch factor: 1.0 (each)
Scan parameters: 130 kV / 123 mAs (each)
CTDIvol : 8.85 mGy (each)
DLP: 268 mGy cm (each)

• 2 mm axial MPR shown for arterial scans for the

scan volume
• Coronal thick slice MIP for portal-venous scans
for visualization of the portal vein

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 16
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Abdomen imaging
with i.v. contrast media application 2/2

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Collimation: 0.7 mm (each)

Scan time: 22 s (each)
Scan length: 316 mm (each)
Rotation time: 0.8 s (each)
Pitch factor: 1.0 (each)
Scan parameters: 130 kV / 123 mAs (each)
CTDIvol : 8.85 mGy (each)
DLP: 268 mGy cm (each)

• 2 mm axial MPR shown for native, arterial,

portal-venous and delayed scans
• Prevent subsequent errors in multiphase scans,
and avoid archiving of suboptimal images with
Check&GO

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 17
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Abdomen imaging
with i.v. contrast media application

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Collimation: 0.7 mm (each)

Scan time: 21 s (each)
Scan length: 305 mm (each)
Rotation time: 0.8 s (each)
Pitch factor: 1.0 (each)
Scan parameters: 130 kv / 123 mAs (native)
110 kV / 193 mAs (art. / ven.)
130 kV / 131 mAs (late)
CTDIvol : 6.43 mGy (native)
5.33 mGy (art. / ven.)
6.94 mGy (late) 3mm coronal MPR
demonstrating severe
DLP: 189 mG cm (native)
1mm axial MPR for native, arterial, thrombosis of portal vein
155 mGy cm (art. / ven.)
venous and late phase in case of
202 mGy cm (late) liver cirrhosis

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 18
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Native abdomen post vascular endoprosthesis

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Collimation: 0.7 mm
Scan time: 19 s
Scan length: 375 mm
Rotation time: 0.8 s FBP SAFIRE 1 SAFIRE 3 SAFIRE 5
Pitch factor: 1.4
Scan parameters: 130 kV / 120 mAs
CTDIvol : 10.86 mGy
DLP: 449 mGy cm

• Free selection
between 5 levels of FBP SAFIRE 1 SAFIRE 3 SAFIRE 5
SAFIRE for different
image impressions

Computed Tomography 19
Courtesy of Tadokoro Clinic, Saitama, Japan © Siemens Healthcare GmbH, 2017
CT Angiography

© Siemens Healthcare GmbH, 2017

Long peripheral run-off

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Collimation: 0.7 mm
Scan time: 51 s
Scan length: 1083 mm
Rotation time: 0.8 s
Pitch factor: 1.5
Scan parameters: 130 kV / 98 mAs
CTDIvol : 2.34 mGy
DLP: 308 mGy cm

• Excellent contrast behavior to support the

identification of stenosis even for the fine and
small vessels
• Perfect combination of correct timing and high
spatial resolution

Computed Tomography 21
Courtesy of KGS Advanced MRI and CT Scans, Madurai, India © Siemens Healthcare GmbH, 2017
Rule out of pulmonary embolism

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Collimation: 0.7 mm
Scan time: 11 s
Scan length: 241 mm
Rotation time: 0.8 s
Pitch factor: 1.5
Scan parameters: 110 kV / 156 mAs
CTDIvol :4.55 mGy
DLP: 104 mGy cm

• Excellent visualization of fine structures and

vessels with the Stellar detector
• Sub-mm scanning always on reduces breath-
hold time when thin slices are needed to
minimize motion artifacts

Computed Tomography 22
Courtesy of KGS Advanced MRI and CT Scans, Madurai, India © Siemens Healthcare GmbH, 2017
CT angiography of head / neck vessels
with High Power 80

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Collimation: 0.7 mm
Scan time: 30 s
Scan length: 330 mm (each)
Rotation time: 0.8 s
Pitch factor: 0.75
Scan parameters: 80 kV / 281 mAs (400 mA max)
CTDIvol : 4.16 mGy
DLP: 132 mGy cm

• High Power 80 for improved iodine contrast

• Potential reduction of required contrast
media dosage
• Curved MPR for vessel analysis shown

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 23
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Lateral arm positioning in angiography

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Collimation: 0.7 mm
Scan time: 41 s
Scan length: 880 mm
Rotation time: 0.8 s
Pitch factor: 1.5
Scan parameters: 110 kV / 150 mAs
CTDIvol : 5.46 mGy
DLP: 474 mGy cm

• Challenging lateral arm positioning supported

by ALPHA (Automatic Landmarking and Parsing
of Human Anatomy) technology for automatic
orientations
• Interactive timeline in the scanner‘s interface
helps users to understand the scan protocol
Computed Tomography 24
Courtesy of KGS Advanced MRI and CT Scans, Madurai, India © Siemens Healthcare GmbH, 2017
Head Imaging

© Siemens Healthcare GmbH, 2017

Head imaging
without contrast media application

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Collimation: 0.7 mm
Scan time: 27 s
Scan length: 177 mm
Rotation time: 1.0 s
Pitch factor: 0.55
Scan parameters: 130 kV / 104 mAs
CTDIvol : 50.49 mGy
DLP: 825 mGy cm

• Excellent low-contrast performance :

1. High density of detector channels
2. Outstanding number of projections per 5 mm slice thickness
rotation

Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Computed Tomography 26

Hangzhou, P.R. China © Siemens Healthcare GmbH, 2017
Head imaging
without contrast media application

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Collimation: 0.7 mm
Scan time: 25 s
Scan length: 167 mm
Rotation time: 1.0 s
Pitch factor: 0.55
Scan parameters: 130 kV / 104 mAs
CTDIvol: 44.35 mGy max

DLP: 683 mGy cm

Absorbed dose
5 mm slice thickness

• Excellent low-contrast performance

• X-CARE for protection of the eye lenses

Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Computed Tomography 27

Hangzhou, P.R. China
without X-CARE with X-CARE © Siemens Healthcare GmbH, 2017
Skull base imaging with Tin Filter

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Collimation: 0.7 mm
Scan time: 18 s
Scan length: 172 mm
Rotation time: 1 s
Pitch factor: 0.8
Scan parameters: Sn 110 kV / 182 mAs
CTDIvol : 7.02 mGy
DLP: 112 mGy cm

• High spatial resolution for the fine structures

• ALPHA technology for a faster, more standardized
and safer workflow

Computed Tomography 28
Courtesy of KGS Advanced MRI and CT Scans, Madurai, India © Siemens Healthcare GmbH, 2017
Head imaging
without contrast media application

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Collimation: 0.7 mm
Scan time: 26 s
Scan length: 172 mm
Rotation time: 1.0 s
Pitch factor: 0.55
Scan parameters: 130 kV / 104 mAs
CTDIvol : 46.24 mGy
DLP: 738 mGy cm
1 mm slice thickness

• High resolution of fine bony structures

from standard brain scan data thanks to the 3D
anti-scatter collimator of the Stellar detector
• Automatic MPR orientation thanks
to Recon&GO

Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Computed Tomography 29

Hangzhou, P.R. China © Siemens Healthcare GmbH, 2017
Sinus Tin Filter

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Collimation: 0.7 mm
Scan time: 19 s
Scan length: 127 mm
Rotation time: 1 s
Pitch factor: 0.55
SAFIRE 1 SAFIRE 2 SAFIRE 3 SAFIRE 4
Scan parameters: Sn110 kV / 125 mAs
CTDIvol : 6.74 mGy
DLP: 76.8 mGy cm

• Free selection between 5 levels of SAFIRE for

different image impressions
• Optimized X-ray spectral shaping for improved
dose efficiency with the Tin Filter SAFIRE 5 FBP

Computed Tomography 30
Courtesy of Tadokoro Clinic, Saitama, Japan © Siemens Healthcare GmbH, 2017
Skull base / sinus imaging
with Tin Filter

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Collimation: 0.7 mm
Scan time: 15 s
Scan length: 107 mm
Rotation time: 1.0 s
Pitch factor: 0.55
Scan parameters: 110 kV / 125 mAs
CTDIvol: 8.05 mGy
DLP: 65 mGy cm

• 0.6 mm reconstructions thanks to

Stellar detector technology
• Small bony structures sharply visualized with a 0.6 mm slice thickness
balanced imaging chain: Chronon + Stellar +
SAFIRE

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 31
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Skull base imaging

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Collimation: 0.7 mm
Scan time: 15 s
Scan length: 107 mm
Rotation time: 1.0 s
Pitch factor: 0.55
Scan parameters: 130 kV / 58 mAs
CTDIvol: 33.5 mGy
DLP: 313 mGy cm

• 0.6 mm reconstructions thanks to

Stellar detector technology
• Small bony structures sharply visualized with a
balanced imaging chain: Chronon + Stellar + 0.6 mm slice thickness
SAFIRE
Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
In clinical practice, the use of SAFIRE may reduce CT patient dose depending on the clinical task, patient size, anatomical location, and clinical practice. Computed Tomography 32
A consultation with a radiologist and a physicist should be made to determine the appropriate dose to obtain diagnostic image quality for the © Siemens Healthcare GmbH, 2017
particular clinical task.
CT venography

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Collimation: 0.7 mm
Scan time: 26 s (each)
Scan length: 174 mm (each)
Rotation time: 1.0 s (each)
Pitch factor: 0.55 (each)
Scan parameters: 130 kV / 104 mAs (each)
CTDIvol : 45.3 mGy (each)
DLP: 731 mGy cm (each)

• Fast VRT post processing of oblique views

with CT View&GO integrated tools
• Reduced artifacts even in challenging
patient positioning circumstances
late oblique views VRT

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 33
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Musculoskeletal Imaging

© Siemens Healthcare GmbH, 2017

Extremity scan after surgery / trauma

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Collimation: 0.7 mm
Scan time: 14 s
Scan length: 139 mm
Rotation time: 1 s
Pitch factor: 0.8
Scan parameters: Sn110 kV / 76 mAs
CTDIvol : 1.33 mGy
DLP: 16.8 mGy cm

• Powerful combination of iMAR + Tin Filter +

without iMAR with iMAR
SAFIRE
• iMAR brings high-end metal artifact reduction
to routine orthopedic scanning

Computed Tomography 35
Courtesy of Tadokoro Clinic, Saitama, Japan © Siemens Healthcare GmbH, 2017
Spine fracture study

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Collimation: 0.7 mm
Scan time: n.a.
Scan length: n.a.
Rotation time: 0.8 s
Pitch factor: n.a.
Scan parameters: 130 kV / 105 mAs
CTDIvol : 11.2 mGy
DLP: 746 mGy cm

• Focus on your patient. Recon&GO

automatically takes care of postprocessing
• Enables evaluation of fractures of even complex
situations (trauma of T12 in this case)
• Improved workflow for the assessment of
fracture extent and fragments

Computed Tomography 36
Courtesy of KGS Advanced MRI and CT Scans, Madurai, India © Siemens Healthcare GmbH, 2017
Improving image quality by reducing metal artifacts with
iMAR 1/2

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Collimation: 0.7 mm
Scan time: 30 s
Scan length: 283 mm
Rotation time: 1.0 s
Pitch factor: 0.8
Scan parameters: 130 kV / 90 mAs
CTDIvol : 9.96 mGy
DLP: 269 mGy cm

• iMAR removes or mitigates artifacts in a without iMAR with iMAR

wide variety of clinical situations. coronal MPR coronal MPR
• Metal artifact reduction handles metal
implants without disrupting workflows

Computed Tomography 37
Courtesy of KGS Advanced MRI and CT Scans, Madurai, India © Siemens Healthcare GmbH, 2017
Improving image quality by reducing metal artifacts with
iMAR 2/2

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Collimation: 0.7 mm
Scan time: 30 s
Scan length: 283 mm
Rotation time: 1.0 s
Pitch factor: 0.8
Scan parameters: 130 kV / 90 mAs
CTDIvol : 9.96 mGy
DLP: 269 mGy cm

• iMAR brings high-end metal artifact

reduction to routine orthopedic scanning

VRT based on iMAR images

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 38
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Lumbar spine imaging
without contrast media application

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Collimation: 0.7 mm
Scan time: 24 s
Scan length: 257 mm
Rotation time: 1.0 s
Pitch factor: 0.9
Scan parameters: 130 kV / 164 mAs
CTDIvol : 19.99 mGy
DLP: 487 mGy cm

• Multiple protrusions of disks clearly

displayed
• Sagittal and axial oblique 2 mm MPR shown

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 39
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Cervical spine imaging
without contrast media application

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Collimation: 0.7 mm
Scan time: 23 s
Scan length: 216 mm
Rotation time: 1.0 s
Pitch factor: 0.8
Scan parameters: 130 kV / 90 mAs
CTDIvol : 16.76 mGy
DLP: 339 mGy cm

• Disk protrusion clearly displayed

• Focus on your patient. Recon&GO
automatically takes care of postprocessing
sagittal and axial oblique 1 mm MPR

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Computed Tomography 40
Jinshan, P.R. China © Siemens Healthcare GmbH, 2017
Dental Imaging

© Siemens Healthcare GmbH, 2017

Dental imaging with iMAR and SAFIRE

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Collimation: 0.7 mm
Rotation time: 1 s
Scan parameters: 130 kV / 140 mAs
CTDIvol : 18.7 mGy
DLP: 336 mGy cm SAFIRE 1 SAFIRE 2 SAFIRE 3 SAFIRE 4 SAFIRE 5

• Free selection between five

levels of SAFIRE for different
image impressions
• iMAR removes or mitigates
artifacts in a wide variety of
clinical situations.
• Metal artifact reduction handles
metal implants without without iMAR with iMAR
disrupting workflows
Computed Tomography 42
Courtesy of Tadokoro Clinic, Saitama, Japan © Siemens Healthcare GmbH, 2017
Thank you!

© Siemens Healthcare GmbH, 2017