CT Dose Management

Company name Canon Canon Canon Canon Canon GE Healthcare GE Healthcare GE Healthcare GE Healthcare GE Healthcare GE Healthcare Hitachi Healthcare Hitachi Hitachi Medic Vision Imaging Philips Philips Philips Philips Siemens Healthineers Siemens Healthineers Siemens Healthineers Siemens Healthineers Siemens Healthineers Siemens Healthineers Siemens Healthineers Siemens Healthineers
Healthcare Healthcare Solutions Ltd.

Product name Aquilion GENESIS Aquilion PRIME SP Aquilion PRIME Aquilion LIGHTNING Aquilion LIGHTNING Revoluton CT Revolution Frontier Revolution HD Revolution EVO Discovery Optima Scenaria SE Supria Supria Plus SafeCT IQon Elite Spectral CT Big Bore RT iCT Ingenuity SOMATOM Force SOMATOM EDGE PLUS SOMATOM go.Top SOMATOM DRIVE SOMATOM DEFINITION SOMATOM go.All SOMATOM go.Up SOMATOM go.Now
RT CT540/CT520 True64 EDGE
FDA 510(k) cleared? (Yes/ Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
No)
CT SYSTEM
CT system model Aquilion GENESIS Aquilion PRIME SP Aquilion PRIME Aquilion LIGHTNING Aquilion LIGHTNING Revoluton CT Revolution Frontier Revolution HD Revolution EVO Discovery BrightSpeed 64 or 128- 64 or 128- 16 or 32- All IQon Elite Spectral CT Big Bore RT iCT Elite, iCT SP Ingenuity Elite, Dual Source CT Single Source CT Single Source CT Dual Source CT Single Source CT Single Source CT Single Source CT Single Source CT
RT slice slice slice Ingenuity Core
Gantry EM immunity shielded EM immunity shielded EM immunity shielded EM immunity shielded EM immunity shielded Revoluton CT Revolution Frontier Revolution HD Revolution EVO Discovery Optima Slip-ring Slip-ring Slip-ring All AirGlide Gantry Big Bore Gantry AirGlide Gantry Ingenuity Gantry Slip ring Slip ring Slip ring Slip ring Slip ring Slip ring Slip ring Slip ring
RT CT540/CT520
X-ray tube Off-focal reduction Off-focal reduction Off-focal reduction Off-focal reduction Off-focal reduction Performix HDw Performix HD Plus Performix HD Performix 40 Plus Performix Performix 7.5 MHU 5 MHU 5 MHU All iMRC MRC 880 iMRC MRC Ice 2 x VECTRON Straton MX Sigma ATHLON 2 x Straton MX Sigma STRATON MX P ATHLON CHRONON CHRONON
Pro 100
X-ray generator Fast modulation Fast modulation Fast modulation Fast modulation Fast modulation Fast KV Switching Fast KV Switching Fast KV Switching High Frequency High High 72 kW 48k W 48 kW All 120 kW 80 kW 120 kW 80 kW 2 x 120 kw 100 kW 75 kW 200 kW (2 x 100 kW) 100 kW 75 kW 32 kW 32 kW
Frequency Frequency
Helical scanning Volume and helical Volume and helical Volume and helical Volume and Helical Volume and Helical Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Describe detector design 320 PURE ViSION 80 PURE ViSION 80 PURE ViSION 80 PURE ViSION 16 PURE ViSION Gemstone Clarity Gemstone Clarity Gemstone HiLight Clarity HiLight HiLight 40 mm, 64- 40 mm, 64- 20 mm, 32- N/A NanoPanel Prism Solid-state with NanoPanel Elite, NanoPanel Elite, Stellar Infinity integrated Stellar Infinity integrated Stellar integrated detector Stellar Infinity integrated Stellar integrated detctor Stellar integrated detector Stellar integrated detector Stellar itnegrated detector
aspects Technology discrete discrete rows TACH NanoPanel3D NanoPanel detector detector detector
channels channels
HARDWARE DOSE
CONTROLS
Beam filtration Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes N/A Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Beam shaping Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes N/A Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Detector material dose >99% >99% >99% >99% >99% 98% 98% 98% 98% 98% 98% 0.99 0.99 0.99 N/A 99%+ 99%+ 99% 99% 99% 99% 99% 99% 99% 99% 99% 99%
efficiency
Dynamic collimator Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes N/A N/A N/A N/A Yes No Yes No Yes Yes Yes Yes Yes No No No
Does the dose No No No No No No No No No No No No No No No No No, unless with IMR No, unless with IMR No, unless with IMR No No Tin filter (standard) No No Tin filter (standard) Tin filter (standard) Tin filter (standard)
management solution which requires which requires which requires
require additional HyperSight IMR HyperSight IMR HyperSight IMR
hardware? If so, please Reconstructor Reconstructor Reconstructor
explain
SOFTWARE DOSE
CONTROLS
Software brand name AIDR 3D Enhanced, First (MBIR) AIDR 3D Enhanced AIDR 3D Enhanced AIDR 3D Enhanced AIDR 3D Enhanced ASiR-V, Smart Dose, ASiR-V, Smart Dose, ASiR-V, Smart Dose, ASiR-V, Smart Dose, ASiR-V, ASiR-V, Smart Hitachi Hitachi Hitachi SafeCT DoseRight DoseRight DoseRight DoseRight CARE Applications CARE Applications CARE Applications CARE Applications CARE Applications CARE Applications CARE Applications CARE Applications
Optidose Optidose Optidose Optidose Smart Dose, Dose,
Optidose Optidose
Automatic exposure SUREExposure, SUREkV SUREExposure, SUREkV SUREExposure, SUREkV SUREExposure, SUREkV SUREExposure, SUREkV Yes Yes Yes Yes Yes Yes Standard Standard Standard Yes Yes (conventional and spectral) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
controls
3-D filtration Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes (conventional and spectral) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Longitudinal modulation Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes N/A Yes (conventional and spectral) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Angular modulation Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes N/A Yes (conventional and spectral) Yes Yes Yes Yes, CARE Dose4D Yes, CARE Dose4D Yes, CARE Dose4D Yes, CARE Dose4D Yes, CARE Dose4D Yes, CARE Dose4D Yes, CARE Dose4D Yes, CARE Dose4D
Iterative reconstruction Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes (conventional and spectral) Yes Yes Yes Yes, ADMIRE Yes, ADMIRE Yes, SAFIRE Yes, ADMIRE Yes, ADMIRE, SAFIRE Yes, SAFIRE Yes, SAFIRE Yes, SAFIRE
technique
Perfusion Yes Yes Yes N/S N/S Yes Yes Yes Yes N/A N/A Option w/3-D Option w/3- Option w/3- Yes Yes (conventional and spectral) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
server D server D server
Cardiac spiral phase Yes Yes Yes N/S N/S n/a Yes Yes Yes N/A N/A Yes N/A N/A N/A Yes (conventional and spectral) Yes Yes Yes Yes Yes Yes, with low kV scanning options Yes Yes Yes, with low kV scanning options No n/a
modulation
Cardiac prospective Yes Yes Yes N/S N/S Yes Yes Yes Yes N/A N/A Yes Yes, option Yes, option N/A Yes (conventional and spectral) N/A Yes Yes Yes Yes Yes Yes Yes No No n/a
acquisition
Methods used to reduce One beat Cardiac CCTA with no N/S Smart Cardiac with 1-beat HR monitoring prior to HR monitoring prior to HR monitoring prior to N/A N/A Protocol N/A N/A N/A Arrhythmia rejection, heart-rate Heart-rate Arrhythmia rejection, Arrhythmia rejection, Turbo Flash mode (gated), Adap. ECG pulsing and Adap. ECG pulsing and seq. fast native Flash mode (gated), Adap. ECG pulsing and Fast native temporal resolution, Bi Segment Spiral n/a
rescan of cardiac exam table movement required, acquisition for all scan scan; ECG editing scan; ECG editing scan; ECG editing Wizard & monitoring, beat-to-beat variable- monitoring, beat-to- heart-rate monitoring, heart-rate monitoring, Adaptive ECG pulsing seq. temporal resolution, CardioBestPhase Adaptive ECG pulsing seq. CardioBestPhase (included with high
arrhythmia detection, AMC, modes as well as tools following scan; tools following scan; tools following scan; arrhythmia delay algorithm, ECG editing, beat variable-delay beat-to-beat variable- beat-to-beat variable- (included with high performance package) performance package) for best phase
adaptive motion correction, arythima detection and early beat avoidence early beat avoidence early beat avoidence rejection improved Iodine opacification and algorithm, ECG delay algorithm, ECG delay algorithm, ECG for best phase reconstruction (systolic/ reconstruction (systolic/diastolic), ECG
tech assist lateral slide avoidance, autogating, in prospective mode in prospective mode in prospective mode reduced artifacts from spectal editing editing editing diastolic), ECG impedance check impedance check
autophase, snapshot results
freeze
Chest prospective Yes Yes Yes N/S N/S Yes Yes Yes Yes N/A N/A Yes Yes, option Yes, option N/A Yes (conventional and spectral) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No
acquisition
Maximum possible pitch 1.5 1.5 1.5 1.5 1.5 1.53 1.53 1.53 1.53 1.75 1.75 1.7 1.7 1.7 No limit 1.5 (conventional and spectral) 1.7 1.5 1.5 3.2 1.7 1.5 3.4 1.7 1.5 1.5 1.5
with full image quality
Dual energy Yes Yes Yes N/S N/S Yes Yes Yes Yes N/A N/A N/A N/A N/A N/A Yes (spectral imaging) Yes Yes Yes Yes Yes Yes, with optional TwinBeam Dual Energy Yes Yes Yes Yes Yes
Interventional Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes, option Yes, option Yes, option N/A Yes (conventional and spectral) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Advanced image Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes (conventional and spectral) Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
processing
Advanced image Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Spectral Recon, iDose4 Premium iDose4 premium iDose4 premium iDose4 premium Yes Yes Yes Yes Yes Yes Yes Yes
reconstruction Package, IMR model-based IR package, IMR model- package, IMR model- package, IMR model-
based IR based IR based IR
Warning messages Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
SOFTWARE CAPABILITIES
Post-processing on Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
separate server
Simultaneous support of N/S N/S N/S N/S N/S Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
multiple CT scanners
Multi-vendor support Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Multi-modality (i.e. CT, CR, No No No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
DR, etc.) support
Describe the image Iterative reconstruction (AIDR Iterative reconstruction Iterative reconstruction Iterative reconstruction Iterative reconstruction ASiR-V, Smart Dose, ASiR-V, Smart Dose, ASiR-V, Smart Dose, ASiR-V, Smart Dose, ASiR-V, ASiR-V, Smart CORE 3D, CORE 3D, CORE 3D, Machine-learning Spectral results (MonoEnergetic Brain contrast Brain contrast Brain contrast 4-D Noise Red; neuro best 4-D Noise Red; neuro Sureview 4-D Noise Red; neuro best 4-D Noise Red; neuro Sureview Sureview Sureview
processing techniques 3D enhanced), model based (AIDR 3D enhanced), (AIDR 3D enhanced), (AIDR 3D Enhanced), (AIDR 3D Enhanced), Optidose Optidose Optidose Optidose Smart Dose, Dose, ADNR and ADNR and ADNR and based 3-D iterative images, virtual non-contrast, iodine enhancement, image enhancement, image enhancement, image cont best cont cont best cont
used by the software to iterative reconstruction (FIRST), automatic table height automatic table height automatic table height automatic table height Optidose Optidose Intelli IP Intelli IP Intelli IP image maps, effective atomic number), enhancement filters, enhancement filters, enhancement filters,
optimize image quality and automatic table height compensation, up to 30 compensation, up to 30 compensation, up to 30 compensation, up to 30 Advanced IR Quick IR Quick IR reconstruction conventional results (brain contrast perfusion filter perfusion filter perfusion filter
enable dose management compensation, up to 30 degrees degrees of gantry tilt degrees of gantry tilt degrees of gantry tilt degrees of gantry tilt enhancement, image enhancement
of gantry tilt filters, perfusion filter)
Can the software be sold No No No No No Yes Yes Yes Yes Yes Yes No No No Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
separately from the CT
system
DOSE PROTECTION /
WARNING
Dose notice window Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
PROTOCOLS
Infant / pediatric protocols Yes, per weight/age Yes, per weight/age Yes, per weight/age Yes, per weight/age Yes, per weight/age Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Age/weight based, color coded Age/weight based, Age/weight based, Age/weight based, Yes CAREChild 70 kV Yes CAREChild 70 kV Yes CAREChild 70 kV Yes CAREChild 70 kV Yes CAREChild 70 kV Yes CAREChild 70 kV Yes, CAREChild 80 kV Yes, CAREChild 80 kV
color coded color coded color coded
Large patient protocols Yes, per size Yes, per size Yes, per size Yes, per size Yes, per size User defined User defined User defined User defined User defined User defined Yes Yes Yes Yes Yes (If required, adult protocols can Yes Yes (If required, adult Yes (If required, adult Yes Yes Scanner automatically selects the best kV Yes Yes Scanner automatically selects the best Scanner automatically selects Scanner automatically selects
span broad range of patient sizes) protocols can span protocols can span and mA for protocol and patient, does not kV and mA for protocol and patient, the best mA for the patient the best mA for the patient
broad range of patient broad range of patient require time-consuming workflow of does not require time-consuming and the clinical task and the clinical task
sizes) sizes) choosing which protocol to use workflow of choosing which protocol to
use
On what CT protocols does All All All All All All All All All All All All All All All All All All All All All All All All All All All
your software enable dose
management?
Does the software enable Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes (accounts for patient size/organ Yes Yes (accounts for Yes (accounts for Yes Yes Yes Yes Yes Yes Yes Yes
different levels of dose and user factors) patient size/organ and patient size/organ and
management on a protocol user factors) user factors)
by protocol basis
Does the software enable Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
the optimization of image
quality for each protocol
based on the preferences
of the radiologist
Are protocols password Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
protected
DOSE DISPLAYS
CTDIv Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
DLP Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Conversion factor used N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S Based on Based on Based on Yes N/A N/A N/A N/A Table cited in manual Table cited in manual Table cited in manual Table cited in manual Table cited in manual Table cited in manual Table cited in manual Table cited in manual
and cited reference for anatomic anatomic anatomic
conversion from DLP to region region region
mSv
Z-axis dose efficiency >95 >95 >95 >95 >95 97% 93% 93% 96% 70% 98% >95% >95% >95% Yes N/S N/S N/S N/S 99% 99% 99% 99% 99% 99% 99% 99%
DOSE REPORTING /
EXTRACTION REGISTRY
Tabular results - secondary Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
capture
Export / extraction Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Tracking / registry Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes (DoseWise Console) Yes (DoseWise Yes (DoseWise Yes (DoseWise Yes Yes Yes Yes Yes Yes Yes Yes
Console) Console) Console)
OTHER
Additional clinical training Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes No charge No charge No charge Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
revisits revisits revisits
Additional ALARA Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Dose management class; online Dose management Dose management Dose management www.usa.siemens.com/ www.usa.siemens.com/ www.usa.siemens.com/rightdose www.usa.siemens.com/ www.usa.siemens.com/ www.usa.siemens.com/rightdose www.usa.siemens.com/ www.usa.siemens.com/
education courses class; online courses class; online courses class; online courses rightdose rightdose rightdose rightdose rightdose rightdose
Number of installations N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S N/S >700 WW >2,500 >2,500 500 N/S N/S N/S N/S N/A N/A N/A N/A N/A N/A N/A N/A
WW WW

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