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Symbia TruePoint SPECT•CT
Working For You




www.siemens.com/mi
Work with confidence.
               What does it mean to work with confidence? It’s clarity—not only image clarity but the
               clarity of mind you can obtain from viewing images in which you have the highest measures
               of clinical certainty. Symbia ensures this clarity through its advanced HD detector, innovative
               bed design, BiCORE™ collimators with AUTOFORM® technology, and Flash reconstruction, and
               full diagnostic multislice CT capability. Additionally our global service network provides you
               the reliability you need to operate your practice with confidence.




    HD Detectors
    Symbia’s latest HD Detector technology offers out­
    standing and consistent image quality. The energy
    independent response of the highly integrated
    detector electronics eliminates isotope­specific
    floods. Real time corrections and individual photo­
    multiplier tuning further minimize scheduled system
    calibrations and user interaction. Together with
    Siemens’ AUTOFORM collimators Symbia has the
    industry’s highest sensitivity, enabling more counts
    and better image quality.




    UFC Detectors
    Our proprietary Ultra­fast Ceramic (UFC) CT
    detector uses superior X­ray absorption, high light
    output and very short afterglow properties to
    produce stunning CT image quality. Compared to
    other detector materials, UFC has a much faster
    decay reaction, which enables the detector to
    measure more incoming photons per unit of time
    and contributes to improved image quality. This
    property, in combination with the short afterglow
    of UFC, allows very fast CT rotation times without
    an increase in image noise.




                                                           Innovative Bed Design
                                                           With its ultra­thin imaging pallet, the patient bed
                                                           is not only easy for you to use, it is comfortable
                                                           for your patients. The bed uses a 15 mm (0.6 in)
                                                           thick carbon fiber pallet for minimal attenuation
                                                           of the SPECT data and CT transmission X­ray and
                                                           together with the indexing rear support can help to
                                                           eliminate registration errors for patients weighing
                                                           up to 227 kg (500 lb). A complete set of arm and
                                                           head rests provides further patient comfort and
                                                           easy positioning. In fact, the lowest bed position gu­
                                                           arantees easy access even for patients with limited
                                                           mobility.

2
Data courtesy of
                                 University of Erlangen,
                                 Erlangen, Germany




                                                                  Support You Can Rely On
                                                                  Clinical confidence goes beyond working with trusted image
                                                                  quality. You not only need images you can believe in, you need
                                                                  a system you know will deliver them. Symbia systems combine
                                                                  the newest generation HD detector with an easy­to­use inter­
                                                                  face and control system to provide you with the reliability you
                                                                  need day in and day out.

                                                                  Siemens Remote Service (SRS) enables our engineers to
                                                                  check your system status through full remote access. SRS
                                                                  can run remote diagnostics, download HD detector and control
                                                                  software, perform software fixes, and check virus protection.
                                                                  Monitoring and trending of key performance indicators allows
                                                                  proactive service planning. The result, Siemens Remote Service
State-of-the-Art Reconstruction                                   program offers a short mean time to repair, high first­time fix
A leading iterative SPECT reconstruction method, Flash            and remote­fix rates.
significantly improves image quality. How? Reconstruction
image fidelity depends on the accuracy of the physical models
used in image formation. With onco•Flash and cardio•Flash,
you benefit from higher spatial resolution, reduced distortion,   SureView
and reduced artifacts. As a result, Flash images are more         A patented solution for multislice CT scanning, SureView pro­
accurate and easier to interpret.                                 vides exceptional image quality at any pitch setting. To acquire
                                                                  a scan, you simply select the scan volume (range), mAs, scan
                                                                  time, and slice width. All other parameters, such as pitch, are
                                                                  automatically calculated by the scanner, ensuring high quality
                                                                  imaging at any scanning speed. For spiral scanning, SureView
CARE Dose4D                                                       yields a remarkably low image noise level. To produce the same
The CARE Dose4D feature utilizes an advanced computing            noise level as sequential CT images, our spiral scan protocols
technique that provides real­time dose modulation of the          are created with lower mAs and, therefore, can reduce doses by
X­ray tube current according to the precise shape of the          up to 20 percent. Specify the slice thickness according to your
patient’s body during both spiral and sequential scanning.        clinical needs, and SureView automatically provides the best
CARE Dose4D uses the topogram to determine the optimum            image quality with reliable, excellent performance.
base level mA. It then automatically adjust the mA to reduce
the dose for low attenuation views and increase the dose for
views with higher attenuation angles. This provides patient
dose reduction of up to 68 percent.




                                                                                                                                    3
Accelerate your workflow.
       Operational costs and workflow. Diagnosis and treatment. Time affects every aspect of
       your daily imaging from your patients’ well-being to your staff’s efficiency. Designed with
       these needs in mind, Symbia’s automation and fast image acquisition enable you and your
       staff to perform at imaging speeds that may have been previously unattainable—which
       leads to the opportunity to provide faster patient diagnosis and treatment and to support
       increased patient volumes.




       Integrated Collimator
       Changer
       By integrating the collimator changer into
       the system, Symbia eliminates the need for
       a collimator cart by providing a storage area
       underneath the patient bed for both low and
       medium energy collimators. Initiated from the
       touch­screen patient positioning monitor, the
       integrated collimator changer (ICC) features
       automatic collimator attachment as well as
       robotic detector positioning.

       ICC Benefits:
       • Saves space
       • Easy to use
       • Eliminates risk of damage
       • Faster changing
       • Safe for the operator
                                                            Automated Collimator
                                                            Changer
                                                            The automated collimator changer (ACC) provides
                                                            a motorized collimator motion to the integrated
                                                            collimator changer.

                                                            In addition to the ICC benefits, ACC provides
                                                            the user:
                                                            • More time to perform other tasks
                                                            • More scheduling flexibility




       Internal ECG
       Symbia’s integrated ECG eliminates the need for
       a separate ECG box and monitor, so no additional
       space is needed for extra equipment. This further
       ensures a safer work environment by eliminating
       external wires.
4
Data courtesy of Iowa Heart Centre Des Moines, IA                                 Data courtesy of Geisinger Health
                                                                                    System Foundation, Danville, PA



                                                Full Time
                                                FBP




                                                Half Time
                                                with
                                                cardio•Flash




Fast Image Acquisition
Imagine acquiring images in half the time or with half the
injected dose while still obtaining quality as good as or better
than full­time images or full­dose images reconstructed the con­
ventional way. Is this possible? It is onco•Flash and cardio•Flash,
key features of the Symbia system. Flash technology restores
image quality from count­reduced patient scans acquired in less
time or with lower injected dose. Perform planar, whole­body
and SPECT studies with Flash and achieve better image separation,
better resolution, and better contrast.                                              Half Time Whole-             Full Time
                                                                                   Body with onco•Flash         Whole-Body FBP




                          Automated Quality Control
                          With automated daily, weekly, and           with a report of the completed QC
                          monthly quality control (QC), you can       results and integrates with SRS.
                          take comfort in the knowledge that QC
                          is performed routinely and consistently.    AQC Benefits:
                          Automatic Quality Control (AQC) auto­       • Reliable, consistently reproducible QC
                          matically starts the specified QC tasks     • Performance trending
                          so they are finished before your first      • Eliminated risk of spillage with open
                          scheduled patient arrives. AQC uses           sources
                          built­in shielded sources: A point source   • Operator dose reduction
                          for peaking and tuning, a line source for   • Remote Service Access monitoring
                          extrinsic flood, and a sleeve with five       to prevent unscheduled downtime
                          slits for center of rotation and multiple
                          head registration. The process finishes


                                                                      Data courtesy of
                                                                      University of Michigan,
                   AC                                                 Ann Arbor, MI




              Non AC




                          Attenuation Correction
                          Symbia’s TruePoint SPECT•CT technology
                          reduces exam time and motion artifacts. Less
                          than 30 seconds is added to any SPECT study
                          for accurate attenuation correction and to obtain
                          diagnostic quality anatomical maps.
                                                                                                                                 5
Accelerate your workflow.

            IQ•SPECT – The World’s First Intelligent SPECT Enabling the
            5-Minute Cardiac Workup
            With IQ•SPECT, you can get more information               track the heart and keep it in the sweet spot at
            from the heart in 5 minutes than you’d get with           all times so the acquisition can be quick and accu­
            a conventional SPECT in 20 minutes. Its dual              rate, resulting in superb patient comfort and high
            SMARTZOOM collimators work in tandem to                   throughput. IQ•SPECT’s three core technlogies are:




                      Collimation                             Acquisition                               Reconstruction




                                                                                                                  Forward
                                                                                                                 Projection




                                                                                                                                  Compare
                                                                                                        Update
                                                                                                                  Back
                                                                                                                  Projection
                                                 Conventional SPECT          IQ•SPECT




    Collimators center on the heart,           IQ•SPECT’s cardiocentric orbit is            The Flash­based 3D iterative recon­
    collecting up to 4 times more counts       centered on the heart instead of             struction algorithm models 48,000
    than parallel hole collimators. These      the gantry’s mechanical center. This         collimator holes for virtually artifact­
    collimators magnify the heart while        ensures that the heart is always             free image reconstruction.
    still capturing counts from the entire     in the SMARTZOOM collimators’
    body, so truncation is virtually           magnification area.
    eliminated.




          How about more counts in
          a fraction of the time? *
                                             Intelligent because                                                       Would you like more counts
                                                                                                                       with reduced dosage?

                                             it gets more
                                             information faster
                                             IQ•SPECT needs only 4 minutes for a
                                             full­count SPECT scan and just 60 seconds
                                             more for CT­based attenuation correc­
                                             tion and calcium scoring. Its inventive
                                             SMARTZOOM collimators, placed in a
                                             cardio­centric orbit, collect maximum
                                             information from the heart in the least
                                             amount of time.




6
Intelligent because it adapts                                          16 min                                                                     100%
                                                                                                                                            Information
to every situation today and
tomorrow.
The intelligent technology intuitively adapts to various
patient populations. Acquire full­count images four times               8 min                                                    50%                      Fast, full count scans
                                                                                                                          Information
faster or with significantly lower injected dose. This gives
you the flexibility to adapt to current and future conditions                                                                                             IQ•SPECT delivers as many
concerning patients, throughput, and isotope supply.                    4 min                                                                             counts as a conventional
                                                                                                                                                          full­time SPECT in 1/4th
IQ•SPECT is upgradeable for all Symbia S and T systems, so                                                                                                of the time.




                                                                                     Standard FBP

                                                                                                       Half-time with

                                                                                                      Reconstruction

                                                                                                                             IQ•SPECT
every Symbia can now have more IQ than ever before.




                                                                                                        3D Interative
                            Regular SPECT                                  IQ•SPECT
                   DOSE         TIME        IMAGE QUALITY       DOSE                 TIME                           IMAGE QUALITY                         Adaptability for various
                                                                                                                                                          patient populations

                                                                                                                                                          IQ•SPECT’s short scan
                   Full     16 minutes        Excellent         Full       4 minutes                                    Excellent
                                                                                                                                                          time minimizes motion
                                                                                                                                                          artifacts and enhances
     Average                                                                                                                                              patient comfort, resulting
                                                                                                                                                          in excellent image quality
                                                                                                                                                          for various patient po­
                                                                                                                                                          pulations. IQ•SPECT also
                   Half     16 minutes      Sub-Optimal         Half       8 minutes                                    Excellent                         provides the flexibility
                                                                                                                                                          to adapt to challenging
                                                                                                                                                          image situations, offering
     Pediatric                                                                                                                                            outstanding image quality
                                                                                                                                                          for bariatric patients or
                                                                                                                                                          for pediatric patients with
                                                                                                                                                          low dosage.
                   Full     16 minutes      Sub-Optimal         Full       8 minutes                                    Excellent


      Obese




Intelligent because it                                      IQ•SPECT is fully compatible with all of Symbia’s industry­best, produc­
                                                            tivity features like automatic collimator changer and automatic quality
integrates seamlessly with                                  control. It intelligently combines the newest technology with automatic
your automated workflow.                                    image processing and display functions to give you superb convenience
                                                            that is right at your fingertips and that fits into your workflow.



                                       Change Collimator
                                                                                                                          Calcium Scoring
                                                                                                       CT Attenuation
                                                                                Cardio-centric
                                                                                 SPECT Orbit



                                                                                                         Correction




     IQ•SPECT Workflow                   Prepare Patient


                                       Setup Acquisition


                                        Preparation                                                 Acquisition                                       Reconstruction and Viewing


                                                                                                                                                                                        7
Experience versatility.
       Confidence and speed can only take you so far. In the healthcare industry, the ability to
       do more with less is often a call to action for operational and departmental managers.
       To help, Symbia provides you with the clinical flexibility to manage your entire workflow,
       integrate and customize clinical applications, and easily upgrade to the next level of
       SPECT•CT imaging.




                                                            Imaging Obese Patients
                                                            Imaging bariatric patients can prove difficult
                                                            on some equipment. Designed for patient comfort
                                                            and quality images, Symbia offers a 227 kg (500 lb)
                                                            patient weight limit, 70 cm (27.5 in) tunnel opening,
                                                            and 200 cm (6 ft 7 in) maximum scan length—all of
                                                            which enable you to image larger patients with ease.
                                                            In addition, the patient bed lowers to a convenient
                                                            53 cm (21 in) for easy patient access even for patients
                                                            with limited mobility.




8
Data courtesy of Centre
                                                         Hospitalier Universitaire
                                                         De La Cavale Blanche,
                                                         Brest, France




Diagnostic CT                                            Detector Flexibility
By providing both diagnostic CT and SPECT studies        To complete Symbia’s full range of versatility, the
in a single system, Symbia makes exams easier on         detector heads easily rotate into numerous positions
patients, preventing days or weeks of uncertainty        including caudal/cephalic tilt offering comprehensive
as they wait for test results. Perform three different   imaging positions for general purpose, cardiology,
types of imaging studies—SPECT, multislice­CT,           oncology, and neurology studies. Together, these
and SPECT•CT—to achieve 100% modality utiliza­           features enable faster set­up and image acquisition
tion. Acquiring multiple studies during one patient      and make a whole range of otherwise difficult
visit enhances therapy planning, speeds exam time,       scans possible.
and increases comfort and convenience for patients.
TruePoint SPECT•CT acquires CT data in less than         You can perform:
30 seconds—a fast scan time that reduces motion          • Planar imaging of ambulatory, wheelchair,
artifacts. The high quality of this CT data improves       and gurney patients
attenuation correction accuracy for cardiology as well   • Cardiac SPECT on all patient sizes
as general SPECT applications while CARE Dose4D          • 180° whole­body and SPECT scans
and special pediatric protocols allow you to minimize    • Imaging of thyroid, and small structures
patient dose. SureView provides excellent image qua­       with pinhole collimator
lity while minimizing patient dose. The potential to     • Outer room position for standing
detect disease at its earliest stages, combined with       and sitting patients
unmatched workflow efficiency gives you an
unparalleled combination.


Upgradeability
Siemens can upgrade your Symbia S to any
TruePoint SPECT•CT model. You can also upgrade
from one model of Symbia SPECT•CT to any of the
higher performance models with more CT slices.
So, regardless of where you start with Symbia, it
can grow with your clinical needs and provide
investment protection and non­obsolescence.




                                                                                                                 9
Experience versatility.



     syngo
     An intelligent post­processing workplace, syngo®
     integrates your entire workflow from order and
     scheduling to imaging, viewing, reporting, and
     distribution. This integration enables a high level of
     interoperability, flexible staff use, shorter training,
     and, ultimately, reduced costs. You can combine
     multiple tasks into one and bring together all of the     Clinical Engines
     solutions that are critical to you and your patients.     Clinical engines are a unique combination of software
     With easy access to all patient data from anywhere        applications with a disease orientated focus. They
     and support for more than 50 different syngo              provide clinical workflows for oncology, cardiology
     applications, you have the solution you need for          and neurology and each of these is available in three
     diagnostic and therapeutic cycles.                        levels of increasing functionality. Depending on your
                                                               patient volume you can mix and match ologies and
                                                               levels to meet your specific needs.




     Symbia.net Clinical Workflow                              Symbia.net is a cost­effective, client­server solution
                                                               for anywhere, anytime processing and reading of
     Server – Information Access                               SPECT and SPECT·CT studies.
     Made Easy

10
Symbia.net


                                                                                                        Symbia.net is ideal for hospital
   c.cam                                                                                                imaging departments requiring
                                                                                                        an affordable and expandable
   Symbia E                                                                                             client­server solution enabling
                                                                                  Wireless              SPECT and SPECT•CT informa­
                                                             Network                                    tion access for up to five
   Symbia S
                                                                                                        concurrent users. For more
                                                                                                        information, please visit
   Symbia T
                                                                                                        www.siemens.com/symbianet.

                                 Server




                   Legend

                                 Active           Inactive              Active    Inactive
                                 on-line           on-line             wireless   wireless




Anytime Access to
full processing and                           Easy to install and                            Economical to
reading capabilities                          operate                                        maintain and expand
Whether you are within or outside your        Symbia.net easily integrates with your         Symbia.net scales efficiently as demand
imaging department, you have full access      existing cameras, RIS, and PACS systems.       increases. Floating licenses and clients
to your studies. Any PC or Mac with           A virtually unlimited number of client         can be added at any time. One server with
appropriate network connection and            computers can be installed in minutes.         floating licenses provides access for up
minimal hardware requirements can be          Designed for the needs of molecular            to five concurrent users. Symbia.net
used as a client, and up to five concur­      imaging, Symbia.net offers a user­             requires less capital investment than two
rent users can access the clinical network    friendly interface and advanced                stand­alone workstations with comparable
simultaneously. Symbia.net is the only        automation features.                           configuration. The server provides fast
client­server solution that provides full                                                    and efficient network updates and mainte­
processing and reading capabilities and                                                      nance, remote installation, and monitoring
includes advanced clinical applications                                                      of the client system. With only one server
such as Corridor 4DM, Cedars, or Emory                                                       to administrate, Symbia.net reduces total
cardiac packages.                                                                            cost of ownership and increases uptime.




                                                                                                                                      11
Symbia S
                                Intuitive hand controller
                                Easy to use with backlit icon




Autocontour
Infrared body contour system
minimizes patient­to­detector
distance and reduces patient
set­up time




Open Gantry
Patient friendly
gantry design with
102 cm x 78 cm
(40.2 x 30.7 in)
 opening




HD Detector
High definition digital
detectors provide energy
independent performance




                                                                Automated Collimator
                                                                Changer (ACC)
                                                                Completely automatic
                                                                functions including motorized
                                                                collimator motion initiated
                                                                from the patient positioning
                                                                monitor
12
Patient Positioning Monitor
                                                  Self­guided touch screen
                                                  user interface with configu­
                                                  ration icons and the optional
                                                  e.media entertainment system




                        Internal ECG
                        Patient lead input for
                        integrated ECG           Innovative Bed Design
                                                 Low patient bed for easy
                                                 access with ergonomic patient
                                                 comfort accessories and an
                                                 ultra­thin pallet for improved
                                                 image quality.




Automated Quality Control (AQC)
Built­in point and line sources for fully
automated quality control                                                   13
Symbia T                                                            CT Window
                                                                    Circular slit for X­ray
                                                                    field of view


                       Intuitive hand controller
                       Easy to use with backlit icon




Open Gantry
Patient friendly integrated
gantry design with 70 cm
(27.5 in) opening for
greater patient comfort




Rear Bed
Rear bed with two positions
to eliminate registration
arrows between CT and
SPECT modes




Autocontour
Infrared body contour system
minimizes patient­to­detector
distance and reduces patient
set­up time


                                             HD Detector
                                                                                              Automated Collimator
                                             High definition digital detec­
                                                                                              Changer (ACC)
                                             tors provide energy indepen­
                                                                                              Completely automatic func­
                                             dent performance
                                                                                              tions including motorized
                                                                                              collimator motion initiated
                                                                                              from the patient positioning
14
                                                                                              monitor
Patient Positioning Monitor
                                                                                            Self­guided touch screen
Breath Hold Indicators                                                                      user interface with configu­
For ease of use in CT studies                                                               ration icons and the optional
                                                                                            e.media entertainment system




                                          Automated Quality
                                          Control (AQC)
                                          Built­in point and line
                                          sources for fully automated
                                          quality control                        Internal ECG
                                                                                 Patient lead input for
                                                                                 integrated ECG




                                Innovative Bed Design
                                Low patient bed for easy access with ergonomic
                                patient comfort accessories.
                                                                                                                      15
Siemens Molecular Imaging reserves the right to
modify the design and specifications contained
herein without prior notice. Please contact your
local Sales representative for the most current
information. Some options and functionality will
not be available immediately on product release.
Where certain options and functionality are not
available on delivery, these will be delivered as
part of subsequent software or hardware releas­
es. Please confirm availability and timing with
your representative.
                                                     Global Business Unit Address
Trademarks and service marks used in this mate­
rial are property of Siemens Medical Solutions       Siemens Medical Solutions USA, Inc.
USA or Siemens AG. All other company, brand,         Molecular Imaging
product and service names may be trademarks or       2501 N. Barrington Road
registered trademarks of their respective holders.   Hoffman Estates, IL 60192
                                                     USA
© 2010 Siemens Medical Solutions USA, Inc.           Telephone: +1 847 304­7700
All rights reserved.                                 www.siemens.com/mi



Global Siemens Headquarters                          Global Siemens Headquarters           Legal Manufacturer
                                                     Healthcare Headquarters
Siemens AG                                                                                 Siemens Medical Solutions USA, Inc.
Wittelsbacherplatz 2                                 Siemens AG                            Molecular Imaging
80333 Munich                                         Healthcare Sector                     2501 N. Barrington Road
Germany                                              Henkestrasse 127                      Hoffman Estates, IL 60192
                                                     91052 Erlangen                        USA
                                                     Germany                               Telephone: +1 847 304­7700
                                                     Telephone: +49 9131 84­0              www.siemens.com/mi
                                                     www.siemens.com/healthcare




www.siemens.com/mi


Order No. A91MI­10126­2C­7600 | Printed in the USA /2 | © 05.2010, Siemens AG

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Symbia T Spect-CT

  • 1. Symbia TruePoint SPECT•CT Working For You www.siemens.com/mi
  • 2. Work with confidence. What does it mean to work with confidence? It’s clarity—not only image clarity but the clarity of mind you can obtain from viewing images in which you have the highest measures of clinical certainty. Symbia ensures this clarity through its advanced HD detector, innovative bed design, BiCORE™ collimators with AUTOFORM® technology, and Flash reconstruction, and full diagnostic multislice CT capability. Additionally our global service network provides you the reliability you need to operate your practice with confidence. HD Detectors Symbia’s latest HD Detector technology offers out­ standing and consistent image quality. The energy independent response of the highly integrated detector electronics eliminates isotope­specific floods. Real time corrections and individual photo­ multiplier tuning further minimize scheduled system calibrations and user interaction. Together with Siemens’ AUTOFORM collimators Symbia has the industry’s highest sensitivity, enabling more counts and better image quality. UFC Detectors Our proprietary Ultra­fast Ceramic (UFC) CT detector uses superior X­ray absorption, high light output and very short afterglow properties to produce stunning CT image quality. Compared to other detector materials, UFC has a much faster decay reaction, which enables the detector to measure more incoming photons per unit of time and contributes to improved image quality. This property, in combination with the short afterglow of UFC, allows very fast CT rotation times without an increase in image noise. Innovative Bed Design With its ultra­thin imaging pallet, the patient bed is not only easy for you to use, it is comfortable for your patients. The bed uses a 15 mm (0.6 in) thick carbon fiber pallet for minimal attenuation of the SPECT data and CT transmission X­ray and together with the indexing rear support can help to eliminate registration errors for patients weighing up to 227 kg (500 lb). A complete set of arm and head rests provides further patient comfort and easy positioning. In fact, the lowest bed position gu­ arantees easy access even for patients with limited mobility. 2
  • 3. Data courtesy of University of Erlangen, Erlangen, Germany Support You Can Rely On Clinical confidence goes beyond working with trusted image quality. You not only need images you can believe in, you need a system you know will deliver them. Symbia systems combine the newest generation HD detector with an easy­to­use inter­ face and control system to provide you with the reliability you need day in and day out. Siemens Remote Service (SRS) enables our engineers to check your system status through full remote access. SRS can run remote diagnostics, download HD detector and control software, perform software fixes, and check virus protection. Monitoring and trending of key performance indicators allows proactive service planning. The result, Siemens Remote Service State-of-the-Art Reconstruction program offers a short mean time to repair, high first­time fix A leading iterative SPECT reconstruction method, Flash and remote­fix rates. significantly improves image quality. How? Reconstruction image fidelity depends on the accuracy of the physical models used in image formation. With onco•Flash and cardio•Flash, you benefit from higher spatial resolution, reduced distortion, SureView and reduced artifacts. As a result, Flash images are more A patented solution for multislice CT scanning, SureView pro­ accurate and easier to interpret. vides exceptional image quality at any pitch setting. To acquire a scan, you simply select the scan volume (range), mAs, scan time, and slice width. All other parameters, such as pitch, are automatically calculated by the scanner, ensuring high quality imaging at any scanning speed. For spiral scanning, SureView CARE Dose4D yields a remarkably low image noise level. To produce the same The CARE Dose4D feature utilizes an advanced computing noise level as sequential CT images, our spiral scan protocols technique that provides real­time dose modulation of the are created with lower mAs and, therefore, can reduce doses by X­ray tube current according to the precise shape of the up to 20 percent. Specify the slice thickness according to your patient’s body during both spiral and sequential scanning. clinical needs, and SureView automatically provides the best CARE Dose4D uses the topogram to determine the optimum image quality with reliable, excellent performance. base level mA. It then automatically adjust the mA to reduce the dose for low attenuation views and increase the dose for views with higher attenuation angles. This provides patient dose reduction of up to 68 percent. 3
  • 4. Accelerate your workflow. Operational costs and workflow. Diagnosis and treatment. Time affects every aspect of your daily imaging from your patients’ well-being to your staff’s efficiency. Designed with these needs in mind, Symbia’s automation and fast image acquisition enable you and your staff to perform at imaging speeds that may have been previously unattainable—which leads to the opportunity to provide faster patient diagnosis and treatment and to support increased patient volumes. Integrated Collimator Changer By integrating the collimator changer into the system, Symbia eliminates the need for a collimator cart by providing a storage area underneath the patient bed for both low and medium energy collimators. Initiated from the touch­screen patient positioning monitor, the integrated collimator changer (ICC) features automatic collimator attachment as well as robotic detector positioning. ICC Benefits: • Saves space • Easy to use • Eliminates risk of damage • Faster changing • Safe for the operator Automated Collimator Changer The automated collimator changer (ACC) provides a motorized collimator motion to the integrated collimator changer. In addition to the ICC benefits, ACC provides the user: • More time to perform other tasks • More scheduling flexibility Internal ECG Symbia’s integrated ECG eliminates the need for a separate ECG box and monitor, so no additional space is needed for extra equipment. This further ensures a safer work environment by eliminating external wires. 4
  • 5. Data courtesy of Iowa Heart Centre Des Moines, IA Data courtesy of Geisinger Health System Foundation, Danville, PA Full Time FBP Half Time with cardio•Flash Fast Image Acquisition Imagine acquiring images in half the time or with half the injected dose while still obtaining quality as good as or better than full­time images or full­dose images reconstructed the con­ ventional way. Is this possible? It is onco•Flash and cardio•Flash, key features of the Symbia system. Flash technology restores image quality from count­reduced patient scans acquired in less time or with lower injected dose. Perform planar, whole­body and SPECT studies with Flash and achieve better image separation, better resolution, and better contrast. Half Time Whole- Full Time Body with onco•Flash Whole-Body FBP Automated Quality Control With automated daily, weekly, and with a report of the completed QC monthly quality control (QC), you can results and integrates with SRS. take comfort in the knowledge that QC is performed routinely and consistently. AQC Benefits: Automatic Quality Control (AQC) auto­ • Reliable, consistently reproducible QC matically starts the specified QC tasks • Performance trending so they are finished before your first • Eliminated risk of spillage with open scheduled patient arrives. AQC uses sources built­in shielded sources: A point source • Operator dose reduction for peaking and tuning, a line source for • Remote Service Access monitoring extrinsic flood, and a sleeve with five to prevent unscheduled downtime slits for center of rotation and multiple head registration. The process finishes Data courtesy of University of Michigan, AC Ann Arbor, MI Non AC Attenuation Correction Symbia’s TruePoint SPECT•CT technology reduces exam time and motion artifacts. Less than 30 seconds is added to any SPECT study for accurate attenuation correction and to obtain diagnostic quality anatomical maps. 5
  • 6. Accelerate your workflow. IQ•SPECT – The World’s First Intelligent SPECT Enabling the 5-Minute Cardiac Workup With IQ•SPECT, you can get more information track the heart and keep it in the sweet spot at from the heart in 5 minutes than you’d get with all times so the acquisition can be quick and accu­ a conventional SPECT in 20 minutes. Its dual rate, resulting in superb patient comfort and high SMARTZOOM collimators work in tandem to throughput. IQ•SPECT’s three core technlogies are: Collimation Acquisition Reconstruction Forward Projection Compare Update Back Projection Conventional SPECT IQ•SPECT Collimators center on the heart, IQ•SPECT’s cardiocentric orbit is The Flash­based 3D iterative recon­ collecting up to 4 times more counts centered on the heart instead of struction algorithm models 48,000 than parallel hole collimators. These the gantry’s mechanical center. This collimator holes for virtually artifact­ collimators magnify the heart while ensures that the heart is always free image reconstruction. still capturing counts from the entire in the SMARTZOOM collimators’ body, so truncation is virtually magnification area. eliminated. How about more counts in a fraction of the time? * Intelligent because Would you like more counts with reduced dosage? it gets more information faster IQ•SPECT needs only 4 minutes for a full­count SPECT scan and just 60 seconds more for CT­based attenuation correc­ tion and calcium scoring. Its inventive SMARTZOOM collimators, placed in a cardio­centric orbit, collect maximum information from the heart in the least amount of time. 6
  • 7. Intelligent because it adapts 16 min 100% Information to every situation today and tomorrow. The intelligent technology intuitively adapts to various patient populations. Acquire full­count images four times 8 min 50% Fast, full count scans Information faster or with significantly lower injected dose. This gives you the flexibility to adapt to current and future conditions IQ•SPECT delivers as many concerning patients, throughput, and isotope supply. 4 min counts as a conventional full­time SPECT in 1/4th IQ•SPECT is upgradeable for all Symbia S and T systems, so of the time. Standard FBP Half-time with Reconstruction IQ•SPECT every Symbia can now have more IQ than ever before. 3D Interative Regular SPECT IQ•SPECT DOSE TIME IMAGE QUALITY DOSE TIME IMAGE QUALITY Adaptability for various patient populations IQ•SPECT’s short scan Full 16 minutes Excellent Full 4 minutes Excellent time minimizes motion artifacts and enhances Average patient comfort, resulting in excellent image quality for various patient po­ pulations. IQ•SPECT also Half 16 minutes Sub-Optimal Half 8 minutes Excellent provides the flexibility to adapt to challenging image situations, offering Pediatric outstanding image quality for bariatric patients or for pediatric patients with low dosage. Full 16 minutes Sub-Optimal Full 8 minutes Excellent Obese Intelligent because it IQ•SPECT is fully compatible with all of Symbia’s industry­best, produc­ tivity features like automatic collimator changer and automatic quality integrates seamlessly with control. It intelligently combines the newest technology with automatic your automated workflow. image processing and display functions to give you superb convenience that is right at your fingertips and that fits into your workflow. Change Collimator Calcium Scoring CT Attenuation Cardio-centric SPECT Orbit Correction IQ•SPECT Workflow Prepare Patient Setup Acquisition Preparation Acquisition Reconstruction and Viewing 7
  • 8. Experience versatility. Confidence and speed can only take you so far. In the healthcare industry, the ability to do more with less is often a call to action for operational and departmental managers. To help, Symbia provides you with the clinical flexibility to manage your entire workflow, integrate and customize clinical applications, and easily upgrade to the next level of SPECT•CT imaging. Imaging Obese Patients Imaging bariatric patients can prove difficult on some equipment. Designed for patient comfort and quality images, Symbia offers a 227 kg (500 lb) patient weight limit, 70 cm (27.5 in) tunnel opening, and 200 cm (6 ft 7 in) maximum scan length—all of which enable you to image larger patients with ease. In addition, the patient bed lowers to a convenient 53 cm (21 in) for easy patient access even for patients with limited mobility. 8
  • 9. Data courtesy of Centre Hospitalier Universitaire De La Cavale Blanche, Brest, France Diagnostic CT Detector Flexibility By providing both diagnostic CT and SPECT studies To complete Symbia’s full range of versatility, the in a single system, Symbia makes exams easier on detector heads easily rotate into numerous positions patients, preventing days or weeks of uncertainty including caudal/cephalic tilt offering comprehensive as they wait for test results. Perform three different imaging positions for general purpose, cardiology, types of imaging studies—SPECT, multislice­CT, oncology, and neurology studies. Together, these and SPECT•CT—to achieve 100% modality utiliza­ features enable faster set­up and image acquisition tion. Acquiring multiple studies during one patient and make a whole range of otherwise difficult visit enhances therapy planning, speeds exam time, scans possible. and increases comfort and convenience for patients. TruePoint SPECT•CT acquires CT data in less than You can perform: 30 seconds—a fast scan time that reduces motion • Planar imaging of ambulatory, wheelchair, artifacts. The high quality of this CT data improves and gurney patients attenuation correction accuracy for cardiology as well • Cardiac SPECT on all patient sizes as general SPECT applications while CARE Dose4D • 180° whole­body and SPECT scans and special pediatric protocols allow you to minimize • Imaging of thyroid, and small structures patient dose. SureView provides excellent image qua­ with pinhole collimator lity while minimizing patient dose. The potential to • Outer room position for standing detect disease at its earliest stages, combined with and sitting patients unmatched workflow efficiency gives you an unparalleled combination. Upgradeability Siemens can upgrade your Symbia S to any TruePoint SPECT•CT model. You can also upgrade from one model of Symbia SPECT•CT to any of the higher performance models with more CT slices. So, regardless of where you start with Symbia, it can grow with your clinical needs and provide investment protection and non­obsolescence. 9
  • 10. Experience versatility. syngo An intelligent post­processing workplace, syngo® integrates your entire workflow from order and scheduling to imaging, viewing, reporting, and distribution. This integration enables a high level of interoperability, flexible staff use, shorter training, and, ultimately, reduced costs. You can combine multiple tasks into one and bring together all of the Clinical Engines solutions that are critical to you and your patients. Clinical engines are a unique combination of software With easy access to all patient data from anywhere applications with a disease orientated focus. They and support for more than 50 different syngo provide clinical workflows for oncology, cardiology applications, you have the solution you need for and neurology and each of these is available in three diagnostic and therapeutic cycles. levels of increasing functionality. Depending on your patient volume you can mix and match ologies and levels to meet your specific needs. Symbia.net Clinical Workflow Symbia.net is a cost­effective, client­server solution for anywhere, anytime processing and reading of Server – Information Access SPECT and SPECT·CT studies. Made Easy 10
  • 11. Symbia.net Symbia.net is ideal for hospital c.cam imaging departments requiring an affordable and expandable Symbia E client­server solution enabling Wireless SPECT and SPECT•CT informa­ Network tion access for up to five Symbia S concurrent users. For more information, please visit Symbia T www.siemens.com/symbianet. Server Legend Active Inactive Active Inactive on-line on-line wireless wireless Anytime Access to full processing and Easy to install and Economical to reading capabilities operate maintain and expand Whether you are within or outside your Symbia.net easily integrates with your Symbia.net scales efficiently as demand imaging department, you have full access existing cameras, RIS, and PACS systems. increases. Floating licenses and clients to your studies. Any PC or Mac with A virtually unlimited number of client can be added at any time. One server with appropriate network connection and computers can be installed in minutes. floating licenses provides access for up minimal hardware requirements can be Designed for the needs of molecular to five concurrent users. Symbia.net used as a client, and up to five concur­ imaging, Symbia.net offers a user­ requires less capital investment than two rent users can access the clinical network friendly interface and advanced stand­alone workstations with comparable simultaneously. Symbia.net is the only automation features. configuration. The server provides fast client­server solution that provides full and efficient network updates and mainte­ processing and reading capabilities and nance, remote installation, and monitoring includes advanced clinical applications of the client system. With only one server such as Corridor 4DM, Cedars, or Emory to administrate, Symbia.net reduces total cardiac packages. cost of ownership and increases uptime. 11
  • 12. Symbia S Intuitive hand controller Easy to use with backlit icon Autocontour Infrared body contour system minimizes patient­to­detector distance and reduces patient set­up time Open Gantry Patient friendly gantry design with 102 cm x 78 cm (40.2 x 30.7 in) opening HD Detector High definition digital detectors provide energy independent performance Automated Collimator Changer (ACC) Completely automatic functions including motorized collimator motion initiated from the patient positioning monitor 12
  • 13. Patient Positioning Monitor Self­guided touch screen user interface with configu­ ration icons and the optional e.media entertainment system Internal ECG Patient lead input for integrated ECG Innovative Bed Design Low patient bed for easy access with ergonomic patient comfort accessories and an ultra­thin pallet for improved image quality. Automated Quality Control (AQC) Built­in point and line sources for fully automated quality control 13
  • 14. Symbia T CT Window Circular slit for X­ray field of view Intuitive hand controller Easy to use with backlit icon Open Gantry Patient friendly integrated gantry design with 70 cm (27.5 in) opening for greater patient comfort Rear Bed Rear bed with two positions to eliminate registration arrows between CT and SPECT modes Autocontour Infrared body contour system minimizes patient­to­detector distance and reduces patient set­up time HD Detector Automated Collimator High definition digital detec­ Changer (ACC) tors provide energy indepen­ Completely automatic func­ dent performance tions including motorized collimator motion initiated from the patient positioning 14 monitor
  • 15. Patient Positioning Monitor Self­guided touch screen Breath Hold Indicators user interface with configu­ For ease of use in CT studies ration icons and the optional e.media entertainment system Automated Quality Control (AQC) Built­in point and line sources for fully automated quality control Internal ECG Patient lead input for integrated ECG Innovative Bed Design Low patient bed for easy access with ergonomic patient comfort accessories. 15
  • 16. Siemens Molecular Imaging reserves the right to modify the design and specifications contained herein without prior notice. Please contact your local Sales representative for the most current information. Some options and functionality will not be available immediately on product release. Where certain options and functionality are not available on delivery, these will be delivered as part of subsequent software or hardware releas­ es. Please confirm availability and timing with your representative. Global Business Unit Address Trademarks and service marks used in this mate­ rial are property of Siemens Medical Solutions Siemens Medical Solutions USA, Inc. USA or Siemens AG. All other company, brand, Molecular Imaging product and service names may be trademarks or 2501 N. Barrington Road registered trademarks of their respective holders. Hoffman Estates, IL 60192 USA © 2010 Siemens Medical Solutions USA, Inc. Telephone: +1 847 304­7700 All rights reserved. www.siemens.com/mi Global Siemens Headquarters Global Siemens Headquarters Legal Manufacturer Healthcare Headquarters Siemens AG Siemens Medical Solutions USA, Inc. Wittelsbacherplatz 2 Siemens AG Molecular Imaging 80333 Munich Healthcare Sector 2501 N. Barrington Road Germany Henkestrasse 127 Hoffman Estates, IL 60192 91052 Erlangen USA Germany Telephone: +1 847 304­7700 Telephone: +49 9131 84­0 www.siemens.com/mi www.siemens.com/healthcare www.siemens.com/mi Order No. A91MI­10126­2C­7600 | Printed in the USA /2 | © 05.2010, Siemens AG