Computed Tomography SOMATOM go.Up Clinical Cases

© Siemens Healthcare GmbH, 2017

Computed TomographySOMATOM go.Up

Clinical CasesNot for distribution / use in the U.S.

Computed TomographyPage 2 | © Siemens Healthcare GmbH, 2017

Lung Imaging

Not for distribution / use in the U.S.


Courtesy of Erlangen University Hospital, Erlangen, GermanyNot for distribution / use in the U.S.

Lung imagingwithout contrast media application

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Collimation: 32 x 0.7 mmScan time: 9 sScan length: 400 mmRotation time: 0.8 sPitch factor: 1.5Scan parameters: 130 kV / 101 mAsCTDIvol: 6.58 mGyDLP: 247 mGy cm1 mm slice thickness

• Excellent visualization of lung tissue• Balanced parameter utilization for fast

scanning• Multiple lung nodules visualized

coronal oblique thick-slice MIP


Courtesy of Erlangen University Hospital, Erlangen, GermanyCinematic VRT performed with syngo.viaCinematic VRT is recommended for communication, education, and publication purposes and not intended for diagnostic reading.Not for distribution / use in the U.S.

Lung imagingwithout contrast media application

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Collimation: 32 x 0.7 mmScan time: 9 sScan length: 400 mmRotation time: 0.8 sPitch factor: 1.5Scan parameters: 130 kV / 101 mAsCTDIvol: 6.58 mGyDLP: 247 mGy cm

• Excellent visualization of lung tissue• High image quality



Low-dose lung imagingwith Tin Filter

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Collimation: 32 x 0.7 mmScan time: 13 sScan length: 398 mmRotation time: 0.8 sPitch factor: 1Scan parameters: Sn110 kV / 100 mAsCTDIvol: 1.28 mGyDLP: 47.7 mGy cm1 mm slice thickness

• Excellent visualization of lung tissue• Outstanding low-dose protocol• Improved image quality for air-to-tissue

enabled by Tin Filter technology

coronal and sagittal MPR




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Collimation: 32 x 0.7 mmScan time: 13 sScan length: 398 mmRotation time: 0.8 sPitch factor: 1Scan parameters: Sn110 kV / 100 mAsCTDIvol: 1.28 mGyDLP: 47.7 mGy cm1 mm slice thickness

• Low-dose protocol• Improved image quality for air-to-soft-tissue

enabled by Tin Filter technology• Lung nodules delineated sharply

thick-slice MIP




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Collimation: 32 x 0.7 mmScan time: 8 sScan length: 344 mmRotation time: 0.8 sPitch factor: 1.4Scan parameters: Sn110 kV / 128 mAsCTDIvol: 1.02 mGyDLP: 32.7 mGy cm2 mm slice thickness

• Excellent visualization of lung nodules• Low radiation dose applied• Obese patient

2 mm slice thicknesscoronal MPR




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• Outstanding performance enabledby Tin Filter, ideal for lung screening purposes

thick-slice MIP coronal MPR



Lung imagingwith i.v. contrast media application

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Collimation: 32 x 0.7 mmScan time: 6 sScan length: 285 mmRotation time: 0.8 sPitch factor: 1.5Scan parameters: 110 kV / 156 mAsCTDIvol: 4.78 mGyDLP: 125 mGy cm0.8 mm slice thickness

• Rule-out of pulmonary embolism• Severe scoliosis• Obese patient• Test bolus application for CTA planning

oblique MPR topogram


Pelvic Imaging

Not for distribution / use in the U.S. Page 10 | © Siemens Healthcare GmbH, 2017



Pelvic imagingwith i.v. contrast media application

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• Follow-up examination• High image quality even in challenging

body regions like pelvic area

sagittal MPR


Abdominal andWhole-Body Imaging




Abdominal imagingwithout contrast media application

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• Obese patient• Excellent dose efficiency enabled by

Stellar detector technology• Impaired left kidney

sagittal and coronal oblique MPR



Abdominal imagingwith oral contrast media application 1/2

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• Advanced tumor stage• Rule-out of severe stenosis of the bowel




Abdominal imagingwith oral contrast media application 2/2

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• Advanced tumor stage• Rule-out of severe stenosis of the bowel


Abdominal imagingwith i.v. and rectal contrast media application 1/3

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• Excellent dose efficiency enabled byStellar detector technology

• Evaluation of bowel, e.g. rule-out ofperforation





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• Fine visualization even of small bonystructures in routine scanning

• Automatic MPR orientation thanksto Recon&GO




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• High resolution data in routinefor volume scanning



Abdominal imagingwith i.v. contrast media application

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• Follow-up scan in case of double-pigtailcatheter placement

sagittal and coronal oblique MPRthick-slice MIP

demonstrating catheter placement



Long scan range scanwith i.v. contrast media application

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• Staging examination with delayed phase• Accidental finding of aortic aneurysm• Easy postprocessing available with Vessel

Extension tools at CT View&GO




Two-step thorax and abdomen imagingwith i.v. contrast media application 1/2

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Collimation: 32 x 0.7 mm (each)Scan time: 16 s (thorax)

21 s (abdomen)Scan length: 392 mm (thorax)

502 mm (abdomen)Rotation time: 0.8 s (each)Pitch factor: 0.8 (each)Scan parameters: 130 kV / 58 mAs (thorax)

130 kV / 98 mAs (abdomenCTDIvol: 5.37 mGy (thorax)

10.5 mGy (abdomen)DLP: 197 mGy cm (thorax)

502 mGy cm (abdomen)

• Follow-up after partial liver resection• Multi-step CT protocol

3 mm MPR




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Collimation: 32 x 0.7 mm (each)Scan time: 16 s (thorax)Scan length: 392 mm (thorax)Rotation time: 0.8 sPitch factor: 0.8Scan parameters: 130 kV / 58 mAs (thorax)CTDIvol: 5.37 mGy (thorax)DLP: 197 mGy cm (thorax)

• VRT based on thoracic spiral




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• Multiple infiltrates and lesions with cavitiesclearly visualized




This image cannot currently be displayed.

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• Multiple infiltrates and lesions• High resolution data in routine for

volume scanning




coronal oblique MPR

arterial phase derived from thorax spiral

corresponding portal-venous phase from abdominal spiral

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• Thrombosis of the portal vein




Topogram

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Collimation: 32 x 0.7 mm (each)Scan time: 16 s (thorax); 21 s (abdomen)Scan length: 390 mm (thorax); 484 mm (abdomen)Rotation time: 0.8 s (each)Pitch factor: 0.8 (each)Scan parameters: 130 kV / 54 mAs (thorax)

130 kV / 98 mAs (abdomenCTDIvol: 4.3 mGy (thorax); 6.77 mGy (abdomen)DLP: 157 mGy cm (thorax); 311 mGy cm (abdomen)3 mm slice thickness

• Follow-up scan / staging• Resection of right lung• Spondylolisthesis lumbar spine with dorsal

fixateur interne and fusion




coronal MPR3 mm

coronal MPR1 mm

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Collimation: 32 x 0.7 mmScan time: 16 sScan length: 390 mmRotation time: 0.8 sPitch factor: 0.8Scan parameters: 130 kV / 54 mAs (thorax)CTDIvol: 4.3 mGyDLP: 157 mGy cm

• Resection of right lung• Scar tissue left lung well delineated• High image quality even in challenging body

regions like lung apex




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• Spondylolisthesis lumbar spine with dorsalfixateur intern and fusion

• Defect left ala os ilii• Hemangioma thoracic vertebra



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Courtesy of Erlangen University Hospital, Erlangen, GermanyCinematic VRT performed with syngo.viaCinematic VRT is recommended for communication, education, and publication purposes and not intended for diagnostic reading.Not for distribution / use in the U.S.



Multi-phase abdomen imagingwith i.v. contrast media application 1/3

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Collimation: 32 x 0.7 mm (each)Scan time: 10 s (native) 5.2 s (corticomedullar);

22 s (parenchymal)Scan length: 240 mm (native);

242 mm (corticomed.); 570 mm (parench.)Rotation time: 0.8 s (each)Pitch factor: 0.8 (native), 1.5 (corticomed.); 0.8 (parench.)Scan parameters: 130 kV/ 98 mAs (native)

130 kV / 261 mAs (corticomed.)130 kV / 98 mAs (parench.)

CTDIvol: 12.14 mGy (native); 12.4 mGy (corticomed.); 11 mGy (parench.)DLP: 262 mGy cm (native); 271 mGy cm (corticomed.); 529 mGy cm (parench)3 mm slice thickness

• Unclear mass of the right kidney




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Collimation: 32 x 0.7 mmScan time: 22 s (parenchymal)Scan length: 570 mm (parench.)Rotation time: 0.8 sPitch factor: 0.8 (parench.)Scan parameters: 130 kV / 98 mAs (parench.)CTDIvol: 11 mGy (parench.)DLP: 529 mGy cm (parench.)Slice thickness: 3 mm




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Collimation: 32 x 0.7 mmScan time: 5.2 s (corticomedullar)Scan length: 242 mm (corticomed.)Rotation time: 0.8 sPitch factor: 1.5 (corticomed.)Scan parameters: 130 kV / 261 mAsCTDIvol: 12.4 mGy (corticomed.)DLP: 271 mGy cm (corticomed.)


Courtesy of Erlangen University Hospital, Erlangen, GermanyCinematic VRT performed with syngo.viaCinematic VRT is recommended for communication, education, and publication purposes and not intended for diagnostic readingNot for distribution / use in the U.S.


Thorax imagingwithout contrast media application


1 mm MPR thick slice MIP

inline spine labelinginline rib unfolding

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Collimation: 32 x 0.7 mmScan time: 13 sScan length: 398 mmRotation time: 0.8 sPitch factor: 1Scan parameters: 110 kV / 100 mAsCTDIvol: 1.28 mGyDLP: 47.7 mGy cm

• Rule-out of fractures• Inline rib unfolding and labeling

of the vertebra




topogram

coronal 1.5 mm MPR

coronal 5 mm MPR

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130 kV / 98 mAs (abdomen)

CTDIvol: 6.34 mGy (thorax); 7.09 mGy (abdomen)DLP: 214 mGy cm (thorax); 380 mGy cm (abdomen)

• Obese patient• BMI 37




axial sagittal and coronal 3 mm MPR

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• Obese patient• BMI 37




axial. sagittal and coronal 1 mm MPR

oblique 5 mm MPR

oblique 10 mm MIP

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Collimation: 32 x 0.7 mm (each)Scan time: 17 s (thorax); 24 s (abdomen)Scan length: 396 mm (thorax); 557 mm (abdomen)Rotation time: 0.8 s (each)Pitch factor: 0.8 (each)Scan parameters: 130 kV / 54 mAs (thorax);

130 kV / 98 mAs (abdomen)CTDIvol: 4.19 mGy (thorax); 8.06 mGy (abdomen)DLP: 156 mGy cm (thorax); 429 mGy cm (abdomen)

• Excellent dose efficiency enabled byStellar technology




coronal 1 mm MPR coronal 3 mm MPR

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• Excellent dose efficiency enabled byStellar technology




axial 1 mm MPR axial 3 mm MPR

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• Excellent dose efficiency enabled byStellar detector technology


Imaging inPresence of Implants




Improving image quality with iMARTumor staging 1/2

without iMAR with iMAR

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• Staging examination• Non-diagnostic images in case of metal

artifacts in the small pelvis area• iMAR allows evaluation of pelvic organs,

e.g. iliac lymph node stages



Improving image quality with iMARTumor staging 2/2

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130 kv / 98 mAs (abdomen)CTDIvol: 4.73 mGy (thorax); 7.74 mGy (abdomen)DLP: 173 mGy cm

• Staging examination• Advanced metastatic disease



Improving image quality with iMARVisualization of urinary system 1/2

without iMAR

with iMAR

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• Evaluation of the urinary system• Hip implants causing severe beam

hardening artifacts• Long scan range



Improving image quality with iMARVisualization of urinary system

3 mm axial obliquewith iMAR

3 mm coronal obliquewith iMAR

thick-slice MIP obliquewith iMAR

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• Evaluation of the urinary system• Hip implants causing severe beam

hardening artifacts• Long scan range



Improving image quality with iMARTumor recurrence

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• Re-staging examination• Instrumentation with fixateur intern• Tumor recurrence with infiltration

of the spinal canal


CT Angiography




Thoracic aorta CT angiographyat 80 kV

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• CT angiography at low kV and high mAs• High Power 80 for improved iodine contrast• VRT inline results with CT View&GO• Potential reduction of required contrast

media dosage


CT angiography of the whole aorta

Courtesy of Centro Hospitalar de São João, Porto, Portugal.Not for distribution / use in the U.S.

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Collimation: 32 x 0.7 mmScan time: 27 sScan length: 607 mmRotation time: 0.8 sPitch factor: 1.5Scan parameters:130 kV

• Aortic dissection• Perfusion deficency left

kidney; perfused falselumen, thrombus

• Get the timing right withthe new timeline

3mm MPR shown


Thoracic aorta CT angiography

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• Cinematic rendering with syngo.via forvisualization of double aortic arch

Courtesy of Centro Hospitalar de São João, Porto, Portugal.Cinematic VRT performed with syngo.viaCinematic VRT is recommended for communication, education, and publication purposes and not intended for diagnostic reading.Not for distribution / use in the U.S.


Peripheral run-off CT angiography


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Collimation: 32 x 0.7 mmScan time: 32 sScan length: 934 mmRotation time: 0.8 sPitch factor: 1.5Scan parameters: 80 kV

• Fine visualization ofperipheral vessels

• Post processing angio toolsat hand thanks to CTView&GO

1 mm axial MPR and oblique VRT shown


Head Imaging




Brain imagingwithout contrast media application 1/2

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Collimation: 32 x 0.7 mmScan time: 16 sScan length: 192 mmRotation time: 1 sPitch factor: 0.55Scan parameters: 130 kV / 104 mAsCTDIvol: 47.26 mGyDLP: 789 mGy cm

• Excellent low-contrast performance fordifferentiation of grey and white matter

• High density of detector channels for furtherimprovements in low contrast performance

axial

5 mm MPR reconstruction




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• High image quality also in the posterior fossa

axial

3 mm MPR reconstruction




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Collimation: 32 x 0.7 mmScan time: 13 sScan length: 180 mmRotation time: 1 sPitch factor: 0.55Scan parameters: 130 kV / 104 mAsCTDIvol: 44.4 mGyDLP: 691 mGy cm3 mm slice thickness

• High contrast of brain structures• Excellent gray/white matter differentiation• Follow-up of stroke patient




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Collimation: 32 x 0.7 mmScan time: 13 sScan length: 180 mmRotation time: 1 sPitch factor: 0.55Scan parameters: 130 kV / 104 mAsCTDIvol: 44.4 mGyDLP: 691 mGy cm3 mm slice thickness

• High resolution also of fine bony structuresfrom standard brain scan data



Skull base imaging

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• 0.6 mm reconstructions due toStellar detector technology



Low-dose head imagingof the sinus

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Collimation: 32 x 0.7 mmScan time: 11 sScan length: 161 mmRotation time: 1 sPitch factor: 0.55Scan parameters: Sn110 kV / 28 mAsCTDIvol: 1.34 mGyDLP: 18.28 mGy cm

• Tin Filter technology for exceptional low-doseperformance with high contrast

• Detailed visualization of fine bone structureswith minimum slice thickness of 0.6 mm

0.6 mm reconstruction 0.8 mm reconstruction


Sinus imagingwith Tin Filter

Courtesy of Centro Hospitalar de São João, Porto, PortugalNot for distribution / use in the U.S.

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Collimation: 32 x 0.7 mmScan time: 10 sScan length: 143 mmRotation time: 1.0 sPitch factor: 0.55Scan parameters: Sn 110 kV / 94 mAsCTDIvol: 2.58 mGyDLP: 30 mGy cm

• Low-dose protocol• Tin Filter technology for exceptionaly low-dose

performance with high contrast• Detailed visualization of bone structures and

swelling of soft tissue

1 mm slice thickness MPR 3 mm slice thickness MPR



Brain imagingwith i.v. contrast media application 1/2

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• Visualization of aneurysm

axial and sagittal thin-slice MIP



Brain imagingwith i.v. contrast media application 2/2

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• Visualization of aneurysm

3 mm MPR


Brain imagingwith i.v. contrast media application


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Collimation: 32 x 0.7 mmScan time: 11 sScan length: 159 mmScan parameters: 130 kV

• Sequence mode• Tilt functionality available for

thorough head neuro evaluation• Native and contrast media

enhanced scans shown



Musculosceletal Imaging



Hand imagingwithout contrast media application


sagittal and coronal0.8 mm MPR

axial 0.8 mm MPR

VRT

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• Rule-out of fresh fracture



Virtual Colonoscopy



Virtual colonoscopywith Tin Filter


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Collimation: 32 x 0.7 mmScan time: 10 sScan length: 430 mmRotation time: 0.8 sPitch factor: 1.5Scan parameters: Sn110 kV / 40 mAsCTDIvol: 0.63 mGyDLP: 29 mGy cm

• Tin Filter low-dose protocol• Low-dose protocol• Virtual colonoscopy



Pediatrics



Abdomen imagingwith i.v. contrast media application


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• Low-dose protocol• 2-years-old child• CARE Child protocols for ultra-low dose in

pediatrics


Abdomen imagingwith i.v. contrast media application


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pediatrics


Lung imagingwith Tin Filter


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Collimation: 32 x 0.7 mmScan time: 7 sScan length: 312 mmRotation time: 0.8 sPitch factor: 1.5Scan parameters: Sn 110 kV / 94 mAsCTDIvol: 0.16 mGyDLP: 4.6 mGy cm3 mm slice thickness


pediatrics


Lung imagingwith Tin Filter


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• Low-dose protocol• 4-years-old child• CARE Child protocols in combination with Tin

Filter for ultra-low dose in pediatrics

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Computed Tomography SOMATOM go.Up Clinical Cases