SOMATOM go.Open Pro The future is in motion

SOMATOM go.Open Pro

The future is in motionsiemens-healthineers.com/somatom-go-open-pro

•2018

•2030

+31%

Total of new cases worldwide1

18.1 million

23.6 million

59% of cancer cases involve body regions that require breath-hold and 4D CT

59%

2.6 million (126%)

1.2 million (114%)

2.9 million (138%)

2.2 million (126%)

2.2 million (126%)

Staying competitive in a growing marketHealthcare providers are under increasing pressure to deliver radiotherapy to more patients than ever. This demands innovative, efficient solutions that will achieve the best possible treatments and optimal patient outcomes – particularly when you are working with challenging cases.

A growing problem Challenging cancers are on the rise

With cancer cases expected to surge between now and 2030,1 RT departments will have to treat more patients than ever. Motion will be a major obstacle in many of these cases.

The number of patients with conditions that create challenges for treatment (e.g. head and neck, breast, lung, liver, stomach, and esophageal cancer) is set to grow significantly.2 To manage this trend, you need technology that can push clinical boundaries and help you lead your field for years to come.

The future is in motionPush the boundaries to better treat the most challenging cases

Precision medicine, curative intent, and hypofractionated treatments hold enormous potential for patients. Yet they are only possible if the treatment planning data are absolutely precise. Many patients with conditions that present major challenges – such as the inability to hold one’s breath – miss out on the benefits because current CT simulation cannot manage the individual complexities they present. Poor-quality, imprecise information makes it especially difficult to target tumors and protect vital organs in these complex cases. In addition, error-prone workflows and time pressure can further hamper CT simulation.

We believe the future is in motion – and this belief shaped the development of SOMATOM go.Open Pro. This advanced CT simulator provides accurate, reproducible patient modeling that can break down the barriers to modern treatments and individualized care. By harnessing the power of a unique detector width, superb soft-tissue contrast, and intelligent real-time breathing adaptation, it delivers exceptional clarity for confident treatment planning. Input from RT specialists guided the design, so the fully integrated hardware and software are specifically tailored to your requirements. These pioneering features, combined with data synchronization across all components, allow you to master challenging cases and devote more time to your patients.

SOMATOM go.Open Pro helps you expand precision medicine. This unprecedented, intelligent CT simulator with advanced automated patient modelling allows you to push the boundaries to better treat the most challenging cases.

Introduction | SOMATOM go.Open ProSOMATOM go.Open Pro | Preface

Welcome to a new world of CT simulation.

Push the boundaries for challenging cases

Simulation reinvented

2 3

85 cm

Co-creationAI

The future is in motion

SOMATOM go.Open Pro

A CT simulator that provides exceptionally accurate and reproducible patient modeling could break down the barriers to modern treatment methods and individualized patient care. SOMATOM go.Open Pro allows you to push the boundaries for challenging cases.

SOMATOM go.Open Pro | The future is in motion The future is in motion | SOMATOM go.Open Pro

Push the boundaries for challenging cases

Reduce unwarranted variations with high-quality OAR contours

AI-powered DirectORGANS3 delivers consistent organs-at-risk (OAR) autocontouring. It reduces unwarranted variations with high-quality contours that approach the level of consensus-based contours.

Cardiac chamber segmentation paves the way for research in the field of cardiac toxicity.

Improve patient experience

Saves time by eliminating manual step with DirectORGANS (e.g., ribs, sternum, and lung lobes contours).

Simulation reinventedSOMATOM go.Open Pro reinvents simulation for multiple cancer types, driving precision, and caring for patients and users. Co-created with RT specialists, it features fully integrated hardware and software tailored specifically to your requirements. The flexible, intuitive system synchronizes data across all inte-grated components. It operates via one user interface and requires a single vendor service contract.

Spend less time managing CT simulation and more time focusing on your patients – in the comfortable and calming environment that SOMATOM go.Open Pro creates for them.

sFoV Acquired slices / reconstructed slices Z-axis coverage Rotation time Power Max. table load

60 cm 64 / 128 3.84 cm 0.353, 0.5, 1.0 s 75 kW 227 / 3073 kg (TG-66 compliant tables)

Key technical data

Lung cancer

Direct i4D3,4 is a 4D CT sequence that intelligently adapts to the patient’s breathing in real time.

Potentially reduce target margins by reducing unwarranted variations in the images, and make 4D CT available for more patients.

Head & neck cancer

TwinSpiral Dual Energy3 is a new form of dual-energy acquisition. It uses a Tin Filter for optimal spectral separation.

Achieve precise target delineation with TwinSpiral Dual Energy and Monoenergetic Plus3.

Breast cancer

With a wide detector coverage and fast rotation times, SOMATOM go.Open Pro makes deep inspiration breath-hold available to more patients. It offers acquisition in breath-hold of just eight seconds.

Improve access to tailored treatment, and boost image quality for more confident contouring.

4 5

+ RTP laser

Direct i4D3,4 adapts scan protocol to patient’s breathing pattern

+ Contouring station

AI

Adapting to the patient’s breathing potentially reduces image artifacts for smaller target margins

Direct i4D chooses optimal data for 4D CT reconstruction

1 2

Automated 4D reconstruction incl. multi-series splitting

3

TPS

Direct i4D | SOMATOM go.Open ProSOMATOM go.Open Pro | Simulation reinvented

Direct i4D

Reduce motion artifacts with real-time breathing adaptation

Direct i4D delivers the world’s first 4D CT that adapts to the patient’s breathing in real time.

During the 4D CT scan, SOMATOM go.Open Pro intelligently adapts the scanning parameters to the individual breathing pattern in real time. Automated 4D reconstruction and optimized binning then produce 4D images with virtually no artifacts caused by incomplete breathing cycles. This reduces unwarranted variations in the images that can poten-tially decrease target margins, and leads to less dependency on user and patient.

Push the boundaries for lung cancer treatment

• Robust and simple 4D image acquisition for every user, with potential to avoid re-scans and time-consuming edits

• Fewer motion artifacts for exceptionally accurate visualizations of moving tumors

• More confident treatment planning with potential for smaller target margins

Without Direct i4D With Direct i4D (simulation)


Image optimization specifically for consistent OAR contours and fewer side effects after treatment

DirectORGANS3 offers the world’s first contours generated by a CT simulator using an optimized reconstruction, and deep learning. Combined with Direct i4D3,4, DirectOR-GANS delivers contours with reducing unwarranted variation for the most challenging cases.

Simplify the current practice for particle therapy DirectSPR3 solves challenges and makes stopping power images directly available for automatic, calibration-free dose calculation.

+ Acquisition console

Personalize images for target contouringDirectDensity3,5 allows you to tailor kV settings for each patient, and eliminates the need for tube voltage-dependent calibration in the TPS.

Minimize sources of errors in QADirect Laser QA3 provides an automated laser QA procedure with no need to switch workstations or interfaces with integrated patient-marking lasers.

+ Simulation software

Reduce complexity and errors in laser steeringDirect Laser Steering, combined with the mobile tablet, enables a fast, seamless, and less error-prone workflow for patient marking.

Co-creation

To explore what really matters to you, we spoke to over 300 RT specialists: radiation oncologists, medical physicists, dosimetrists, RTTs, and financial decision makers. We learned about your biggest challenges and created a CT simulator to address them.

Powered by co-creationOther features:

• iMAR3 is our proven metal artifact reduction algorithm that gives you confidence in tumor visualization

• Respiratory Motion Management3 with FAST 4D provides automated and reproducible results independent of the operator

Courtesy of Leopoldina Krankenhaus Schweinfurt, Germany 6

Courtesy of MAASTRO clinic, The Netherlands

Take integration further. Go Direct.

6 7

Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens.com/healthineers

On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide.

Availability and packaging may vary by country and is subject to change without prior notice. Some or all of the features and products described herein may not be available in the United States.

The information in this document contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases.

Siemens reserves the right to modify the design, packaging, specifications, and options described herein without prior notice. Please contact your local Siemens sales representative for the most current information.

Note: Any technical data contained in this document may vary within defined tolerances. Original images always lose a certain amount of detail when reproduced.

1 Union for International Cancer Control (UICCI), https://www.uicc.org; Cancer Research UK, www.cancerresearchuk.org

2 International Agency for Research on Cancer, https://www.iarc.fr3 Optional4 Online gating device such as RGSC or Anzai is required 5 As shown by measurements with a Gammex 467 Tissue Characterization

Phantom comparing [T]standard reconstruction and DirectDensity reconstruction. Image value to relative electron/mass density conversion for the standard reconstruction was based on a two-linear-equations approach with individual calibration for each tube voltage. For DirectDensity images, a single tube-voltage-independent linear conversion was used. DirectDensity reconstruction is designed for use in Radiation Therapy Planning (RTP) only. DirectDensity reconstruction is not intended to be used for diagnostic imaging

6 Volume rendered image is for illustration purposes only and not part of DirectORGANS

Published by Siemens Healthcare GmbH · Order No. AT-24304-304-40T1-7600 · Printed in Germany · 9000 · © Siemens Healthcare GmbH, 2020

SOMATOM go.Sim

Simulation reinventedsiemens-healthineers.com/somatom-go-sim

of patients feel distressed and anxious4

•2018

•2030•Cancer patients

•Cancer patients receiving RT

+31% 66%

Up to ⅔ of cancer patients receive RT

Total of new cases worldwide1

18.1 million

23.6 million

External RTP lasers

Simulationsoftware

Acquisitionworkstation

Laser and QA

Injectortrolley

Contouringworkstation

Staying competitive in a growing marketToday’s healthcare providers are under increasing pressure to deliver radiotherapy to more patients than ever before. This demands innovative solutions that will allow you to work more efficiently and lay the foundations for the best possible treatments and optimal patient outcomes.

A growing problem An imperfect workflow

With cancer cases expected to surge by 31% between 2018 and 2030,1 RT departments will see a huge rise in the number of patients requiring their support.

The rise in RT patient numbers will add further pressure to the already complex and challenging RT workflow. Patients go through a multi-step process that involves multiple data exchanges. At Siemens Healthineers, treatment preparation is our area of expertise. That’s why we want to optimize this part of the process by addressing the lack of integration in existing systems.

The challenges in CT Simulation

Introduction | SOMATOM go.SimSOMATOM go.Sim | Preface

Welcome to a new world of CT simulation.

Precise CT simulation requires fail-safe, reproducible, and streamlined workflows. SOMATOM go.Sim is a single, integrated software and hardware solution that covers the entire CT simulation process. By simplifying your tasks and reducing the likelihood of errors, it allows you to focus on what matters most: your patients. As well as incorporating the patient marking process, our understanding of integration extends to every aspect of CT simulation. SOMATOM go.Sim delivers image optimization for target delineation, target margins, and even autocon-touring – and by integrating the power of AI, this CT simulator reduces the sources of variability in your starting point for treatment planning. SOMATOM go.Sim creates a calming environment for patients, and its simple operating concept allows staff to spend more time at their side. One user inter-face and a flexible training plan shorten the operator learning curve, while a single vendor service contract relieves the burden on administrators.

SOMATOM go.Sim is a dedicated CT simulator that can increase workforce productivity and optimize clinical operations. It helps you get the full picture faster so that you can spend less time managing CT simulation and more time focusing on patients.

of RT incidents are caused by manual operation and data exchange2

Contouring is a major source of variability in RT planning3

60%

49%

2 3

Co-creation

+ Contouring station

AI

85 cm

SOMATOM go.Sim


SOMATOM go.Sim | Simulation reinvented Take integration further. Go Direct. | SOMATOM go.Sim

sFoV Acquired slices / reconstructed slices Z-axis coverage Rotation time Power Max. table load

60 cm 32 / 64 1.92 cm 0.355, 0.5, 1.0 s 75 kW 227 / 3075 kg (TG-66 compliant tables)

Be certain in simulationIntegrated components are the key to error-free CT simulation. SOMATOM go.Sim gives you certainty with a streamlined workflow that is exceptionally smooth, extremely fast, and able to deliver reproducible and user-independent results.

Drive precision for contouring

To be confident that you are working from a consistent starting point, you need reliable information about tumors and surrounding tissue for every patient. SOMATOM go.Sim provides precise contouring and generates the patient modeling data you need.

Care for patients and usersReducing pressure on operators gives you time to focus on patients and high-quality results. Making patients feel at ease leads to more successful CT simulation. SOMATOM go.Sim is built on a concept that cares for the needs of both patients and users.

Key technical data

Image optimization specifically for consistent OAR contours DirectORGANS5 offers the world’s first contours generated by a CT simulator using an optimized reconstruction, and deep learning.

Take integration further. Go Direct.

Simplify the current practice for particle therapy DirectSPR5,8 solves challenges and makes stopping power images directly available for automatic, calibration-free dose calculation.

Other features:

• iMAR5 is our proven metal artifact reduction algorithm that gives you confidence in tumor visualization

• Respiratory Motion Management5 with FAST 4D provides automated and reproducible results independent of the operator

• TwinSpiral Dual Energy5 delivers crisp images with the option of even sharper contrast for excellent soft-tissue visualization

+ Acquisition console

Personalize images for target contouringDirectDensity5,6 allows you to tailor kV settings for each patient, and eliminates the need for tube voltage-dependent calibration in the TPS.

+ RTP laser

Minimize sources of errors in QADirect Laser QA5 provides an automated laser QA procedure with no need to switch workstations or interfaces with integrated patient-marking lasers.

+ Simulation software

Reduce complexity and errors in laser steeringDirect Laser Steering, combined with the mobile tablet, enables a fast, seamless, and less error-prone workflow for patient marking.

To explore what really matters to you, we spoke to over 300 RT specialists: radiation oncologists, medical physicists, dosimetrists, RTTs, and financial decision makers. We learned about your biggest challenges and created a CT simulator to address them.

Powered by co-creation

Courtesy of Leopoldina Krankenhaus Schweinfurt, Germany 7

4 5

Input for RT professional (images)

Input for algorithm (dedicated recon)

Metal artifact reduction

Optimized Z-resolution

kV standardization

Streak artifact reduction

Optim

ized reconstruction

AI-powered Deep Learning contours trained by GANS

Output: consistent OAR contours

AI

Remote control

Table movement, mobile scan

Patient observation camera

Keep an eye on the patient at all times

Mobile tablet9

Operate the system from wherever you are

Injector arm5

Orderly environment with gantry-mounted injector arm

Guided path by GO with green

Integrated workflow

Simulation, contouring, laser QA software

Direct Laser5

Direct Laser Steering without coordinate transfer

GO

DirectORGANS | SOMATOM go.SimSOMATOM go.Sim | Mobile workflow

Mobile workflow

Go for a trendsetting mobile workflow

DirectORGANS

Go for precision with the world’s first contours generated by a CT simulator

The new mobile workflow is an integrated solution that makes CT simulation smoother and less error-prone. The system contains everything you need, and you operate it using a single mobile tablet. This highly innovative setup gives you more time with patients, unparalleled flexibility for your simulation tasks, and greater TCO transparency.

In short, the new mobile workflow supports certainty in simulation and cares for patients and users.

Be certain in simulation• Straightforward patient marking

with a single system • Correct laser positioning with the

integrated Direct Laser• Guidance with the green GO button

Care for patients and users• Better patient experience with a co-created,

patient-centric design• Improved environment for users and greater

TCO transparency with an all-in-one solution

DirectORGANS (Optimized Reconstruction based Generative Adversarial Networks)5 is a revolutionary, AI-based organs-at-risk (OAR) contouring solution.

It optimizes images designed for the deep-learning algorithm and delivers consistent OAR contours. The result reduces unwarranted variations with high-quality contours that approach the level of consensus- based contours.

Experience the world’s first contours generated by a CT simulator using a dedicated reconstruction.

Drive precision for contouring• OAR contouring directly at the system,

no need for manual interaction• Leverage the power of optimized recon

and deep learning to streamline organs- at-risk contouring

• Reduce unwarranted variations with high-quality contours that approach the level of consensus-based contours

Courtesy of Radiologische Allianz, Hamburg, Germany

6 7

Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens.com/healthineers






1 Union for International Cancer Control (UICCI), https://www.uicc.org; Cancer Research UK, www.cancerresearchuk.org

2 Greenwalt J et al. Reducing errors in radiation therapy through elec-tronic safety checklists. Applied Radiation Oncology. 2014: 5–9

3 Jameson MG et al. A review of methods of analysis in contouring studies for radiation oncology. J Med Imaging Radiation Oncol. 2010; 54(5): 401–10

4 Kelly E et al, Reduced patient anxiety as a result of radiation therapist- led psychosocial support: a systematic review, J Med Radiat Sci Sep; 64(3): 220–231

5 Optional6 As shown by measurements with a Gammex 467 Tissue Characterization

Phantom comparing [T]standard reconstruction and DirectDensity reconstruction. Image value to relative electron/mass density conversion for the standard reconstruction was based on a two-linear-equations approach with individual calibration for each tube voltage. For DirectDensity images, a single tube-voltage-independent linear conversion was used. DirectDensity reconstruction is designed for use in Radiation Therapy Planning (RTP) only. DirectDensity reconstruction is not intended to be used for diagnostic imaging

7 Volume rendered image is for illustration purposes only and not part of DirectORGANS

8 Optional. syngo.via and syngo.via CT Dual Energy DirectSPR is required9 Up to 3 additional tablets are optional

Published by Siemens Healthcare GmbH · Order No. AT-24304-304-30T1-7600 · Printed in Germany · 8999 · © Siemens Healthcare GmbH, 2019

SOMATOM On.site

Bringing critical care imaging to your patientFocus: Radiology siemens-healthineers.com/somatom-onsite

International version. Not for distribution or use in the U.S.Product does not yet fulfill neither MDD (93/42/EEC) nor MDR 2017/745 and is therefore not yet available in the EU.

Providing CT scans of the head for ICU patients is crucial but often challenging

CT scans of the head are in high demandHead scans are among the most common procedures for ICU patients and account for 30% of all CT scans.1

ICU patient transport involves logistical and staffing challengesTransporting patients from the ICU to the radiology department is a delicate and complex process that requires up to five staff members2 to leave their other duties behind.

Transport may negatively affect the patient’s health statusProviding CT imaging requires transporting ICU patients to the radiology department. However, for 1 in 5 patients, transport makes existing health conditions worse.3

ICU patient scans complicate radiology department schedulesTransports are frequently delayed,2 making it necessary to reschedule other patients. Patients with acute and critical conditions also tie up CT scanners for at least twice as long as most other patients.4,5

19th

ICU (Intensive Care Unit) patients suffering from acute and critical head conditions face a high risk of sudden health status deterioration. When this happens, fast evaluation is essential for immediate treatment decision-making. CT scans are ideally suited for this task – but providing imaging for ICU patients is often cumbersome and not without risk.

3

Our mobile head CT scanner SOMATOM On.site provides access to consistent and reliable SOMATOM image quality, right at your patient’s bedside. Thanks to the latest advances in digital healthcare, the intelligent software myExam Companion together with our GO technologies guides users through the scanning process. With this workflow guidance the system is easy to use and it enables greater consistency in image acquisition across your team.

SOMATOM On.site will change the way you care for ICU patients suffering from acute and critical head conditions. Eliminating transport to the radiology department may help prevent related complications and allows your staff to concentrate on what matters most: providing optimal care for every patient at the ward. With this easy access to CT imaging of the head directly at the point of care, you can get images to help diagnose and treat sudden changes in the patient’s condition or arising complications faster. Additionally, offering CT imaging directly in the ICU allows the radiology department to maintain their scheduling.

With SOMATOM On.site, you can transform care delivery.

Bringing critical care imaging to your patient

See for yourselfOur workflow video demonstrates how point-of-care CT scanning works with SOMATOM On.site.

5

Transform care delivery with SOMATOM On.site

SOMATOM On.site reduces the need for transporting patients to the radi-ology department for CT scans of the head. ICU staff and doctors can stay in the ICU. This means they can gain additional time for providing bedside patient care and focus more on their core tasks.

SOMATOM On.site permits CT imaging of the head directly in the ICU ward, so patients need not encounter any transport-associated risks. Acquiring images directly at the patient’s bedside may speed up diagnostics and following decisions and steps. This may have an impact on hospital length of stay and infec-tion control.

SOMATOM On.site brings SOMATOM image quality to the patient’s bedside. It is combining proven technologies from existing SOMATOM scanners with newly designed components.

Point-of-care imaging reduces thenumber of ICU patient scans thatneed to be performed in theradiology department, potentiallyresulting in more streamlinedutilization of stationary systems and staff, along with more predictable radiology appointment schedules.

Minimize patient transports

Optimize staff deployment

Achieve high image quality at the point of care

6

Imaging at the patient’s bedside

Non-contrast CT images of the head with ALPHA* anatomy recognition technology

Delayed contrast media- enhanced examinations

All orientations and reformations PACS-ready

Maximum intensity projection (MIP), e.g., for intervention planning

Cinematic Rendering to enhance education and communication

Apply known tools and applications

* ALPHA = Anatomical Landmarking and Parsing of Human Anatomies 7

SOMATOM On.site incorporates iterative reconstruction algorithms to help you get the most out of every scan.

State-of-the-art image reconstruction algorithms

Metal artifact reduction with iMARiMAR (iterative metal artifact reduction) allows for reconstructed artifact reduction without losing valuable information. iMAR is designed to yield images with a reduced level of metal artifacts compared to conventional reconstruc-tion if the underlying CT data is distorted by the presence of metal in the scanned object.

SOMATOM On.site delivers consistent and reliable image quality whenever and wherever you need it thanks to a combination of existing innovations from SOMATOM scanners (e.g., low-noise detectors) and newly designed components (e.g., the tube).

SOMATOM imaging performance

Noise removal with SAFIREThis iterative reconstruction algorithm delivers natural looking images at the lowest possible dose. Multiple iterations are performed when processing the raw data. During these iterations the noise is reduced without compromising image quality.

Bring SOMATOM quality to the patient’s beside

Stellar detectorSOMATOM On.site is the first mobile CT system outfitted with our SOMATOM Stellar detector. Stellar detector’s technology includes fully integrated components and an advanced 3D anti-scatter collimator. It keeps electronic noise low, increases dose efficiency, and improves spatial resolution. It’s high channel density and integrated design of the detector results in the grey-white matter differentiation that is crucial for evaluating CT scans of the head.

Dedicated X-ray tubeOur X-ray tube was designed specifically for neuro CT imaging. It features the resistance to vibrations and shock that is needed in mobile CT scanners. It is built to reduce maintenance downtime and improve performance in demanding environments. The cooling system is a special design combining water and air.

8

SOMATOM On.site features a specially designed telescopic gantry with two gantry compartments and an internally moving tube and detector. Thanks to this technology, the system’s trolley position remains fixed throughout the scan, eliminating common problems associated with scanners that may move during image acquisition.

Telescopic gantry for avoiding motion artifacts

Scan start position Scan end position

Technical specificationsKey data

Slices 32

Z-coverage 24 mm (32 x 0.75 mm)

Detector material Stellar detector UFC (Ultra Fast Ceramics)

Rotation time 1.0 s

Max. scan speed 36 mm/s

Spatial resolution 17 lp/cm

kV settings 80–120 kV

Current up to 25 mA

Scanner dimensions (height / width / depth)

1.55 / 1.60 / 0.74 m

Iterative reconstruction SAFIRE, iMAR

Scanner weight ~ 890 kg

Motorized system trolley with integrated drive camera

The many lines and drains typically in place for ICU patients remain unaffected while scanning with SOMATOM On.site, as the gantry cover close to the patient head stays fixed throughout the acquisition. Taking scanner, table, and patient movement out of the equation means that you do not have to make any compromises when it comes to image quality.

9

Isocentric patient positioning

SOMATOM On.site features a telescopic gantry that remains retracted until you are ready to start scanning. This gives you ample space for patient positioning with tubes and lines in place. The scanner also has an integrated shoulder board for bridging the gap between the bed and scanner. Sliding the patient’s upper

Traditional stationary CT scanners require techs to return to the control room during scans, because a safety distance is necessary for radia-tion protection. SOMATOM On.site allows you to stay close to patients and remain at their side. The self-shielded scanner design, along with the detachable radiation shields* covering the front and back of the gantry bore, protect staff and neighboring patients from scattered radiation.

Safe scanning in ICU patient rooms

body onto the shoulder board permits conve-nient patient positioning in preparation for scans. Furthermore, the integrated head holder of SOMATOM On.site helps for correct isocen-tric positioning of the patient’s head inside the gantry bore.

* Radiation shields are currently under development and their future availability cannot be guaranteed.10

Simple steps suitable for cross-trained staff

Fast and intuitive scan preparation

SOMATOM On.site leverages key digital health-care innovations to unleash the full potential of modern imaging technology – independent of the operator’s experience. The scanner offers an intuitive user interface and, thanks to myExam Companion, is equipped with built-in expertise to guide you through the complete imaging examination.

In addition, SOMATOM On.site features the proven GO technologies. Scan&GO enables techs to control the entire scan process via the integrated Touch UI and stay right next to the patient throughout the image acquisition process. A dedicated Recon&GO functionality performs automated postprocessing and uploads the images to PACS without any user interaction. As a result, radiologists receive comprehensive results and consistent image quality with every scan.Together, these features make scanning intuitive and easy.

Select your patient via the intuitive user interface of SOMATOM On.site.

Choose your preferred scan protocol for image acquisition.

Scan&GO allows you to supervise the scan right at your patient’s bedside.

Recon&GO handles all postprocessing for you and automatically uploads the images to the PACS.

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1 Data on file.2 Barnes E. Portable CT brings lower costs, reduce risk to ICU.

AuntMinnie.com; 2008.3 Anticipating unique disruptions. PwC’s 21st CEO Survey: key findings from

the healthcare industry [homepage on the internet]. PwC Turkey; 2018 [cited 2019 Aug 6]. Available from: https://www.pwc.com.tr/en/yayinlar/arastir-malar/ceo-survey/21-ceo-arastirmasi/saglik-sektoru-sonuclari.html.

4 Agrawal, D et al. (2016). Bedside computed tomography in traumatic brain injury: Experience of 10,000 consecutive cases in neurosurgery at a level 1 trauma center in India. Neurol India. 2016 Jan–Feb; 64(1):62–365. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26754994.

5 Masaryk et al. (2008). The economic and clinical benefits of portable head/neck CT imaging in the intensive care unit. Radiol Manage. 2008 March–April; 30(2):50–54. Available from: https://www.ncbi.nlm.nih.gov/pubmed/18431942.

Siemens Healthineers HeadquartersSiemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com

Published by Siemens Healthcare GmbH · 8853 0320 · digital · © Siemens Healthcare GmbH, 2020

This product does not yet fulfill all the essential requirements according to the European Medical Device Directive (93/42/EEC) and its national implementations or all applicable General Safety and Performance Requirements according to the European Medical Device Regulation 2017/745. It is not yet commercially available in the European Union.






SOMATOM X.cite with myExam Companion

Intelligent imaging. Excellence empowered.siemens-healthineers.com/somatom-xcite

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International version. Not for distribution or use in the U.S.

FAST PlanningCheck&GO MetalRange snaps automatically and the metal detector is ON

Check&GOReduce the number of recalls

Recon&GOCardio BestPhase

Adaptive Cardio SpiralMid heart rate

High heart rate

myExam CompassAutomated scan mode based on ECG characterization

FAST ROIAutomatic ROI placement for standardized bolus trigger

CARE Contrast Holistic contrast automationLow heart rate

FAST 3D CameraAccurate and reproduciblepatient positioning

Bisegment – Adaptive Cardio Spiral

Adaptive Cardio Sequence

Intelligent navigation for enhanced consistency

Welcome the era of intelligent imaging

As the number and complexity of radiological procedures increases, demands on staff are reaching unsustainable levels – impacting image quality. Too often, the full potential of CT scanners remains untapped. SOMATOM® X.cite changes that. Together with myExam Companion, it launches the era of intelligent imaging. Now users of any skill level can unlock the system’s potential. From routine to advanced procedures, SOMATOM X.cite empowers excellence in computed tomography.

Reliable and reproducible results with myExam CompanionmyExam Companion is a new approach to scanner operation, designed to make work easier for users, personalize procedures for patients, and deliver consistent and comprehensive results for radiologists. It guides users of all experience levels through routine examinations as well as more complex procedures like stroke, spectral studies, or coronary CTA ‒ for example, by asking the right question at the right time such as “Did the patient drink coffee in the last 4 hours?”, “Does the patient have stents?”, or “Are automatic reconstructions of the coronaries needed?” The answers are linked to predefined scan parameters.

2

SOMATOM X.cite with myExam Companion – Intelligent imaging. Excellence empowered.

FAST PlanningCheck&GO MetalRange snaps automatically and the metal detector is ON

Check&GOReduce the number of recalls

Recon&GOCardio BestPhase

Adaptive Cardio SpiralMid heart rate

High heart rate

myExam CompassAutomated scan mode based on ECG characterization

FAST ROIAutomatic ROI placement for standardized bolus trigger

CARE Contrast Holistic contrast automationLow heart rate

FAST 3D CameraAccurate and reproduciblepatient positioning

Bisegment – Adaptive Cardio Spiral

Adaptive Cardio Sequence

GO technologies powered by myExam CompanionCheck&GO identifies potential errors in organ coverage, contrast media volume and distribution, and the presence of wearable metal objects (e.g., belts, necklaces) ‒ helping users take immediate action or make corrections. By automating many postprocessing tasks, Recon&GO reduces the number of workflow steps: the results are automatically sent to PACS, including labeled CPR for the main vessels, ribs, and spine.

AI-Rad Companion: The assistant powered by AIAI-Rad Companion is our family of vendor-neutral, multi-organ augmented reading solutions. They take over basic, repetitive tasks to support experienced staff in working at the top of their license. AI-Rad Companion reading solutions automatically prepare the clinical input: they identify and quantify relevant anatomies and abnor-malities and put findings into a diagnostic context.

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Personalized imaging for consistent, comprehen-sive results

SOMATOM X.cite generates the comprehensive infor mation that can help radiologists diagnose with precision and confidence – no matter the patient or procedure. The power stems from its outstanding imaging chain, which includes the Vectron® X-ray tube. The user guidance comes from myExam Companion, which tailors acquisition to the individual patient.

Challenging cases

Vast power reserves, outstanding spatial resolution, and low contrast differentiation mean excellent image quality and optimized dose for challenging cases.

Neuro imaging

Flexible adaption of the scan range, high power reserves for low-kV imaging, and dedicated noise reduction keep dose as low as reasonably achievable.

Spectral imaging

Improved spectral separation without dose penalty and automatic adaption of protocol settings for Dual Energy spectral imaging results at any orientation and thickness.

Cardiac imaging

Easy user guidance to get the optimal combination of acquisition and recon-struction parameters ‒ and ready-to-read results for instant evaluation.

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Lung evaluation with Tin Filter for low dose, even for obese patients.

Low-kV imaging with high power reserves.

Inner ear assessment with Tin Filter. High spatial resolution with no dose penalty.

Excellent visualization of bypass and coronaries.

Low-dose coronary CTA at 6 mGy with 70 kV.

Unenhanced head scan for stroke assessment, CTDIvol of 41.39 mGy.

Stroke assessment with Brain Perfusion acquired with Flex 4D Spiral at 70 kV.

TwinSpiral Dual Energy for assessment of bone marrow in the knee.

Fused iodine map acquired with TwinBeam Dual Energy for assessment of contrast enhancement.

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The gantry-integrated Visual Patient Instruction1) offers ...• Improved compliance with breathing

commands to potentially reduce movement artifacts

• Intuitive color-coded breath-hold countdown, displayed on the front and back of the tunnel

• Visual guidance, especially helpful for the hearing-impaired or patients who don’t understand the local language

Patient-friendly design with an 82 cm bore

SOMATOM X.cite is designed to transform how patients interact with both user and the CT scanner – and how they perceive their care.

The FAST 3D Camera1) helps set the ...• Right dose modulation with FAST Isocenter• Correct body region with FAST Range• Right scan direction with FAST Direction

The tablet enables …• Staying close to the patient at all times by:

• Preparing all scans right at the gantry• Returning to the patient right after the scan• Previewing images directly on the tablet

• Simultaneous use of up to five tablets1)

• Placement and charging of the tablets at the docking station1) on the gantry or at your workplace

The remote control helps …• Simplify patient positioning • Start the scan remotely, complementing

the tablet for a true mobile workflow

Technical specificationsDetector: ................................ StellarInfinity detectorsX-ray tube: ............................. Vectron® X-ray tubeNumber of acquired slices: ..... 128 slicesRotation time: ........................ up to 0.3 s1)

Temporal resolution: .............. up to 150 ms1)

Generator power: ................... 105 kWkV settings: ............................ 70 – 150 kV @ 10 kV StepsSpatial resolution: .................. 0.3 mmMax. scan speed: .................... 218 mm/sTable load: ............................. up to 307 kg/676 lbs1)

Gantry opening: ..................... 82 cm

The gantry-mounted injector arm1) allows …• The injector to be positioned where you

need it, when you need it• The injector to be flexibly moved into other

positions• Work in a neat and patient-centered

environment without a blocking injector cart

The gantry-integrated Patient Observation Camera1) helps ...• Monitor the patient even inside the gantry • Keep an eye on the patient and spot even

small movements

The large 82 cm bore is ...• Ideal for obese patients and trauma,

orthopedic, or interventional procedures• Ideal to help both patients and users relax

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Technology overview

Vectron® X-ray tubeDelivers excellent low-kV properties and a small focal spot for high resolution:• 1,200 mA @ 70, 80, 90 kV• 0.6 × 0.7 (IEC) focal spot• 70 – 150 kV in steps of 10 kV

StellarInfinity detectorReduces image noise in every scan. Increased channel density and new geometry result in homogenous image quality, even in complex areas:• TrueSignal technology with full electronic integration• Edge technology enables the generation of 0.5 mm slices

Tin FilterCuts out lower energies to reduce dose and enhance image quality:• Low-dose early detection in lung, colon, or calcium score exams• Dose level comparable to that of a conventional X-ray system• Tin-filtered topogram

TwinBeam Dual Energy1) Acquires low- and high-kV datasets in a single scan:• Rich diagnostic information that a conventional single source CT scan

can’t deliver• Users can characterize, highlight, and quantify different materials for

greater diagnostic confidence with virtually all patients

Flex 4D Spiral1)

Provides optimized dynamic acquisitions with continuously repeated bidirectional table movement during spiral acquisition:• Extended range for 4D information• Perfusion range of up to 10 cm2) in head applications, up to 20 cm2) in body

applications, and dynamic CTA studies up to a scan range of 44 cm2)

TwinSpiral Dual Energy1) Provides both morphological and functional information in non-contrast exams:• Datasets at two different energies• Improved spectral separation with no dose penalty thanks to tin filtration

of the high-kV scan• New workflow concept of two scans integrated into a single acquisition

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Published by Siemens Healthcare GmbH · Order No. CT-00110-02C1-7600 · Printed in Germany · 8386 1119 · © Siemens Healthcare GmbH, 2019


SOMATOM X.cite with myExam Companion is not commercially available in all countries. Its future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for more details.

On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products/services/feaures included in this brochure are available through the Siemens Healthineers sales organization worldwide. Availability and packaging may vary by country and are subject to change without prior notice.

The information in this document contains general descriptions of the technical options available and may not always apply in individual cases.

Siemens Healthineers reserves the right to modify the design and specifications contained herein without prior notice. Please contact your local Siemens Healthineers sales representative for the most current information.

In the interest of complying with legal requirements concerning the environmental compatibility of our products (protection of natural resources and waste conservation), we may recycle certain components where legally permissible. For recycled components we use the same extensive quality assurance measures as for factory-new components.

Any technical data contained in this document may vary within defined tolerances. Original images always lose a certain amount of detail when reproduced.

International version. Not for distribution or use in the U.S.

1) Optional2) Neuro: 9.79 cm, Body: 19.58 cm, Body CTA: 43.78 cm

Clinical images from left to right, page 4-5, courtesy of:

Challenging cases University Hospital Erlangen, Erlangen, Germany Clinica Universidad de Navarra, Pamplona, Spain Clinica Universidad de Navarra, Pamplona, Spain University Hospital Zurich, Zurich, Switzerland

Cardiac imaging University Hospital Erlangen, Erlangen, Germany University Hospital Erlangen, Erlangen, Germany Clinica Universidad de Navarra, Pamplona, Spain Clinica Universidad de Navarra, Pamplona, Spain

Neuro imaging University Hospital Zurich, Zurich, Switzerland University Hospital Zurich, Zurich, Switzerland University Hospital Erlangen, Erlangen, Germany University Hospital Erlangen, Erlangen, Germany

Spectral imaging Clinica Universidad de Navarra, Pamplona, Spain University Hospital Erlangen, Erlangen, Germany University Hospital Erlangen, Erlangen, Germany Klinikum Nuremberg, Nuremberg, Germany Klinikum Nuremberg, Nuremberg, Germany

AI-Rad Companion Chest CT Multi-organ AI-powered solutions that support the image-based clinical decision process

AI-powered radiology reading assistant

The AI-Rad Companion Chest CT helps radiologists interpret CT (computed tomography) images of the thorax more quickly and more precisely and reduces the time needed to document the findings with the help of automatic measurements. The AI-Rad Companion Chest CT is the first AI-based application in the new AI-Rad Companion family. It’s vendor-neutral, which means that the software can evaluate image data from other CT system manufacturers. Based on AI-Rad Companion, Siemens Healthineers will be offering intelligent algorithms for more organs and radiological questions to help healthcare providers improve patient care through AI.

Enabled by the teamplay digital health platform and using state-of- the-art image processing algorithms supported by artificial intelligence, AI-Rad Companion Chest CT delivers value in three key areas:

1. Accelerated interpretation and workflow efficiency 2. Improved clinical outcomes and increased accuracy 3. Standardized results

Published by Siemens Healthcare GmbH · AIRC 4-01 20.07 AB · © Siemens Healthcare GmbH, 20201The Royal College of Radiologists. Clinical radiology, UK workforce census 2018 report. London: The Royal College of Radiologists, 2019.

Helping ease todayʼs reading pain points

Radiologists today are dealing with an ever-increasing workload, more complex cases, higher expectations from hospital administrators andreferring physicians, new regulatory requirements, lower reimbursements, and competition from predatory practices. For many radiologists, these forces are having a negative impact on their job satisfaction, their lifestyles, and the time they have available for consultation, teaching, and research.

Implementing and utilizing AI-Rad Companion Chest CT can support radiologists by helping them:

• Speed up their workflow: AI-Rad Companion Chest CT may help reduce the time needed for interpretation and reporting. It automatically performs measurements and prepares results for reports – helping radiologists manage their the workload with less effort.

• Increase precision: The AI-Rad Companion Chest CT may increase accuracy in interpretation and reporting. It automatically highlights abnormalities, characterizes anatomies, and measures both when they’re relevant.

“When radiologists create a report, there’s a variability of ten to 20 percent depending on the examiner. In an algorithm-based diagnosis, this variability is completely eliminated, and the results are very consistent. That alone is a huge advantage of AI platforms like the AI-Rad Companion.”Dr. Bram Stieltjes, University Hospital Basel, Basel, Switzerland

In many countries, the number of CT and MRI exams has exploded, but the number of experts hasn’t grown proportionately. As a result, the workload per radiologist has increased dramatically. One-hundred studies per day and 12+ hour workdays aren’t unusual. With this shorter turnaround time, the error rates are rising.1

Purchasing options

AI-Rad Companion is available as a trial license for 90 days. After the 90-day trial, the customer can purchase AI-Rad Companion using our subscription-based software as a service (SaaS) model. Installation and use of the teamplay digital health platform is a prerequisite for using AI-Rad Companion.

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Next steps

Contact us for more details or request a trial.

Courtesy of Klinikum Nürnberg, Nuremberg, Germany

Courtesy of Klinikum Nürnberg, Nuremberg, Germany

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AI-Rad Companion Organs RTContouring support for organs at risk in radiation therapy

AI-powered contouring support for organs at risk

AI-Rad Companion Organs RT is an AI-based solution that provides radiation therapists with automatic contouring of organs at risk, which is input to their radiation therapy planning via the teamplay digital health platform. The images acquired at the CT scanner are sent to AI-Rad Companion Organs RT to be processed, and then the RT struct (DICOM) results can be pushed directly to the treatment planning system or first assessed in the AI-Rad Companion Organs RT interface.

AI-Rad Companion Organs RT provides organs at risk contours using deep-learning (AI) algorithms for various body regions, including head and neck, thorax, abdomen, and pelvis. It also supports the use of organ template configurations that can be aligned with institutional protocols; this may save time and improve standardization in clinical workflows.

Published by Siemens Healthcare GmbH · AIRC 1-01 20.07 AB · © Siemens Healthcare GmbH, 2020

1Source: https://www.cancer.org/research/cancer-facts-statistics/global.htmlAI-Rad Companion Organs RT is pending 510(k) clearance and is not yet commercially available in the United States and other countries.

3D rendering capabilities aren't available with AI-Rad Companion Organs RT, but they can be accessed using an advanced visualization PACS solutions.

The need for organs at risk contouring in radiation therapy

The process of contouring all organs at risk is a tedious and timecon-suming process. RT professionals spend a significant amount of time contouring manually on each slice of the CT dataset. Manual contouring can also lack consistency, because contours can differ from user to user. While the task of organs at risk contouring is necessary, it’s a task that can be automated to help deliver consistency across users and patient encounters.

The predicted increase in cancer cases worldwide will lead to a growing number of patients who need to be treated with radiation therapy.1 Automating these routine tasks can help free up staff to focus on more value-adding work.

Organs at risk contouring challenges

• Organs at risk contouring is time-consuming. RT professionals spend a significant amount of time contouring manually, slice by slice.

• Manual contouring can also lack consistency, because contours can differ from user to user or when recontouring a second time.

Purchasing options

AI-Rad Companion is available as a trial license for 90 days. After the 90-day trial, the customer can purchase AI-Rad Companion using our subscription-based software as a service (SaaS) model. Installation and use of the teamplay digital health platform is a prerequisite to using AI-Rad Companion.

Next steps

Contact us for more details or request a trial.

siemens-healthineers.com/digital-health-solutions


Courtesy of Aarhus Universitetshospital, Denmark





https://www.siemens-healthineers.com/digital-health-solutions

https://siemens-healthineers.com

SOMATOM go.Open Pro The future is in motion

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