TOSHIBA Leading Innovation >>> Cardiac Imaging Clinical Flexibility through Advanced TechnologyCardiac Imaging Clinical Flexibility through Advanced Technology Introduction Noun Elzabeth Hospitals privat acter care hospital wth £05 bas that proves fal range of abla services to more than 375 media specials in the aning medial cents, vnhich includes Ass hches concentration of eardelogsts sr arlacsugenrs, rewros nt aurosirgeons. The CT comer isan apstent sity thet hs partrmad mor than 8000 cardiac scans oda (ur ste bgan performing corcrary CT angiography back n 204 wth a 16-ow MDCT stem, [though the ests were impressive fr hae, he ite temporal and spatial resolution of this ‘technology precluded the route cial uo eronary CTA, “The instaltion ofan Aqulln” 64 system i 2005 demonstrate clea advances in CT technol ‘hat det benefes coronary artery magne. Not cry could inages be acquies wth stone sft reslution in a shore bret Fos tne, bu! the procure ao became vr rebut, pareulary wth outne premedicatonwitheralbela-tockers. AS esl, our patent rela base {rand ou sacond and thir Aquton 6 systems were installed 2006 and 2007, Atcnaly, ‘urs partepatad in the CorE6t nortan ution tra fe by the Oslo of Carol at Johns Hopkins. These resus were publish inthe Now England Jounal of Medi in November 2008, ie this yar, we insiated a sytem that rcopaats the atest advances CT imaging, The Paulon ONE* system wth aby to capture the ents heat in ONE reaten, demenstats framate aovances in achieving robust carte magngna wide arty of patos tread Patient exposure doses. ‘ur ste employs Prospect CTA sean mate succostuly in 85% to 90% cur patents. Ths scan nade exposes a sal poten of ONE hearbos obtain areconstuced yume acgited a the sae momentin tne. ‘voter acvaniage of Aqutlon ONE i its nia ext in patents who were achatenge tage sing a 64-0 MDCT sytem. For example, hat happens inpatients wih igh her ates righ ‘aloum scars or those who are unusual ansous about the examination? | woud kee present ‘ays to overcome these clincalchalngesy sering cur expenence wh ts advanced technology inacual cea cases,INDEX CASE 1 CASE 2 Ultre-Low-Dose Prospective CTA P4.5 Prospective CTA in Patients with Severely Calcified Arteries ——— 6.7 Ultra-Fast Cardiac CTA Pa.g Aarhyttmia Rejection ———— 10-11 ‘Adaptive Multisegment Reconstruction — P12-13 Wide-olume Scanning 14-15 ESF | Mount ElizabethCASE 1 Ultra-Low-Dose Prospective CTA Introduction The effective dose for this scan was just 1.7 mSv. Patient HistoryConclusion Employing the prospective Wggeing technique wth Aguilen ONE and capturing the entire heart In ths case the use ofan O-AV protca ina patent witha BM of 1 allowed scanning to be erformed wh an exposure dase of ony 1.7 mv. 7 leary demonstrates tha reducing high-quality da ent image quay obtain or minimizing the exposure dose while onary artery dlsease could be ruled out inthis patent na fast, cnt, and nanivasi mene wth minimal X-ray ex dasa contrat medium dose,CASE 2 Prospective CTA in Patients with Severely Calcified Arteries Introduetion re pacoct instant in mo, ening far hus greatly impxcning th thei in producing high diagnostic This 7L-year-d man was refered for ayical chest pan. A CT scan was requests fr further noninvashCASE 3 Ultra-Fast Cardiac CTA Introduction The ably to capture the entre heat in ite 2s one eatin permis low-dose cardiac CTA, anc equally important, edocs sean times a mere millsaconcs, 1 triggered CTA scan mace autoraticaly sets a smal heart a. In ates wih hat as elo 65 ben, the mic-astoic phase ony. The tal scan timein this cases 2 window is Sto x0 ton af ore heartbeat, Utre short sean times dec contbut to increased patient confor ard permit patients wth oor brath-olding ably tebe examine, Scanning ina faction af ene heatbea Patient History RCACASE 4 Arrhythmia Rejection Introduction Pationts wih arrythmias have lan been considered tobe poor eanddates for cronary CTA with MDCT. Auion ONE overcomes ths prbiem wth ts automatic rythm ejection softwere Volumetric scannirg isthe only technol that perms robust arhythmia rejection alg to be ued nthe rune cineal sting The system operates very simply, an arhythmic beat is detect during the scan, exposures terminated and the next noma beats argued, Since here sno table movement, the system operates vor etectivey Patient History This 62,yearold man presened vith aypcal chest pan, A CT scan was requested fo ule out This image she actus ECS recording rng the scan. The light-gtay ares represent Xray exposure. In his respecte CTA sean, 2 PYG ocurred during ho tt bea The Saco beat was also abnormal. nthe fst to beats, exposure was started, but was immedaely minted ty the sstam whan the R wave atv ery. The Scanner used the thi, name Beat orCASE 5 Adaptive Multisegment Reconstruction Introduction Temporal resolution term that has became well known though the ntoduction of earanary artery Imaging wih CT. I ef tothe pid ftime wed for image reconstuction. Aqulon ONE has an immediate advantage in hat he temo resolution des not apply to each inca image, bit to the ene cardiac valure Half can reconstruction isthe mest commonly emplyed meth fr improving the temporal elution, Tsnic's adaptive mutseprent constuction mathas takes ths basic caneep even further to pxcduce images wth quer scan vecastucton oles o further improve teal resolution. Tis technigue makes it possible to freeze cariac motion patents wth high hes ates, 1). @ Patient History A63.year old mak nave an abromal taker implant to treat sick sinus sy adil EG tet. The patent was unset exercise for more than tee minutes T oranary angiography was requested o exclude coronary and became severely shot of breath ary soz. This image i he actual EG recording Guin the scan. The ight aay areas regres exposure. Duet he patient's highly varisbla heat at, the system automaticaly p twe-beat scan reconstracton vas perfrmed by ataptely extracting the ect same porter zat. This dala was then combined to chia vdumetic images,Wide-Volume Scanning Introduction This bypass graft study was acquired prospectively in two volumes, Patient HistoryConclusion pass ras using Aquilon ONE, Ths mettnd maintains the low-dose advantages of analysis. Each aequited volume has perfect poral unitormity, n just wo acquired heartbeats can was able to cover the ene chest om the orgin ot This patent was found te rave an occluded RCA bypass graft. The three remaining bypass grafts LUMAo-LAD graft nd a sequent racial artery graf to the agonal and obtuse met Since the enti hear can il be fully caued in he second volume sean, excellent suaization