8466 CT SOMATOM Go Now Clinical Case Booklet

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 66

SOMATOM go.

Now

Clinical Cases
siemens-healthineers.com/somatom-go-now
International version. Not for distribution or use in the U.S.
2
SOMATOM go.Now
Run a successful CT business

The expenses that come with a CT scanner always pose a certain amount of risk,
particularly to smaller institutions. In routine CT imaging, it is not just about
providing answers to patients but also about running a business.

We developed the SOMATOM® go. platform to help you achieve daily success.
As a member of this family, SOMATOM® go.Now comes with workflow and usability
innovations that improve efficiency independent of the individual user’s level of
experience. It delivers great results for routine scanning and a completely redesigned
service model combined with an innovative workplace design that helps reduce costs.

Whether you are looking to replace your previous system or just starting out in CT
imaging, SOMATOM go.Now addresses your routine operations needs. It makes high-
quality care accessible and helps you run a successful CT business – allowing you to
keep an eye on profitability and stay competitive.

SOMATOM go.Now helps you integrate complex exams into daily practice. You will
be able to offer routine lung cancer screening and angiography, and assess gout
or kidney stones using TwinSpiral Dual Energy. Equipped with premium technologies,
SOMATOM go.Now delivers results you would not expect from a routine system.

3
4
Contents
Lung Imaging 7
Abdominal, Pelvic and Whole-Body Imaging 15
CT Angiography 23
Head Imaging 29
Musculoskeletal Imaging 39
Spectral Imaging with TwinSpiral Dual Energy 47
Dental Imaging 53
CT-guided Interventions with Guide&GO 57
How to get there 61

5
6
Lung Imaging

7
Lung Imaging

Sn110 kV / 75 mAs

CTDIvol 1.34 mGy

DLP 53.6 mGy*cm

Exposure time 18 s

Scan length 396 mm

Pitch 1.5

Rotation time 0.8 s

Collimation 16 x 0.7 mm
Thick-slice MIP

• Tin Filter technology cuts out


lower energies to reduce dose
and enhance image quality at
the interface of soft tissue and air

• Beat your competition with lung


imaging powered by Tin Filter
technology

Coronal MPR

8 Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Hangzhou, P.R. China
Lung Imaging

130 kV / 81 mAs

CTDIvol 4.69 mGy

DLP 151 mGy*cm

Exposure time 19 s

Scan length 336 mm

Pitch 1.5

Rotation time 1.0 s

Collimation 16 x 0.7 mm
Transversal
15 mm thick-slice MIP
• Excellent visualization of lung
tissue

• Anticipate potential breathing


artifacts by proactively
characterizing the patient’s ability
to comply with an acceptable
breath-hold with myExam
Companion

Coronal oblique MPR


1 mm slice thickness

Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Hangzhou, P.R. China 9
Lung Imaging

130 kV / 188 mAs

CTDIvol 8.24 mGy

DLP 255.9 mGy*cm

Exposure time 14 s

Scan length 324 mm

Pitch 1.5

Rotation time 0.8 s

Collimation 16 x 0.7 mm

Thick-slice MIP
• Automatic segmentation of solid
and subsolid nodules with
CT View&GO

Thick-slice MIP

10 Courtesy of Tadokoro Clinic, Saitama, Japan


Diameter: 14.5 mm
Mean diameter: 11.8 mm
Volume: 0.975 mL
WHO area: 136.2 mm2

11
Lung Imaging

130 kV / 101 mAs

CTDIvol 5.29 mGy

DLP 159 mGy*cm

Exposure time 14 s

Scan length 312 mm

Pitch 1.5

Rotation time 1.0 s

Collimation 16 x 0.7 mm

• Excellent visualization of lung


tissue and vessels

• Robust VRT tools at


CT View&GO

• Confirm correct organ coverage


and contrast agent distribution
with Check&GO

1 mm slice thickness axial MPR

12 Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
2 mm slice thickness coronal MPR Oblique VRT

13
14
Abdominal, Pelvic
and Whole-Body
Imaging

15
Abdominal, Pelvic and
Whole-Body Imaging

130 kV / 225 mAs

CTDIvol 8.85 mGy

DLP 394 mGy*cm

Exposure time 21 s

Scan length 458 mm

Pitch 1.5

Rotation time 0.8 s

Collimation 16 x 0.7 mm

• Excellent visualization of very


small kidney stones with the
Stellar detector

• The advanced 3D antiscatter


collimator minimizes image noise
and increases dose efficiency

1 mm slice thickness coronal MPR

16 Courtesy of Tadokoro Clinic, Saitama, Japan


Abdominal, Pelvic and
Whole-Body Imaging

130 kV / 147 mAs

CTDIvol 7.71 mGy

DLP 379 mGy*cm

1 Exposure time 29 s

Scan length 505 mm


1
Pitch 1.5

Rotation time 1.0 s

Collimation 16 x 0.7 mm

2
• Excellent image quality in native
abdomen scans enabled by Stellar
2 detector technology

• Automatic MPR orientation thanks


to Recon&GO

5 mm slice thickness

Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Hangzhou, P.R. China 17
Abdominal, Pelvic and
Whole-Body Imaging

130 kV / 123 mAs


(each phase)

CTDIvol 8.85 mGy


(each phase)

DLP 268 mGy*cm


(each phase)

Exposure time 22 s
(each phase)

Scan length 315 mm


(each phase)

Pitch 1.0 (each phase)

Rotation time 0.8 s


(each phase)

Collimation 16 x 0.7 mm
(each phase)

• Excellent image quality abdomen


scans enabled by Stellar detector Multiphase abdomen study
technology

• Flexible coronal oblique MPR


created for native, arterial, portal-
venous and delayed scans

18 Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
Abdominal, Pelvic and
Whole-Body Imaging

130 kV /123 mAs


(each phase)

CTDIvol 8.85 mGy


(each phase)

DLP 268 mGy*cm


(each phase)

Exposure time 22 s
(each phase)

Scan length 316 mm


(each phase)

Pitch 1.0 (each phase)

Rotation time 0.8 s


(each phase)

Collimation 16 x 0.7 mm (each


phase)

• Coronal thick-slice MIP for portal-


Portal venous phase venous scans for visualization of
the portal vein

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China 19
Abdominal, Pelvic and
Whole-Body Imaging

130 kV / 123 mAs


(each phase)

CTDIvol 8.85 mGy


(each phase)

DLP 268 mGy*cm


(each phase)

Exposure time 22 s (each phase)

Scan length 316 mm


(each phase)

Pitch 1.0 (each phase)

Rotation time 0.8 s


(each phase)

Collimation 16 x 0.7 mm Min / Max: -200 HU / -30 HU


(each phase) Mean / SD: -100 HU / 25 HU
Area: 163.92 cm2
Thresholds: -200 HU / -30 HU

• CT View&GO allows you to


evaluate and display tissue
densities within a certain HU
range (e.g., fat quantification)

• Prevent subsequent errors


in multiphase scans and avoid
archiving of suboptimal images
with Check&GO

20 Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
Abdominal, Pelvic and
Whole-Body Imaging

130 kV / 120 mAs

CTDIvol 10.86 mGy

DLP 449 mGy*cm

Exposure time 19 s

Scan length 375 mm

Pitch 1.4

Rotation time 0.8 s

FBP SAFIRE 1 Collimation 16 x 0.7 mm

• Free selection between 5 levels


of SAFIRE1 for different image
impressions

SAFIRE 3 SAFIRE 5

Courtesy of Tadokoro Clinic, Saitama, Japan 21


22
CT Angiography

23
CT Angiography

130 kV / 98 mAs

CTDIvol 2.34 mGy

DLP 308 mGy*cm

Exposure time 51 s

Scan length 1083 mm

Pitch 1.5

Rotation time 0.8 s

Collimation 16 x 0.7 mm

• Excellent contrast behavior


to support the identification
of stenoses even in fine and small
vessels

• Perfect combination of correct


timing and high spatial resolution

Curved MPR MIP reconstruction

24 Courtesy of KGS Advanced MRI and CT Scans, Madurai, India


CT Angiography

80 kV / 281 mAs
(400 mA max)

CTDIvol 4.16 mGy

DLP 132 mGy*cm

Exposure time 30 s

Scan length 330 mm

Pitch 0.75

Rotation time 0.8 s

Collimation 16 x 0.7 mm

SAFIRE 3
• High Power 80 for improved
iodine contrast

• Potential reduction of required


contrast media dosage

• Curved MPR for vessel analysis


shown

SAFIRE 5

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China 25
CT Angiography

110 kV / 150 mAs

CTDIvol 5.46 mGy

DLP 474 mGy*cm

Exposure time 41 s

Scan length 880 mm

Pitch 1.5

Rotation time 0.8 s

Collimation 16 x 0.7 mm

• Challenging lateral arm positioning


supported by ALPHA (Automatic
Landmarking and Parsing of
Human Anatomy) technology for
automatic orientations

Oblique MIP

26 Courtesy of KGS Advanced MRI and CT Scans, Madurai, India


Oblique VRT

27
28
Head Imaging

29
Head Imaging

130 kV / 104 mAs

CTDIvol 44.35 mGy

DLP 683 mGy*cm

Exposure time 25 s

Scan length 167 mm

Pitch 0.55

Rotation time 1.0 s

Collimation 16 x 0.7 mm max.

• Excellent low-contrast performance


for differentiation of gray/white
Absorbed
matter
dose
• X-CARE for protection of the eye
lenses

• “Does the scan range include


Without X-CARE With X-CARE min.
sensitive organs such as the eyes?”
myExam Companion translates
technical parameters into clinical
language and triggers X-CARE
automatically if needed

30 Courtesy of 2nd Affiliated Hospital of Zun Jat-Sen University, Hangzhou, P.R. China
Head Imaging

Sn110 kV / 182 mAs

CTDIvol 7.02 mGy

DLP 112 mGy*cm

Exposure time 18 s

Scan length 172 mm

Pitch 0.8

Rotation time 1s

Collimation 16 x 0.7 mm

• High spatial resolution for the fine


structures

• ALPHA technology for a faster,


more standardized and safer
workflow

Courtesy of KGS Advanced MRI and CT Scans, Madurai, India 31


Head Imaging

Sn110 kV / 125 mAs

CTDIvol 6.74 mGy

DLP 76.8 mGy*cm

Exposure time 19 s

Scan length 127 mm

Pitch 0.55

Rotation time 1.0 s

Collimation 16 x 0.7 mm

FBP
• Free selection between 5 levels
of SAFIRE1 for different image
impressions

• Optimized X-ray spectral shaping


for improved dose efficiency with
the Tin Filter

SAFIRE 1

32 Courtesy of Tadokoro Clinic, Saitama, Japan


SAFIRE 2 SAFIRE 3

SAFIRE 4 SAFIRE 5

33
Head Imaging

110 kV / 125 mAs

CTDIvol 8.05 mGy

DLP 65 mGy*cm

Exposure time 15 s

Scan length 107 mm

Pitch 0.55

Rotation time 1.0 s

Collimation 16 x 0.7 mm

• 0.6 mm thin-slice reconstructions


thanks to Stellar detector
technology

• Small bony structures sharply


visualized with a balanced imaging
chain: Chronon® tube + Stellar
detector + SAFIRE1

Slice thickness 0.6 mm

34 Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
Head Imaging

130 kV / 58 mAs

CTDIvol 33.5 mGy

DLP 313 mGy*cm

Exposure time 15 s

Scan length 107 mm

Pitch 0.55

Rotation time 1.0 s

Collimation 16 x 0.7 mm

0.6 mm reconstruction

• Thin slice reconstructions thanks


to Stellar detector technology

• Small bony structures sharply


visualized with a balanced imaging
chain: Chronon® tube + Stellar
detector + SAFIRE1

0.8 mm reconstruction

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China 35
Head Imaging

130 kV / 104 mAs


(each phase)

CTDIvol 45.3 mGy


(each phase)

DLP 731 mGy*cm


(each phase)

Exposure time 26 s
(each phase)

Scan length 174 mm


(each phase)

Pitch 0.55
(each phase)

Rotation time 1.0 s


(each phase)

Collimation 16 x 0.7 mm

• Fast VRT postprocessing of oblique


views with integrated CT View&GO
tools

• Reduced artifacts even in


challenging patient positioning
circumstances Oblique view VRT

36 Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
Oblique view VRT

37
38
Musculoskeletal
Imaging

39
Musculoskeletal
Imaging

Sn110 kV / 76 mAs

CTDIvol 1.33 mGy

DLP 16.8 mGy*cm

Exposure time 14 s

Scan length 139 mm

Pitch 0.8

Rotation time 1.0 s

Collimation 16 x 0.7 mm

• Low-dose combination of iMAR +


Tin Filter + SAFIRE1

• iMAR brings high-end metal


artifact reduction to routine
orthopedic scanning

With iMAR Without iMAR

Axial and VRT reconstructions

40 Courtesy of Tadokoro Clinic, Saitama, Japan


Musculoskeletal
Imaging

130 kV / 105 mAs

CTDIvol 11.2 mGy

DLP 846 mGy*cm

Exposure time 39 s

Scan length 829 mm

Pitch 1.5

Rotation time 0.8 s

Collimation 16 x 0.7 mm

• Focus on your patient. Recon&GO


automatically takes care of
postprocessing

• Spine labeling enables evaluation


Transversal Curved MPR
of fractures even in complex
oblique MPR reconstruction
situations (in this case, T12 trauma)

• Improved workflow for the


assessment of fracture extent and
fragments for therapy planning

Courtesy of KGS Advanced MRI and CT Scans, Madurai, India 41


Musculoskeletal
Imaging

130 kV / 90 mAs

CTDIvol 9.96 mGy

DLP 269 mGy*cm

Exposure time 30 s

Scan length 283 mm

Pitch 0.8

Rotation time 1.0 s

Collimation 16 x 0.7 mm

• iMAR removes or mitigates


artifacts in a wide variety of
clinical situations With iMAR
Coronal MPR
• Metal artifact reduction handles
metal implants without disrupting
workflows

• “Does the patient have metal


implants?” Just answer this clinical
question and let myExam
Companion take care of the
technical adaptions

42 Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
Without iMAR
Coronal MPR

43
Musculoskeletal
Imaging

130 kV / 90 mAs

CTDIvol 9.96 mGy

DLP 269 mGy*cm

Exposure time 30 s

Scan length 283 mm

Pitch 0.8

Rotation time 1.0 s

Collimation 16 x 0.7 mm

• iMAR brings high-end metal


artifact reduction to routine
orthopedic scanning

VRT based on iMAR images

44 Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China
Musculoskeletal
Imaging

130 kV / 164 mAs

CTDIvol 19.99 mGy

DLP 487 mGy*cm

Exposure time 24 s

Scan length 257 mm

Pitch 0.9

Rotation time 1.0 s

Collimation 16 x 0.7 mm

• Multiple protrusions of disks


clearly displayed
Sagittal and axial oblique 2 mm MPR

Courtesy of Shanghai Public Health Center, Cao Lang, Shanghai Jinshan, P.R. China 45
46
Spectral Imaging
with TwinSpiral
Dual Energy

47
Spectral Imaging
with TwinSpiral
Dual Energy

110 kV / Sn130 kV

CTDIvol 8.41 mGy

DLP 159 mGy*cm

Exposure time 12 s

Scan length 168 mm

Pitch 1.0

Rotation time 0.8 s

Collimation 16 x 0.7 mm

3 mm mixed MPR

• Powerful spectral separation


thanks to the Tin Filter

• Recon&GO DE and syngo.CT DE


applications offer you a
comprehensive assessment
directly at the scanner

• Reduce complexity while enhancing


consistency in routine but also
more advanced examinations –
let myExam Compass guide you
when deciding if Single or Dual
1 mm mixed MPR
Energy is the best answer for the
clinical task

48 Courtesy of KGS Advanced MRI and CT Scans, Madurai, India


App: Mixed / 110 / Sn130
CT-Value: 1185 / 1402 / 1093 HU
Ratio: 1.29
Volume: 61.9 mm3
Diameter: 3.8 | 3.4 mm
Precision: high

49
Spectral Imaging
with TwinSpiral
Dual Energy

110 kV / Sn130 kV

CTDIvol 8.41 mGy

DLP 159 mGy*cm

Exposure time 12 s

Scan length 168 mm

Pitch 1.0

Rotation time 0.8 s

Collimation 16 x 0.7 mm

• TwinSpiral Dual Energy with new


workflow concept of two scans
integrated into one single
acquisition

• Powerful spectral separation


thanks to Tin Filter

• Recon&GO DE Gout for automatic


results and syngo.CT DE Gout
advanced application directly at
V(<0): 0.04 cm3
the scanner

50 Courtesy of 1st Affiliated Hospital of Zhengzhou University, Zhengzhou, P.R. China


Dual Energy enables visualization of gout

51
52
Dental Imaging

53
Dental Imaging

130 kV / 140 mAs

CTDIvol 18.7 mGy

DLP 336 mGy*cm

Rotation time 1.0 s

Collimation 16 x 0.7 mm

• iMAR removes or mitigates


artifacts in a wide variety of
clinical situations

• Metal artifact reduction handles


metal implants without disrupting
workflows

Challenges in reading due to metal artifacts

54 Courtesy of Tadokoro Clinic, Saitama, Japan


Without iMAR With iMAR

55
56
CT-guided
Interventions
with Guide&GO

57
CT-guided
Interventions
with Guide&GO

Planning spiral

130 kV

CTDIvol 6.9 mGy

DLP 35.4 mGy*cm

Exposure time 1 s

Scan length 57 mm

• Intuitive, tablet-based workflow


with precise needle positioning
even in moving organs

0.5 mm MPRs (soft tissue and lung window)


and Cinematic VRT

58 Courtesy of Lung Center of Philippines, Quezon City, Philippines


CT-guided
Interventions
with Guide&GO

FAST i-Sequence thorax


for biopsy

130 kV

CTDIvol 90.2 mGy

DLP 81.2 mGy*cm

Exposure time 7 x 0.8 s

Scan length 9 mm

• CT-guided needle biopsy of


suspicious lung lesion with
Guide&GO

• Safeguard needle placement with


FAST i-Sequence for instant
monitoring of the needle position

Courtesy of Lung Center of Philippines, Quezon City, Philippines 59


60
How to get there

61
Technology overview

myExam Companion Inline/offline postprocessing Spectral Imaging with Dual Energy


The SOMATOM go. platform starts the era SOMATOM go.Now comes with two kinds SOMATOM go.Now offers spectral imaging
of intelligent CT scanning with myExam of postprocessing tools: a zero-click “inline” with TwinSpiral Dual Energy that makes DE
Companion. With it, AI turns aggregated reconstruction toolkit and another one for routine-ready – completely neutral in dose
data into built-in expertise to automatically “offline” diagnosis. and workflow.
leverage the full potential of technologies –
The inline results of Recon&GO save time, TwinSpiral offers the ability to acquire two
regardless of where, when, and by whom
reduce workflow steps, and deliver ready- spiral data sets in sequence at different
the results have been produced.
to-read, standardized images. Recon&GO energies. Thanks to the spectral properties
This allows for reliable and reproducible offers you, among other things, the of the Tin Filter, TwinSpiral DE allows
results from day one. myExam Companion possibility of anatomical ranges, table better spectral separation for noncontrast
means performing all advanced CT and bone removal, vascular CPR (Curved examinations. By allowing you to characterize,
examinations as perfectly and quickly Planar Reconstruction), and multi recon highlight, and quantify different materials,
as if they were routine, allowing even (for automated multiple reconstructions in Dual Energy gives you greater diagnostic
unexperienced users to find the best just one step). Furthermore, you can add confidence.
combination of parameters for every spine ranges, rib ranges, and Lung CAD.
And combined with dedicated Spectral
individual patient and procedure.
For offline diagnosis, CT View&GO offers Viewing packages2 it allows for comprehensive
Personalized imaging for precise dose
dedicated tools for smooth and efficient assessment. No matter if you would like to
and contrast media optimization, reduced
reading. It includes anatomical ranges, table do your postprocessing directly at the
unwarranted variations, and always
and bone removal, vessel extension, and console or have it sent automatically to
consistent results for enhanced diagnostic
endoscopic view among others. In addition, PACS by Recon&GO instead – it offers a
experience.
it can be further enhanced with spine solution for all clinical workflows.
ranges and Lung CAD as well as the
advanced applications syngo.CT Osteo and
syngo.CT Neuro DSA.

62
V

High Power 80 Stellar detector Tin Filter


High Power 80 (high mA values in 80 kV The Stellar detector lowers image noise Inherited from high-end Dual Source CT
imaging) allows you to scan with 400 mA in every scan, while advanced iterative scanners, the Tin Filter cuts out lower
at 80 kV for enhanced iodine contrast, reconstruction from SAFIRE delivers energies to reduce dose and optimize image
which, combined with always-on sub-mm excellent image quality at very low doses.1 quality at the interface between soft tissue
collimation, is especially beneficial for small This provides excellent and homogeneous and air. This has direct benefits in lung and
distal vessels. The increased iodine contrast image quality, even in complex areas such colon imaging, for example.
of the image allows you to reduce the as the base of the skull, making it especially
Clinical experience also shows that Tin Filter
amount of contrast media considerably – relevant for routine neuro imaging.
technology reduces beam hardening artifacts
for better patient care and reduced
The Stellar detector’s high-end technology and improves image quality in bony
examination costs.
includes fully integrated components and structures, also making it extremely useful
High Power 80 is based on the mass an advanced 3D antiscatter collimator. in orthopedic examinations.
attenuation coefficient. For lower photon It keeps electronic noise low, increases
energies, the mass attenuation coefficient dose efficiency, and improves spatial
of iodine increases, whereas soft tissue is resolution. The smart configuration of the
less energy-dependent. This means that detector elements simplifies access, eases
the iodine-to-soft tissue contrast in the CT maintenance, and increases scanner uptime.
image will increase with low-kV imaging –
and lower average photon energy. This
increase is extremely beneficial for contrast-
enhanced studies.

63
64
65
On account of certain regional limitations of sales rights 1
In clinical practice, the use of SAFIRE may reduce CT patient
dose depending on the clinical task, patient size, anatomical
and service availability, we cannot guarantee that all
location, and clinical practice. A consultation with a radiologist
products included in this brochure are available through and a physicist should be made to determine the appropriate
the Siemens Healthineers sales organization worldwide. dose to obtain diagnostic image quality for the particular
clinical task.
Availability and packaging may vary by country and are
subject to change without prior notice. Some of the 2
For Mixed, Monoenergetic Plus, Gout, Calculi Characterization
features and products described herein may not be (kidney stones)

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 Healthineers reserves the right to modify the
design, packaging, specifications, and options described
herein without prior notice. Please contact your local
Siemens Healthineers 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.

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

Siemens Healthineers Headquarters


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

Published by Siemens Healthcare GmbH · Order No. CT-09342-44C1-7600 · Printed in Germany · 8466 0221 · © Siemens Healthcare GmbH, 2021

You might also like