Today, the number of people with chronic conditions such as diabetes, renal disease, stroke, high blood pressure and coronary artery disease has been increasing due to our changed way of life and stress. The latest studies by the World health organization have show that coronary artery disease is a leading cause of death. One third of population dies because of this condition, especially in underdeveloped countries, including Thailand . The main factors in coronary artery disease are the narrowing and blockage of the arteries by plaque, which consists of cholesterol and calcium. The main risk factors include diabetes, high blood pressure, high cholesterol, stress and cigarette smoking. To diagnose coronary artery disease, doctors will evaluate patient's risk factors and perform some tests and then will divide patients suspected to be at risk into two groups; high and low risk. After that, there are two main diagnostic procedures that will usually be performed; Conventional Coronary Angiography,CAG CAG, which accurately assesses the coronary arteries, is currently the diagnostic standard for clinical evaluation of known or suspected coronary artery disease, after which the patients can be immediately treated by Coronary Artery Bypass Graft CABG or placement of a stent. Although complications rarely happen, the following may occur; hematoma at the site of the arterial puncture, coronary dissection and air embolus because in this procedure, a then plastic tube is inserted into an artery in the leg and advanced through the body into the coronary arteries. It is also an expensive procedure, and the patient needs, to stay in hospital for about 4-6 hours. Cardiovascular Examination by 128-Slice CT “Ordinary” computerized X-Rays 16-slice CT were not as accurate in demonstrating coronary artery problems, because the heart, unlike other structure, is moving and beating inside the chest. However today, with the advent of the most advanced form of this imaging, the multi-slice detectors and high powered computer programs call the 128-Slice CT , in around 4 seconds; we can efficiently get information on the coronary anatomical features in as few beats as possible, with 90% accuracy. The CT has various advantages. It helps doctors to make the diagnosis of certain diseases faster, more easily, and potentially more accurately. Furthermore, after this procedure, the patients do not have to stay in hospital. The 128-Slice CT is now a well known procedure leading to diagnosis of all diseases related to arteries or vessels. Those who should have a cardiovascular check up include Those with the following risk factors for heart diseases; High Cholesterol - Diabetes Smoking - Family history of heart disease Those suspected of being at high risk of narrowed coronary arteries; Suffering from chest pain - Having an abnormal Stress Test Those having had the following treatment due to coronary artery disease; Insertion of stents - Coronary artery bypass graft surgery CABG There are certain groups who are not suitable for CT scanning using contrast agents as it may cause sever allergy and acute renal failure; Severe asthmatics Heart failure Renal disease with high creatinine or chronic renal failure A history of allergy to sea food and/ or contrast agents High speed 128-Slice CT for other parts of body examination To diagnose cardiovascular disease through narrowed vessels To diagnose blockages in arteries/ vessels all over the body such as heart, brain, kidney, extremities, etc. To diagnose pre-cancerous tumors in intestine and lungs To examine bone abnormalities To diagnose abnormality of brain issue To diagnose abnormality of abdominal tissue Others including diagnosis of abnormalities of blood vessels, such as aneurysm, and to measure abdominal fat, which is related to the quantity of calcium in arterial walls coronary calcification and to evaluate risk factors in the cardiovascular system.
Ifit is limited to a standard 64-slice CT coronary angiogram (instead of a CT of the whole chest), the lifetime risk of cancer is one in 143. For a 40-year-old woman who undergoes a 64-slice CT
Press Release11 December 2013Surat Siemens installs SOMATOM Perspective 128 slice CT scanner at SRL Diagnostics-Speedscans, Surat First installation of 128 slice CT scanner in Surat. Improved patient safety with innovative low radiation dose features. Improved patient comfort with faster scans, reduced breath hold and Moodlight. Allows routine imaging and advanced clinical applications for Trauma, Cardiac and Neurovascular. Siemens Healthcare Sector installed SOMATOM Perspective CT Scanner at SRL Diagnostics-Speedscans, which is the first installation of a 128 slice CT scanner in Surat. The city of Surat, famous for its textile market, is witnessing increasing occurrences of lifestyle diseases. Timely and accurate diagnosis thus becomes a significant step towards choosing the mode of treatment. With Siemens’ SOMATOM Perspective, SRL Diagnostics-Speedscans is identifying and diagnosing the most challenging diseases and clinical conditions being faced by people of Surat today. SOMATOM Perspective is a single source 128 slice CT scanner that integrates innovative technologies designed to cover routine imaging to advanced applications in Trauma, Cardiac and Neurovascular imaging. Sanjay David, Business Head-CT Scanners, Siemens Healthcare India, elaborates, "Siemens has always been on the forefront of introducing innovative CT scanners in India. SOMATOM Perspective is another such example. At Siemens, we believe in the principle of ALARA As Low As Reasonably Achievable, in dealing responsibly with X-ray based computed tomography, so there are a host of low dose features available in this scanner to ensure the same." Dr. Uday M Surana, Consultant Radiologist and Center Head, SRL Diagnostics-Speedscans, explains, "With SOMATOM Perspective, we are increasingly scanning patients with family history of cardiac/lifestyle diseases, who do not show any symptoms of these ailments. In such cases, the scanner has been supporting us in providing necessary details that help us counsel patients appropriately. Low dose features, ergonomics like wide bore, Moodlight, etc. increase patient safety and comfort."The 70 centimeter wide bore of the scanner increases patient comfort, especially in scanning obese and trauma patients. The ergonomic design ensures easy access for interventions like CT guided biopsy. The addition of Moodlight on the side of the scanner promotes a sense of well being and provides a source of relaxation for children and anxious patients. This 128 slice scanner has a unique low dose feature called SAFIRE Sinogram Affirmed Iterative Reconstruction, which is also the world’s first raw-data based iterative reconstruction that helps achieve dose reduction of up to 60% for all organs and all types of patients obese, children or old patients. Other features like Ultra Fast Ceramics UFC, Care Dose4D and CARE Bolus ensure high quality scans at lowest radiation. The increased number of slices enables scanning of up to 50 centimeters in 5 seconds at an ultrahigh resolution. This means that the time the patient holds his breath during the scan is very low. This is especially useful for very sick and elderly patients. Rapid full-body trauma imaging is possible without compromising on the image quality. Overall, a faster scan translates to speedy diagnosis and shorter waiting time for patients and the rising trend in lifestyle diseases, Cardiac CT has shown significant benefit in the work-up of patients with high risk of cardiac diseases. Cardiac CT also plays a major role in the follow-up of patients who have undergone cardiac procedures. SOMATOM Perspective’s 128 slice configuration has been designed to perform Cardiac CT imaging. Designed to be energy efficient, this 128 slice CT scanner has significantly reduced power consumption and contributes to energy more information on SOMATOM Perspective please visit Contact PR20190910199enDenganpesatnya perkembangan teknologi kedokteran bidang pencitraan medis, maka kini telah hadir Multi Slice CT-Scan dengan 128 irisan. Untuk pemeriksaan jantung yang termasuk organ bergerak, peralatan MSCT 128 ini memiliki kecepatan pemeriksaan yang cukup singkat untuk dapat menghasilkan gambar lebih akurat dan dengan resolusi lebih baikLower Dose, Remarkably Open Design. SCENARIA View 128 is a powerful premium performance CT solution that provides dependable routine application capabilities with available advanced clinical modules for Interventional CT, extended coverage Shuttle Scanning for Perfusion Exams, Cardiac CTA and Dual Energy examinations. The View employs 64 discrete detector and electronics channels over a 40mm detector coverage and reconstructs up to 128-slices per scan rotation. Unique and clinically valuable capabilities of the View include Fujifilm’s Next Generation Vision Model based Iterative Reconstruction capability “Intelli IPV” that can provide dose reduction up to 83% at the same image quality*. A wider 80cm gantry aperture, a more powerful 84kW generator provides up to 700mA operation. The advantages of the standard Auto Lateral Shift Table enables ±10cm lateral shift 20cm total shift range providing easier and more accurate positioning of the patient’s anatomy of interest at the scan Field of View’s iso-center where spatial resolution is better than off-center. HiMAR Plus metal artifact reduction minimizes objectionable metal induced artifacts. The View includes XR-25 Dose-Check control and is XR-29 Smart-Dose Compliant, while providing FDA 510k Cleared Indication for use for Low-Dose CT lung Cancer Screening. Features Lateral Shift Table, ± 10cm. IntelliCenter Auto-Lateral Shift Table is the only standard table that can shift up to ± 10cm laterally 20cm total range to Assist patient positioning Reduce dose* Improve spatial resolution Multi-Bowtie Filters. Multi-Bowtie filter size selection, based on anatomy to be imaged, reduces radiation dose* in areas outside the filter’s field of view. When used together with the auto lateral shift table, off-center anatomy can be brought to iso-center and the smallest bow-tie filter utilized. Intelli EC Plus. Fujifilm’s proprietary 3D mA modulation technology, Intelli EC, automatically modulates mA to lower individual patient dose levels depending on patient anatomy and size and considering the level of iterative reconstruction selected. Intelli EC Plus can be set to provide real-time control of mA, to achieve a constant Noise Standard-Deviation in the resulting images. Higher Data Sampling Rate. SCENARIA View’s higher data sampling rate provides faster anatomic coverage without sacrificing image quality and reduces motion artifacts. Wide 80cm Gantry Aperture. A more open 80cm gantry aperture spaciously accommodates the most challenging patients. 550 lbs. Table Weight Capacity. Higher standard weight capacity to accommodate larger patients up to 250 kg 550 lbs.. Reduced Dose for Cardiac CTA. ECG Dose Modulation reduces mA during the cardiac phases of a retrospectively gated exam that are not intended for image reconstruction. IPV – Iterative Reconstruction. IPV is Fujifilm’s Next-generation “vision modeled” iterative processing that provides dose reduction and overcomes a conventional IR weakness by IPV maintaining normal image texture that better matches the image texture appearance of Filtered Back Projection FBP. Utilizing IPV vs. conventional FBP reconstruction can provide* Dose reduction up to 83% at the same image quality low contrast detectability Image noise reduction up to 90% at the same dose Noise reduction rate control according to the IPV level used Low contrast detectability improvement by up to 100% at the same dose Natural image texture appearance the shape of noise power spectrum similar to that of FBP, even if using higher IPV strength level Reduced kV. Four settings support lower kV and dose based on individual patient size. Lower kV provides lower dose for small and pediatric patients. 80kV 100kV 120kV 140kV Axial Snap-Shot Imaging. Pulses the X-ray “on” only during a phase of the cardiac cycle using prospectively gated step-and-shoot cardiac scanning – reducing radiation dose. Dose Reporting and Awareness. SCENARIA View provides both DICOM Dose Structured Report and a Simple Dose Report to satisfy the full range of your IT and physician reading dose reporting needs. And, SCENARIA View includes Dose Check, compliant with NEMA XR-25, to monitor for exam doses that may exceed notice or alert levels. *In clinical practice, the use of Intelli IPV may reduce CT patient dose depending on the clinical task, patient size, anatomical location, and clinical practice. Image noise is defined as the standard deviation of pixel values within an area. A consultation with a radiologist and a physicist should be made to determine the appropriate dose to obtain diagnostic image quality for the particular clinical task. Low contrast detectability LCD and/or image noise were assessed using reference factory protocols comparing Intelli IPV and FBP. The LCD measured in mm slices and tested using the MITA CT IQ Phantom CCT189, The Phantom Laboratory, using model observer method. Technology Simple Dose Report DICOM Dose Structured Report SR CT Dose Check NEMA XR-25 NEMA Smart Dose Compliant XR-29 Focus Edition Innovative Focus Edition advantages. Continuing Fujifilm’s commitment to innovative healthcare, the SCENARIA View Focus Edition CT platform is uniquely designed with performance advantages to better meet the needs of a wide range of patients and providers. The Focus Edition is an outstanding CT for Radiology, Cardiology and Emergency Departments as well as outpatient locations. It leverages Fujifilm’s more powerful “Focus Engine” image processor and operator console, resulting in valuable benefits beyond our standard SCENARIA View CT Platform 20% faster workflow, for more patient exams per day UI update to the Synapse 3D Viewer on the Operator’s Console Tilted gantry helical scanning feature for faster workflow and improved MPR capability Higher level of cardiac CTA capability with “Cardio StillShot” 3D motion correction optional Cardio StillShot The SCENARIA View Focus Edition’s optional Cardio StillShot software is revolutionary, with a proprietary algorithm that creates clear, high-quality images for even the most challenging heart rates. 28 msec effective temporal resolution at sec gantry rotation speed versus 175 msec native temporal resolution without Cardio StillShot – a 6-fold improvement to freeze cardiac motion Motion correction for the coronary arteries, entire heart and the valves Enables more exams to be performed with Prospective Gating versus Retrospective Gating due to lower patient radiation exposure Enhanced Technologies The Focus Edition’s enhanced clinical performance is driven by numerous technological advances that Fujifilm has refined to create an outstanding CT System, including Intelli IPV – Vision Modeled Iterative Reconstruction HiVision Detector HiMAR Plus – Metal Artifact Reduction Cardio StillShot 3D Motion Correction optional Advanced 3D Visualization Capabilities Customer Stories Customer Stories Fujifilm helps West Feliciana Hospital provide quality health care their local families need. With new imaging equipment, they were able to recruit specialists and incorporate additional diagnostic offerings into their care services. West Feliciana Hospital St. Francisville, LA The Scenaria View CT scanner is advantageous for Massac Memorial Hospital’s rural community. It can accommodate a larger number of patient types with its high weight limit and wide bore, while the lateral shift feature … Massac Memorial Hospital Metropolis, IL West Feliciana Hospital is a small and unique Critical Access Hospital that recently purchased two key pieces of imaging equipment from Fujifilm to help provide the best care possible to their community. Hear what they … West Feliciana Hospital St. Francisville, LA Brochures SCENARIA View Product Brochure. SCENARIA View Product Specifications. SCENARIA View Product Brochure. Experience enhanced workflow speed and clear CT image quality across a wide range of applications using 64 slice acquisition and up to 128 slice reconstruction. Access the latest dose awareness, reduction and management features.* Benefit from more open patient access, a compact footprint, new energy efficient technologies and lower cost of ownership with Fujifilm’s SCENARIA View. *In clinical use, dose saving features may reduce CT patient dose depending on the clinical task, patient size, anatomical location and clinical practices employed. Consultation with a radiologist and physicist are recommended to determine the appropriate dose needed to obtain diagnostic image quality for a particular clinical task. Download the Brochure SCENARIA View Product Specifications. Continuing Fujifilm’s commitment to Innovating Healthcare, the SCENARIA View CT platform is designed with unique practical innovations to better meet the needs of a wide range of patients and providers. Download the Brochure Product Images Click the Images to open in lightbox Contact Us Let us help you find the right product or service that will suit your needs. Contact Us เป็นเครื่องเอกซเรย์ที่สามารถสร้างภาพได้ถึง128 ภาพ ต่อการหมุน 1 รอบ (360 องศา)โดยใช้เวลาไม่ถึง 0.5 วินาที สามารถวินิจฉัยโรคต่างๆได้อย่างแม่นยำ MXR Imaging acquired Oxford Instrument Healthcare in May 202016, 64, 128 and 256 Slice CT Scanners - Assessing the Costs vs. BenefitsCost and Benefits of Various CT Scanner Slice OptionsCT scanners can be of great benefit to most healthcare providers due to their ability to capture high-resolution diagnostic images at a fast rate the scanner’s speed makes it a especially beneficial in the ER. However, CT scanners can be very expensive. They are complex machines, after all, which is why you'll want to carefully consider the different costs and benefits of the various types of CT scanners available on the Time To Buy a New CT Scan MachineThere are many different CT scanners to choose from with many different features to consider. The needs of your medical facility will help you know exactly what to look for in a CT scanner. The following are some of the important things to consider Image quality - The higher quality the images the CT scan captures are, the easier it will be to find and diagnose issues within the patient. This also means that the reverse is true-the lower quality the images are, the more difficult it may be to diagnose certain conditions, and the easier it will be to miss potential problems altogether. There are many factors that determine the image quality of a scanner, including the number of slices, the detector area coverage, the spatial resolution, and more. Patient volume - If you have a high patient volume, opt for a CT scanner with a wider area detector. Detector area coverage varies between scanners, even if they have the same number of slices. By choosing a system with a wider detector area, you'll be able to perform CT scans at a faster rate. Cardiac imaging needs - If you need a CT scanner to perform cardiac scans, a 64 slice system with a wider detector is essential to capture high-quality images while also maintaining an effective workflow. Patient safety - Although you can save money by purchasing older refurbished models, it's worth noting that newer CT scanners are capable of taking high-quality images with smaller doses of mSv. This is made possible through the use of more efficient detectors that capture photons. The use of iterative reconstructive software can also help to lower the dose while also improving image quality. Budget - If your budget was unlimited, you would obviously want to get the highest-end CT scanner available. Unfortunately, unlimited budgets are rarely the case. Beyond the initial cost of the CT scanner, you will also need to allocate a portion of your budget to the CT suite build-out as well as long-term maintenance and repair costs. You may find your choice of CT scanner is driven by budget constraints. Why Are CT Scanners So Expensive?The cost of a CT scanner is significant. This is because CT scanners are built using high-tech equipment and software. For example, CT scanners use X-Rays to capture and record images, which means that they need to use X-Ray tubes. Some X-Ray tubes cost upwards of $200,000 or more when the need to be replaced. Additionally, X-Ray tubes typically only last between 3 and 5 years depending on your patient throughput volume, eventually requiring replacement. It's why you need to budget for ongoing the spike in energy costs that will occur due to the amount of power needed to run a CT scanner, you will also need to pay for basic preventative maintenance, repairs, and replacements throughout its lifespan. On top of the initial cost of the CT scanner and the ongoing expense of maintaining it, you'll also have to pay to have the machine installed. Considering how big a CT scanner is and the specialized room it requires, the cost of installation can be quite Count Makes a DifferenceA "slice" refers to the individual tomographic or cross-sectional image that a CT scanner captures. Each slice is a 2-D image. However, CT scanners are capable of capturing multiple slices per rotation from different viewpoints of the patient. These images are combined to create a 3-D image. CT scanners come in more than 15 different slice configurations, from the basic one-slice CT scanner to the 640-slice CT Higher the Slice, the Higher the PriceThe more slices a CT scanner is capable of, the more expensive the machine will be. This is because the images it generates are much more detailed, making it easier to diagnose potentially difficult-to-identify conditions. High slice CT scanners tend to be faster as well. They cost more because they perform more work per Many Slices Do You Really Need?While, ideally, you would like to invest in a CT scanner with a high slice count, your budget may not allow for that. Fortunately, buying a CT scanner with a low slice count doesn't mean the machine itself is of low quality. In fact, many facilities do not need a high slice CT scanner. A 16-slice CT scanner can still capture high-resolution higher slice count tends to only be necessary if you have a high number of patients that need to be scanned on a daily basis since time is a factor in such cases. Higher slice count scanners are also beneficial for eliminating artifacts in cardiac imaging-but if you don't see a lot of patients with cardiac issues, you may not be able to justify the higher cost of a high slice CT scanner. Essentially, the slice count of your CT scanner should depend on what the needs of your facility CT Scanners vs. Traditional Lay DownStandard CT scanners require patients to lay down on their backs. They are then inserted through the bore into the gantry of the machine to be scanned. However, there are also CT scanners that allow the patient to simply stand or sit while being scanned. These standing CT scanners are less CT scanners are not quite as capable as some of the higher slice CT scanners, but they are smaller and use much less radiation. They are also perfect for capturing high-quality images of bone, cartilage, ligaments, and tendons as well as for seeing how foot, ankle, and knee joints respond while bearing weight. This makes standing CT scanners a great option for orthopedic ScannersAnother more affordable alternative to a regular CT scanner is a mobile scanner. Mobile CT scanners are installed in trailers that are parked outside the facility. This means that you don't have to worry about renovating existing space within your facility to accommodate your CT scanner and you won't have to pay for expensive installation costs. You will, however, need to have space available CT scanners can be a great alternative if you have multiple facilities in need of a CT scanner since you can share that scanner between facilities if they do not need daily CT scanning capabilities. You can also rent mobile CT scanners instead of purchasing them. This tends to be a lot cheaper over the short-term. However, long-term costs do add up. If you're renting a mobile CT scanner for years on end, it's eventually going to eclipse how much it would have cost to have bought a CT scanner ScannersIf you have a limited budget to work with but need a CT scanner for your facility, one option is to purchase a refurbished CT scanner. The term "refurbished" often has negative connotations; however, don't let that scare you away. It's not quite the same as buying something a CT scanner is refurbished following ISO 13485 certified quality assurance procedures, it goes through a lengthy process to ensure it is in excellent working condition before it is sold. Every component is inspected, repaired, adjusted, cleaned or replaced. The machine will be carefully cleaned, disinfected, and repainted. The system will then go through a final check in a patient simulated environment to receive a seal of refurbishing process means that a refurbished CT scanner will not be more likely to need repairs or replacements than a new CT scanner. Not only will a refurbished system be less expensive, it will come with the same type of warranty. The only real drawback is when it comes to shopping for refurbished CT scanners; you probably won't find any units that are less than a few years Do You Decide Which Machine is Right For You?As you can see, there are many things to consider when you purchase a CT scanner, but the two most important things to consider are your budget and your patient needs. Take into account both the initial costs of the CT scanner including the CT suite build-out as well as ongoing costs, such as repair and maintenance. Then determine what the needs of your practice are to figure out what type of CT scanner you need and how high of a slice count is are you won't have an unlimited budget, which means you'll need to justify the costs of purchasing a CT scanner. If you have very basic needs and won't be using your CT scanner that often due to a limited patient need, then your facility probably doesn't need a high slice count and could potentially do just fine with a refurbished Lindsey National Sales and Marketing ManagerMXR Imaging64 Union Way, Vacaville, CA 95687
Slicecount refers to the number of rows of detectors in the z-axis of a CT. You might see a particular CT referred to as an “8-slice CT scanner,” “16-slice CT scanner,” etc. In an 8-slice CT, there are eight slices of data captured for every rotation of the gantry. The primary effect of slice count is the amount of time it takes to
Amber Diagnostics has high quality refurbished and used 128 slice CT Scanners for sale at competitive prices Since 1994 Amber Diagnostics has offered quality refurbished and used 128 slice CT Scanners for sale. In our 25,000 square foot warehouse we offer end to end service for every preowned equipment we house. We have installed CT scan machines for urgent care facilities, outpatient departments, private practices, and major medical centers throughout the world. During your consultation, our equipment experts will discuss your department’s needs, budget, and space requirements. We will support you in every stage of the process; from site planning to shipping, installation and technical servicing. Keep your costs down and imaging capabilities high with Amber Diagnostics. WE Have Many Options Featured Equipment Revolutionizing healthcare with used cutting-edge imaging medical equipment. CAN’T FIND WHAT YOU ARE LOOKING FOR? Give us a call! 1-407-438-7847 Our equipment specialists are ready to help you. Our Equipment SpecialistsAre Ready To Help You At Amber Diagnostics our trained professionals have been refurbishing used imaging equipment since 1994. We are more than capable of handling all questions and services throughout the purchasing process including room planning, shipping, installation, and training. Our warranties and financing can be customized to fit your facility’s needs and budgets. Click here to receive a call from our experts. GVpuFJm.