The power of Multislice CT Philips MX 6000 Dual
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- Gerard Morrison
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1 The power of Multislice CT Philips MX 6000 Dual Philips MX systems bring new levels of quality, simplicity and reliability to CT imaging. Designed by the same people that brought the world Philips CT, the higher power MX 6000 Dual* configuration combines the enhanced diagnostic benefits of multislice imaging, high throughput performance and gateway to advanced applications in one extremely versatile system. A wide range of clinical applications helps you conduct accurate studies over diverse patient populations Simple ease of use translates into higher productivity and a more enjoyable work environment Advanced technologies provide the power necessary for clearer diagnoses, faster exams and higher reliability Reasons to choose MX 6000 Dual Simple, reliable operation to manage heavy patient loads 0.8** sec rotation minimizes motion; 0.9** sec reconstruction for productivity; 0.8** mm slices for sharp inner ears and bones 20mm coverage for faster exams and shorter breathholds Easy-to-use interface offers advanced capabilities Patient-friendly, compact design by the awardwinning Philips Design team Philips Customer Care offers global parts and service network for unsurpassed uptime Brilliance Extended Workspace** provides advanced applications environment designed exclusively for multislice CT *Not available for sale in all countries. **optional
2 Contents 3 Patient Handling and Setup Gantry Table Table Accessories Scan Planning 5 Scan and Image Acquisition System Generator X-ray Tube Detector Image Quality Scanning Modes Scan Times 6 Dose Management Smart Beam Management More Dosage Awarenesss 8 Post-Processing and Communication Image Processing Image Graphics Window Control Host Computer Monitor 9 Multislice RSVP 10 Analysis Tools Included Optional 12 Effective Data Management Archiving Filming Networking DICOM 7 Reconstruction and Display Reconstruction Modes TrueLook Imaging 13 Site Planning 2
3 Patient Handling and Setup Flexible Patient Handling The friendly and advanced design of MX 6000 Dual delivers optimal patient comfort and control. Gantry Scan Control Panels Controls and displays for gantry tilt, patient couch elevation and stroke are located on both sides of the gantry. Scan Control Box Gantry and patient couch controls and displays are located conveniently at the operator s console. Additional functions include emergency stop, intercom, and scan enable/pause buttons. Gantry Aperture: 700mm diameter Gantry tilt: -30 to +30 Slice Position Indicator: Internal slice plane laser marker X-Ray Indicator On scan control panels and inside the gantry. AutoVoice A standard set of commands for patient communication; before, during and after scanning. Also provides the ability to record customized messages. Intercom System Two-way intercom allows patient monitoring and communication. Table Longitudinal motion: Stroke: 1600mm Scannable range: 1500mm (with head holder) Speed: up to 100mm/s Position accuracy: ±0.25mm Vertical motion: Range: mm; 1.0mm increments Speed: 9-41mm/s Table load capacity: 200 kg (440 lb) with full accuracy Floating tabletop Carbon-fiber table top with hand control for easy positioning and quick release. 3
4 Patient Handling and Setup Table Accessories From extra padding to optimal support, our table accessories prevent fatigue and discomfort and give both patients and technologists a sense of security. Standard Accessories Surview Plan Planning via interactive mouse control of multiple, independent acquisition series of any type on the Surview image. Viewing angles: 0, 90 Longitudinal speed: 100mm/sec Scan length: 100mm, 300mm, 500mm, 1000mm Scan width: 500mm Knee Rest Patient Pads Automatic Scan Enables automatic execution of pre-planned studies, with concurrent, on-line or off-line reconstruction, background image archiving to local or remote storage devices without operator intervention. Head Holder Table Pad (Not shown) Easy Patient Setup The MX 6000 Dual system has its own set of innovative features for departmental efficiency, using scan planning and easy protocol development. Scan Planning Registration of patient information and clinical procedure selection, using anatomic graphical display and sample images. DICOM Modality Worklist* Provides HIS/RIS interface through DICOM modality worklist service class; enhances clinical workflow by importing patient demographics and study information from an information management system. User Interface The entire MX user interface is available in either English or Chinese. Patient name and demographics may be entered in English, Chinese or with any characters included in Latin I. 4 Expert Protocol Planning Flexible selection of protocol parameters for optimized scanning.allows users to tailor protocols to their specific needs. Pre-defined and user programmable scan protocols, including multi-protocol procedures, can be stored and retrieved. Scan parameters may be easily modified before and during the study to meet specific clinical needs. Multi-protocol with timing allows the user to easily and precisely program acquisitions of varying slice thickness, breathing or scan delay pauses, and table speeds. Efficient planning of any exam, complex or routine, decreases exam times, increasing throughput and patient satisfaction. *optional
5 Scan and Image Acquisition Maximized System Performance Reliable, maximized system performance allows clinicians to remain focused on patient care.the MX 6000 Dual provides higher throughput performance to maximize image quality, speed and throughput. System Rotate-rotate architecture with optimized geometry for low dose imaging. Generator The MX 6000 Dual generator uses modern, low-voltage slip ring technology to provide a constant high voltage to the CT X-ray tube assembly. kv: 80, 100, 120, 140kVp Output capacity: ma: 42kw mA X-ray Tube Rotating graphite composite anode; continuous operation during scan. Anode Max Storage Capacity: 4.0MHU Anode Max Cooling Rate: 761kHu/min Focal spot (IEC): Large: 0.6mm x 1.3mm Small: 0.4mm x 0.7mm Focus-detector distance: 1318mm Focus-isocenter distance: 618mm Detector Philips Medical Systems multislice detector design acquires high quality images while minimizing patient dose. Material: GOS No. of Elements: 1,440 Dynamic Range: 1,000,000 to 1 Data Sampling Rate: Up to 1024 views/revolution/element Slice Collimation: 2 x 0.8*, 2 x 1.0, 2 x 2.5, 2 x 5.0, 2 x 7.0, 2 x 10.0mm in dual slice mode Scan Angles: 240, 360 Scan Field of View: 500mm Image Quality Spatial Resolution: High mode: Noise: cut-off 0.35% as measured on 8.5in (21.6cm) AAPM Low Contrast Resolution: 0.5% as measured on the 8.5in (21.6cm) AAPM phantom Absorption Range: to Hounsfield units Scanning Modes Spiral Scanning Multiple contiguous slices acquired simultaneously with continuous table movement during scans Multiple, bi-directional acquisitions Spiral exposure: Up to 80 or 100* seconds Spiral pitch: 0.5 to 2.0 and user selectable Axial Scanning Multiple-slice scan with up to two contiguous slices acquired simultaneously with incremental table movement between scans Fused modes for reconstructing partial volume artifact-free thick slices from thin slice acquisition Scan Times 0.8*, 1, 1.5, 2, 2.5, 3 seconds for full 360 scans 0.8 Second Rotation* 0.8-second 360 rotation speed (up to 2.5 slices per second) provides better temporal resolution in advanced clinical applications for high-speed, motion-free imaging. *optional based upon configuration 5
6 Dose Management Smart Beam Management In Philips multislice CT scanners, specific Smart Beam Management innovations have been developed to block out X-rays that do not contribute to image quality. Through the use of IntelliBeam filtration, dose can be managed to limit the exposure specifically to the location of interest. More Dosage Awarenes Dose displays include: CTDI Volume Dose Efficiency Dedicated Pediatric Protocols Age and weight-specific protocols, developed using a dedicated pediatric and weight specific dose phantom, provide dedicated low-dose techniques (as low as 30 mas) to optimize image quality. Combined with the new Dose Display features, MX customers have an easy, accurate method for controlling the dose their young patients receive. Infant (0-24 months) Pediatric (2-15 years) CTDIvol Dose Levels Head Body mgy/ 100 mas 6.11 mgy/ 100 mas Using IEC standard phantoms 6
7 Reconstruction and Display Rapid Reconstruction Fast reconstruction is vitally important when rapid imaging and viewing is a priority. For example, during trauma scanning, it is important for the technologist and/or radiologist to identify any serious injury quickly. Reconstruction Rate Up to 1.5 seconds/image using matrix. Reconstruction Field of View: 50 to 500mm continuous Reconstruction Modes Concurrent Reconstruction Image reconstruction in line with acquisition. Off-Line Reconstruction Off-Line (batch) background image reconstruction of user-defined groups of raw data files with automatic image storage. Add Reconstruction Enables quick and easy unplanned or modified reconstructions of part or all of the images prospectively planned. Reconstruction Parameters Any study can be set up to automatically reconstruct using various reconstruction parameters. Exams can be tailored online while planning the scan, or during off-line recon. Up to six different reconstruction assignments are possible for each study. Image reconstruction parameters include: Filters: Choice of ten different filters. Zoom & Pan: Real-time, mouse-controlled with magnification. Can be redefined during the study. Archive: On-line image archiving to any installed storage device, and PACS*. Quality imaging One high tech component or piece of software is not enough to deliver a fine CT image. Outstanding clinical results depend on a fine tuned, balanced imaging chain from X-ray tube to detector to display. Philips engineers and physicists have incorporated the right technologies in MX CT by including a stable x-ray tube proven in over 2000 installations, anti-scatter grid, Philips CT reconstruction algorithms and filters and more.the Philips CT imaging process suppresses artifacts and enhances contrast all at the lowest possible dose. As a result, MX CT creates images that look more like actual anatomy. UltraImage UltraImage includes proprietary pre- and postprocessing hardware and software for enhanced visualization of soft tissue structures. UltraImage significantly improves image quality for the most accurate representation of even the most difficult to image anatomic areas.the full clinical impact of UltraImage is best appreciated in the brain, long bones, spine, pelvis or shoulder, where subtle, soft tissue structures can be obscured by adjacent high contrast bone. *optional based upon configuration 7
8 Post-Processing and Communication Philips MX 6000 Dual combines a high-performance workstation and scanner into one convenient, powerful, and cost-effective multislice CT system. Image Processing The interactive image viewer is designed for fast, efficient and simple image review and filming purposes. Images can be handled individually or in userselected groups. Image viewer window: Displays a single image or a selection of images. Zoom & Pan: Magnification from 0.8 to 10 times. Scroll Bar, Leaf & Cine, Invert Image, Image Parameters Display. Window Control Eight user-defined preset windows provide fast and convenient window setting. Mouse-driven fine adjustments of the window center and width enable optimal image viewing. Host Computer Computer Architecture: Microsoft Windows Dual Intel Xeon CPU Main Memory: 2.0 GB RAM Monitor 19 inch, 1,280 x 1,024 Flat Panel LCD Image Graphics To help interpret clinical images, a variety of text and graphic aids may be individually positioned and manipulated with the mouse: Text annotations. Cursors for pixel value measurements. Regions of interest (ROI) elliptical, rectangular, curved or freehand, with instantaneous calculation and display of area, average pixel value and standard deviation.values of several ROIs may be added or subtracted. Lines, grid and scales for distance measurements, curved and freehand lines for measuring any shape. Arrows for pointing to features. Angle measurements. Profile of pixel values along any line. Grid with adjustable spacing for distance assessment. 8
9 Multislice RSVP The MX 6000 Dual multislice technology is best summarized using the acronym R.S.V.P. for double, the performance compared to single slice CT systems. Single-slice scanner MX 6000 Dual Advantage 10mm collimation double Resolution same Speed same Volume same Power 2 x 5mm collimation R Early detection of small lesions Eliminates need for coronal scans Improves sagital and coronal reformation 68 sec acquisition same Resolution double Speed same Volume same Power 34 sec acquisition S Single breathold acquisitions Decreased dose New applications: CTA same Resolution same Speed double Volume same Power V Trauma triage New applications: Vascular run-off 60mm coverage 120mm coverage same Resolution same Speed same Volume double Power P Ideal for large patients and hard to image areas 100 mas 200 mas 9
10 Analysis Tools Included MPR- Multiplanar Maximum or Minimum 3-D SSD Reconstruction Volume Rendering Reformation Intensity Projection (MIP) Provides fast reconstruction of 3-D visualization software Real-time reformation of axial CT and MR Angiography three-dimensional images of up provides unique simultaneous images into any user-defined Maximum Intensity Projection to 15 different tissues or organs visualization of vasculature, plane - coronal, sagittal or general (MIP) images, from a volumetric and easy to understand presenta- soft tissue and bone. Unlike oblique or curved plane. set of images, can be quickly tion of complex anatomy. conventional 3-D or MIP, volume Interactive and friendly user reconstructed to demonstrate Real-time manipulation of 3-D rendering visualization offers real interface is provided.the user enhanced vascular structures. images includes zoom, pan, time interactive control over defines the number of planes, The projection images can be rotation around any axis, and opacity and transparency values their position, orientation, interactively generated in any cutting of the organs with a to permit viewing through and thickness and spacing and the arbitrary viewing angle, and user-defined viewing aperture to beyond surrounding structures, reformatted image is displayed in can be windowed, zoomed expose underlying tissues. Making such as metallic stents and real-time. Zoom, pan, leaf and and panned. a tissue transparent enables arterial calcifications. window are available. viewing of underlying organs. Curved MPR Pediatric Protocols Defines MPR curved cuts along Age and weight specific pediatric vascular structures on MIP or protocols insure children are scanned volume-rendered images for with peak image quality without panoramic and cross-sectional excess radiation dose. views. 10
11 Optional Bone Mineral Analysis The Bone Mineral Analysis package is an independent, PC-based data analysis system for measuring bone mineral density to monitor metabolic bone disease, such as osteoporosis. It uses a patented histogram-based method to accurately measure only trabecular bone without the need for an external calibration phantom. CT Endoscopy Renders spiral CT data to provide fly-through images within and around hollow organs. Clinical applications include virtual colonoscopy, bronchoscopy, and angioscopy. Extended Brilliance Workspace Extended Brilliance Workspace is a flexible and friendly CT workstation rich in applications and scalable to your needs. It includes a set of the most powerful CT capabilities on the market today, improving outcomes and productivity by working the way you do. Nearly all visualization advanced CT applications and archiving can be done quickly and easily. 11
12 Effective Data Management The MX 6000 Dual operating system provides a userfriendly interface and the performance and archiving capabilities necessary to effectively manage multislice datasets. Archiving Image archiving is organized according to the DICOM 3.0 hierarchical model, in a DICOM 3.0 compliant image format. Loss-less image compression/decompression algorithm is used during image storage/retrieval to/from all local archives. Images can be auto-archived to selected archive media. Type Hard Drive CD/RW Capacity 160GB 700MB Images 1 300, Exams 2 10, x 512 Matrix Uncompressed 2 Based on 30 images per study Networking Network connections should be located within 10 feet of the console. MX 6000 Dual supports 10/100Mbps network speeds. For optimal performance, Philips recommends 100Mbps network speed and that the CT network be segmented from the rest of the hospital network. DICOM The DICOM 3.0 communications protocol allows connectivity to DICOM 3.0 compliant scanners, workstations, and printers; supports IHE requirements for DICOM connectivity. MX 6000 Dual includes the following DICOM functionality: Service Class User & Provider DICOM Print Modality Worklist* CD Writer CD Writer is a compact disk (CD) drive that stores DICOM images along with viewing software on CD media. CD Writer provides a low cost and flexible alternative for archiving images and for providing images to referring physicians useful for presentations and teaching files or patients. Reporting* Users can create and distribute comprehensive onepage reports of key results and findings.the reports contain text and images; custom templates can be created and saved for future use. Filming This function allows the user to set up and store filming parameters. Pre-stored protocols can be set to include auto-filming, multiformat that saves film.the operator can film immediately after each image, at the end of a series, or film after the end of a study and review images prior to print.the operator can also automatically film the study at three different windows and incorporate Combine Images functionality to manage large datasets. Basic monochrome and color DICOM print capability are supported. 12 *optional based upon configuration
13 Site Planning MX 6000 Contact the Philips Site Planning department for specific requirements pertaining to optional imaging/viewing equipment floor space and electrical, mechanical, structural or environmental specifications. Power Requirements MX VAC, 50 Hz, 53 kva max. to CT scanner 200/208/220/230/240/380/400/415/440/460/480 VAC with line match transformer 3-phase distribution source Environmental Requirements Temperature: Gantry room: 20 to 24 C (68 to 75 F) Control room: 18 to 28 C (64 to 82 F) Storage/Transport: -20 to +50 C (-4 F to 122 F) Humidity: Gantry/Room: 30% to 60% non-condensing Storage/Transport: 10% to 90% non-condensing Console Uninterrupted Power Supply (UPS)* Provides up to 10 minutes of backup power for host computer, reconstruction, and monitor. Minimum Ceiling Height: 230cm (90.6 ) Dimensions and weights weight height width depth gantry patient table console table/cpu 1700 kg (3740 lb) 400 kg (880 lb) 102 kg (224 lb) 189.5cm (75 ) 64cm (25 ) 75.5cm (30 ) 221cm (87 ) 244cm (96 ) 144cm (55 ) 85cm (34 ) 57.5cm (23 ) 70cm (28 ) 13
14 Philips: Partnering with You Worldwide, Philips Medical Systems is the proven leader in clinical solutions.with its dedication in imaging, patient monitoring and home health care, Philips provides its physicians and patients with the least invasive and most reliable solution to meet their needs. As your partner in CT, Philips strives to support your practice with versatile solutions and the highest level of product and service.together, we are changing the practice of medicine today, and redefining the clinical successes of tomorrow. Research Since pioneering the first-ever multislice CT scanner more than a dozen years ago, Philips has been a visionary in its approach to innovative, advanced CT applications.the advent of this advanced detector technology is just another example of Philips making advanced applications routine and helping you deliver clinical excellence without compromise. Service Choose a Philips CUSTOMerCARE service agreement for your medical equipment and take advantage of the power of choice to optimize your clinical and financial results.we'll tailor a service agreement to match your specific needs.through service excellence, flexible solutions and effective relationships, we give you the support you need to succeed in today's complex healthcare environment. Maximize and protect your investment with a Philips CUSTOMerCARE Service Agreement. Improve productivity Lower cost of ownership Increase equipment uptime Maintain peak clinical performance 14
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16 Philips Medical Systems is part of Royal Philips Electronics Interested? Would you like to know more about our imaginative products? Please do not hesitate to contact us.we would be glad to hear from you. On the web Via By fax By mail Philips Medical Systems Global Information Center P.O. Box BG Eindhoven The Netherlands By phone Asia Tel: Europe, Middle East, Africa Tel: Latin America Tel: North America Tel: Koninklijke Philips Electronics N.V. All rights are reserved. Philips Medical Systems Nederland B.V. reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication. Printed in The Netherlands /728 * NOV 2007
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