©Toshiba Medical Systems Europe BV 2011 all rights reserved.Design and specifications subject to change without notice.MCACT0221EC

www.toshiba-medical.eu

Toshiba Medical Systems Corporation meets internationally recognized standards for Quality Management System ISO 9001, ISO 13485.

Toshiba Medical Systems Corporation Nasu Operations meets the Environmental Management System standard, ISO 14001.

Made for Life, Aquilion ONE, Aquilion, SUREExposure, Boost3D, SURETechnologies, SUREXtension, coneXact,SURECardio, SUREPlaque, SURESubtraction and SUREFluoro are trademarks of Toshiba Medical Systems Corporation.

cXl edition

low Dose, lightning Speed

AIDR 3D icon 2011.10.03

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Maximize the potentialof today’s clinical resources.

In today’s demanding healthcare environment, you need a CT system that satisfies all your requirements on a day-to-day basis. AquilionTM /CXL meets your needs like no other system on the market. Keeping pace with advances in medicine with one of the most cost-effective and versatile diagnostic solutions ever developed, Aquilion has continuously evolved to meet the needs of patients, clinicians and facilities worldwide. Based on a sophisticated platform featuring proven technology, Aquilion /CXL now gives all the advantages you need to optimize workflow, improve image quality, enhance dose management, and elevate the level of care you provide both now – and in the future.

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64-SLICE CONFIGURATION

AIDR 3D, adaptive iterative dose reduction technology, for ultra low dose and full isotropic imaging through Toshiba’s unique 0.5mm detector technology.

128-SLICE CONFIGURATION

Best in class low contrast resolution combined with double slice technology for superior imaging of small structures e.g. Internal Auditory Canal.

LOW DOSE TECHNOLOGY

Aquilion /CXL incorporates Toshiba’s latest technologies to reduce exposure dose, while maintaining high image quality.

•AIDR3D(AdaptiveIterativeDoseReduction3D)

• SUREExposureTM3DAdaptive(automaticexposurecontrol)

•ActiveCollimator

•DoseManagementFunctions–DoseCheck/DoseReport

LIGHTNING SPEED

The new console enables significant improvements in workflow with faster reconstruction speed, greater flexibility with remote access, and improved efficiency with SURETechnologies™ software*.

•NewConsoleArchitecture

• SUREXtension™(RemoteAccess)*

• 0.5mmx64QuantumDetector

• phaseXact(AutomatedOptimalCardiacPhaseReconstruction)*

•AutomatedBoneRemoval

*Option

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our commitment to dose reduction.

The ability to rapidly deliver high resolution diagnostic information has made CT a core imaging modality across healthcare today. However, with its greater use and growing breadth of applications, there has been a corresponding increase in concerns regarding patient safety due to radiation exposure.

Toshiba has always shared these concerns and has been actively involved in developing tools to reduce CT dose for decades, based on the ALARA principle.

When applied to medical imaging, the ALARA principle states that only the minimum amount of radiation necessary to accomplish the diagnostic task at hand should be used in order to keep patient risk As Low As Reasonably Achievable (ALARA).

With ALARA at the heart of its CT design process, Toshiba’s engineering department is focused on developing technologies to minimize the amount of radiation needed to obtain diagnostic images of the highest quality.

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Low dose Lightning speed

toshiBA’s ct systeMs - designed For loW dose eXAMs

Toshiba offers a full suite of dose reduction technologies to improve patient safety while providing high quality diagnostic CT examinations.

Dose reduction technology is considered in every step of the system design, as Toshiba engineers recognize that every small dose saving will add up. For example, the gantry geometry is designed with the x-ray tube located further from the patient reducing skin entrance dose.

toshiba’s on-going commitment to dose reduction

In addition, innovative dose reduction technologies have been developed negating the need for larger capacity generators which can result in higher patient dose. These technologies such as SUREExposure 3D’’, Active Collimator, and AIDR 3D are all included in the standard configuration.

Aquilion /CXL also features the highly efficient Quantum detector featuring the Multiplex Sequential Sampling.

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original reconstruction AIDR 3D Reconstruction

AIDR 3D icon 2011.10.03

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Maximum image quality at minimum dose.

Aquilion /CXL incorporates a variety of functions based on technologiesthatweredevelopedforAquilionONE™withthe aim of significantly reducing the patient exposure dose, including AIDR 3D, SUREExposure 3D Adaptive and Active Collimator. Aquilion /CXL achieves consistent image quality with industry-leading low-contrast resolution of 2 mm at 0.3% in low-dose scanning.

Aidr 3d (AdAptive iterAtive dose reduction)

AIDR 3D is a sophisticated algorithm that has been designed to work in both the raw data and reconstruction domains.

The collective AIDR 3D process results in robust noise reduction, which is essential for achieving ultra low dose examinations in routine clinical imaging.

This iterative algorithm is superior in removing background noise while preserving diagnostic information compared to non-iterative approaches.

AIDR 3D can be applied to all acquisition modes for routine clinical use and is able to remove up to 50% of image noise resulting in dose reduction of up to 75%.

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Aidr 3d off AIDR 3D on

Low dose Lightning speed

The integration of dose reduction features is essential for optimal dose management, so AIDR 3D has been seamlessly integrated with SUREExposure 3D Adaptive, Toshiba’s automatic tube current modulation software. SUREExposure 3D Adaptive is a powerful dose reduction tool that modulates the exposure

Integrated dose reduction of 74.3% with AIDR 3D and SUREExposure 3D Adaptive

74.3%Dose Reduction

for each patient based on a preset target level of image quality. When it is combined with AIDR 3D, X-ray exposure is automatically reduced before the scan to maintain the preprogrammed image quality adjusted for the expected level of noise reduction.

sureeXposure 3d AdAptive (integrAted With Aidr 3d)

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350 micron 350 micron

350 micron

experience the Quantum Advantage.

QuAntuM detector

Featuring Toshiba’s exclusive, industry-leading Quantum Detector technology, Aquilion /CXL incorporates 0.5 mm detector technology for acquiring true isotropic voxels.Thisverysmalldetectoraperture(thesmallestincurrentCTtechnology)provides razor-sharp images, ensuring fast and accurate diagnosis in all parts of the body with a lower exposure dose. Regardless of the procedure, you are always assured of superior diagnostic imaging with no compromise in the image quality or patient safety.

•0.5mmdetectorelementsarethethinnestintheindustry

• Theindustry’sbestlowcontrastresolutioncreatesconsistentsofttissueimagingat the lowest possible dose

•Uniformimagequalityisachievedbyultrahigh310micron*isotropicresolution

Comparison of lCD specifications for Aquilion and systems from other manufacturers.

Dose vs. low Contrast Detectability

•Optimalvoxelsizeforanyregionofthebody

•Viewaxialimagequalityinallimagingplanes

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20

15

10

5

0

Aquilion

Manufacturer A

Manufacturer B

Dos

e (m

Gy)

2 mm 3 mm 5 mm

Low Contrast Detectability @ 0.3%

*350 micron for 64-slice configuration

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TCOT+

Low dose Lightning speed

tcot+ reconstruction

Toshiba’s patented helical cone beam reconstruction technique has advanced to “TCOT+.” It uses a modified Feldkamp algorithm, employing data from multiple projections in the z-direction to correct for the cone beam effect resulting in a uniform slice profile. Unlike more approximate reconstruction techniques, the properties of the reconstructed axial image are constant for field of view, ensuring high quality images.

Carotid stent: A stent across the bifurcation of the left common carotid artery is depicted in this 3D image. The curved MPR view shows some in-stent restenosis in the internal carotid artery. The 350 micron spatial resolution provides excellent images that clearly demonstrate the struts of the stent.

The nearest group of detector rows are used for each pixel.

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0.5 64 slices

0.5 mm x 128 slices

64 slices0.5 0.5

0.5 0.5Conventional Scan

Without double-slice technology

With Double-Slice Technology

high definition 128 slices in a single rotation.

Aquilion /CXL presents the latest state of technological innovation in Multi Slice CT technology. With the new coneXact™ algorithm the Aquilion /CXL is able to generate 128 unique slices per rotation* with more detail than ever before. Noadditionalexposure is necessary as this breakthrough technology is entirely reconstruction based.

coneXAct reconstruction

DevelopedforAquilionONEdynamicvolumeCT,newproprietary algorithms using the coneXact technology are now available for Aquilion /CXL.

As a result, partial volume effects are minimized and leading to more detailed images while maintaining superior low contrast detectability.

douBle-slice technology

Taking full advantage of the coneXact technology, acquired volume data can be reconstructed in double density, resulting in a more true-to-original reconstruction in MPR and 3D rendered images.

*for 128-slice configuration

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high Fidelity Advanced technology innovative solution

Low dose Lightning speed

double-slice technology

Double-slice reconstruction technology provides full fidelity images with superior resolution. Details of the most intricate structures are sharply depicted in any imaging plane.

The advanced coneXact reconstruction technology originally developedforAquilionONEhasbeen reengineered for Aquilion /CXL to provide the same high-quality image reconstruction.

Toshiba’s unique double-slice solution both increases image resolution and reduces cone beam artifacts with absolutely no exposure dose penalty.

Temporal Bone: Double-slice reconstruction using coneXact technology provides exceptional spatial resolution, as demonstrated in these axial images of the inner ear.

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Network

ONE SUREXtensionSingleConsole

TWO SUREXtensionsDualConsole

Network

Network

ONE SUREXtensionSingleConsole

TWO SUREXtensionsDualConsole

Network

Fast and flexible workflow.

Aquilion /CXL incorporates the latest generation hardware to optimize productivity and enhance diagnosis.

neW console Architecture

From performing exams to distributing data, Aquilion /CXL accelerates the process of providing the information you need to make the best treatment decisions.

With a reconstruction speed of up to 30 images per second (withaFastReconstructionSystem*1 up to 60 images per second),allimagesareavailableinaflash,evenwhenscanned with Toshiba’s unique 0.5 mm slice thickness.

single console With douBle productivity

The space saving single console environment provides multitasking productivity, helping technologists keep up with increasing patient loads.

duAl console*2 For greAter eXpAndABility

The console configuration is highly flexible to match the needs of any user. In addition to the standard single console, optional dual console is supplied with two hybrid keyboards, two-mice, and two 19-inch display monitors. Ideal for two-operator environment.

60 fps

One concurrent SUREXtension remote user can be added to further enhance the workflow.

Two concurrent SUREXtension remote users can be added.

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Low dose Lightning speed

MultivieW

MultiView automation saves time by reconstructing MPR images as a part of the exam protocol, reducing the number of images for initial review and / or printing.

AutoMAted Bone reMovAl

Aquilion /CXL incorporates automated bone removal algorithms to quickly and accurately segment bone in CT angiography examinations. In just a few seconds, high quality angiographic images are available for diagnosis.

sureXtension*3

Healthcare providers increasingly need to make information resources available outside the traditional workplace.

SUREXtension provides remote access to Toshiba’s powerful post processing applications from the client PC*4 in the hospital.

Supportstwoconcurrentusers(operatorplusoneremoteuser)perconsolewith no compromise in performance.*5

*1, 2 & 3: Option *4: For the system requirements, please refer to the product data sheet Not included in the standard configuration *5: Subject to the network environment

SINGLE CLICK

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golden standard high performance.

Every aspect of clinical performance has been considered in creating Aquilion /CXL. As a result, you can count on Toshiba to improve patient comfort and clinician access, reduce radiation exposure and contrast media, boost productivity while providing the ultimate platform for treating a broader patient base and perform a wider range of procedures.

high perForMAnce

Aquilion /CXL provides new standards in performance that allow clinicians to do more with fewer resources in less time.

•72kW*generatorwith350ms*rotationacquiresdataquickly and reduces exam duration

•TheenhancedDICOMprotocolallowsanultrafastdatatransfer speed of up to 60 images per second.

•Storesupto500,000imagesforimmediateaccess

• 2D,3D,and4Dimaging

ergonoMic design

A host of exclusive, ergonomic features increase patient comfort and operator convenience while making procedures safer and more efficient.

•Gantryandcouchreturntohomepositionautomaticallywiththe push of a button

•Carbon fiber couch top with 1500, 1800 mm, or even 2000 mm scan range

•Convenientfootswitchesareavailableforhands-freepatientpositioning

*Option

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Low dose Lightning speed

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cardiac scanning made easy.

High performance in image quality and speed must go hand in hand with efficient workflow. The Aquilion /CXL has specifically addressed workflow integration to optimize productivity and enhance diagnosis.

surecArdio™ With phAseXAct*

Delivers clear, accurate cardiac images and enhances patient throughput and workflow by automatically selecting optimum scan parameters.

•Automated,clinicallyvalidatedprotocolsprovidethebesttemporalresolutionregardless of patient heart rate or condition

•AchieveconsistentCardiacCTAwithadaptive,multi-segmentreconstruction

•Decreasepatientscantimethroughprotocolautomation

•ReduceviewtimeandstoragespacewithphaseXact,whichautomaticallyselectsthe cardiac phase with the least motion

Coronary Artery Bypass Graft (CABG) acquired using SURECardio with phaseXact.

0% 20% 40%

Cardiac Phase

Car

diac

Mot

ion

60% 80% 100%

phaseXact Reconstruction

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Low dose Lightning speed

surecArdio prospective (AutoMAted ultrA-loW dose coronAry Artery ctA)*

ReducetheexposuredoseduringECG-gatedhelicalscanningbychangingthehelicalpitch according to the heart rate and restricting X-ray exposure to the required cardiac phasesinsynchronizationwiththeECGsignal.

•DevelopedtoperformlowdosecardiacCTAinavolumetrichelicalscan

•Useapulsed(ON/OFF)exposurecontrolwithhigherhelicalpitchsettings

•Pitchselectionandexposurewindowarechosenautomaticallytomatchthepatient’s heart rate

surecArdio scoring*

Providesfastandeasyevaluationofcalciumbasedonnon-contrasted,ECG-gateddata directly from the Aquilion console.

•CalculatesCascoresusingtheAgastonmethodandthevolumemassmethod

•A report and the representative images showing calcium are automatically generated

sureplAQue™*

A comprehensive advanced visualization tool to assist clinicians in evaluating the characteristics inside the blood vessel.

•VisualizecoronaryvesselanatomyanddiseasewitheaseusingdefinedHUranges

•Quantifyplaqueburdenandcoronaryremodelingnon-invasively

•Characterizelesionsinthevesselwallaseithercalcifiedornon-calcified

SURECardio Scoring for fast volumetric coronary calcium evaluation.

SUREPlaque permits both classification and quantification of coronary artery plaques.

*Option

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SURECardio Prospective*Automated ultra-low dose coronary artery ctA

SURECardio Scoring*Fast and easy evaluation of calcium based on non-contrast ecg-gated data

SUREPlaque*Automated plaque visualization and characterization software

CBP Study*Blood flow characteristics are analyzed from dynamic scan images and the results are displayed as map images

SURESubtraction™*Automated digital subtraction of intra-cranial vessels from bone

Cardiac Function Analysis*calculate the various functional parameters, such as ejection fraction, wall motion, cardiac output, etc

Maximizing clinical capabilities.

Aquilion /CXL supports Toshiba’s sophisticated suite of SURETechnologies and other advanced software tools to improve image quality, lower dose requirements and deliver the industry’s fastest data to diagnosis. Continuous development of optional field upgradable software enhancements means that when it comes to maintaining state-of-the-art capabilities, your investment is always protected.

cArdiAc neuro

19*Option

vHP*Acquire a gated and non-gated scan in a single examination using a single contrast bolus

SUREFluoro™*real-time reconstruction and display of fluoroscopic images for faster and safer interventional procedures

Vessel View*generate and displays cpr and cross-cut images of blood vessels

lung Volume Analysis*Quantifies low attenuation areas in lung tissue. (regions of pulmonary emphysema)

Fat Index View*Automatically calculates the ratio of visceral to subcutaneous fat as a prognostic indicator of metabolic syndrome

Colon View*Advanced and reporting tools for ct colonoscopy. display includes fillet view, fly through and polyp tagging

Body

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Aquilion /cXl performance you can see.

Tilted helical brain scan showing a large AVM.

Cardiac CTA using SURECardio Prospective.

Metal artifact free image.

Fused MPR/3D image created on CT console.

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Runoff CTA showing bilateral femoral occlusions.

low dose abdominal study showing liver metastases.

Wrist with fixation reconstructed with super resolution.

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continuously advancingthe state-of-the-art.

As part of its mission to enhance quality of life by supplying patients and practitioners with superior imaging technology, Toshiba conducts ongoing product validation and provides product education for those involved in delivering patient care.

clinicAl triAls

Toshiba is the first in the industry to conduct international, multi-institution clinical studies in the use of multidetector CT as the primary diagnostic tool for detecting cardiovascular diseases.

Validating 64 detector row Coronary CT Angiography with cardiac catheterization,CorE64(CoronaryEvaluationon64)participants

represent nine of the world’s premiere medical education and research centers.

faCTor64, a randomized, outcomes-based trial of over 1,000 diabetic patients with obstructive coronary artery disease, is also being conducted in cooperation with Intermountain Healthcare.

Other clinical trials include iLead, an international multi-center trial evaluating Aquilion 64 CT low dose lung nodule detection, conducted at:

Beth Israel Deaconess, USA Kobe University, Japan DKFZ,Germany

Brazil university of sao paulo - incor heart institute

Canada toronto general hospital

Germany humboldt university - campus charité Mitte

Japan iwate Medical university

Netherlands leiden university Medical center

Singapore Mount elizabeth hospital

USA Johns hopkins university Johns hopkins Bayview Medical center Beth israel deaconess Medical center

USA intermountain healthcare

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delivering high-QuAlity, cost-eFFective pAtient cAre

Aquilion /CXL provides more ways to help you better manage the cost of providing healthcare without compromising the quality of physician and patient services.

•Makemoreefficientuseoflimitedresourceswithflexiblefinancingoptions

•Increaseutilizationwithfasterthroughputandaccesstoawiderrangeofapplications

QuAlity MAnAgeMent

In 1915 Toshiba developed the first X-ray tube in Japan. Since that time we have continuously pursued product quality, while developing and producing many products with superior safety, durability, flexibility, economy, and serviceability. Toshiba’s fundamental principles are based on respect for people. In addition to strict compliance with the law, our goal is to provide products and services that improve our customer’s lives, and contribute to society.

gloBAl netWork

With a network of local corporations and representatives in more than 120 countries across the globe, we are proud of our record of service and support to the leading medical institutions throughout the world.

toshiBA leArning centers

To ensure consistent scanning and a faster diagnosis with Aquilion CT scanners, Toshiba’s global training facilities provide courses for clinicians and technologists.

Customer Support & Training CenterattheNasuHeadquarters.

©Toshiba Medical Systems Europe BV 2011 all rights reserved.Design and specifications subject to change without notice.MCACT0221EC

www.toshiba-medical.eu

Toshiba Medical Systems Corporation meets internationally recognized standards for Quality Management System ISO 9001, ISO 13485.

Toshiba Medical Systems Corporation Nasu Operations meets the Environmental Management System standard, ISO 14001.

Made for Life, Aquilion ONE, Aquilion, SUREExposure, Boost3D, SURETechnologies, SUREXtension, coneXact,SURECardio, SUREPlaque, SURESubtraction and SUREFluoro are trademarks of Toshiba Medical Systems Corporation.

Please check with your local Toshiba representative as this product might not be available in your country/region.

technology history

For over 130 years, Toshiba has been a world leader in developing technology to improve the quality of life. Our 50,000 global patents demonstrate a long, rich history of leading innovation. It might surprise you to learn about some of the things we’ve invented.

1915 Japan’s first X-ray tube

1954 First digital computer

1977 First cardiac ultrasound scanner

1985 First slip-ring CT scanner

1986 First laptop computer

1990 First helical CT scanner

1993 First real-time CT fluoro

1995 First DVD

1999 First quiet MRI

1999 First 0.5 mm multidetector CT

2002 First 400 ms CT scanner

2004 First Quantum Denoising Software

2007 First dynamic volume CT scanner

2009 First 160-row Helical

2010 First iterative recon technique for 320 Detector Row CT