TECHNICAL OFFER

MAKE : CANON
COO : JAPAN
SYSTEM : Multislice Helical CT Scanner “ Canon Aquilion Start “
DELIVERY PERIOD : 6-8 WEEKS
WARRANTY : ONE YEAR

Description of Main Unit

Multislice Helical CT Scanner “ Canon Aquilion Start “
Fast Scan Kit 0.75s
Long Scanning range 183 cm
X-Ray Tube Anode heat capacity is 3.5 MHU
Flex-e Tilt
Real Time Helical
Sure Start – Bolus Chase
MIP / MPR
Auto Bone Removal
ORBITAL SYNCHRONIZED SCAN SYSTEM (SURESUBTRACTION)
3D color image processing
Patient Couch 220 Kg
DICOM Storage SCU
DICOM Print
DICOM MWM

Dose reduction techniques:

Sure Exposure 3D
AIDR 3D (Adaptive Iterative Dose Reduction 3D)
Active collimation
New SEMAR (Single Energy Metal Artifact Reduction)

Accessories
Set of Phantoms + Support
DVD/CD-R
 CANON Aquilion Start 32 slice

Advanced Multi-slice Helical CT Scanner

1.0 Introduction

Aquilion Start is a multislice helical CT system that supports

whole-body imaging. Aquilion Start is packed with premium
technology originally developed for our high-end CT
systems, carefully crafted and adapted keeping in mind the
changing requirements of healthcare organizations,
including the need for faster workflows, universal
accessibility, and sound economics.

1.1 Designed to Maximize Clinical Flexibility

– PUREViSION Detector technology, which was introduced in our premium systems, has been adapted to
achieve the perfect balance of image quality and patient dose optimized for outstanding speed in routine
clinical practice.

– Canon Medical Systems advanced clinical solution ensures excellent visualization of vasculature in CT
studies, while Iodine Mapping provides an extra level of detail as part of your chest CTA exams.

– SEMAR (Single Energy Metal Artifact Reduction) help eliminate metal artifacts, improving visualization of
implants and supporting bone and adjacent soft tissue for a clearer and more confident diagnosis

1.2 Designed to Optimize Productivity Safely

– The Aquilion Start gantry features design innovations to improve the scanning experience for patients
while providing excellent operability and ensuring safety.

– The spacious 780 mm wide bore and 470 mm wide couch allow comfortable scanning for even the
largest patients.

The couch-top can be lowered to a minimum height of 312 mm, which makes it easier to transfer patients
from a wheelchair.

– Intuitive automation and a host of intelligent functions enable fast and efficient workflows that not only
save time, but also provide the perfect clinical solution

1.3 Easy Installation:

Aquilion Start is designed with a minimal footprint of just 9.8 m2 to allow sitting in the smallest of spaces.
Additionally, a comprehensive reduction in energy requirements for all system components minimizes
power consumption.
1.4 Dose reduction technology:

This system incorporates a variety of functions which can significantly reduce the patient exposure dose,
such as AIDR 3D (Adaptive Iterative Dose Reduction), QDS (Quantum Denoising Software), SURE
ExposureTM 3D, and Boost3DTM as standard.

AIDR 3D is CANON’s 4th generation iterative algorithm to reduce image noise while maintaining details and
structural edges. With AIDR 3D, the patient dose can be reduced by up to 75% without compromising
image quality.

SUREExposure 3D automatically adjusts X-ray exposure in the X, Y, and Z directions according to the
patient’s body size.

Boost3D allows the X-ray dose to be minimized for regions with high X-ray absorption, such as the
shoulders and pelvis, while permitting acquisition of highly accurate images.

1.5 Metal Artifact Reduction:

SEMAR (Single-Energy Metal Artifact Reduction) technology employs a sophisticated reconstruction

algorithm to eliminate artifacts caused by metal while improving visualization of the implant, its
supporting bone and adjacent soft tissues for an accurate diagnosis.
SEMAR can be used in routine low-dose scans, and the combination with AIDR 3D provides the best
possible image quality without the need for a dedicated scan procedure or additional radiation exposure.

* In case of short couch version

2.0 Gantry
Aquilion Start's gantry houses the X-ray tube, Multi-slice array detectors, generator, slip rings, gantry drive
and other electronics required for data acquisition.
Scan localization is done through LASER alignment lights.
Gantry controls are located on both sides for easy, fast and convenient handling
Gantry opening: 78 cm
Gantry Digital tilt: +/- 30 degrees
3.0 Advanced MUDAT
Besides the acquisition of extremely detailed and complex data with high density PureVision detectors, a
state of the art optical transmission system MUDAT established by Canon serves as a powerful support
tool for high quality imaging, by reliably transmitting massive amounts of data.
4.0 Patient Couch

The Aquilion Start-patient couch facilitates both patient positioning and patient movement during helical
scanning. Operation from the gantry or the main console ensures maximum ease of use. In emergency the
couch top can be pulled out manually with very little effort. The construction of the couch allows the use a
mobile C-Arm for combined CT-Angio examinations.

Couch width: 47 cm
Couch stroke: 219 cm long version
Scannable Range 183 cm long version
Vertical couch range: 31.2 to 90 cm
Maximum weight limit: 205 kg
Reproducibility: ± 0.25 mm
Speed of movement: 10mm/sec (slow mode)/ 130 mm/sec (fast mode)
5.0 Operator’s Console:
The Aquilion Start operator’s console is a single monitor system.
provided with hybrid keyboard, monitor and mouse with a PC like
environment which enables the operator to rapidly learn the system
through a familiar interface, as well as work quickly during scanning
using a graphical (point and click) type software package. The
monitor has a large 19” LCD display with a display area comparable
to 21” CRT monitor of 1280 x 1024 display area each capable of
displaying single or multiple images.
Because of the color display, tissue segmentation and other

advanced post-processing techniques become clearer. This multi-tasking

environment allows a wide range of optional processing functions to be
performed such as CT Angiography (Max-IP, Min-IP), 3D Surface
rendering, X-ray Volume Rendering, Intensity Volume Rendering, Shaded
Volume Rendering, Multi-Planar Reconstruction and other standard and
advanced routines.
Console controls:
 Functions of the console for scanning:
 Selection of scan parameters
 Scanoscope control
 Scan control
 Remote control of couchtop movement
 Remote control of gantry tilt
 Window level and width adjustment
 Other various mouse-operated image processing functions.
6.0 X-Ray Generator

Advanced engineering has led to the development of a new high frequency, microprocessor controlled
generator that can withstand the high stresses developed during gantry rotation.
This generator is ready to perform the most demanding CT applications.

Output Maximum Power: 72 kW equivalent with AIDR 3D (36 kW actual)

Tube Current: 10 - 300 mA adjustable in 5 mA and 10 mA increment.
Tube Voltage: 80, 100, 120 & 135 kV

7.0 X-Ray Tube - HelicoolTM

Aquilion Start design concept has placed a required an intense focus on x-ray tube design and
performance. This focus utilizes the HELICOOL tube, which excels in heat capacity, cooling rate,
mechanical stability, and serviceability. An advanced concept in anode design helps to increase the tube
cooling rate. Coupled with a high heat capacity, this rapid cooling rate ensures that the HEILCOOL will
deliver the highest clinical performance in helical scanning applications, as well as a long service life. And
the latest filtering technology reduces patient dose and scatter.

X-ray beam shape: fan shaped

X-ray exposure: Continuous
Voltage: 80, 100 ,120 and 135 kV
X-ray tube heat capacity: 3.5 MHU actual
Cooling rate: 735 kHU/min (max.)

* Values with AIDR 3D resulting in the same standard deviation on water phantom images.

8.0 "PureVision" DETECTORS:

Aquilion Start uses the latest generation of 16 hybrid detector/data

acquisition system (DAS) with advanced PureVision detectors array
of 16 rows each of 720 elements resulting in a total number of
11,620 detector elements.
The resulting high dynamic range and high sampling rates with a
large number of channels ensure high image quality and excellent
low contrast resolution specifications. And most importantly, this
system has 16 DAS and a multi-detector array configuration that will
allow the acquiring 32 slices per rotation.

Detector type: PureVision Advanced Solid State

Main detector: 720 x 16 elements
Total Number of elements 11620
Data Acquisition: 720 x 16 rows
Reference detector: 1 set
9.0 SCAN PARAMETERS:

The robust technology developed for the Aquilion Start Multi translates directly into the widest range of
technical parameters and clinical applications ever available in a commercially available CT scanner.
The result is not only better image quality, but higher patient throughputs and greater referral potential.

CONVENTIONAL SCAN:

Scan times: 0.48s(partial) 0.75 , 1, 1.5, 2 and 3 s

Scan fields (FOV): 35, 43 cm
Reconstructed FOV: Digital FOV can go down to less than 1 cm

Slice thickness Acquisition:

– Conventional scan,
16 row scan 1 mm (S & S only)
4 row scan 1 and 4 mm
– Dynamic volume scan

4 row scan 4 mm
– Helical scan:
16-row scan: 1 mm
4-row scan: 1 mm
HELICAL SCAN:

X-ray rotation speed: 0.75, 1.0 or 1.5 s/3600

Maximum helical scan time: 100 seconds
Scan field in axial direction: up to (1,980) mm/scan (long version) maximum
Image reconstruction: Up to 15 frames/second (0.066 s/image)
Real Time helical:
RTH reconstruction time: 12 images/sec (0.083 s/image)
(1 slice, 512 X 512)

Reconstruction Method: TCOT Real 3D reconstruction

DYNAMIC SCAN:

Scan time: 0.75, 1.0 or 1.5 s/3600

Programmable time: Up to 60 minutes

Number of programmable scans: 20 Maximum
Scan start delay: 0.5 seconds minimum
Reconstruction time: Minimum 0.5s
Real Time Helical (12 images/sec)
(1 slice, 512 X 512)
10.0 DATA PROCESSING:

Just as any chain is only as strong as its weakest link, any CT system is only as fast as it’s slowest
component. Therefore, Aquilion Start utilizes the latest technology to create an advanced parallel
processing architecture. As a result, simple image reconstruction or advanced post-processing tasks are
carried out quickly and efficiently, without creating bottlenecks.

Reconstruction matrix: 512 X 512

Data Processor
Central processing unit 64 bit microprocessor
Memory size 32.0 Gbytes
Magnetic disk Raw data 180 Gbyts
+ Image data 300 Gbytes

DATA STORAGE
Raw Data 3600 rotations
Image data 260,000 images +

DVD
- DVD RAM 4.7 Gbytes
7,500 images

11.0 IMAGE DISPLAY:

Reconstructed images are automatically

displayed using pre-programmed window
and level settings. Filter parameters can be
customized through easy to use on screen
menus.
19” LCD color monitor:
- Monitor matrix 1280 x 1024
- Image matrix 1024 x 1024

Window Width: continuously variable

Window level: continuously variable
Preset window: 3 kinds of window settings preset for each image
Window types: linear, non-linear, and double windows
CT Number Measurement Range: -32,768 to +32,767
12.0 IMAGE PROCESSING:

Aquilion Start 16 incorporates a wide range of

routine image processing algorithms as outlined
below.

Scanogram: slice position display

Anatomical scale
Slice position setting
Enlargement

CT image processing
ROI setting and processing:
- ROI processing
- ROI Shape
- ROI display
- ROI control
Measurement of distance and angle between two points
Profile
Histogram
CT number display
Mark display
Volume calculation
Enlargement, reduction & panning
Addition/Subtraction between images
Band Display
Image filtering
Image rotation
Screen save
Multi View (Auto MPR)
Boost 3D
Z-Sharpening

Raw data processing

Zooming reconstruction
Stack Reconstruction
Protect/Unprotect
Half view reconstruction of helical scan raw data
Play/Reverse reconstruction (Helical/Dynamic scan)
Priority reassignment in reconstruction queue
 As well as a host of highly advanced 3D processing routines.

* 3D Surface Rendering
* 3D Volume Rendering
MaxIP, MinIP
X-Ray Volume Rendering
Intensity Volume Rendering
Shaded Volume Rendering
* Display/Processing
-Zooming, panning, measurement (distance,
angle), annotation, cutting drilling
* Cine Display
* Pediatric Protocols: automatically chosen according to
patient age
* MPR/Curved MPR
* Auto Bone Removal
* MPR/Curved MPR
* Auto Bone Removal
* MPR/Curved MPR
* Auto Bone Removal

13.0 Resolution & Image Quality parameters:

High Contrast Resolution:
18 lp/cm @ 0% MTF

Low Contrast Resolution:

2mm @ 0.3 % @ CTDI vol 17.7 mGy
3mm @ 0.3 % @ CTDI vol 9.5 mGy

14.0 Communication:

The system is offered with the following DICOM protocols as standard:

- DICOM Storage SCU
- DICOM Print
- DICOM MWM
15.0 Advanced Helical Scan Techniques

SureScan (Real Time Helical)

Canon pioneered real-time

helical scanning to allow
simultaneous data acquisition,
reconstruction, and display on
the monitor. With this
technique, data sets are
continuously updated during
each rotation of the gantry
and reconstructed at regular
intervals. Through the use of
high speed image processing
hardware and software, up to 12 images per second can be produced. This feature is standard on all
Aquilion Start systems.

Sure Start
Correct timing of the imaging sequence to contrast media injection is critical to obtaining optimum image
quality. Surestart tracks the signal changes in user defined regions of interest in a continuously updated
reference image with a rate of 12 measurements /sec. The diagnostic helical scan can be started manually
or automatically when the signal reaches the desired level. The benefits of SureStart are more consistent
image quality in contrast enhanced studies, simplification of contrast studies for increased system
throughput, and a reduction of contrast media usage since test boluses are not necessary.

Main scan (helical) is

Contrast performed at optimal contrast.
density

Main Main
scan scan
start end

When contrast density reaches the threshold,

monitoring scan terminated and main scan is
started automatically.
Monitoring
Injection
scan start Time
start

Contrast
Main scan
injection Monitorin (helical)
g scan
Scanning Scan
delay time
(preset)