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 1990 First helical CT scanner 2002 First 400 ms CT scanner
1954 First digital computer 1993 First real-time CT fluoro 2004 First Quantum Denoising Software
1977 First cardiac ultrasound scanner 1995 First DVD 2007 First dynamic volume CT scanner
1985 First slip-ring CT scanner 1999 First quiet MRI 2009 First 160-row Helical
1986 First laptop computer 1999 First 0.5 mm multidetector CT 2010 First iterative recon technique for 320 Detector Row CT

Please check with your local Toshiba representative as this

product might not be available in your country/region.

AIDR 3D icon 2011.10.03

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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.
www.toshiba-medical.eu
Made for Life, Aquilion ONE, Aquilion, SUREExposure, SUREXtension, R XL EDITION
©Toshiba Medical Systems Europe BV 2011 all rights reserved. coneXact, SURETechnologies, SURESubtraction SURECardio, SUREPlaque,
Fluoro and SUREStart are trademarks of
Low Dose, Lightning Speed, Latest Applications
SURE
Design and specifications subject to change without notice. Toshiba Medical Systems Corporation.
MCACT0222EC

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 The New Standard for Radiology LOW-DOSE TECHNOLOGIES

Aquilion /RXL incorporates Toshiba’s latest technologies for the

reduction of exposure dose while maintaining high image quality.
• AIDR 3D (Adaptive Iterative Dose Reduction 3D) LIGHTNING SPEED
• SURE
Exposure™ 3D Adaptive (automatic exposure control) The new console enables significant improvements
• Active Collimator in workflow, with faster reconstruction, automated
Toshiba Medical Systems is committed to the development of new processing, and remote access capabilities.
technologies to minimize radiation dose while maintaining industry-leading • Dose Management Functions – Dose Check/Dose Report
• High-Speed Reconstruction
image quality. These dose-reduction technologies and more are standard in
the Aquilion™ /RXL CT system. • Automated Processing
• SURE
Xtension™ (Remote Access)*
The Aquilion /RXL 16 detector row CT system delivers routine low-dose scans LATEST APPLICATIONS
for each patient in a wide variety of clinical examinations with lightning
reconstruction speed and unsurpassed workflow. The system is designed to • Cardiac Examinations*
comfortably handle the pace in the busiest of departments, and will be able • Colon View*
to continue meeting healthcare demands well into the future.
• Lung Volume Analysis*
• Fat Index View*

16-slice configuration 32-slice configuration

Entering the world of the Aquilion family with adaptive iterative Aquilion reliability combined with double slice
dose reduction technology (AIDR 3D) and active collimator for reconstruction for outstanding spatial resolution and
ultra low dose scanning. extended flexibility.
*Option
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 Low dose Lightning speed Latest applications

Toshiba’s Dose Reduction Technologies

AIDR 3D icon 2011.10.03

AIDR 3D (adaptive iterative dose reduction 3D) White background

AIDR 3D is a sophisticated algorithm that has been designed

Toshiba offers a full suite of dose reduction technologies to improve patient safety
to work in both the raw data and reconstruction domains. The
while producing high-quality images for accurate diagnosis.
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 to
non-iterative approaches in removing background noise while Toshiba’s Ongoing Commitment to Dose Reduction
preserving diagnostic information.
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SURE
Exposure 3D Adaptive (integrated with AIDR 3D)
The integration of dose reduction features is essential for that modulates the exposure for each patient based on a preset
optimal dose management. AIDR 3D has therefore been target level of image quality. When it is combined with AIDR
seamlessly integrated with SUREExposure 3D Adaptive, 3D, X-ray exposure is automatically reduced before the scan
Toshiba’s automatic tube current modulation software. to maintain the preprogrammed image quality adjusted for the
SURE
Exposure 3D Adaptive is a powerful dose reduction tool expected level of noise reduction.

AIDR 3D off AIDR 3D on

TOSHIBA’S CT SYSTEMS
– DESIGNED FOR LOW DOSE EXAMS
Dose reduction is considered in every step of the system Aquilion /RXL employs the latest dose reduction technologies
design, because Toshiba engineers recognize that all the small such as SUREExposure 3D Adaptive, Active Collimator, and AIDR
dose savings add up. For example, the gantry is designed with 3D in the standard configuration.
the X-ray tube located further from the patient, reducing the
74.3% skin entrance dose.
Dose Reduction

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

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 Low dose Lightning speed Latest applications

Comprehensive Low-Dose Examination

Aquilion /RXL dose reduction and reporting technologies are integrated into every step of
each scan performed, ensuring the highest possible level of patient safety.
Using Toshiba’s exclusive Quantum Detector technology, Aquilion /RXL provides consistent
image quality with an industry-leading low-contrast resolution of 2 mm at 0.3%.

Exam Plan Scan Reconstruction Report

Protocol Selection SURE

Exposure 3D Adaptive AIDR 3D Dose Report
Aquilion /RXL is delivered with an extensive range of clinically SURE
Exposure 3D Adaptive can achieve a dose reduction of up AIDR 3D can be applied to all acquisition modes in routine In accordance with IHE recommendations, the Radiation
proven scan protocols that are ready to use “out-of-the-box”. to 40%, depending on the individual patient and the anatomical clinical use and is able to remove up to 50% of image noise, Exposure Monitoring Profile function is provided in the
region to be scanned. resulting in dose reductions of up to 75%. software. This function automatically records all scanning data,
After patient registration, the system automatically loads the
enabling accurate tracking of the dose for a particular study.
correct selection of adult or child protocols based on the By using AIDR 3D in combination, the dose is automatically
Original Reconstruction AIDR 3D Reconstruction
patient’s age. In addition, protocols are anatomically grouped reduced further by up to 75% before the scan. In this manner,
with an intuitive graphical interface to ensure easy and correct dose reduction can be integrated into every scan protocol.
protocol selection. Dose
Report

Low mA
150 mA
120 mA
100 mA
Standard mA
120 mA
Archive
Dose Check 150 mA
Dose
200 mA Report
The Dose Check software helps ensure that the user-defined
radiation dose limits cannot be exceeded by incorrect operation
of the system.

Active Collimator Dose

Report

Active Collimator operates automatically to block all X-rays not

required for image reconstruction in helical scanning, resulting
in further dose reduction.
Dose Analysis & Reporting

National Registry
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*For 32-slice configuration only
 Low dose Lightning speed Latest applications

High definition 32 slices in a single rotation.

Double-Slice Technology

Aquilion /rxl presents the latest state of technological innovation in Multi Slice CT High Fidelity Advanced Technology Innovative Solution
technology. With the new coneXact™ algorithm the Aquilion /RXL is able to generate Double-slice reconstruction The advanced coneXact Toshiba’s unique double-slice
32 unique slices per rotation* with more detail than ever before. No additional technology provides full fidelity reconstruction technology originally solution both increases image
exposure is necessary as this breakthrough technology is entirely reconstruction based. images with superior resolution. developed for Aquilion ONE has resolution and reduces cone beam
Details of the most intricate been reengineered for Aquilion /RXL artifacts with absolutely no exposure
structures are sharply depicted in to provide the same high-quality dose penalty.
coneXact RECONSTRUCTION DOUBLE-SLICE TECHNOLOGY any imaging plane. image reconstruction.

Developed for Aquilion ONETM dynamic volume CT, new Taking full advantage of the coneXact technology, acquired
proprietary algorithms using the coneXact technology are now volume data can be reconstructed in double density, resulting
available for Aquilion /RXL. in a more true-to-original reconstruction in MPR and 3D
rendered images.
As a result, partial volume effects are minimized and leading to
more detailed images while maintaining superior low contrast
detectability.

Without With
Double-Slice Technology Double-Slice Technology
Conventional Scan 0.5 0.5 0.5 16 slices

0.5 mm x 32 slices

0.5 0.5 16 slices

Temporal Bone: Double-slice reconstruction using coneXact technology provides exceptional spatial resolution, as demonstrated
*for 32-slice configuration in these axial images of the inner ear.
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 Low dose Lightning speed Latest applications

Optimizing the Clinical Workflow

Aquilion /RXL incorporates a new console to improve productivity and optimize the workflow.
Automated processing enables fast access to images for accurate diagnosis.

High-Speed Reconstruction Automated Processing Automated Processing Workflow Flexibility

New Console Architecture Ultrafast Data Transfer SURE

Technologies™ SURE
Xtension *1
Aquilion /RXL accelerates the process of providing the • The enhanced DICOM protocol allows an ultrafast data Toshiba’s sophisticated clinical application software packages Healthcare providers increasingly need to make information
information required for making the best treatment decisions transfer speed of up to 60 images per second. for various anatomical regions provide automated processing resources available outside the traditional workplace.
throughout the workflow. for accurate diagnosis and significant improvements in
• Automated data transfer to multiple destinations can be set Xtension provides remote access to Toshiba’s powerful
SURE
workflow.
With a reconstruction speed of up to 28*1 images per second in the exam protocol. post-processing applications from client PCs in the hospital.
(16 images per second for standard configuration), all the
Two concurrent users (the console operator plus one remote
images are available in a flash, even when Toshiba’s unique 0.5
user) are supported per console with no compromise in
mm slice thickness is used. MPR Image Generation – MultiView Automated Bone Removal
performance*2.
MultiView automation saves time by reconstructing MPR Aquilion /RXL incorporates automated bone removal algorithms
images as a part of the exam protocol, reducing the number of to quickly and accurately segment bone in CT angiography
images for initial review and/or printing. examinations.
28 fps In just a few seconds, high-quality angiographic images are
available for diagnosis.

SINGLE CLICK

*1: Option
*2: Subject to the network environment
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Maximizing Clinical Capabilities

Aquilion /RXL supports Toshiba’s sophisticated suite of SURETechnologies and

other advanced software tools to further increase clinical utility, and incorporates
cutting-edge clinical application capabilities to meet customer needs.

Neuro Cardiac Body

phaseXact Reconstruction
Cardiac Motion

0% 20% 40% 60% 80% 100%

Cardiac Phase

SURE
Subtraction™* SURE
Cardio™ with phaseXact* SURE
Plaque™* Vessel View* Colon View* Dental Analysis*
Automated digital subtraction of intra-cranial Accurate cardiac images and enhanced workflow Automated plaque visualization and Generation and display of CPR and cross-cut Advanced analysis and reporting tools for CT Comprehensive dental MPR with easy-to-use
vessels from bone by automatic selection of optimum scan characterization images of blood vessels colonoscopy, with display functions such as filet tools for pre-operative planning
parameters view, fly through, and polyp tagging

CBP Study* SURE

Cardio Scoring* Cardiac Function Analysis* Lung Volume Analysis* Fat Index View* SURE
Fluoro™*
Analysis of bloodflow characteristics from Fast and easy evaluation of calcium based on Calculation of various functional parameters, Quantification of low attenuation regions in lung Automatic calculation of the ratio of visceral to Real-time reconstruction and display of
dynamic scan images and display of the non-contrast ECG-gated data such as the ejection fraction, wall motion, and tissue (regions of pulmonary emphysema) subcutaneous fat as a prognostic indicator of the fluoroscopic images for faster and safer
results as map images cardiac output risk of metabolic syndrome interventional procedures

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*Option
 Low dose Lightning speed Latest applications

Cardiac scanning made easy. Continuously advancing

the state-of-the-art.
High performance in image quality and speed must go hand in hand with efficient
workflow. The Aquilion /rXL has specifically addressed workflow integration to optimize
productivity and enhance diagnosis.

SURE
Cardio™ with phaseXact*
phaseXact Reconstruction Delivering high-quality, cost-effective patient care Toshiba Learning Centers
Delivers clear, accurate cardiac images and enhances patient throughput and
workflow by automatically selecting optimum scan parameters. Aquilion /RXL provides more ways to help you better manage the cost of
providing healthcare without compromising the quality of physician and

Cardiac Motion
• Automated, clinically validated protocols provide the best temporal resolution
patient services.
regardless of patient heart rate or condition
• Make more efficient use of limited resources with flexible financing options
• Achieve consistent Cardiac CTA with adaptive, multi-segment reconstruction
• Increase utilization with faster throughput and access to a wider range of
• Decrease patient scan time through protocol automation
applications
0% 20% 40% 60% 80% 100%
• Reduce view time and storage space with phaseXact, which automatically
selects the cardiac phase with the least motion Cardiac Phase To ensure consistent scanning
Quality Management and a faster diagnosis with
Aquilion CT scanners, Toshiba’s
In 1915 Toshiba developed the first X-ray tube in Japan. Since that
global training facilities provide
time we have continuously pursued product quality, while developing
courses for clinicians and
and producing many products with superior safety, durability, flexibility,
technologists.
economy, and serviceability. Toshiba’s fundamental principles are based
SURE
Cardio Scoring* on respect for people. In addition to strict compliance with the law, our
Provides fast and easy evaluation of calcium based on non-contrasted, ECG-gated goal is to provide products and services that improve our customer’s lives,
data directly from the Aquilion console. and contribute to society.
• Calculates Ca scores using the Agaston method and the volume mass method
• A report and the representative images showing calcium are automatically generated 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
Cardio Scoring for fast volumetric
SURE support to the leading medical institutions throughout the world.
coronary calcium evaluation. Customer Support & Training
Center at the Nasu Headquarters.
SURE
Plaque™*
A comprehensive advanced visualization tool to assist clinicians in evaluating the
characteristics inside the blood vessel.
• Visualize coronary vessel anatomy and disease with ease using defined HU ranges
• Quantify plaque burden and coronary remodeling non-invasively *Option

• Characterize lesions in the vessel wall as either calcified or non-calcified

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Plaque permits both classification and
SURE

quantification of coronary artery plaques.

 Aquilion /RXL
Clinical Excellence With Minimal Dose

Temporal and parietal lobe infarct. Mandibular bone cyst seen in MPR and 3D. Small lung nodules reconstructed using a 0.5 mm slice thickness. Cholangiogram rendered using on-console 3D.

AVM demonstrated using brain CTA with SURESubtraction. Inner ear structures reconstructed with high resolution. Coronary CTA with SURECardio. Hydatid cyst seen in axial and 3D images.
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 Aquilion /RXL
Clinical Excellence With Minimal Dose

Virtual Colonoscopy rendered using on-console 3D. Liver tumor with isotropic image quality. Complex fracture of the proximal humerus rendered using on-console 3D. Bone cyst with isotropic image quality.

Horseshoe kidney demonstrated in a CT urogram using on-console 3D. Renal CTA (with SUREStart™) rendered using on-console 3D. Crush fracture of the spine rendered using on-console 3D. Wrist fracture rendered using on-console 3D.
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