multi_intro2

A-serie MultiSlice
CT

Introduction

 Toshiba 2002 1
 Multislice Helical CT

Instantaneous Volume
 Toshiba 2002
Imaging
2
 Development of CT Scanner
Single Breath Hold Scanner

High-speed 3D scanner

Multislice CT

Half-second 0.5s CT

Sub-second 0.75s CT

Real-time CT 1994

Helical CT 1990

Conventional CT

 Toshiba 2002 3
 A CLEAR VISION FOR THE
FUTURE
256
elements

256 Slice
64 Slice

Advanced Multi-II
16 slice technology

Advanced Multi

4 slice technology 0,5mm

inside
MultiSlice CT
 Toshiba 2002 4
 Multislice Detector
Selectable - Slice thickness Multirow Detector (SSMD)

• Detector Elements: 30,464 elements

(34 rows x 896ch)
• Minimum Slice Thickness: 0.5mm
• Simultaneous 4-slice acquisition
 Toshiba 2002 5
 Multislice Detector
ectable - Slice thickness Multirow Detector (SS

1234

High Res.
1234 Mode

1 2 3 4

Z-direction 1 2 3 4
Detector
1 2 3 4
elements
High Speed
Switches 1 2 3 4 Mode
DAS DAS DAS DAS
DAS for for for for Slice Thickness
1st slice 2nd slice 3rd slice 4th slice
for MultiSlice 0.5mm to8.0mm @ 8 slices/sec

 Toshiba 2002 6
 Multislice Cone-beam
Tomography (MUSCOT)
Reconstruction Algorithm
• Reconstruction algorithm for Helical Scan
• Patent applied for, paper published in Medical Physics,
April 1998
• Markedly enhanced image quality with cone beam
geometry
• Significant reduction of partial volume artifact
• New reconstruction algorithms allow choice of arbitrary
slice profile (Reconstruction slice thickness).

 Toshiba 2002 7
 Images of ball
phantoms
Single - slice MultiSlice
Helical scan Helical scan

180°L.I. Non MUSCOT MUSCOT

 Toshiba 2002 8
 Multislice Helical CT
4-slice data acquisition per rotation

Half Second Scan ASPIRE CI

Half millimeter Slice
 Toshiba 2002 9
 Multislice Helical CT
Clinical Benefit - Significantly short
exam time
Single-slice Helical Multislice Helical Scan
Scan

30cm 30cm
10mm-slice 10mm-slice

30sec 4sec
 Toshiba 2002 10
 Multislice Helical CT
Clinical Benefit - Improved Z-Resolution
Single-slice Helical Scan Multislice Helical Scan

30cm 30sec 30cm 15sec 4cm 5sec

10mm-slice 3mm-slice 1mm-slice
 Toshiba 2002 11
 How to communicate the
scan protocol of Multi-slice
Helical Scan ?
Beam Helical Image
Slice Pitch Slice
Thickness Thickness

5 3 8
Only those three parameters are special in
Multi-slice CT.

 Toshiba 2002 12
 Isotropic Image
• High 3D image quality Same resolution in 3 directions
• With the Dual detector, with 0.5 mm slice and 896 channels it
is possible to get an isotropic volume image
• Reduction of the “partial volume” effect

0.35 mm
0.5 mm

0 .3 0.3
5m m 5m
m m m m
m 35
.35 0.
0

Single Slice Multi/Dual Slice

 Toshiba 2002 13
 Multislice CT
Fluoroscopy
Clinical Benefit - Multislice CT Fluoroscopy

a b c

 Toshiba 2002 14
 Specifications
Aquilion Asteion Asteion/Dual
0.32 (229 ), 0.5, 0.75, 0.5 (229 ), 0.75, 1.0, 1.5, 2.0 and 3.0
Scan Speed
1.0, 1.5, 2.0 and 3.0 sec. sec.
0.5 mm x4 0.5 mm x2
1.0 mm x4 1.0 mm x2
2.0 mm x4 2.0 mm x2
3.0 mm x4 3.0 mm x2
Slice thickness’
4.0 mm x4 4.0 mm x2
5.0 mm x4 5.0 mm x2
8.0 mm x4 8.0 mm x2
10 mm x2 10 mm x2
Reconstruction time 0.5 s (0.5s scan) 0.5 (0.75s scan) 1.0 s (0.75s scan)
Raw Data Storage 4000 rotations
Image Data Storage 16000 images 8000 images
High Voltage 60kW 36*, 48, 54* or 60kW*
Generator (80, 100, 120 , 135kV) (80, 100, 120 , 135kV)
HeliCool (4.0 Mhu)
X-ray tube MegaCool (7.5 Mhu)
6.5Mhu*
* = optional

 Toshiba 2002 15
 Features
 Fast MPR
 3D
Standard  Sure Start
 Real-time Helical Scan
 Multiview

 CT-Fluoroscopy
 Cardiac gated scanning
 Cardiac gated reconstruction
 DICOM MWM
 DICOM PPS
 DICOM Storage SCP
Options  DICOM Q&R SCU / SCP
 Bone Mineral Study
 Dental application
 Fly-through
 Pediatric scanning
 Extend Raw Data Disk
 Extend Image Data Disk

 Toshiba 2002 16
 Anet (Plus) option

as can be found in Business Net

 Toshiba 2002 17
 MUDAT
• ROT to SOT transfer:
– Asteion single slice : 1 channel
– Aquilion single slice : 2 channels
– Dual slice : 2 channels
– Asteion multi slice : 2 channels
– Aquilion multi slice : 4 channels
• SOT to ROT transfer: 1 channel (all)
• New OPCONTM and GCIFM pwb’s.
• No Pre-Processing on GCIFM.

 Toshiba 2002 18
 Option: Cardiac
Scanning:
•Scan & ScanProspective Gating
•Half-scan acquisition

0.32 sec
Table slide

ECG waveform signal time

 Toshiba 2002 19
 Cardiac Scanning
Coronary artery

 Toshiba 2002 20
 Cardiac Scanning:
Retrospective Gating
•Helical Scan
•Half-scan acquisition

cardiac phase (0 - 99%)

Half Reconstruction

time / table position

ECG
ECG signal is acquired simultaneously with helical scan. Setting the position of R-
wave (end diastole) as 0 and 100 from this ECG(QRS) signal, cardiac phase is
defined.
 Toshiba 2002 21
 Cardiac Scanning

Long axis image Mid-Diastole Short axis image

 Toshiba 2002 22
 Standard: MultiView
Automatic Reconstruction of MPR
after the scan

Axial

Sagital

Coronal

 Toshiba 2002 23
 Service related
• Tube alignment: same as Single slice.
– F/B: also possible without film, using SSMD.
• Calibration: same as Single slice.
– L and LL phantoms: plastic.
– 1 water scan.
– 1 air scan on
all rotation speeds.

 Toshiba 2002 24