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CT Heartflow ® Reference Guide for Siemens Healthineers Scanners

CT Heartflow ® Reference Guide for Siemens Healthineers Scanners 
SOMATOM Force, Drive, Definition Flash, AS+ & Edge,
and SOMATOM go.Top

Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM Force, Drive, Definition Flash, AS+ & Edge, and SOMATOM go.Top siemens-healthineers.us SIEMENS Healthineers Heartflow ® Reference Guide for Siemens Healthineers Scanners Guide for Patient Prep, Data Acquisition and Reconstruction SOMATOM Force, Drive O SOMATOM Definition Flash, AS+ & Edge SOMATOM go.Top Patient Preparation AP topogram covering the chest. • Patient positioning. The following technique provides • Provide enough time for the patient to practice breath patient comfort and optimal image quality for the hold prior to acquisition. To avoid breathing motion study: artifacts, the patient is instructed not to breathe and Head or feet first, supine with head, knees, and lower swallow during the acquisition. It is necessary to observe – legs supported by appropriate accessories. the ECG behavior during the breath hold procedure. Arms raised above the head, resting comfortably on The heart rate may decrease during the initial seconds of – the head- arm support. breath-holding or increase if the patient is straining to The torso of the patient must be straight, not rotated. hold his breath at the end of the scan. – Torso in the middle of the scan field, centered with – the help of the laser light markers • Place ECG-electrodes, as anatomically depicted on the labeled electrodes and IV access in accordance with institutional policies. Recommendation: 18-gauge or larger intravenous needle in the right antecubital vein. Automated contrast injection using a dualcylinder injector. Contents Guide for Patient Prep, Data Acquisition and Reconstruction 2 Heartrate Guide 3 SOMATOM Definition Force, Drive and Flash 4-9 SOMATOM Definition AS+ & Edge 10-12 SOMATOM Definition go.Top 13-16 Contrast Recommendations 17 2 Heartflow ® Reference Guide for Siemens Healthineers Scanners Heartrate Guide Stable HR HR < 65 bpm: 70% HR < 70 bpm: 65%-75% HR > 70 bpm: 35%-75% HR > 80 bpm: 30%-40% Arrhythmic HR (e.g. atrial fibrillation) HR < 70 bpm: 250ms-450ms HR > 70 bpm: 200ms-400ms) Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT 3 Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM Force, Drive and Definition Flash Calcium Score – Non Contrast Scan range of 12-15 cm from the carina to the apex of the heart. Data Acquisition: • Prospective ECG-triggering • Ref. kVp: 120 kVp • Qual. ref. mAs: 80 mAs • CARE kV: Off • CARE Dose4D™: on • Rotation time: 0.28 s (SOMATOM Definition Flash, SOMATOM Drive) 0.25 s (SOMATOM Force) • Temporal resolution: 75 ms (SOMATOM Definition Flash, SOMATOM Drive) 66 ms (SOMATOM Force) • Slice/Collimation: 2 x 128 x 0.6 mm (SOMATOM Definition Flash, SOMATOM Drive) 2 x 192 x 0.6 mm (SOMATOM Force) • Scan direction: cranio-caudal Patent Applications Call insert view setup image Qptons system Help Patient Model Dialog Examination Adult Dual Energy Protocol . Replace · Child . Append Cardia Topogram · Cut Viewing ascul Keep RT Auto reference lines None eci Filming PET API Language German OK Cancel DS_CoronaryCTA (Adult) 21.06.24-19:53:58-STD-Specials PolyTraun 21.06.24-19:53:58-STC Total mAs 3D opogram . DS_Cas( RT CARE Dose4D M CARE KY Off Quality ref. mAs/r Pause mAs/rot. KV 120 - Dose saving optimized for Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, 4 Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM Force, Drive and Definition Flash Calcium Score – Non Contrast Scan range of 12-15 cm from the carina to the apex of the heart. Data Reconstruction: • Axial reconstruction within the ECG trigger window, commonly BestDiast • Field of view: limited to the heart • Slice thickness: 3 mm • Increment: 1.5 mm • WFBP Reconstruction (filtered back projection) Convolution kernel: B35f (SOMATOM Definition Flash, SOMATOM Drive) Qr36 (SOMATOM Force) · Adult 1 Energy Protocol @ Replace Child . Append ardia Topogram . ascul Keep RT Auto reference lines None ecia PE API Language German OK Cancel DS_CoronaryCTA (Adult) 21.06.24-19:53:58-STD-Specials PolyTraun 21.06.24-19:53:58-STC Total mAs Topogram Recon job - 2 3 4 5 6 7 8 Series description DS_CaSc 3.0 Sa36 BestDiast DS CaSc RT Slice 3.0 mm Recon job type o Axial 0 3D Pause ADMIRE Reconregion Narrow Wide · 3a36 Cardiac - Heart PreMonitoring FAST Window Mediastinum on position 1324.5 mm Contrast End position -1474.5 mm 2 Monitoring FOV 200 mm Image order Craniocaudal DS CorCTA Center X 0 mm 2 Increment 1.5 mmal Overview Center Y 0 mm No. of images 101 Mirroring None Comments Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT 5 Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM Force, Drive and Definition Flash Prospective Adaptive Triggered Sequential Coronary CT Angiography (Heart Rates: up to 80 bpm) • Scan range of 12-15 cm from the carina to the apex of the heart • Use unenhanced CaSc CT data for planning if available • kV will be automatically selected by CARE kV • Use TrueStack reconstructions Patient Model Dialog Examination . Chut Dual Energy Protocol . Replace Child Append ardi Topogram . Cut isCUI . Keep Viewing RT Auto reference lines None Socia Filming PET API Language German OK Cancel CoroCTA_HeartFlow (Adult) 21.06.24-20:40:29-STD-Specials PolyTraun 21.06.24-20:40:29-STC Total mAs: O 3D Topogram Heart Rate (bpm) Min: 60 Max 60 Avg: 60 Var 0.0 CorCTA 60 60 60 Simulation BestPhase BestDiast Phase Start 70 Unit % Recor nono 140 ms True Stack Auto Tasking 1.06.24-19:63:50-STD & cal PolyTraun 21.06.24-19:53:56-STC Total mAs lopogrom Contrast Doos saveg oparsard for Contrast --- Of CorCTA Douy Langlage Dernor Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, 6 Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM Force, Drive and Definition Flash Data Acquisition If Test Bolus was used: • Delay: time-to-peak in seconds as calculated in test bolus application • Ref. kVp: 100 kVp * • Qual. Ref. mAs: 380 mAs (Flash) 300 mAs (Drive) 300 mAs (Force) • Slice/Collimation: 2 x 128 x 0.6 mm (Flash, Drive) 2 x 192 x 0.6 mm (Force) • CARE kV: on • CARE Dose4D™: on • ECG Pulsing: auto • Scan direction: craniocaudal • Rotation time: 0.28 s (Flash, Drive) 0.25 s (Force) • Temporal resolution: 75 ms (Flash, Drive) 66 ms (Force) *If the patient has high calcium or stents consider adjusting the Care kV setting to ‘Semi’ or adjust the kV to 120 . Adult Dus al Energy Protocol . Replace . Child . Append ardia ascul Topogram · Cut . Keep RT Auto reference lines None pecial PET API Language German OK DS_CoronaryCTA (Adult) 21.06.24-19:53:58-STD-Specials PolyTraun 21.06.24-19:53:58-STC Total mAs: Topogram DS_CaSc RT CARE Dose4D ~ CARE KV On Quality ref. mas/rot 300 = Ref kV 100 - Patient Register Contrast mAs/rot KV Dose saving optimized for: TestBolus RT Organ characteristic: Cardio CTDivol (32cm): mGy DLP mGy*cm Contract EL DS_CorCTA Scan time 4.04 5 Scan start Start button Rotation time 0.25 5 Delay 2 s 2 Language German API None Load Recor Routine Scan Recon Auto Tasking Trigger 24-Jun-2021 20 Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT 7 Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM Force, Drive and Definition Flash Data Reconstruction Axial reconstruction within the ECG trigger window, commonly BestDiast. Choose BestSyst and ms unit for arrhythmic heart rates. • Field of view: limited to the heart • Slice thickness: 0.6 mm • Increment: 0.4 mm • TrueStack: on • Medium smooth convolution kernel with either filtered back projection: B26f or iterative reconstruction (e.g. SAFIRE/ADMIRE, strength ≤ 2) • If the patient has high calcium consider a sharper convolution kernel: B46f (Flash, Drive) and Bv49 (Force) 21.00-24.19 repogram Contrat Cordrest . DOCHCIA J 13. 08 CMCIA == OK Cancel CoroCTA_HeartFlow (Adult) 21.06.24-20:40:29-STD-Specials PolyTraun 21.06.24-20:40:29-STC Total mAs: O 3D Topogram Recon job1 2 3 4 5 6 7 8 Series description _CTFFR CorCTA 0.6 Bv38 2 Best[ [Patient Register- CorCTA RT 0.6 mm Recon job type o Axial 3D MIRE Strength Recon region Narrow Wide . Kernel Bv38. Cardiac - Heart Simulation ... FAST Window Cardiac Begin position -1992.0 mm 2 End position -2112.0 mm 2 Extended FoV FOV 200 mm 2 Image order Craniocar dar Center X 0 mm2 Increr ent 0.4 mm Overview Center Y 0 mm 2 No. of imag 301 Mirroring None Comments Matrix size 512 Recor Extended CT scale Routine Scan Recon Auto Tasking Trigger Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, 8 Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM Force, Drive and Definition Flash High pitch (“Flash” “Turbo Flash”) single heart beat acquisition. (Heart Rates: Below 62 bpm (Flash/Drive), below 66 bpm (Force), stable HR Data Acquisition Data Reconstruction If Test Bolus was used: • Axial reconstruction Field of view limited to the heart • Slice thickness: 0.6 mm • Delay: time-to-peak value in s • Increment: 0.4 mm • Ref. kVp: 100 kVp * • Medium smooth convolution kernel with either filtered • Qual. ref. mAs: 380 mAs (Flash) 300 mAs (Drive) back projection: B26f (Flash, Drive) Bv40 (Force) or 300 mAs (Force) iterative reconstruction (e.g. SAFIRE ADMIRE, strength ≤ 2) • Slice/Collimation: 2 x 128 x 0.6 mm (Flash, Drive) • If the patient has high calcium consider a sharper 2 x 192 x 0.6 mm (Force) convolution kernel: B46f (Flash, Drive) and Bv49 (Force) • CARE kV: on * • CARE Dose4D™: on • ECG Pulsing: auto • Scan direction: cranio-caudal • Rotation time: 0.28 s (Flash, Drive) 0.25 s (Force) • Temporal resolution: 75 ms (Flash, Drive) 66 ms (Force) • Pitch: 3.4 (Flash, Drive) 3.2 (Force) Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT 9 Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM Definition AS+ & Edge Prospective Adaptive Triggered Sequential Coronary CT Angiography (Heart Rates: up to 80 bpm) • Scan range of 12-15 cm from the carina to the apex of the heart. • Use unenhanced CaSc CT data for planning if available. • kV will be automatically selected by CARE kV. • Use TrueStack reconstructions. Patient Model Dialog Examination · Adult 1 Engra Protocol . Replace Child . Append ardi Topogram . Cut scu . Keep Viewing RT Auto reference lines None pecia ilming API Language German OK Cancel CoroCTA_HeartFlow (Adult) 21.06.24-20:40:29-STD-Specials PolyTraun 21.06.24-20:40:29-STC Total mAs: 3D Topogram Heart Rate (bpm) Min: 60 Max 60 Avg: 60 Var 0.0 _ CorCTA 60 60 60 Simulation BestPhase BestDiast - Priocol · Fiztate ‘ ‘ Phase Start 70 Unit % Recon nono 140 ms True Stack Auto Tasking 24 lun 2021 20 48.27 21.06.24-19:63:50-STD S Mah PolyTraun 21.06.24-19:53:58 STE Total mit Lopogrom DS. Cabe Contrast Dook savea ogareand for Testholus Contrast 0 00 Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, 10 Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM Definition AS+ & Edge Data Acquisition If Test Bolus was used: • Delay: time-to-peak value in s • Ref. kVp: 100 kVp • Qual. Ref. mAs:190 mAs (AS+) 150 mAs (Edge) • Slice/Collimation: 128 x 0.6 mm • CARE kV: on * • CARE Dose4D™: on • ECG Pulsing: auto • Scan direction: craniocaudal • Rotation time: 0.30 s (AS+) 0.28 s (Edge) • Temporal resolution: 150 ms (AS+) 142 ms (Edge) *If the patient has high calcium or stents consider adjusting the Care kV setting to ‘Semi’ or adjust the kV to 120 . Adult could Dual Energy Protocol . Replace . Append ardia Topogram . Cut ascul · Keep RT Auto reference lines None SET API Language German OK Cancel CoroCTA_HeartFlow (Adult) 21.06.24-20:40:29-STD-Specials PolyTraun 21.06.24-20:40:29-STC TotalmAci O Topogram O CARE D 04D ~ CARE KV On CorCTA Quality ref. mAt(rot 150 5| Ref.KV 100 - MASKOT Dose saving optim Organ characteristic: Cardio Pationt Model Dialog Examination Protocol . Replace . Append Topogram + Cut Lou . Keep Viewing Trigger Auto reference lines None Filming APILanguage German CoroCTA_HeartFlow (Adult) 21.06.24-20:40:29-STD-Specials PolyTraun 21.06.24-20:40:29-STC Total mAs 0 3D Topogram 0 Heart Rate (pom) Mier 60 Mac 60 Avg 60 Var 0.0 . CorCTA GO 60 Simulation Pusing Cxto BestPhse BexDiast TE Unit EM HR Recon mono 140 ms True Stack Routine Scan Recon Auto Tasking Toggen Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT 11 Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM Definition AS+ & Edge Data Reconstruction Axial reconstruction within the ECG trigger window, commonly BestDiast. Choose BestSyst and ms unit for arrhythmic heart rates. • Field of view: limited to the heart • Slice thickness: 0.6 mm • Increment: 0.4 mm • TrueStack: on • Medium smooth convolution kernel with either filtered back projection: B26f or iterative reconstruction (e.g. SAFIRE/ADMIRE, strength ≤ 2) • If the patient has high calcium consider a sharper convolution kernel: B46f (Flash, Drive) and Bv49 (Force) li Du_Cabe Contract Lestuoius Corera R DB_CCIA OK Cancel CoroCTA_HeartFlow (Adult) 21.06.24-20:40:29-STD-Specials PolyTraun 21.06.24-20:40:29-STC Total mAs: 0 3D Topogram Recon job . 2 3 4 5 6 7 8 Series description _CTFFR CorCTA 0.6 Bv38 2 Best Patient Register _ CorCTA dice 0.6 mm Recon job type o Axial .3D AD Strengur Recon region: Narrow Wide . Simulation Kernel Bv38 Cardiac - Heart FAS Window Cardiac Begin position -1992.0 mm End position -2112.0 mm 2 FOV 200 mm 2 Image order Craniocauda Center x 0 mm al Increrent 0.4 mm: Center Y 0 mm No. of images 301 Comments Matrix size 512 Recon |Auto Tasking Trigger mit 24 09.24-20.49 29-STE Foll NAS: CUOTA Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, 12 Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM go.Top CaSc (optional) – Non-contrast Examination Data Acquisition Siemens Healtineers SOMATOM go.Top is a single source system allowing for a temporal resolution of 165 ms, when rotation times of 330 ms are employed. Scan range of 12-15 cm from the carina to the apex of the heart. • Prospective ECG-triggering • CARE Dose4D™ & CARE kV: Manual kV • Qual. ref. mAs @ 120 kV: 30 mAs • Scan mode: CardiacSequenceAdult • Scan direction: cranio-caudal Ci Scan Favorites General Scan Dose Timing 1 Config hysio Scan Contrast Scan/Recon Type Organ Characteristic Target Region Sein Mode Decision Trees Scan Strategies Acquisition In / Calcium Scoring Aduis Cardio Heart CardiacSequericeAdult pronary Calcium Scoring Hit v. Coronary Calcium Scoring HR Y- 64 x0.6 ¥60 bom Min: 60 Max 60 tient position O 13.3s Scan Favorites General Scan Dose Timing Config Physio Scan Contrast Scan Recon CARE Dose40 KV emiol ImGy] ImGy'cm] Shaped Filter Dose Notification Dose Notification rel CTDI [mGy] ref. DLP [mGy"cm] | Calcium Scoring NAHTOW 0.00 you bpm Min: 60 Max. 60 irm patient position O 3.35 8.25 Decision Trees can be used to assist in acquiring the correct scan for each patient. Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT 13 Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM go.Top CaSc (optional) – Non-contrast Examination Data Reconstruction Axial reconstruction within the ECG trigger window, commonly BestDiast • Field of view: limited to the heart • Slice thickness: 3 mm • Increment: 1.5 mm • WFBP Reconstruction (Filtered Back projection) Convolution kernel: Qr36 Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon Auto Tasking Inline Options Scan Recon Recon Typ Recon Recon True Temporal Stack Resolution [ms] | Calcium Scoring 3.00 Sa36 BestDiast BestPhase (diastolic) 75 Off 165 3ª Min: 60 Max: 60 8.25 5.25 10 Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, 14 Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM go.Top Data Acquisition • Delay: time-to-peak value in s + 3 s • CARE Dose4D™ & CARE kV @ Full • Qual. Ref. mAs @ 120 kV: 70 mAs + different geometry of systems • Scan mode: CardiacSpiralAdultAngio • ECG Pulsing: Standard • Pulsing window: Stable HR HR < 70 bpm: 65%-85% HR > 70 bpm: 30%-80% Arrhythmic HR (e.g. atrial fibrillation): 250-450 ms Close Ci Scan Favorites | General Scan Dose Timing Config Physio Scan Contrast Scan Recon CARE DOSc4D CARE KV CARE KV CARE KV Quality KV CTDivol ImGyl DLP Shaped Filter Dose Notification Dose Notification Grouping optimized for ref CTDI [mGy] ref DUP [mGly"cm] |CTA Coronary Nairge a.0 60 ¥60 bpm Mit 60 MK GO Confirm patient position FVH Confirm Garce 10.33 Decision Trees can be used to assist in acquiring the correct scan for each patient. Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT 15 Heartflow ® Reference Guide for Siemens Healthineers Scanners SOMATOM go.Top Data Reconstruction Axial reconstruction within the ECG trigger window, commonly BestDiast. Choose BestSyst and ms unit for arrhythmic heart rates • Field of view: limited to the heart • Slice thickness: 0.8 mm • Increment: 0.5 mm • Medium smooth convolution kernel with either filtered back projection: Bv40 or iterative reconstruction (e.g. SAFIRE/ADMIRE, strength ≤ 2) • If the patient has high calcium consider a sharper convolution kernel (Bv49) • Enable TrueStack option to be switched on Scan Favooles General Scan Done Config inno Son Contrast Plume Mode Sitaet ¥ 60 con Confirm pabient poston Agation Scon Chickim buriden, fox example >4007 11 30, the Dove of the cia scan needs to be on mage quality with creamy (routine dose image quality Recon Favorites 1 General Recon Recon&GO Image Impression Recon Box Physio Recon Auto Tasking | Inline Options Scan/Recon Recon Recon True Temporal Phase(s) Phase Unt Stack Resol cion fans] ¥60 tpm MUT 60 MAX GO Recor Favoritos 1 General Recon | Raconkoo 1 image Impression 1 Flocon Box Privbio flocon Auto Tasting 1 Inline Options Fercon type ¥ 60 tpm Mon GO MIR CO Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, 16 Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT Heartflow ® Reference Guide for Siemens Healthineers Scanners Contrast Recommendations O • CARE Bolus (automatic bolus tracking) • Delay: 10 s monitors the attenuation within the vessel of • CARE Dose4D™ & CARE kV: Manual kV interest (ascending aorta). • Qual. ref. mAs @ 120 kV: 20 mAs • Scans are set up at the level of ascending • aorta at the level of the carina. Slice/Collimation: 1 x 10 mm • The full dose of contrast media is injected at Scan mode: BolusSequenceAdult2d • the decided flow rate. • The CTA acquisition is automatically triggered when the vessel enhancement reaches the pre-defined HU level (100- 150HU) above the baseline . Thank You Please note that these are HeartFlow® recommendations for Siemens Healthineers CT Scanners for analyzation of cardiac FFR Reference HeartFlow® Acquisition and Reconstruction Techniques for Coronary CT Angiography, Approved by Jonathon Leipsic MD FSCCT Past-President Society of Cardiovascular CT 17 At Siemens Healthineers, our purpose is to enable On account of certain regional limitations of sales rights healthcare providers to increase value by empowering and service availability, we cannot guarantee that all them on their journey toward expanding precision products included in this brochure are available through medicine, transforming care delivery, and improving the Siemens Healthineers sales organization worldwide. patient experience, all enabled by digitalizing healthcare. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the An estimated 5 million patients globally benefit every features and products described herein may not be day from our innovative technologies and services in the available in the United States. areas of diagnostic and therapeutic imaging, laboratory diagnostics, and molecular medicine, as well as digital The information in this document contains general health and enterprise services. technical descriptions of specifications and options as well as standard and optional features, which do not We’re a leading medical technology company with over always have to be present in individual cases. 120 years of experience and 18,500 patents globally. With about 50,000 dedicated colleagues in over 70 Siemens Healthineers reserves the right to modify the countries, we’ll continue to innovate and shape the design, packaging, specifications, and options described future of healthcare. herein without prior notice. For the most current information, please contact your local sales The outcomes and statements provided by customers representative from Siemens Healthineers. of Siemens Healthineers are unique to each customer’s setting. Since there is no “typical” hospital and many Note: Any technical data contained in this document may variables exist (e.g., hospital size, case mix, and level of vary within defined tolerances. Original images always service/technology adoption), there can be no guarantee lose a certain amount of detail when reproduced. that others will achieve the same results. Siemens Healthineers Headquarters USA Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Henkestr. 127 Healthcare 91052 Erlangen, Germany 40 Liberty Boulevard siemens-healthineers.com Malvern, PA 19355-9998, USA siemens-healthineers.us Published by Siemens Medical Solutions USA, Inc. · Order No. CT-21-NAM-2679 · Digital only · 08.2021 · ©Siemens Medical Solutions USA, Inc., 2021

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