Brilliance iCT configuration

The Brilliance iCT enables clinical excellence through the optimal combination of speed, power, coverage and dose utility. It sets a benchmark in full coverage whole body scanning while simultaneously setting new standards for advanced cardiovascular imaging. The Brilliance iCT can improve image quality across a wide range of examinations and uses advanced techniques to reduce radiation dose. Leveraging the power of Essence technology, this configuration truly empowers new discoveries in clinical science. The unique Essence technology is at the core of the Brilliance iCT scanner. Consisting of proprietary X-ray tube, detector and reconstruction advancements to improve image quality and reliability, Essence technology provides the inner workings that enable new levels of clinical performance. In synergy with Essence are technologies focused on reducing dose such as the breakthrough Eclipse DoseRight collimator.

Essence technology
The Brilliance iCT scanner utilizes Essence technology to provide the diagnostic confidence required by clinicians to support high levels of patient care. Essence technology is an optimal combination of x-ray tube, detector and reconstruction innovations.
X-Ray Tube Features Spiral Groove Bearing Segmented Anode Smart Focal Spot Clinical Value Anode rotation stability for virtually motion-free, focal spot for better image clarity 12 individual anode segments compensate for heating and cooling cycles for higher reliability Dynamic focal spot motion doubles the number of projections to yield 256 slices and improves in-plane spatial resolution

Nano-Panel Detector Features TACH 2 Detector Electronics Ultra High Resolution (up to 24 Lp/cm spatial resolution)

Clinical Value Second generation of TACH technology further reduces the electronic noise enabling improved image quality at low radiation doses High spatial resolution means better definition of small structures

RapidView Reconstruction Features 3D Cone Beam Reconstruction Algorithm (COBRA) Adaptive Multicycle Reconstruction Ultra High Resolution Matrices Quad Core processors

Clinical Value COBRA provides high image quality without cone beam artifacts Part of the Rate Response CV Toolkit for cardiac CT imaging, these features optimize every voxel for the optimal temporal resolution 7682 and 10242 reconstruction matrices take advantage of high resolution imaging Philips utilizes innovations in computer technology to continuously improve reconstruction performance

iMRC X-Ray Tube

Nano-Panel Detectors

RapidView reconstruction with Quad Core Processors

Brilliance iCT highlights

The Brilliance iCT is offered in three designed-around-you configurations capable of achieving rotational speeds up to 0.27 seconds to enhance image quality for emerging applications such as cardiac imaging and can improve patient experience for a variety of general radiology protocols through shortened examination times. The Brilliance iCTs outstanding rotational speed is supported by up to 120kW of instantaneous power to maximize image quality of the shortest scans. The ability to perform short scan, high power imaging is enhanced through an extended longitudinal coverage realizing up to 256 slices enabling the efficient collection of cardiac, perfusion, pediatric, and whole body imaging. The Philips Advantage iMRC X-ray tube 120 kW generator RapidView reconstruction with Quad-Core Processors and Fast Preview Flexible slice acquisition modes Subsecond 360o Rotation Time (down to 0.27 sec with Rate Responsive Toolkit) Nano-Panel Tile Detectors with TACH 2 technology 2D Anti-Scatter Smart Focal Spot Up to 24 Lp/cm spatial resolution DoseWise Eclipse DoseRight collimator Clinical applications on console This powerful combination of speed, power, and coverage is further enhanced through new dose management technologies. Unique to Philips iCT is the Eclipse DoseRight collimator eliminating excess dose during helical scanning. As customary in Philips CT products, the iCT offers high-quality imaging, fast reconstructions, task automation, and an array of features to minimize radiation doses. Philips iMRC X-ray tube featuring an advanced spiral groove bearing and segmented anode enabling direct cooling to effectively deliver 30 MHU equivalent performance compared to conventional X-ray tubes.

Clinical Value iMRC tube features Smart Focal Spot, Segmented Anode, and Double Supported Spiral Groove Bearing to improve image definition and scanning with no waiting at the highest instantaneous energy output. Improved image quality through ample photon delivery regardless of patient habitus, organ motility, and ability to comply. Faster reconstruction of cone beam data means higher throughput and less waiting for large volume datasets. Up to 256 slices over a full 500mm FOV for faster and more complete whole body imaging. Improved patient compliance and image quality through faster rotation times and less susceptibility to motion artifacts with sub-millimeter image quality for visualization of subtle abnormalities. Rotation speed without compromise for sharp, precise and virtually motion free images of the coronaries and whole body structures during pediatric, non-compliant patient, and trauma scanning. Philips patented ASIC chip provides virtually noise-free signal conversion for better image quality. Enhanced image quality over larger z-axis coverage. Improved Hounsfield uniformity to improve visualization of low-contrast structures and improve image quality. Improves image definition and image quality through the generation of 256 slices. High spatial resolution means better definition of small structures. The Philips system-wide approach to radiation dose management focusing on lowering patient dose while providing diagnostic image quality. Lowers patient exposure during helical scanning. Nearly all of the Philips Extended Brilliance Workspace and Brilliance Workspace Portal applications are available on the console.

The CT user environment

Brilliance is a flexible, scalable CT work environment for planning, scanning, visualization, and archiving. The Brilliance Workspace offers a range of clinical applications at the scanner console. The Extended Brilliance Workspace* delivers advanced clinical applications to a dedicated PC. And finally, the Brilliance Workspace Portal* makes it possible for users to work efficiently with extremely large data sets from a typical laptop or home computer, wherever they are.
Brilliance CT Workspace Extended Brilliance Workspace

Brilliance Workspace Portal

Portal Client Behind Firewall

Portal Client on VPN, Customer Network

Radiology

Emergency Room

Physician Office PC

Home PC

Console

The console runs Brilliance Workspace on a Dell PC with dual monitors (1,280 x 1,024 Flat Panel LCD each). An optional slave monitor can display the images from the main console at a remote location, such as the radiology reading room. Standard Applications AVA-Stenosis CT Viewer MPR SSD 3D MIP Volume Rendering CT Endoscopy Q-CTA Test Injection Combine Images Scan Tools Pro: DICOM Modality Worklist Split Study Prefetch Study Automatic Procedure Selection Bolus Tracking Spiral Auto Start
* Optional 4

Optional Applications Virtual Colonoscopy AVA-Stent Planning CT Perfusion Advanced Brain Perfusion Lung Nodule Assessment Lung Emphysema CT Reporting CT/MR Image Dental Planning Cardiac Viewer Heartbeat-CS Cardiac CT Angio LV/RV Analysis EP Planning Stereotaxis

Gantry and table

Gantry Feature X-ray tube and Detectors Architecture Air Bearing Rotor Rotation Times Gantry Aperture, mm Intercom System Breathing Lights Operator Controls located on Gantry (left and right, front and back) Controls located at Operators Console Eclipse DoseRight Collimation Integrated ECG Focus-detector distance Focus-isocenter distance
*0.18, 0.27 & 0.3 optional

Specification Rotate-rotate Whisper quiet and stable operation at 220rpm. 0.27* & 0.3*, 0.33, 0.375, 0.4, 0.5, 0.75, 1, 1.5 seconds for full 360 scans; 0.18* seconds for partial angle 240 scans. 700mm Two-way connection between the gantry and console areas. Visual patient communication to improve study compliance. Front side LCD with touchscreen activation of Couch In/Out, Couch Up/Down, Emergency Stop, X-Ray Indicator and visual display of ECG wave and heart rate. Couch In/Out, Couch Up/Down, Emergency Stop, X-ray Indicator, Start Scan, Pause. Lowers patient exposure during helical scanning. Eliminates ECG monitor & Cart 1040mm 570mm

AutoVoice A standard set of commands for patient communication before, during, and after scanning is available in the following languages: English Hebrew French Spanish Customized messages can also be created. Georgian Italian Japanese Arabic Russian German Swedish Danish

Patient Table Feature Vertical Range, mm Manual Longitudinal Stroke, mm Scannable Range, mm Z Position Accuracy Longitudinal Speed, mm/s Max Load Capacity with Accuracy, lb Floating tabletop Specification 610 to 1080mm with 1.0 mm increment 1900mm 1750mm 0.25mm 0.5 185mm/s 450 lbs (204 kg) with 0.25mm Z-axis accuracy 650 lbs (295 kg) with Bariatric Patient Support* Carbon-fiber table top with foot pedal and hand control for easy positioning and quick release.

* Optional and included with Rate Responsive CV Toolkit

Scan and image acquisition

Brilliance iCT features additional dose management enhancements through the introduction of new wedge and IntelliBeam filters, Eclipse DoseRight collimators, and Step & Shoot Cardiac scanning protocol. Three new wedge filters reduce skin dose for infants, cardiac, body and head imaging through the absorption of unwanted X-rays. Generator Feature Output capacity kV mA X-ray Tube Feature Focal Spot Smart Focal Spot Focal spot (IEC) Anode Diameter Anode Rotation Speed Spiral Groove Bearing Target Angle Collimator Feature Wedge Filters IntelliBeam Filters Eclipse DoseRight collimator Specification Small, Medium, Large 2 Reduces dose up to 30% during helical scans. Specification X & Z deflection Large: 1.1 x 1.2 Small: 0.6 x 0.7 200mm 10,800rpm Double supported, direct cooling 8, Segmented Specification Up to 120 kW 80, 120, 140 kVp 10-1,000 mA; 1 mA increments Two new IntelliBeam filters optimize image quality and dose delivery for cardiac, head, trauma, and body imaging. Eclipse DoseRight collimator lowers patient exposure during helical scanning. Step & Shoot Cardiac improves dose efficiency during axial scanning.

Detector Feature Slices Material Slip Ring Data Sampling Rate Collimations Available (Channels x mm) Slice Thickness (Spiral mode) Slice Thickness (Axial mode) Scan Angles Scan Field of View Specification 256 x 0.625 Solid-State GOS with 86,016 elements 5.3 Gbps transfer rate Up to 4,800 views/revolution/element 2 - 128 rows x 0.625 - 1.25mm; fused combinations for axial 0.625 - 10mm variable 0.625 - 10mm variable 240, 360, 420 250mm (UHR), 500mm

Image Quality Feature Spatial resolution - Ultra high mode Spatial resolution - High mode Spatial resolution - Standard mode Noise Low contrast resolution Absorption range
6

Specification 24.0 Lp/cm @ cut-off 16.0 Lp/cm @ cut-off 13.0 Lp/cm @ cut-off 0.27% 4.0mm @ 0.3% -1024 to + 3072 Hounsfield units

Scanning modes
Spiral Scanning Multiple contiguous slices acquired simultaneously with continuous table movement during scans Multiple, bidirectional acquisitions Spiral exposure: Up to 100 seconds Spiral pitch: 0.04 to 1.0 and user-selectable Axial Scanning Multiple-slice scan with up to 256 slices acquired with incremental table movement between scans Fused modes for reconstructing partial volume virtually artifact-free thick slices from thin slice acquisition.

Clinical enhancements
Test Injection Bolus Timing Using a test injection, delay time is calculated to provide optimal contrast enhancement and reduce contrast usageideal for CTA. Bolus Tracking An automated injection planning technique to monitor actual contrast enhancement and initiate scanning at a predetermined level. Combine with SAS for full automation and efficacy. Spiral Auto Start (SAS) Spiral Auto Start integrates the injector with the scanner, allowing the technologist to monitor the contrast injection and to start and stop the scan (with the predetermined delay) while in the scan room. Step & Shoot 50cm Thorax for iCT* - Step & Shoot Thorax enables low dose, axial CT imaging for the chest. This axial prospective ECG-gated acquisition technique uses large collimations and full 50 cm Field of Views to acquire and reconstruct datasets of the chest. - 50cm gated FOV - Enhancing visualization of coronary, mediastinal, and thoracic structures. Rate Responsive CV Toolkit* Includes ECG Retrospective Tagging for cardiac imaging with 0.18, 0.27 & 0.3 rotation times. The scanner acquires a volume of data while recording the patients ECG. The acquired data is tagged and reconstructed at the desired phase(s) of the cardiac cycle with Philips patented Beat-to-Beat Variable. Jog Scan* Jog Scan provides up to 160mm of imaging area for perfusion studies. The scanner acquires two 80mm volumes of interest by translating the couch back and forth doubling the standard perfusion coverage.

*Optional 50cm Gated Thorax requires S&S Cardiac for iCT and RRCVTK

Clinical examples
Protocol Cardiac CT Angiography Step & Shoot Cardiac Head & Neck CTA Abdomen / Pelvis Detector Slices Coverage 80mm 256 80mm 256 80mm 256 80mm 256 Rotation Pitch (sec) 0.27 0.18 0.27 Axial 0.3 1.0 0.4 1.0 Tube Current (mA) 662 945 590 400 Scan Length (mm) 141 125 130 375 Scan Time (sec) 4.69 3.9 2.06 3.4

Dose management
Philips DoseWise philosophy focuses on smart beam management, reducing radiation time, and increasing dosage awareness to reduce the cumulative risk of radiation while obtaining high-quality images.

TACH 2 TACH 2 technology improves image quality at reduced doses by virtually eliminating electronic noise. IntelliBeam Filters Two IntelliBeam filters reduce skin dose through the absorption of unwanted X-rays optimizing image quality and dose delivery for cardiac, head, trauma, and body imaging. Wedges Three wedge filters provide a more uniform dose delivery across the field-of-view. Eclipse DoseRight collimator The Eclipse DoseRight collimator overcomes overbeaming found in conventional CT systems through the elimination of dose at the beginning and end of helical scans not contributing to image formation. Dedicated Pediatric Protocols Age and weight-based infant and pediatric protocols can provide high quality images at radiation doses tailored to the patient and the study.

DoseWise features
DoseRight ACS (Automatic Current Selection) Optimizes the dose for each patient based on the planned scan by suggesting the lowest possible mAs settings to maintain constant image quality at low dose throughout the exam. DoseRight D-DOM (Dynamic Dose Modulation) Automatically controls the tube current rotationally, increasing the signal over areas of higher attenuation (lateral) and decreasing signal over area of less attenuation (AP). DoseRight Z-DOM (Longitudinal Dose Modulation) Automatically controls the tube current, adjusting the signal along the length of the scan, increasing the signal over regions of higher attenuation (shoulders, pelvis) and decreasing the signal over regions of less attenuation (neck, legs). Dose Performance Data CTDI vol Head Body
Using IEC standard phantoms

Measurement 13.5 mGy / 100 mAs 6.3 mGy / 100 mAs

Reconstruction
RapidView Reconstruction generates up to 20 images per second using a 5122 matrix.
Reconstruction Field of View 50 to 500mm continuous 25 to 250mm UHR 50cm Gated Thorax Image Matrix 5122, 7682 and 1,0242 Cone Beam Reconstruction Philips patented Cone Beam Reconstruction Algorithm (COBRA) enables true three dimensional data acquisition and reconstruction in spiral scanning.

Adaptive Filtering Adaptive filters reduce pattern noise (streaks) in non-homogenous bodies, improving overall image quality. Adaptive Multicycle Reconstruction Image data can be prospectively gated or retrospectively tagged. COBRA automatically delivers the best temporal resolution possible (as low as 34mseconds). Fast Preview Real-time 5122 matrix image reconstruction and 5 x 5 contiguous slice display in step with spiral acquisition or off-line. Off-Line Reconstruction Off-Line (batch) background image reconstruction of user-defined groups of raw data files with automatic image storage.

*Optional, requires RRCVTK

Networking
The Brilliance iCT supports 100/1000Mbps (100/1000BaseT) network speeds. For optimal performance, Philips recommends a minimum of 100Mbps network speed (1Gbps preferred) and for the CT network to be segmented from the rest of the hospital network.
Archiving The full implementation of the DICOM 3.0 communications protocol in the Brilliance Workspace allows connectivity to DICOM 3.0 compliant scanners, workstations, and printers; supports IHE requirements for DICOM connectivity.

Filming This function allows the user to set up and store filming parameters. Pre-stored protocols can be set to include auto-filming. The operator can film immediately after each image, at the end of a series, or film after the end of a study and review images before printing. The operator can also automatically film the study at three different windows and incorporate Combine Images functionality to manage large datasets. Basic monochrome and color DICOM print capability are supported. DICOM Brilliance Workspace supports DICOM connectivity and can work with DICOM 3.0-compliant PACS, scanners, workstations, and printers. It supports IHE requirements for scheduled workflow and other integration profiles as defined in IHE Statement. Brilliance Workspace includes DICOM service classes to communicate with the following modalities: CT MR Nuclear Medicine including PET/CT Computed Radiography Radiography & Fluoroscopy (R&F) Brilliance Workspace includes the following DICOM functionality: Service Class User & Provider (CT, MR, NM, Secondary Capture) DICOM Print User DICOM Modality Worklist User Query/Retrieve User and Provider Modality Performed Procedure Step User Storage Commitment User Removable Media

Type Hard Drive Capacity 292GB Images 500,000** Patients*** 1,667

*Compressed ** 512 x 512 Matrix Uncompressed *** Based on 300 images per study

DVD-RAM 9.4GB 30,000* 100

DICOM CD Writer 700MB 1,200** 4

DVD-RAM Archive Philips DVD-RAM solution is an archive solution for storing CT and other modality datasets archived from the Brilliance iCT Scanner. The DVD-RAM solution provides an inexpensive, reliable method for high-speed random access recording. Ideally suited for mass storage. DICOM CD Writer A DICOM CD Writer stores DICOM images and associated image viewing software on very low cost CD media. Images on these CDs can be viewed and manipulated on PCs meeting the minimum specifications. Ideally suited for individual result storage and referring physician support.

10

Site planning
Contact the Philips Site Planning department for specific requirements pertaining to optional imaging/viewing/power equipment, floor space and electrical, mechanical, structural or environmental specifications.
Power Requirements 380-480 VAC, three-phase, Wye supply 225 KVA nominal capacity distribution source 50/60 Hz UPS for Host and Reconstruction* Up to 30 minutes backup power for console monitors, host computer and reconstruction system.

UPS for Full System* Up to 20 minutes backup for entire CT system. Environmental Requirements Temperature: Gantry Exam Room: Rest of System: Humidity: Entire System: Storage/Transport:

18 to 24 Deg. C (64 to 75 F) 15 to 24 Deg. C (59 to 75 F)

35% to 70% non-condensing 10% to 90% non-condensing

Heat Dissipation: Control Room: Gantry Exam Room: Equipment Closet: Total System:

5,635 BTU/hr 32,888 BTU/hr 12,124 BTU/hr 57,523 BTU/hr

6'-2" 1880mm

29'-6" 9005mm

18'-6" 5652mm

4'-0" 1219mm

7
Desk / Storage Sink / Storage

Exam Room

10

Equipment Room

2 9

1 6

Control Room

Phantom Storage

Dimensions and weights weight 1 2 3 4 5 6 7 8 9 10

*

height 198 cm (78) 112 cm (44) 76 cm (30) 48 cm (19) 76 cm (30) 76 cm (30) 122 cm (48) 104 cm (41) 46 cm (18)

width 274 cm (108) 69 cm (27) 119 cm (47) 48 cm (19) 33 cm (13) 64 cm (25) 58 cm (23) 61 cm (24) 63 cm (25)

depth 97 cm (38) 249 cm (98) 91 cm (36) 22 cm (8.7) 91 cm (36) 91 cm (36) 86 cm (34) 61 cm (24) 66 cm (26)

Gantry Scanner Patient Couch Operator Console Table* LCD Monitor ** 19 Host Computer Reconstruction Rack System PDU Air Compressor UPS for Host and Reconstruction* Ceiling Injector and Control pkg.*

2570 kg (5656 lbs.) 404 kg (890 lbs.) 56 kg (125 lbs.) 10 kg (22 lbs.) 118 kg (260 lbs.) 151 kg (332 lbs.) 522 kg (1150 lbs.) 171 kg (377 lbs.) 130 kg (286 lbs.)

optional

** dimensions and weight for one unit

4569mm

8
15'-0"

11

Philips Healthcare is part of Royal Philips Electronics Interested? Would you like to know more about our imaginative products? Please do not hesitate to contact us. We would be glad to hear from you. On the web www.philips.com/healthcare Via email [email protected] By fax +31 40 27 64 887 By mail Philips Healthcare Global Information Center P.O. Box 1286 5602 BG Eindhoven The Netherlands By phone Asia Tel: +852 2821 5888 Europe, Middle East, Africa Tel: +49 7031 463 2254 Latin America Tel: +55 11 2125 0764 North America Tel: +425 487 7000 1 800 285 5585 (toll free, US only)

2008 Koninklijke Philips Electronics N.V. All rights are reserved. Philips Healthcare reserves the right to make changes in specifications and/or to discontinue any product at any time without notice or obligation and will not be liable for any consequences resulting from the use of this publication. Printed in The Netherlands. 4522 962 36361/728 *