Abdomen and Pelvis
Aquilion Exceed LB
This patient presented for a CT simulation scan for colon cancer. Advanced intelligent Clear-IQ Engine (AiCE) images improve contrast resolution facilitating accurate contouring.
Courtesy Radiotherapeutic Institute Friesland, the Netherlands
| Scan Mode | Ultra-Helical |
| Collimation | 0.5 mm x 80 |
| kVp | 120 |
| mAs | SUREExposure |
| Rotation Time | 0.5 s |
| Scan Range | 320 mm |
| Dose Reduction | AiCE |
| CTDIvol | 10.1 mGy |
| DLP | 369.1 mGy·cm |
| Effective Dose | 5.54 mSv |
| k-factor | 0.015 (AAPM Report 96) |
Prostate with Gold Fiducial markers
Aquilion Exceed LB
This patient underwent a CT scan for simulation. Gold Fiducial markers are seen in the prostate.
SEMAR reduces the artifact caused by the markers.
Courtesy Radiotherapeutic Institute Friesland, the Netherlands
| Scan Mode | Ultra-Helical |
| Collimation | 0.5 mm x 80 |
| kVp | 120 |
| mAs | SUREExposure |
| Rotation Time | 0.5 s |
| Scan Range | 274 mm |
| Dose Reduction | AiCE |
| CTDIvol | 9.9 mGy |
| DLP | 317.3 mGy·cm |
| Effective Dose | 5.39 mSv |
| k-factor | 0.017 (AAPM Report 96) |
Chest and Upper Abdomen
Aquilion Exceed LB
A CT simulation scan of the chest and abdomen was performed with free breathing. AiCE reconstructions demonstrate low noise, improved image texture for improved lesion detection.
Courtesy Radiotherapeutic Institute Friesland, the Netherlands
| Scan Mode | Ultra-Helical |
| Collimation | 0.5 mm x 80 |
| kVp | 120 |
| mAs | SUREExposure |
| Rotation Time | 0.5 s |
| Scan Range | 366 mm |
| Dose Reduction | AiCE |
| CTDIvol | 9.9 mGy |
| DLP | 408.1 mGy·cm |
| Effective Dose | 5.71 mSv |
| k-factor | 0.014 (AAPM Report 96) |
Respiratory Gated Chest
Aquilion Exceed LB
A respiratory gated scan of the chest was performed for CT simulation. Accurate contouring of the esophagus and surrounding structures can be performed easily with AiCE.
Courtesy Radiotherapeutic Institute Friesland, the Netherlands
| Scan Mode | Respiratory Gated Helical |
| Collimation | 0.5 mm x 80 |
| kVp | 120 |
| mAs | 17 |
| Rotation Time | 0.4 s |
| Scan Range | 342 mm |
| Dose Reduction | AiCE |
| CTDIvol | 13.1 mGy |
| DLP | 510.9 mGy·cm |
| Effective Dose | 7.15 |
| k-factor | 0.014 (AAPM Report 96) |
Respiratory Gated Chest – Small Lesion
Aquilion Exceed LB
A respiratory gated scan of the chest was performed in this patient with a small lung lesion. The wide 90 cm gantry bore was easily able to accommodate the patient’s position to gain access to this small lesion.
Courtesy Radiotherapeutic Institute Friesland, the Netherlands
| Scan Mode | Respiratory Gated Helical |
| Collimation | 0.5 mm x 80 |
| kVp | 120 |
| mAs | 17 |
| Rotation Time | 0.4 s |
| Scan Range | 292 mm |
| Dose Reduction | AiCE |
| CTDIvol | 22.3 mGy |
| DLP | 758 mGy·cm |
| Effective Dose | 10.61 |
| k-factor | 0.014 (AAPM Report 96) |
RT Neck
Aquilion Exceed LB
A scan of the neck was performed with the patient in the treatment position and reconstructed with AiCE and SEMAR. SEMAR reduces the artifacts from the dental fillings
View Scan Parameters| Scan Mode | Ultra-Helical |
| Collimation | 0.5 mm x 80 |
| kVp | 80 |
| mAs | SUREExposure |
| Rotation Time | 1.0 s |
| Scan Range | 490 mm |
| Dose Reduction | AiCE |
| CTDIvol | 3.7mGy |
| DLP | 197.4mGy·cm per phase |
| Effective Dose | 8.89 mSv |
| k-factor | 0.0059 (AAPM Report 96) |
Liver SBRT
Aquilion Exceed LB
This abdomen scan was performed for stereotactic body radiotherapy treatment (SBRT) planning of the liver tumor and abdominal mass.
Liver SBRT simulation require high quality images and multiphasic CT for visualization of the tumor extent in the liver.
In this case AiCE reconstruction allows clear delineation of the tumor in all scan phases.
| Scan Mode | Ultra-Helical |
| Collimation | 0.5 mm x 80 |
| kVp | 120 |
| mAs | SUREExposure |
| Rotation Time | 0.75 s |
| Scan Range | 400 mm |
| Dose Reduction | AiCE |
Respiratory Gated Chest
Aquilion Exceed LB
A small tumor is seen in this respiratory gated scan of the chest reconstructed with AiCE. The scan is performed while the patient is breathing in a natural rhythm. Reconstructions are made at multiple respiratory phases in order to help the physician define the range of motion of the tumor and surrounding anatomy.
Courtesy: Radiotherapeutisch Instituut Friesland; Netherlands (RIF)
| Scan Mode | Ultra-Helical, RGR gated |
| Collimation | 0.5 mm x 80 |
| kVp | 120 |
| mAs | 17 |
| Rotation Time | 0.4 s |
| Scan Range | 350 mm |
| Dose Reduction | AiCE |
Chest Respiratory Gated
Prostate Cancer CT Simulation HDR Brachytherapy, AiCE, SEMAR
Aquilion Exceed LB
Canon's SEMAR technology minimizes metal artifact from hip replacement and HDR insertion catheters in the prostate cancer patient, allowing for better visualization of tissue edges.
View Scan Parameters| Scan Mode | Helical |
| Collimation | 0.5mm x 80 |
| kVp | 120 |
| Scan Range | 366mm |
| CTDIvol | 17.0mGy |
| DLP | 647.9mGy·cm |
| Effective Dose | 9.7mGy |
| k-factor | 0.015 (AAPM Report 96) |
Abdominal Carcinoma, AiCE
Aquilion Exceed LB
Large FOV prevents truncation of patient anatomy by keeping the entirety of the patient within the FOV.
View Scan Parameters| Scan Mode | Helical |
| Collimation | 0.5mm x 80 |
| kVp | 120 |
| Reconstruction | AiCE |
| Scan Range | 447.2mm |
| CTDIvol | 11.2mGy |
| DLP | 588.00mGy·cm |
| Effective Dose | 8.8mSv |
| k-factor | 0.015 (AAPM Report 96) |
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