e.

cam Signature Series All About Quality, Speed and Comfort

e.cam Signature Series

The e.cam Signature Series has earned an enviable reputation for outstanding image quality and clinical flexibility. Siemens sets the standard of excellence with outstanding performance, styling and options. e.cam Signature Series improves your clinical performance and the patients experience every step of the way.
The Signature Series features subdued color accents, creating a more open and calm environment. HD detectors with high count rate and energy independent performance ensure outstanding image quality. Our exclusive e.media option is the first-ever patient comfort and clinical education system, providing on-board interactive multimedia capability.
syngo MI Workplace

HD High Performance Detectors

Flash 3D, the most advanced SPECT iterative reconstruction technology available lets you optimize acquisition time and image quality. User-defined workflows improve department efficiency and throughput. syngo MI Workplace offers increased speed, capacity, and performance. Broad DICOM connectivity allows viewing of multimodality images side-by-side with nuclear medicine images.

Flash 3D

e.media patient comfort and education system

Models

e.cam Dual-Detector Variable-Angle Allows for 180, 90 and 76 detector configurations to optimize image quality for whole body, cardiac and general SPECT studies and high throughput for every acquisition type. The gantry, with its motion flexibility including caudal/cephalic detector tilt, offers full clinical utility for general purpose, cardiology, oncology, and neurology studies. The e.cam+ coincidence option is available for this camera.

e.cam Variable Angle

e.cam Dual-Detector Fixed 180 Optimized for both whole body and SPECT scanning with the detectors in opposing position, making it the ideal system for oncological applications. The open gantry permits easy access to both detectors for imaging of patients on gurneys and wheelchairs or in a standing position. The e.cam+ coincidence option is available for this camera.

e.cam Fixed 180

e.cam Single The e.cam single-detector system offers general purpose scanning flexibility with unrestricted access for gurneys and wheelchairs. This cost-effective system features a clinically versatile open gantry, caudal/ cephalic detector tilt capability, automatic body contouring for SPECT and whole body scans, as well as upgrade paths to dual-head configurations.

e.cam Single

e.cam Dual-Detector Multiangle Cardiac Designed to meet the high-quality and highthroughput demands of cardiology practices. The optional Profile nonuniform cardiac attenuation correction accessory features a unique fixed multiple-line array that increases the accuracy of myocardial perfusion SPECT and enhances diagnostic confidence.

e.cam Multiangle Cardiac

e.cam Mobile The mobile environment package* for e.cam allows installations in a wide range of coaches including trucks that do not require a commercial drivers license.

*available in the U.S. only.

e.cam duet

e.cam Single Standard This system is an economical choice for general nuclear medicine applications. The single detector design allows patient imaging on gurneys and wheelchairs. Upgrade paths to additional e.cam features are available.

e.cam Single Standard

Features

HD High-Performance Detector The state-of-the-art design provides increased performance, reliability, and serviceability. e.media The integrated DVD player and the redesigned Patient Positioning Monitor (PPM) combine to give e.media unlimited possibilities. Collimators e.cam offers a comprehensive selection of collimators for general and specialized applications. Siemens patented AUTOFORM assures high uniformity and precise angulation. Patient Bed The e.cam patient bed, featuring an ultrathin imaging pallet, is designed for ease of use, patient comfort, and image quality. Optional pallets add versatility. Profile Attenuation Correction The unique, multiple-line source array produces a profiled transmission source shape, effectively correcting myocardial perfusion SPECT studies for nonuniform attenuation from organs surrounding the heart. Coincidence Acquisition Ultrahigh efficiency HD detectors, special high count rate electronics, and axial shields to reduce scatter and random coincidence events combine to provide complete coincidence acquisition and processing functionality.

Workflow

Patient Registration When patients arrive in the Nuclear Medicine department to be scanned, the e.cam Signature Series system is already working for them. During patient registration, the necessary patient information is transferred to the syngo MI Workplace from the hospitals HIS/RIS system, eliminating a duplicate manual data entry step by the technologist.

Patient Preparation With the patient data already in place, the technologist can proceed directly to patient orientation and positioning. With the touch of a button, the technologist can provide the patient a pleasant focal point during the scan a multimedia system that can play CDs or DVDs, from a hospital infomercial to a cartoon to the latest Hollywood release.

Acquisition Using the automatic contouring feature, the technologist significantly reduces patient setup time. As the patient rests comfortably on the patient handling table, the camera begins acquiring the required scans.

Processing The syngo MI Workplace supports the entire clinical workflow by allowing the technologist to process and display images at one workstation. Optimized image quality is achieved by applying advanced reconstruction methods, such as syngo Flash 3D, scatter correction or syngo CT Attenuation Correction. The applications allow remarkable time savings and improve efficiency for the entire department.

Viewing Having completed the patient scanning and processing procedures, the syngo MI Workplace automatically transfers the images to the physician for viewing and interpretation. The quality of the images, optimized by the high resolution flat-screen monitor, speaks for itself.

Data Management After the physician completes reading and interpreting the data, the patients results can be automatically forwarded throughout a wide-range of enterprise destinations hardcopy printing, archiving, transfer to the referring physician providing a flexible and intelligent manner of information management.

HD Digital Detector

crystal thickness 3/8 5/8

Primary Specifications
Intrinsic Spatial Resolution FWHM in CFOV FWHM in UFOV FWTM in CFOV FWTM in UFOV Intrinsic Energy Resolution
UFOV

3.8 mm 3.9 mm 7.5 mm 7.7 mm 9.9 % 2.5% 2.7% 2.9% 3.7%

4.5 mm 4.6 mm 8.7 mm 8.9 mm 9.9% 2.5% 2.7% 2.9% 3.7%

Intrinsic Flood Field Uniformity (uncorrected) Differential in CFOV Differential in UFOV Integral in CFOV Integral in UFOV System Spatial Resolution without Scatter with LEHR Collimator at 10 cm* FWHM in CFOV FWTM in CFOV

7.4 mm 14.1 mm

7.8 mm 14.9 mm

The HD detector provides increased performance, reliability, and serviceability. Faster electronics increase count rate performance. Significant increase in reliability, resulting in maximum time between service calls. Secondary Specifications
Intrinsic Spatial Linearity Differential in CFOV 0.2 mm Differential in UFOV 0.2 mm Absolute in CFOV 0.4 mm Absolute in UFOV 0.7 mm Multiple Window Spatial Registration 0.6 mm Intrinsic Count Rate Performance in Air* Maximum Count Rate 310 kcps Intrinsic Spatial Resolution @ 75 kcps FWHM in UFOV 4.1 mm FWTM in UFOV 7.8 mm Intrinsic Flood Field Uniformity @ 75 kcps (uncorrected) Differential in CFOV 2.5% Differential in UFOV 2.7% Integral in CFOV 2.9% Integral in UFOV 3.7% System Spatial Resolution with Scatter with LEHR Collimator at 10 cm* FWHM in CFOV 8.7 mm FWTM in CFOV 19.1 mm System Planar Sensitivity with LEHR Collimator at 10 cm* Absolute 202 cpm/Ci System Planar Sensitivity with MELP Collimator at 10 cm (In 111)*
(both energy windows at 20%)

0.2 mm 0.2 mm 0.5 mm 1.0 mm 1.0 mm

310 kcps

crystal thickness

Coincidence Specifications
Maximum Singles Count Rate
(per detector)

5/8

2.9 Mcps 1.0 kcps 14% 4.2 mm 4.8 mm

11 kcps/Ci/ml 300 kcps/Mbq/ml 2t = 12 nsec

Maximum NEC Count Rate

(70 cm whole body phantom)

4.6 mm 8.9 mm 2.5% 2.7% 2.9% 3.7%

Scatter Fraction Reconstructed Resolution FWHM Central Axial FWHM Central Transaxial System Sensitivity 300 kcps/Mbq/ml Coincidence Timing Window

8.9 mm 19.5 mm

All values are determined at the manufacturers facility, using the methods described in NEMA Standards Publication for Performance Measurements of Scintillation Cameras. Single photon values are determined at the manufacturers facility using the methods described in NEMA Standards Publication NU 1-2001 Performance Measurements of Scintillation Cameras. The specialized phantoms and software required to reproduce these measurements are available from Siemens. Coincidence values are measured in accordance with NEMA Standards Publication NU 2-1994 using coincidence mode (photopeak-photopeak) at 511keV with the exception of Noise Equivalent Count Rate (NEC) which is measured using NEMA Standards Publications NU 2-2001.

225 cpm/Ci

Absolute 430 cpm/Ci Reconstructed Spatial Resolution with Scatter with LEHR Collimator Center 11.4 mm Radial 11.7 mm Tangential 8.4 mm

565 cpm/Ci

11.5 mm 12.0 mm 8.8 mm

* Typical Values

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HD High-Definition Dynamic Digital Detector and Gantry Physical Specifications

Field-of-View (FOV) Diagonal FOV Crystal Size Diagonal Thickness 53.3 x 38.7 cm (21 x 15.25 in.) 63.5 cm (25 in.) 59.1 x 44.5 cm (23 x 17.4 in.) 69.2 cm (27 in.) 9.5 mm (3/8 in.) or 15.9 mm (5/8 in.) or 25.4 mm (1 in.) 59 53-7.6 cm (3 in.) 6-5.1 cm (2 in.) bialkali high-efficiency box-type dynodes hexagonal

Outer Room Positions*****

min. 143.5 cm (56.5 in.) max. 170.2 cm (67.0 in.) min. 104.8 cm (41.25 in.) max. 131.5 cm (51.75 in.) min. 66 cm max. 92.7 cm min. 27.3 cm max. 54 cm (26 in.) (36.5 in.) (10.75 in.) (21.25 in.)

125.8 cm (49.5 in.)

Photomultiplier Tubes Total Number Diameter Type Array

72.4 cm

(28.5 in.)

Shielding Back 9.5 mm (0.375 in.) Sides 12.7 mm (0.5 in.) Min. and Max. in patient direction 27.9-36.4 mm (1.1-1.435 in.) (For any point on the pallet at maximum 183 cm (6 ft.) from detector while the detector is at 25.4 cm (10 in.) radial position.) Brain Reach Distance from edge of detector housing 7.6 cm (3 in.) to edge of FOV Height 193.0 cm (6 ft. 4 in.) Width 167.6 cm (5 ft. 6 in.) Depth 159.4 cm (5 ft. 2.75 in.) Axis of Rotation (from Floor) 99.0 cm (3 ft. 3 in.) Weight High-Energy Collimator 1755 kg (3900 lb.) Dual Det. 1170 kg (2600 lb.) Single Det. Min. Patient Opening (HE Coll.) Min. Patient Opening (HR Coll.) Max. Patient Opening (HE Coll.) Max. Patient Opening (HR Coll.) Average Autocontour Distance Max. Radial Speed Max. Lateral Position Left*** Max. Lateral Position Right*** Max. Lateral Speed 9.0 cm (3.5 in.) 14.0 cm (5.5 in.) 62.0 cm (24.4 in.) 67.0 cm (26.4 in.) 1.1 cm (0.45 in.) 120 cm/min. (47.2 in./min.) 5.1 cm (2 in.) 22.9 cm (9 in.) 120 cm/min. (47.2 in./min.)

Electronics Enclosure Height Width Depth Weight

105.4 cm 55.9 cm 52.3 cm 99 kg

(41.5 in.) (22 in.) (20.25 in.) (220 lb.)

System Environmental Requirements Floor Loading Single-Head and Dual-Head

Heat Dissipation Temperature Range Max. Temperature Variance Humidity

* ** *** **** *****

0.073 kg/sq. cm (150 lb/sq. ft.) 200-240 Volt (10%), 50-60 Hz 3.0 kVa, 30 Amp single phase service 7200K Joules/hr. (6800 BTU/hr.) 15.5-35C (60-95F) 4.4C/hr. (8F/hr.) 15-80% noncondensing

As seen from patient bed side, detectors at 180 opposed position, start with detector 1 on top. As seen from patient bed side, detectors at 90 cardiac position, start with detector 1 on top. As seen from patient bed side. Gantry lateral motion for dual-head systems only. Patient on patient bed with feet in gantry, with low-energy collimators. Available with all collimators.

Single-Head, Dual-Head 180 and Dual-Head Variable-Angle (180)

Max. CW Rotation Det. 1* Max. CCW Rotation Det. 1* 440 30

Variable-Angle and Multiangle Cardiac (90)

Max. CW Rotation Det. 1** Max. CCW Rotation Det. 1** Ring Rotation Range Rotational Accuracy Max. Rotational Speed Min. Rotational Speed Center of Rotation Max. Caudal Tilt (Outward)**** Max. Cephalic Tilt (Inward)**** 350 120 470 0.1 3 RPM 0.33 RPM 0.25 pixel (64 x 64 matrix) 90 20

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Patient Positioning Monitor

LCD Flat Panel Display Patient Positioning Monitor

The e.cam system flat display panel is mounted on an arm extending from the top of the gantry. The display panel can be moved to any position for easy viewing by the technologist or patient. The display screens available on the display panel include: Persistance Mode, Gantry Mode, Persistance During Acquisition, and Gantry During Acquisition.

Flat panel display information includes:

Rotation Angle Detector Radius Detector Tilt Elapsed Time View Number Count Rate Matrix Size Collimator Change Offset Zoom Time Remaining SPECT/Coincidence Mode Patient Bed Height Persistence Mode Gantry Lateral Position Patient Bed Position Patient Positioning Monitor Analyzer Energy Setting Window and Persistence 30.5 cm (12 in.) Adjustment Monitor Screen Profile Attenuation Source On Indicator

Optional e.media Patient Comfort and Education Package

e.media offers unlimited possibilities for patients and institutions. The integrated DVD plays high-quality video and sound through the Patient Positioning Monitor. The critical area where e.media can make an impact is in patient comfort. Relaxing or interesting video presentations can translate into less patient movement. Less patient movement means less repeat scans and better image quality. Less repeat scans and better image quality create a winning situation for everyone patients, technologists, and physicians. Examples of the material that can be displayed: Relaxation videos and music Entertainment for young patients Patient procedure information Audio CD Hospital promotional videos

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13

Collimators

Versatile Design
e.cam provides a comprehensive selection of collimators for general and specialized applications. Siemens AUTOFORM assures high uniformity and precise angulation. The collimator exchange system is designed to allow even the heaviest collimators to glide quickly, easily and smoothly into place.

Collimators Isotope Hole Shape Number of Holes (x 1,000) Hole Length (mm) Septal Thickness (mm) Hole Diameter (mm across the flats) Sensitivity @ 10 cm (cpm/Ci)1. Geometric Resolution @ 10 cm (mm) System Resolution @ 10 cm (mm)1. Septal Penetration (%) Focal Length @ Exit Surface (mm) Weight in lb. Weight in kg

LEHS
Low Energy High Sensitivity

LEAP

LEHR

LEUHR

LEFB

ME
Medium Energy

HE
High Energy

UHE
Ultrahigh Energy

Low Energy Low Energy Low Energy Low Energy All Purpose High Resolution Ultrahigh Resolution Fanbeam

Tc Hex 28 24.05 0.36 2.54 1020 14.6 15.6 1.5 n.a. 42 18.9

99m

Tc Hex 90 24.1 0.20 1.45 330 8.3 9.4 1.9 n.a. 49 22.1

99m

Tc Hex 148 24.05 0.16 1.11 202 6.4 7.4 1.5 n.a. 45 20.4

99m

Tc Hex 146 35.8 0.13 1.16 100 4.6 6.0 0.8 n.a. 56 25.2

99m

Tc Hex 64 35 0.16 1.53 280 6.3 7.3 1 445 67 30.5

99m

Ga Hex 14 40.64 1.14 2.94 310 10.8 12.5 1.2 n.a. 136 61.8

67

I Hex 8 50.8 2 3.4 135 12.6 14.5 3.5 n.a. 245 111.1

131

F Hex 4 50.5 3.4 2.5 185 10.6 19.0 3.4 n.a. 260 117.0

18

1. Values measured in accordance with NEMA Standards Publication NU-1 2001 using 3/8 crystal.

Pinhole Collimator Hole Shape Number of Holes Hole Diameter (mm) Cone length (approx. in mm) Diameter at Base of Cone (approx. in mm) Sensitivity @ 10 cm with 4 mm (cpm/Ci) Sensitivity @ 10 cm with 6 mm (cpm/Ci) Sensitivity @ 10 cm with 8 mm (cpm/Ci) Geometric Res. @ 10 cm with 4 mm (mm) Geometric Res. @ 10 cm with 6 mm (mm) Geometric Res. @ 10 cm with 8 mm (mm) System Res. @ 10 cm with 4 mm (mm) System Res. @ 10 cm with 6 mm (mm) System Res. @ 10 cm with 8 mm (mm) Weight in lb. Weight in kg Tc Round 1 4,6,8 200 300 123 271 478 6.2 9.3 12.3 6.6 9.5 12.5 165 74.3
99m

isotope 123 I Round 1 4,6,8 200 300 111 243 426 6.3 9.3 12.4 6.6 9.5 12.5 165 74.3

I Round 1 4,6,8 200 300 67 133 221 7.5 10.6 13.6 7.6 10.7 13.7 165 74.3

131

14

Semi-Automatic Collimator Server

e.cam Mobile Environment Package

BiCore Collimators
A wide variety of optional collimators are available for all energies and include ultrahigh energy, fanbeam, and pinhole. The unique collimator exchange combines fully automated collimator installation with rapid insertion. The collimator server supports 2 sets of collimators, providing the operator with the ability to remove and install collimators from the same cart, eliminating one trip to and from the collimator storage area. Collimator Server (w/o collimators)
Height Width Depth Weight 132.1 cm 110.5 cm 110.5 cm 120.2 kg (4 ft. 4 in.) (2 ft. 7.5 in.) (2 ft. 7.5 in.) (265 lb.)

For single-detector systems, the collimator server can hold up to four collimators (or two collimators and a pinhole collimator). All servers enable easy storage, transport, installation and removal of collimators.

General Coach Requirements

Minimum coach size: 8 x 24 (8 x 26 is preferred) Air ride suspension Self-leveling hydraulic jack system 30,000 lb. minimum GVW Rating Recommended ceiling height: Minimum of 7 ft. Recommended floor construction: Minimum of 1.125 thick oak on 3 steel I-Beams on 12 centers 42 access to installation

15

Patient Handling System

Versatile Design
The e.cams motorized patient bed supports patient weights up to 180 kg (400 lb), meeting the needs of a wide range of clinical applications. The low attenuation characteristics of the ultrathin pallets and the close proximity of the detector to the patient optimize study resolution. The patient bed lowers to a convenient 48.3 cm (19 in.) for easy patient access. Both the bed with reconfigurable arm supports, and the optional pallets provide patient comfort during the scan.

Easy Configuration
The patient bed (shown on left with the standard pallet) can be configured with right- or left-side patient access to accommodate site-specific installation requirements. The bed is easily removed for rail-free access to imaging patients on gurneys or wheelchairs. It comes equipped with a head holder, a cardiac arm rest, a built-in patient bed ruler, and a contoured patient pad. Also, the ECG connector and power outlet are located at the base of the patient bed where an external ECG monitor can be connected.

Patient Comfort Accessories

The standard cardiac arm rest provides a comfortable resting area for the patients elbows when positioned over the head, thus reducing patient movement during acquisition. The included head holder, which mounts to the top of the patient bed pallets front end, supports the patients head and reduces head movement during brain scanning. Optional dedicated pallets for pediatric and scintimammography applications are also available.

16

Patient Bed Features

Specifications
Patient Bed
Width Length Weight Height Vertical Motion Range Maximum Vertical Speed Pallet Material Pallet Thickness Pallet Width SPECT Pallet Width Whole Body Attenuation @ 140 keV Max. Patient Weight Max. Deflection of Patient Pallet Max. Scan Length in Whole Body Mode Horizontal Motion Range Horizontal Motion Accuracy Maximum Horizontal Speed Minimum Horizontal Speed 88.9 cm (35.4 in.) 251.5 cm (99 in.) 253 kg (562 lb.) 109.2 cm (43 in.) 48.3-110.5 cm (19.0-43.5 in.) 120 cm/min. (47.2 in./min.) Aluminum 2.54 mm (0.10 in.) 35.6 cm (14 in.) 64.8 cm (25.5 in.) < 7% 180 kg (400 lb.) < 3.2 mm (< 0.125 in.) 202 cm (79.5 in.) 164.5 cm (5 ft. 4.75 in.) 0.4 mm (0.016 in.) 240 cm/min. (94.5 in./min.) 0.1 cm/min. (0.040 in./min.)

Mammography Pallet
The specialized mammography pallet design is easily installed on the patient bed and allows for scintimammography acquisitions in both planar and SPECT mode. The patient is in a prone head-in position, and does not need to get off the pallet to change from left to right lateral/oblique views.
Width Length Weight Height Pallet Material Pallet Thickness Pallet Width SPECT Attenuation @ 140 keV Max. Patient Weight Max. Deflection of Patient Pallet 35.6 cm (14 in.) 170.2 cm (67 in.) 4.7 kg (10.5 lb.) 12.7 cm (5 in.) Carbon Fiber/Foam/Laminated Wood 2.54/12.7/38.1mm (0.1/0.5/1.5 in.) 35.6 cm (14 in.) <8.5% 135 kg (300 lb.) <12.7mm (<0.5 in.)

Pediatric Pallet
Rear Pallet Support
Width Length (with bar in) Length (with bar out) Weight 35.6 cm (14 in.) 124.5 cm (49 in.) 153.7 cm (60.5 in.) 49 kg (109 lb.)

Designed for use with the e.cam Patient Handling System to image infants in planar or SPECT mode, the pediatric pallet allows patients to be positioned supine, feet first, or head first (for brain scans) and features various restraints to immobilize the knees, elbows and shoulders of young patients during acquisition.
Width Length Weight Height Pallet Material Pallet Thickness Narrow Portion Pallet Width SPECT Narrow Portion Attenuation @ 140 keV Max. Patient Weight Max. Deflection of Patient Pallet Horizontal Motion Range 25.4 cm (10 in.) 129.9 cm (51.1 in.) 6.4 kg (14.16 lb.) 17.1 cm (6.8 in.) Carbon Fiber/Laminated Wood 6.35 mm (0.25 in.) 3.05 mm (0.12 in.) 25.4 cm (10 in.) 190.5 mm (7.5 in.) <10% 27 kg (60 lb.) <6.35 mm (<0.25 in.) 114.3 cm (45 in.)

ECG Input
TTL Signal Input 0 to +5 Volt Negative and Positive Trigger

ECG Gating
Forward or Forward/Backward by Thirds Framing in Planar Mode Forward or Forward/Backward by Thirds by Percentage Framing in SPECT Mode Buffered Beat Window Bad Beat Rejection Number of Frames per R-R Interval or Milliseconds per Frame Automatic or Manual Selection of Beats Acceptance Window Integrated EGG Port Conveniently Plugs into Bed, Eliminating Any Cable Obstruction

Integrated Source Holder

At the back of the e.cam gantry is the rear pallet support which is used to support the patient bed pallet as it travels through the gantry. This rear pallet support can be flipped up and out of the way when the patient bed is at its lowest position and detector 1 is at 0 rotation. The rear bed also contains the safety rail, which is used to keep personnel from moving behind the gantry where possible contact could occur with the pallet. A source holder is integrated into this rear bed for detector energy peaking, tuning and other quality control procedures. This source holder was specifically designed to perform intrinsic quality control procedures on both detectors simultaneously. 17

Profile Attenuation Correction

Profile Attenuation Correction

The e.cam Profile attenuation correction system offers improved cardiac SPECT imaging accuracy over an extended range of patient sizes. A unique, multiple-line source array produces a profiled transmission source shape. By varying the activity levels in each of the individual lines, the transmission flux is directed at the center of the patient where it is needed most. The overall activity level of the transmission source is substantially reduced while significantly extending the range of measurable patient sizes up to 180 kg (400 lb.). To increase throughput, the e.cam system supports simultaneous emission and transmission scatter-corrected SPECT acquisitions using six energy windows for gated and nongated studies. Furthermore, it provides quantitative software that compares the results with a normals database. When the Profile option is in use, a visual indicator is employed in the field of view on the PPM. The transmission sources can be conveniently retracted against the gantry when the Profile option is not in use.

Cardiac Quantitative Software that Supports Attenuation Correction Clinical Benefits

Easy to use Increased clinical accuracy Improved image quality Improved diagnostic confidence Minimum quality control requirements Simultaneous emission and transmission scans 4D-MSPECT (University of Michigan Medical Center)

18

Profile Specifications
Transmission Source Configuration Multiple Line Array (MLA) Number of Arrays per System 2 Number of Line Sources per Array 14 (7 pairs) 153Gd Transmission Isotope Transmission Energy 100 keV Transmission Activity (Total) 7.1 GBq (192 mCi) per system Replenishment Interval 6 months Replenishment Activity 4 line sources of 740 MBq (20 mCi) Effective Source Life 3.5 years Shutter Mechanism (Automatic) Electric (fail-safe) Cardiac FOV 53.3 cm x 19.7 cm (W x D) (21 in. x 7.75 in.) (W x D) Acquisition Matrix 128 x 128 (no zoom) Sampling Size 4.80 mm/pixel Acquisition Type 90 SPECT and Gated SPECT Acquisition Mode NCO with prescan Reconstruction Method Iterative-W Reconstruction Reconstructed Voxel Size 4.80 mm3 or 6.20 mm3 Resolution Recovery Yes (collimator deblurring) Supported Emission Isotopes 201Tl and 99mTc Supported Collimators LEHR Transmission Scatter Correction Yes, 3-window method Emission Scatter Correction No Supported Patient Weight up to 180 kg (400 lb.) QC Interval 1 month (SPECT blank scan) 99mTc Protocol Simultaneous Emission/ Transmission 201 Tl Protocol Pseudo-Sequential (single rotation)

Uncorrected image

Corrected image

Transmission Flux through Patient Center

Profile compared to scanning line source technique

Center Flux (Ci/sq. in.)

Time (months) Scanning Line Flux Scanning Line Flux w. 50% Absorber e.cam Profile Flux Average Average

Notes: Scanning line flux curves are based on a moving line design with 9.25 GBq (250 mCi) activity using a 50% absorber to reduce the blank scan count rate and extend overall source life to 18 months. Profile numbers are based on a multiple line array with seven line pairs and a total of 3.7 GBq (100 mCi) activity. Even though the Profile system uses significantly less activity, the flux through the center of the patient (where it matters most) is consistently over four times higher on average.

19

Coincidence Option

In addition to taking full advantage of the existing advanced features of Siemens HD digital detectors, the e.cam incorporates sophisticated PET-based detector technologies for achieving exceptionally high system performance. The e.cam+ coincidence option specifically addresses the needs of healthcare institutions seeking to expand the clinical capabilities of their e.cam systems to include FDG imaging capability. This upgrade is easy to use and provides a fully integrated, low cost approach to performing certain studies previously available only on dedicated Positron Emission Tomography (PET) systems. e.cam+ includes two ultrahigh efficiency HD detectors equipped with 5/8-inch (15.9 mm) NaI crystals, special high count rate electronics, and axial shields to reduce scatter and random coincidence events for improved image contrast. The coincidence software includes a fully integrated, easy to use, graphical user interface to provide complete e.cam+ coincidence acquisition and processing functionality.

e.cam Advanced features include:

PET-based HD detector technologies for superior image contrast and lesion detectability. High-count-rate coincidence electronics Contrast-enhancing axial shields and on-the-fly Compton pair rejection Early event pulse shape discrimination for improved image contrast and better signal-to-noise ratio. Continuously variable pulse integration times for optimal energy and spatial resolution. Pile-up correction on each individual PMT for improved energy and spatial resolution at high count rates. Random events correction for improved image contrast. Fully automated peak shift tracking at high count rates for improved signal-to-noise ratio.

FDG Coincidence

20

Room Layout Examples

System with left side patient access shown in large room.

System with right side patient access shown in small room.

Diagonal configuration
190 cm (6 2 3/4")

Typical Mobile Installation

36.2 cm (1 2 1/4") 127 cm (4 2") 48.3 cm (1 7")

Pivot Single osition ge P Stora

424 cm (13 11")

customer-supplied computer shelf

373 cm (12 2 3/4")

collimator cart located at customers discretion

91.4 cm (3)

21

Configurations
Features and Options
Number of Detectors

e.cam Standard
1 N/A Choice Choice Optional Optional Standard Standard Standard Standard Optional Standard Choice Standard Standard Standard Optional N/A Standard Optional Standard Standard Standard Optional Optional Standard Standard Optional Standard Optional Standard Optional Optional Optional Standard Standard Optional Standard Optional Optional Optional Optional Optional Optional Standard Standard Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional N/A N/A Optional Optional N/A Optional

DETECTORS Flash 3D Flash 3D is Siemens innovative iterative reconstruction algorithm that allows optimization of acquisition time and image time. Profile Attenuation Correction Option Profile Attenuation Correction features a unique multiple 153Gd line source array that significantly enhances the sensitivity and specificity of myocardial perfusion SPECT by correcting for the nonuniform attenuation from organs surrounding the heart. e.cam+ Coincidence Option Incorporates many of the technologies developed for dedicated PET. The system features Siemens proprietary HD PET-based detectors, high count rate electronics, axial shields, and coincidence software resulting in superior image contrast and lesion detectability. Mobile e.cam The mobile environment package allows installation of a fully-functional e.cam system in a wide variety of trucks and coaches. The technologist-friendly restraints secure the system for travel in minutes. BED WORKSTATION
one collimator set must be selected

GANTRY COLLIMATORS OPTIONS

e.media e.media is an exciting optional patient information and education system that can make an impact in the area of patient comfort, reducing patient movement and associated motion artifacts. e.media can also be used for hospital promotions, patient education, and staff training presentations.

Detector Orientation 3/8 Crystal 5/8 Crystal Automatic Body Contouring Caudal/Cephalic Tilt Detector Touchpad Sensors HD High-Performance Detector Pass-through Open Gantry Design Patient Positioning Monitor (PPM) e.media Patient Comfort and Education Package Integrated Source Holder Left or Right Side Patient Imaging Bed Ultrathin Pallet with Integrated Arm Support Planar (Static) Acquisition Dynamic Acquisition Whole Body Acquisition Cardiac SPECT Acquisition (76 and 90) General SPECT Acquisition Whole Body SPECT (Tomo) Acquisition Gated Acquisition Gated SPECT Acquisition Dynamic SPECT (Tomo) Acquisition Mammography Pallet Pediatric Pallet Cardiac Arm/Head Rest Brain SPECT Head Support ECG Gate/Strip Chart syngo MI Workplace Turbo A (Acquisition) V (Viewing) P (Processing) AP (Acquisition & Processing) Multimodality Viewing Software User-Defined Workflows Multilingual Interface Flexible Display Cardiac Quantification Software Flash 3D Iterative Reconstruction (Cardiac SPECT) Flash 3D Iterative Reconstruction (General SPECT) 3D Display Image Fusion CT Attenuation Correction DICOM Worklist DICOM Print Remote Access Low Energy High Sensitivity Collimator Low Energy All-Purpose Collimator Low Energy High Resolution Collimator Low Energy Ultrahigh Resolution Medium Energy Collimator High Energy Collimator Extra High Energy Collimator Fanbeam Collimator Pinhole Collimator Additional Collimator Cart Coincidence Acquisition (5/8 or 1.0 crystal) Profile Nonuniform Attenuation Correction CD Writer Mobile Installation Upgrade to e.cam Variable Angle Single to Dual Detector Upgrade

22

e.cam Single
1 N/A Choice Choice Standard Standard Standard Standard Standard Standard Optional Standard Choice Standard Standard Standard Standard N/A Standard Standard Standard Standard Standard Optional Optional Standard Standard Optional Standard Optional Standard Optional Optional Optional Standard Standard Optional Standard Optional Optional Optional Optional Optional Optional Standard Standard Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional N/A N/A Optional Optional N/A Optional

e.cam Fixed 180

2 180 Choice Choice Standard Standard Standard Standard Standard Standard Optional Standard Choice Standard Standard Standard Standard N/A Standard Standard Standard Standard Standard Optional Optional Standard Standard Optional Standard Optional Standard Optional Optional Optional Standard Standard Optional Standard Optional Optional Optional Optional Optional Optional Standard Standard Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional N/A Optional Optional Optional N/A

e.cam Multiangle Cardiac

2 76 and 90 Choice Choice Standard N/A Standard Standard Standard Standard Optional Standard Choice Standard Standard Standard Standard Standard N/A N/A Standard Standard Standard N/A Optional Standard Standard Optional Standard Optional Standard Optional Optional Optional Standard Standard Optional Standard Optional Optional Optional Optional Optional N/A Standard Standard Optional Optional Optional Optional Optional Optional Optional Optional Optional N/A Optional N/A Optional Optional Optional Optional N/A

e.cam Variable-Angle
2 76,90,180 Choice Choice Standard Standard Standard Standard Standard Standard Optional Standard Choice Standard Standard Standard Standard Standard Standard Standard Standard Standard Standard Optional Optional Standard Standard Optional Standard Optional Standard Optional Optional Optional Standard Standard Optional Standard Optional Optional Optional Optional Optional Optional Standard Standard Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional Optional N/A N/A

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ISO 13485 certified, meeting internationally recognized quality standards for good manufacturing practices. AUTOFORM is a registered trademark of Siemens Medical Solutions USA, Inc. BiCORE is a trademark of Siemens Medical Solutions USA, Inc. e.cam is a registered trademark of Siemens Medical Solutions USA, Inc. syngo is a registered trademark of Siemens AG, Medical Solutions. Siemens reserves the right to modify the design and specifications contained herein without prior notice. Product performance depends on the choice of system configuration. Please contact your local Siemens sales representative for the most current information or contact one of the addresses listed below. 2006 Siemens Medical Solutions USA, Inc. All rights reserved. All photographs 2006 Siemens Medical Solutions, USA. All rights reserved. Note: Original images always lose a certain amount of detail when reproduced.

Siemens Medical Solutions USA, Inc. Molecular Imaging 2501 N. Barrington Road Hoffman Estates, IL 60195-5203 USA Headquarters Siemens Medical Solutions USA, Inc. 51 Valley Stream Parkway Malvern, PA 19355-1406 USA Telephone: +1-888-826-9702 www.usa.siemens.com/medical

Contact Addresses Siemens Medical Solutions USA, Inc. Molecular Imaging 2501 N. Barrington Road Hoffman Estates, IL 60195-5203 USA Telephone: +1-888-826-9702 www.siemens.com/medical Siemens Medical Solutions USA, Inc. Molecular Imaging 810 Innovation Drive Knoxville, TN 37932-2751 USA Telephone: +1-888-826-9702

2006, Siemens AG Order No. A91MI-10055-5C-7600 Printed in USA PA 0206/3