Cardiovascular Imaging Systems

GE Advantx LC+ GE Innova 2000

Philips Integris Allura Flat Detector F

Siemens Axiom Artis FC

Cardiovascular Imaging Systems

Siemens Axiom Artis dFC

Toshiba Infinix CCi

Specifications summary
Table A: Angiographic table design
GE Advantx LC+ Omega IV (Omega V option) 300 46 Flat Carbon fibre 202 b GE Innova 2000 Omega IV (Omega V option) 300 46 Flat Carbon fibre 204 Philips Integris Allura Flat Detector F Angio Diagnost 5 293 50 Flat Carbon fibre 200 + 100 for resuscitation c 0.6 100 18 76 to 104 90 as option Siemens Axiom Artis FC Artis 344
a

Siemens Axiom Artis dFC Artis 344

a

Toshiba Infinix CCi CAT-850B 295 75 Flat Carbon fibre 200 + 100 for resuscitation 1.0 135 20 78 to 115 +90 to 180

Table name Tabletop dimensions (cm) Tabletop profile Tabletop material Max patient weight (kg) Aluminium equivalent of tabletop (mm Al) Range of longitudinal movement (cm) Range of lateral movement (cm) Tabletop height range from the floor (cm) Range of pivot of tabletop ( )

Flat Carbon fibre 200 1.0 125 17.5 77.5 to 110 120

Flat Carbon fibre 200 1.0 125 17.5 77.5 to 110 120

0.8 110 14 78 to 108 180

0.8 110 14 78 to 108 180

Notes: a. 2 widths: narrow cardiac and wide universal (option) b. Weight limit increased to 210 kg if tabletop is over the support during CPR c For patient resuscitation with the table fully extended and the patient at the end of the table - no additional support is needed.

Specifications summary

Table B: Standard accessories

GE Advantx LC+ Mattress IV pole Armrest Headrest/ head end holder Radiation protective shields Table side rails Rail accessory clamps Handgrip Yes Yes Yes No Ceiling, tableside, mobile Yes 2 No GE Innova 2000 Yes Yes Yes No Yes Yes 2 No Philips Integris Allura Flat Detector F Yes Yes Yes No Optional ceiling and tableside Yes 5 (2 tabletop) No Siemens Axiom Artis FC Yes Yes Yes Yes Ceiling, tableside, mobile Yes Option Yes Siemens Axiom Artis dFC Yes Yes Yes Yes (narrow) Ceiling, tableside, mobile Yes Option Yes Toshiba Infinix CCi Yes Yes Yes Yes Option Yes Provided with accessories Yes

Specifications summary

Table C: Optional accessories

GE Advantx LC+ GE Innova 2000 Philips Integris Allura Flat Detector F CD-R, PC based DICOM viewing software, examination dose reporting, second tableside control, pan handle, injector, handles, arm holder, lead protection, examination lamp, contrast injector Siemens Axiom Artis FC Injector, rail accessory clamps, cable clips, wide tabletop Patient dose reduction options: CAREVISION (Standard with some systems), CAREPOSITION and DIGITAL ACQUISITION ZOOM Siemens Axiom Artis dFC Injector, rail accessory clamps, cable clips, wide tabletop Patient dose reduction options: CAREVISION (Standard with some systems), CAREPOSITION Toshiba Infinix CCi

Contrast injector, IV poles, cable clips

Additional IV poles, cable clips

Higher spec. armrest, handswitch joystickoperated satellite control stand

Specifications summary

Table D: C-arm support

GE Advantx LC+ Name Floor/ceiling mounted Range of rotations: LAO/RAO () Max Speed (/s) CRA/CAU () Max Speed (/s) C-arm depth (along table) (cm) FDD range (cm) C-arm support stand movement range ()
No. of pre-programmable positions

GE Innova 2000 LC positioner Floor

Philips Integris Allura Flat Detector F G stand Floor

Siemens Axiom Artis FC Artis Floor

Siemens Axiom Artis dFC Artis Floor

Toshiba Infinix CCi CAS-830A Ceiling

Advantx + Floor

105/117 10 (fast 40) 55/55 10 Reaches midthigh; 6 patient 84 to 119 95 motorised 100 manual 72

105/117 20 50/45 20 55 82.5 to 116 95 motorised 100 manual 72

120/120 25 45/45 18 105 86.5 to 123 90 motorised & manual 100 + 2 scratch positions (service installed) Bodyguard capacitance sensing

120/120 25 55/45 18 90 53 to 83 +119 to -185

120/120 25 55/45 8 90 53 to 83 +119 to -185

120/180 20 50/90 20 123 91 to 121 135 motorised

55

55

100

Anti-collision protection

Software and mechanical

Software and mechanical

Software and mechanical

Software and mechanical

CAS-830A

Specifications summary

Table E: Generator
GE Advantx LC+ GE Innova 2000 Philips Integris Allura Flat Detector F Velara CFD 100 High frequency 40 to 125 40 to 125 1250 Siemens Axiom Artis FC Polydoros Open 100 High frequency Siemens Axiom Artis dFC Polydoros IS Open 100 High frequency 50 to 125 50 to 125 1000 Toshiba Infinix CCi XTP-8100G 100 High frequency 50 to 125 50 to 125 1250

Name Nominal output (kW) Generator type kV range: Radiographic Fluoroscopic Maximum tube current (mA) Fluoro pulse: frequency (pps)

Advantx VAMP 100 Multipulse 40 to 150 60 to 120 1250

VAMP 64 High frequency 40 to 125 60 to 120 1250

Maximum 125 1000

25

7.5, 15, 30

12.5, 25

15,and 30 Optional 0.5, 1.0, 2.0, 3.0, 4.0, 6.0, 7.5, (CAREVISION) 3.2 to 10 Automatic

15,and 30 Optional 0.5, 1.0, 2.0, 3.0, 4.0, 6.0, 7.5, (CAREVISION) 3.2 to 10 Automatic

1, 2, 3, 5, 10,12,17, 20,22,25,27,3030

pulse width (ms) Fluoroscopy kV and mA control

Auto selected Automatic/ manual

2 to 12.5 Automatic

1 to 10 Automatic

1 to 13 Automatic/ manual

Specifications summary

Table E: Generator (continued)

GE Advantx LC+ GE Innova 2000 Philips Integris Allura Flat Detector F Siemens Axiom Artis FC Siemens Axiom Artis dFC Toshiba Infinix CCi 137 mA skin dose up to 18 mR/min (200mA with LMB tube) Ta filter, multiple fluoroscopy modes, automatic filter positioning, automatic setting of fluoroscopy conditions, area dose display

High contrast fluoroscopy mode max mA and cut off time

High level control mode up to 52 -1 cGymin

High level control mode up to 8.76 cGymin-1

Cont. 30 mA Pulsed 260 mA

Standard

Up to 170 mA and -1 9 cGymin

Patient dose reduction features

Cardiac technique prediction, automatic brightness control circuitry, diamentor dose monitoring and dose detail
alternatives

Added additional copper filtration, low dose selection, removable antiscatter grid

Automatic wedge filter, double wedge filters, Dynamic fluorograb Grid switched X-ray tube Spectrabeam filtration

CAREMATIC (Auto acquisition parameters based on fluoroscopy) CAREWATCH CAREFILTER Optional:

CAREPROFILE

CAREMATIC (Auto acquisition parameters based on fluoroscopy) CAREWATCH CAREFILTER Optional:

CAREPROFILE

CAREPOSITION STORE FLUORO

CAREPOSITION STORE FLUORO

Specifications summary

Table F: X-ray tube assembly

GE Advantx LC+ GE Innova 2000 Philips Integris Allura Flat Detector F Siemens Axiom Artis FC MEGALIX Cat 125/35/80121GW or MEGALIX Cat 125/15/40/80 121GW 0.4/0.8 or 0.3/0.6/1.0 35/80 2 6.8 Rotating square blade collimation and wedgeshaped diaphragm plate plus iris blades with 33 or 40 cm II Automatic with rotation over-ride via remote Siemens Axiom Artis dFC Toshiba Infinix CCi

Insert type

Maxiray TM 150 TH.13

Maxiray 150 version 5

MRC GS 05 08

MEGALIX Cat 125/35/80121GW

DRX-T7445GFS

Focal spot sizes (mm) Nominal anode input power (kW)

Max heat content for complete tube assembly (MHU) Max continuous heat dissipation for complete tube assembly (kHU.s-1)

0.3/0.6/1.2 16/47/115 1.95 2.3

0.6/1.2 47/115 3.1 2.3

0.5/0.8 44/85 5.4 11

0.4/0.8 35/80 2 6.75

0.3/0.5/0.8 20/49/98 1.8 5.7

Type of collimators/ wedges

Linear and iris diaphragm

Linear collimators and contour wedge

Linear and iris diaphragms, automatic wedge filter

Square plus wedge diaphragm

Linear and iris diaphragms, compensat-ion filters

Operation of collimator auto/manual

Automatic to field size and then manual

Automatic to field size and then manual

Iris: automatic, collimator: manual

Automatic with rotation over-ride via remote

Automatic to field size and then manual

Specifications summary

Table F: X-ray tube assembly (continued)

GE Advantx LC+ Virtual collimation Total beam filtration (mm Al) Additional added filtration fitted to tube (mm) Dose area product (DAP) meter or equivalent No 2.5 0, 1 Al + 0.1 Cu Yes GE Innova 2000 No >2.5 0.1, 0.2 Cu Yes Philips Integris Allura Flat Detector F Yes >2.5 0, 0.2, 0.5, 1 Cu Yes Siemens Axiom Artis FC Optional >2.5 0.1, 0.2, 0.3, 0.6 or 0.9 Cu Yes Siemens Axiom Artis dFC Optional >2.5 0.1, 0.2, 0.3, 0.6 or 0.9 Cu Yes Toshiba Infinix CCi Yes 3.6 0.03 Ta, 0.06 Ta, 1.5 Al Yes

Specifications summary

Table G (a): Detector: II

GE Advantx LC+ Name Detector technology Nominal diameter of field sizes (cm) Nominal peak DQE (%) Expected lifetime of detector Conversion factor for each field size (cd.m -2).(s.Gy-1) HX CsI II Siemens Axiom Artis FC Artis CsI II 23/17/13, optional 8.5 or 22/16/11 33/22/17/13, optional 8.5 or 40/28/20/14, optional 10 65 >5 year 65 8 to 10 years 20.5 or 25/15/8/5 (for 40cm II) 26 or 29 25:1 or Contrast ratio >30:1 25:1 or 38:1 34:1 28.6 70 > 10 years 23/17/12 Toshiba Infinix CCi RTP9211J-G11 CsI II

Specifications summary

Table G (b) Detector: flat panel detector

GE Innova 2000 Name Detector technology Nominal field sizes (size of square) (cm) Array size (pixel) Nominal peak DQE (%) Expected lifetime of detector Pixel pitch (m) Revolution a-Si photodiode / TFT array 20/17.3/14.7/12.2 1024 (20cm fov) to 608 (12.2cm fov) 70 10 years 200 Philips Integris Allura Flat Detector F Dynamic flat detector CsI on Si 18.5/13/11 (25/20/15 DIAGONAL) 1024 1024 75 5 to 6 + years 184 Siemens Axiom Artis dFC Artis dFC a-Si photodiode / TFT array 18/14/11 (25/20/16 DIAGONAL) 1024 1024 75 10 years 184 Toshiba (Works In Progress) DynaDirect 3000 a-Se 23 1536 x 1536 x 14-bit 85 10+ years 150

Specifications summary

Table H: Monitors
GE Advantx LC+ GE Innova 2000 Philips Integris Allura Flat Detector F ExtraBright CRT Optional LCD 51 Ceiling 2 CRTs (+ 1 TFT LCD in control area) Siemens Axiom Artis FC TFT High Contrast Flat Display 46 Ceiling 2 (+ 1 in control area) Siemens Axiom Artis dFC TFT High Contrast Flat Display 46 Ceiling 2 (+ 1 in control area) Toshiba Infinix CCi

TV monitor name Screen size of monitors (cm) Mounting options Number of monitors supplied as standard

Ultrabright 51 Wall, floor or ceiling 2 (+ 1 in control area)

Ultrabright 51 Wall, floor or ceiling 2 (+ 1 in control area)

SMM21103L 53 Ceiling 2

Specifications summary

Table I (a): Imaging system image intensifier

GE Advantx LC+ TV system name TV camera type Acquisition rate (fps) Detector input exposure rate -1 on each field size (nGys ) Sensing area of ABC LIH Line and frame standard of video output Nominal resolution on monitor for each field size (lp.mm-1) Number of programmable techniques MS 90 Plumbicon 6.3, 8.3, 12.5, 25 Information not supplied Siemens Axiom Artis FC Artis CCD 15, 30 100/210/370 9 9 cm (23 cm field) 10 10 cm (33 cm field) Yes 1060 lines 76 Hz 1.6/2.0/2.4 Toshiba Infinix CCi MTV-800C CCD 0.33 to 60 3.6 to 9.67 (Average)

Central portion of image field Yes 1249 or 625 line scan rate

Central 40% of image field Yes 1049 line interlaced

1.7/2.4 /~3.2

1.8/2.2/2.8

240

58

128

Specifications summary

Table I (b): Imaging system flat panel detector

GE Innova 2000 Acquisition rate (fps) Detector input exposure rate -1 on each field size (nGys ) 7.5, 15, 30 10.5/11.4/14.0/15.8 nGy/frame for fluoroscopy Philips Integris Allura Flat Detector F 12.5, 25 Detector dose: 90 R/sec [30 or 60] Patient dose: 5, 10 and 20 R/min [10,20] Programmeable 40 or 60 % Siemens Axiom Artis dFC 15, 30 15.7/24.7/48.1 nGy/pulse: fluoroscopy 91.8/145/282 nGy/pulse: acquisition (Coro ND) Approx circular and centred to field and of approx 10 cm diameter Yes 1060 lines, 76 Hz frame rate Toshiba (Works In Progress) 0.33 to 60

3.6 to 9.67 (Average)

Sensing area of ABC

Central 500 500 pixels Yes 625 lines, 72 Hz frame rate

Variable Yes Not available

LIH Line and frame standard of video output Nominal resolution on monitor for each field size (lp.mm-1) Number of programmable techniques

Standard 1280 x 1024 lines, 76 Hz frame rate 2.7 for all field sizes Fluoroscopy: 3 Acquisition 32

2.5 for all field sizes

2.7 for all field sizes

2.3/2.8/3.1

240

50

128

Specifications summary

Table J: Image acquisition

GE Advantx LC+ GE Innova 2000 Philips Integris Allura Flat Detector F Information not supplied Yes (Xres) Yes (Spirit) n/a Yes No Yes Siemens Axiom Artis FC Siemens Axiom Artis dFC Toshiba Infinix CCi DFP 8000D Yes Yes Yes Yes Yes Yes

Name Noise reduction Edge enhancement Run length selection Image reversal Image rotation Fluoroscopic programming of radiographic factors

DLX Yes Yes No Yes Yes Yes

Innova Digital DL Yes Yes Yes Yes Yes Yes

Artis Yes Yes Yes Yes Yes (Automatic

compensation)

Artis Yes Yes Yes Yes Yes (Automatic

compensation)

Yes DYNAVISION option with DSA package Included in DSA option Overlay fade option Yes Yes

Yes DYNAVISION DR option available from December 2003 With Full DSA in December 2003 Overlay fade standard Yes Yes

Rotational angiography

Yes

Option

Optional

Yes

Road-mapping

Yes

Option

Yes

Yes

Text overlay Contour and contrast enhancement

Yes Yes

Yes Yes

Yes Yes (Xres + Spirit processing)

Yes Yes

Specifications summary

Table J: Image acquisition (continued)

GE Advantx LC+ Greyscale optimisation Zoom and roam Electronic zoom Windowing Electronic collimation Subtraction Re-masking Measurements Fluoro grab Fluoro replay Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes GE Innova 2000 Yes Yes Yes Yes Yes Option Option Yes Yes No Stenosis catheter calibration, vessel sizing, ventricular analysis, centre line wall motion, global ejection fraction 72 000 (1024 x 1024) Philips Integris Allura Flat Detector F Yes Yes Yes Yes Yes Option Option Option Yes (10 sec) Yes Siemens Axiom Artis FC Yes Yes Yes Yes Yes Option Option Yes Store fluoro option Store fluoro option Optional LV analysis, vascular analysis with stenosis quantification and scientific coronary analysis 6 250. Options of 12 500, 25 000 or 50 000 Siemens Axiom Artis dFC Yes Yes Yes Yes Yes Option
c

Toshiba Infinix CCi Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes

Optionc Yes Store fluoro option Store fluoro option Optional LV analysis, vascular analysis with stenosis quantification and scientific coronary analysis 25 000 or optional 50 000

Cardiac quantification analysis

Coronary and vessel analysis, Sheehan wall motion

Coronary
quantification,

ventricular quantification

Stenosis and ejection fraction

Max number of high resolutions storable in hard drive

32 000 (1024 x 1024)

120,000 images at 10242

32 500 (1024 x 1024 x 12 bit)

Specifications summary

Table J: Image acquisition (continued)

GE Advantx LC+ Removable storage DICOM conformance CD writer Yes GE Innova 2000 CD writer Yes Philips Integris Allura Flat Detector F CD writer Yes
d

Siemens Axiom Artis FC CD recorder Yes

Siemens Axiom Artis dFC CD recorder Yes

Toshiba Infinix CCi CD writer Yes

Notes: c. Cardiac Subtraction option from July 2003. Full DSA option from December 2003 d. Two way DICOM image interface, two way RIS DICOM interface

Specifications summary

Table K: Environmental conditions and room size

GE Advantx LC+ Operating temperature range (C) Relative humidity range (%) Air conditioning required Room size W x L x H (m) GE Innova 2000 Philips Integris Allura Flat Detector F 10 to 35 20 to 80 Yes 4.5 6.0 2.9
e

Siemens Axiom Artis FC 10 to 35 20 to 75 No 5.9 6.5 2.5

Siemens Axiom Artis dFC 15 to 30 20 to 75 No 5.9 6.5 2.5

Toshiba Infinix CCi 15 to 35 35 to 70 Recommended 5.2 6.2 x 2.8

10 to 32 20 to 70 No 7.3 9.1 3.0

10 to 32 20 to 70 No 7.3 9.1 3.0

Notes: e. Equipment room 3.4 x 1.5 m containing 3 x 40E cabinets