Computed Tomography

WARNING: Any reference to x-ray exposure, intravenous contrast dosage, and other medication is intended as a reference guideline only. The guidelines in this document do not substitute for the
judgment of a healthcare provider. Each scan requires medical judgment by the healthcare provider about exposing the patient to ionizing radiation.
Use the As Low As Reasonably Achievable (ALARA) radiation dose principle to balance factors such as the patient’s condition, size and age; region to be imaged; and diagnostic task.

Disclaimer: In clinical practice, the use of the AIDR feature may reduce CT patient dose depending on the clinical task, patient size, anatomical location and clinical practice. A consultation with a radiologist
and a physicist should be made to determine the appropriate dose to obtain diagnostic image quality for the particular clinical task.
Due to local regulatory processes, this product may not be available in each country. Please contact your local Toshiba sales representative for the most current information.

Toshiba Medical Systems Corporation meets internationally recognized

standards for Quality Management System ISO 9001, ISO 13485.

http://www.toshibamedicalsystems.com Toshiba Medical Systems Corporation Nasu Operations meets the

Environmental Management System standard ISO 14001.
©Toshiba Medical Systems Corporation 2015. All rights reserved.
Aquilion Lightning, Aquilion ONE, SUREExposure, SURESubtraction and
Design and specifications subject to change without notice. SEMAR are trademarks of Toshiba Medical Systems Corporation.
Model number: TSX-035A MCACT0275EA 2015-10 TMSC/D
Printed in Japan
PREMIUM COMPACT CT SYSTEM FOR YOUR CLINICAL NEEDS – TODAY AND IN THE FUTURE
Aquilion Lightning™ employs the latest CT technologies developed for our flagship Aquilion ONE™ to optimize patient care and accelerate clinical decision-making.

Integrated Dose Reduction Streamlined Workflow Adaptive Diagnostics Minimum Energy, Minimum Space

...4 ...8 ...16 ...26

Clinical Images ....30
 Integrated
Dose
Reduction

Toshiba’s dose-saving technologies are fully

integrated into the scan sequence, taking the
guesswork out of optimizing patient dose.
 Integrated Dose Reduction

AIDR* 3D Integrated

Iterative reconstruction

Noise reduction ViSION Detector

PURE

Protocol integration Safer Imaging — Clearer Outcomes

Prospective mA reduction Through lower radiation doses and low-kVp imaging, TOSHIBA’s new PUREViSION detector offers peace
of mind in the optimization of radiation and contrast dose protocols, permitting physicians to perform
Ease of use safer CT examinations for all patients.
Assured image quality
Breakthrough innovations in manufacturing processes and Data Acquisition System (DAS) design
Optimized reconstruction speed have resulted in a detector with a 40% increase in light output and minimal electronic noise, making
Application to every scan PURE
ViSION one of the most efficient detectors commercially available and still the only detector
featuring true 0.5 mm resolution.

Toshiba’s 4th generation iterative reconstruction Without AIDR 3D With AIDR 3D

AIDR 3D Enhanced is fully integrated into the
automatic tube current modulation software
SURE
Exposure™ 3D, taking the guesswork out of
optimizing patient dose. The exposure dose is
automatically reduced by up to 75%.

With SUREkV, the lowest kV will be selected based

on patient size and SUREExposure settings for low-
kVp imaging.

* Adaptive Iterative Dose Reduction

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 Streamlined
Workflow

Streamlined workflow, from patient

positioning to diagnosis.
Automated and instantaneous.
 Streamlined Workflow

New Gantry Design

The Aquilion Lightning gantry features design innovations to improve the
scanning experience for patients while providing excellent operability
and ensuring safety. The i -Station display provides child-friendly
exam instructions and gives operators feedback for breath holding, ECG
waveforms, scan parameter confirmation, and patient ID. The spacious
780 mm wide bore and 470 mm wide couch ensure comfortable scanning
for even the largest patients. The couch-top can be lowered to a minimum

780 mm
height of 312 mm for facilitating transfer of the patient from a wheelchair.

i -Station
wide bore
312 mm low minimum height

780 mm wide bore 312 mm

470 mm wide couch

10
470 mm 11
 Streamlined Workflow

Streamlined Workflow, from Exam Plan Scan Reconstruction Report

Setup to Diagnosis Protocol Selection SURE
Exposure 3D AIDR 3D Dose Report
Aquilion Lightning is designed with the After patient registration, the system SURE
Exposure 3D is a user-friendly solution for AIDR 3D can be applied to all acquisition modes In accordance with IHE recommendations, the
latest hardware, software, and reconstruction automatically loads the correct selection of adult applying automatic exposure controls that can for routine clinical use and is able to remove Radiation Exposure Monitoring Profile function
technologies to keep pace with your busy or child protocols based on the patient’s age. In be programmed into every exam plan preset. up to 50% of image noise, resulting in dose is provided in the software. This function
workload. addition, protocols are anatomically grouped Based on the user-specified level of image quality reduction of up to 75%. automatically records all scanning data, enabling
with an intuitive graphical interface to ensure and the automatic attenuation measurements accurate tracking of the dose for a particular study.
Original Reconstruction AIDR 3D Reconstruction
Real-time dual scanogram easy, correct protocol selection. obtained from the patient scanogram, the tube
Scan plan current (mA) is automatically adjusted in the X,
Scan start Dose Check Y, and Z planes to maintain image quality at a Dose
Report
Simultaneous image reconstruction The Dose Check software helps ensure that the constant level.
at 15 images per second with AIDR 3D user-defined radiation dose limits cannot be
exceeded by incorrect operation of the system. Real-time Imaging
Real-time visualization is a valuable tool that
provides an instantaneous view of a helical Fast Reconstruction Dose
Report
scan in real-time. A Toshiba first, real-time A newly developed reconstruction system
imaging allows the operator to monitor contrast supports reconstruction speeds of up to 15
enhancement and ensures adequate scan images per second, ensuring rapid diagnosis and Archive
coverage without the need to wait for even high patient throughput.
one conventional image
reconstruction. Dose Analysis & Reporting

Dose
Report

National Registry

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 Streamlined Workflow

Simple Yet Sophisticated Easy 3D

Multiview
Aquilion Lightning optimizes the clinical workflow. With Aquilion Lightning’s user-friendly 3D imaging software, high quality Multiview allows all reconstruction parameters to be preprogrammed into every
Examinations can be performed with confidence in any location at any 3D images can be generated with outstanding ease. Just select the examination protocol. Axial, coronal, and sagittal reconstructions are performed
time of the day or night desired protocol from the gallery screen and you’re done. automatically without a single mouse click. Even rendering options such as thick-slab
MIP images can be automatically generated, expediting diagnosis. Simply plan the scan
and go!
Navigation Mode — Easy and Fast —
Aquilion Lightning features unique Navigation Mode operation that
guides the operator through every step of the examination with state-of-
the-art computer graphics and animation. A newly developed intelligent HybridView
filming function automatically compiles images in a predefined layout for
Single click Fast
Toshiba’s hybrid reconstruction kernels save time and reduce storage requirements.
fast and efficient workflow.
These newly introduced iterative reconstruction algorithms ensure fine lung detail and
excellent soft tissue resolution in the same image. Reading times are shortened because
you only need to concentrate on a single series to make a definitive diagnosis.
Automated Bone Removal
Aquilion Lightning incorporates automated bone segmentation
algorithms to quickly and accurately segment bone in CT angiography
Patient Registration
examinations. In just a few seconds, high-quality angiographic images are
Filming Protocol
available for diagnosis.

Scanning Scanogram

Positioning

Single click Automatic

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 Adaptive
Diagnostics

Subtraction™ is Toshiba’ s unique Adaptive Diagnostic scan

SURE

modes that simplify complex protocols and provide consistent

quality results. SEMAR™ (Single Energy Metal Artifact Reduction)
is the latest addition to the Adaptive Diagnostics suite of
technologies. Aquilion Lightning delivers total clinical flexibility.
 Adaptive Diagnostics

Adaptive Diagnostics

“With SEMAR, the structures hidden before by metallic artifacts

are now visible. We never want a CT without this feature again.
AIDR 3D is always ON. 50‐80% dose reduction with no additional
workload. It just works.”

Christoph Behr, MD
RIO – Radiology Institute Oberhausen
Germany

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 Adaptive Diagnostics

Adaptive Diagnostics — Solving Your Clinical Challenges

Adaptive Diagnostics is Toshiba’s patient-centric suite of unique imaging solutions that simplify
complex protocols and provide consistent quality results. Toshiba’s solutions thereby improve workflow
and decrease scanning complexity for the technical team.
Resultant improvements in diagnostic accuracy reduce the time to diagnosis for patients on a routine
basis. Originally developed for our most advanced scanners, Adaptive Diagnostics are also available on
the Aquilion Lightning because everyone should benefit from this technology.

Subtraction (Brain/Neck/Ortho)
SURE

Remove skeletal structures & calcified plaque for accurate CTA.

Robust registration algorithms can adapt to a wide range of anatomy and potential motion. Subtraction Brain
SURE
Subtraction Neck
SURE
Subtraction Ortho
SURE

Subtraction Lung
SURE

Generate iodine maps which can easily identify underperfused areas in the lung.
Advanced deformable registration tuned for lung parenchyma.

SEMAR
A sophisticated algorithm is utilized to virtually eliminate metal artifacts, improving visualization of
implants and supporting bone and adjacent soft tissue for a clearer and more confident diagnosis.

SURE
Subtraction Lung SEMAR

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 Adaptive Diagnostics

SEMAR
Toshiba’s SEMAR utilizes a sophisticated reconstruction technique to remove artifacts caused
by metal and improves visualization of the implant, supporting bone, and adjacent soft
tissues for clearer and more confident diagnosis.

Original Image Original Image

“The real power of SEMAR is in the ability to clearly visualize the adjacent
soft tissue structures free from artifact. This level of artifact reduction is not
only useful for the evaluation of musculoskeletal disorders, but is invaluable
for routine evaluation of body scans in patients with metallic prostheses.“

SEMAR Image SEMAR Image

Dr. Pedro Teixeira and Prof. Alain Blum

Centre University Hospital Nancy, France

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 Adaptive Diagnostics

SURE
Subtraction Lung
Subtraction Lung is a perfect addition to Toshiba’s suite of Adaptive Diagnostics Clinical Solutions,
SURE

which are designed to solve your clinical challenges with simplified workflow and to provide results of
consistently high quality.
Thromboembolic disease is associated with significant risks, and patient outcomes are greatly improved
by correct diagnosis and treatment. Routine diagnosis with blood flow maps enhances diagnostic
“Subtraction imaging adds diagnostic power to the routine evaluation of
capabilities to improve patient outcomes.
patients undergoing pulmonary CTA examinations. Ongoing studies also
suggest new opportunities for the evaluation of interstitial lung disease
and COPD, where knowledge about blood flow information may aid in
diagnosis and treatment planning.“

Prof. Mathias Prokop

Radboud University Medical Center,
Nijmegen, the Netherlands

24 25
 Minimum
Energy,
Minimum
Space

The Aquilion Lightning has been thoughtfully

engineered to meet today’s demanding
economic challenges.
 Minimum Energy, Minimum Space

Efficient Design for Lower Costs and an Improved Work

Environment
With a gantry design focusing on smaller installation space and power consumption, Aquilion
Lightning has a minimum footprint of 9.8 m2*, compact enough to meet even the most restrictive
siting requirements. Innovative Adaptive Power Management technologies decrease energy
requirements, reducing running costs and easing the environmental impact.

Minimum footprint of 9.8 m2

– Reduced renovation cost.
– Installation can be completed in as little as 3 days.

Adaptive Power Management

– Reduction of power consumption by approximately 10%.
Couch motors, cooling fans, and generator main power.
turned off in Power Save Mode.
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30 31
 TOSHIBA AND THE ENVIRONMENT GLOBAL INNOVATION BY DESIGN
Good for our planet, right for our customers For over 140 years Toshiba’s research and development has improved the health and welfare of people around the world. Today, Toshiba Medical Systems
Caring for the earth and its people is at the heart of everything Toshiba does – and one of the many ways we innovate. offers a full range of diagnostic imaging products and is a reliable service partner in more than 135 countries. In accordance with our
Toshiba’s passion for safeguarding the earth is enshrined in our Environmental Vision 2050, whereby we seek to Made for Life commitment, we will continue to develop innovations that improve patient care and provide lasting quality for a lifetime of value.
improve our eco-efficiency by a factor of ten over the next four decades through strict monitoring of energy usage,
continuous improvement of manufacturing processes and eco-conscious product development.

Far from being a distant goal, the Environmental Vision 2050 sets tangible milestones year by year. These include
the reduction in emission of CO2 and other greenhouse gases, and the complete phasing out of certain hazardous
substances from our products.

Design
Minimum footprint 9.8 m2 Low-dose scanning technology AIDR 3D Adaptive power managements WHY TOSHIBA? Our product design is driven by customer feedback and the close consultation with industry
that reduces power consumption
Aquilion Lightning requires less installation space than Innovative Adaptive Power Management technologies Innovation visionaries and opinion leaders. Our award-winning Corporate Design Center has over 60 years of
any other premium level CT with a footprint of only AIDR 3D technology allows high-quality images dramatically decrease energy requirements, reducing Toshiba is a world leader and innovator in high technology, spanning information & experience in developing appealing products and industry-leading solutions.
2 (*1)
9.8 m . This CT system has been made compact to be acquired with lower X-ray exposure than in running costs and easing the environmental impact. communications systems, digital consumer products, electronic devices, and medical
enough to meet even the most restrictive siting conventional systems. The patient exposure dose can imaging systems. Year on year we file thousands of patents, leading the way within each Partnership
requirements. be reduced by up to 75%,(*2) with a corresponding industry sector making innovation a key part of the Toshiba fabric. Making sure your systems deliver from day one is an important part of our relationship. Whether
reduction in power consumption for X-ray generation. you need onsite or offsite training, we can provide options that work best for you. Experienced
Quality clinical application specialists will help you maximize the potential of your new equipment.
At Toshiba quality and reliability is at the heart of everything we do. With technologies
and products being developed in more than 30 R&D laboratories and over 600 Environment
*1: Short couch version
subsidiary companies across the globe Toshiba engineers are dedicated to develop the With Environmental Vision 2050, Toshiba announced its commitment and determination to
*2: Compared with Toshiba products in which AIDR 3D is not installed.
best-performing, most reliable and environmentally friendly product solutions for you. contribute to a better environment by emphasizing the stable supply of reliable energy and
mitigation of climate change as well as by creating new value in harmony with the Earth.

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 Clinical Flexibility,
Industry‐Leading Patient Care,
Comfort, and Workflow