computedtomography RadBook 2014 15 company become the CT market leader in Japan. At present, it is in third place on the global stage but has clearly-defined aims to become the number one CT manufacturer in the world. “Innovation never stops,” Zomer points out, and adds “it is a never-ending challenge between highly professional creative users and our engineers.” Adaptive Diagnostics What sets the next generation of Aquilion ONE apart is its flex- ibility and performance, making use of new innovations like Adaptive Diagnostics, including Dual Energy raw data analysis, Variable Helical Pitch, SEMAR (Single-Energy Metal Artifact Reduction) and new SURESubtraction applications. Adaptive Diagnostics is Toshiba’s patient-centric suite of unique imaging solutions to simplify complex protocols and ensure consistent quality of results and simplifying workflows. Meanwhile Dual Energy scanning is helping to bring great- er consistency to clinical results. While anatomical structures attenuate X-rays differently, Dual Energy raw data analysis in- creases the amount of information available from CT imaging. In addition the SURESubtraction applications provide clinical solutions to the challenges faced in everyday clinical practice: the brain subtraction algorithm enables accurate sub- traction of the skull and medical implants; the neck subtrac- tion deformable registration algorithm creates high-resolution images freed of bone structures; the lung subtraction provides iodine maps of the lung parenchyma with exceptional high contrast-to-noise ratio; and ortho subtraction ensures accurate subtraction of skeletal structures and calcified plaques. With a constant focus on radiation dose, patient and staff safety, Toshiba developed fully integrated AIDR 3D (Adaptive Iterative Dose Reduction). AIDR 3D assists the radiologist in automatically saving dose on every examination while main- taining excellent diagnostic image quality at a radiation dose suitable for each patient. A major challenge in CT remains the interpretation of scans from patients with metallic implants. This is where SEMAR technology plays a role by employing a sophisticated recon- struction algorithm to eliminate artefacts caused by metal while still improving visualisation of the implant. SEMAR can be used in routine low dose standard volume acquisitions and the combination with AIDR 3D provides excellent image quality. Summary The next generation of Aquilion ONE marks a major step for- ward in scanning technology enhancing the whole CT experi- ence for the patient and the health professional. With reduced radiation dose, less contrast agent, quicker delivery of results, improved imaging and increased versatility it offers a major ad- vantage in technology and helps lead to better patient diagnosis and outcomes. SEMAR removes artefacts caused by metal and improves visualization of the implant, supporting bone and adjacent soft tissues for clearer and more confident diagnosis. SURE Subtraction Lung provides iodine maps of the lung paren- chyma with a high contrast/noise ratio. The color overlay allows easy identification of hypo-perfused areas.