Proven Outcomes in Digital Mammography
The power to see the whole picture
We see a way to reduce dose up to 50%
while maintaining image quality
We see a way to provide the highest digital resolution
in the industry with up to 20 lp/mm
We see a way to quickly access all case related information
at one workstation, including request, report and display images
from all modalities
We see a way to improve your diagnostic workflow –
loading 8 mammograms in less than one second
2
3
Proven Outcomes in Digital Mammography
The power to see the whole picture
According to the World Health Organization, more
than 1.1 million people worldwide will be diagnosed
with breast cancer this year. Clinical studies have
proven that with early detection, the mortality rate
is reduced significantly. This is why Siemens Medical
Solutions is dedicated to providing an innovative,
synergistic approach to meet the highest requirements
in mammography.
Siemens uses its expertise in high quality imaging
and IT to create a digital mammography solution
to optimize your clinical workflow. The importance
of workflow is especially evident today because an
aging population is causing an increased demand
for mammography. Breast imaging centers are
experiencing a growing number of mammography
appointments and workflow efficiency has become
more and more critical in accommodating this
additional volume.
Siemens’ digital mammography solution is designed
to handle your workflow – from patient registration
and image acquisition to reading and reporting
through final data storage – and the benefits are
undeniable.
4
Patient
registration
Reading
and reporting
Storage Image
management acquisition
Image processing and
image quality check
9
Patient registration Image acquisition
Once the patient is registered at the Patient With the pre-defined procedures set at the AWS, the
Registration Desk, the patient data is sent via patient is positioned and the exposure is taken at
the HIS/RIS to the Acquisition Workstation (AWS). the MAMMOMAT® NovationDR digital mammography
The technologist retrieves all relevant exam and system. The system is designed with patient comfort
patient demographic data from RIS via DICOM Worklist, in mind. MAMMOMAT NovationDR, with the unique
or enters it manually, at the AWS. The syngo®-speaking pivoting bucky and integration of the Opdima®
AWS supports virtually all DICOM 3.0 functions, digital spot imaging and digital biopsy system, can
seamlessly integrating your data management process host the entire digital mammography work-up.
into the HIS/RIS world. All patient information, such
The power to see the whole picture: all-in-one unit
as previous exams and reports from other modalities,
for 100 % system utilization.
is also available on the AWS.
The power to see the whole picture: consistent
access to all patient and exam information.
5
Image processing and image quality check Reading and reporting
After the exposure, the image is transferred to the Physicians review and evaluate acquired images
Acquisition Workstation (AWS). OpView™, Siemens’ and then prepare diagnostic reports on the
new advanced image processing software, provides syngo MammoReport breast care workplace. The
excellent visibility of the breast border and structures syngo MammoReport permits all steps of the reading
in dense breasts. In addition, OpView has an extended and reporting process to be individually tailored to
application range and allows for more individual meet your needs. Images and previous examinations
configurations. The image is displayed at the AWS from all modalities, including MR and Ultrasound, can
where the technologist can check each image before be viewed on the syngo MammoReport for optimized
moving on to the next exposure. This can reduce the breast diagnostics. In addition, mammograms from
examination time per patient as well as recall rates. third-party mammography vendors can be displayed.
Images from the AWS are sent to the storage
The power to see the whole picture: all relevant
management system and/or the syngo MammoReport
patient data is available at a single workplace.
breast care workplace.
The power to see the whole picture: greater
efficiency at every step of the process.
6
Storage management
Throughout the examination, information can be
exchanged with the storage system and/or documented
on film or paper. Storage management allows for
long-term storage of the complete medical case. In
addition, images are immediately available at every
workplace during the entire examination. Siemens’
mammography system can be integrated with virtually
any storage management system – independent of
the manufacturer. Siemens offers a wide range of
storage management solutions to meet an institution’s
needs for low, medium or high patient volume.
The SIENET Archiving product range provides the
appropriate solution for high to low patient volumes.
The power to see the whole picture: improved
exchange of information throughout the hospital.
syngo
It’s all about you
syngo, our unique solution for the diagnostic and
therapeutic cycles, knows how you work. What
you need. What’s most important. Fast, easy, and
intuitive, syngo brings together all of the solutions
critical to you – and your patients. Uniquely
role-based for your workflow, syngo completely
integrates your day, your department and beyond.
Leading to a whole new level of clinical excellence.
And partnership you can grow with. It’s the
beginning of a virtualized, “always on, anywhere”
world of healthcare. The time to syngo is now.
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MAMMOMAT NovationDR
Digital mammography at its very best
MAMMOMAT NovationDR is the first system to merge
all the advantages of full-field digital mammography
with Siemens’ longstanding networking expertise.
Excellent image quality
MAMMOMAT NovationDR features Siemens’ exclusive
dual anode technology. This tube offers three
anode/filter combinations to perfectly match breast
density and thickness – Mo/Mo, Mo/Rh, and W/Rh.
With Tungsten technology and high mA output, even
dense breasts are examined with shorter exposure
times and significantly reduced dose. MAMMOMAT
NovationDR utilizes the latest full-field detector
technology based on amorphous selenium (a-Se).
This flat panel detector uses an amorphous
semiconductor to absorb the X-rays and directly
generate the electrical signal without any
intermediate steps. Together with Tungsten tube
technology, this direct-to-digital technology yields
the highest possible image quality – at the lowest
possible dose.
The advantages of direct-to-digital technology (a-Se)
compared to indirect technologies:
• Significantly better X-ray absorption showing
superior DQE* for better detection of small
and low contrast objects
• Smaller pixel size for increased spatial resolution
(> 7 lp/mm)
* DQE = Detective Quantum Efficiency: DQE measures the efficiency
of the detection process of an image detector given by squared
ratio of the output signal-to-noise ratio to the input signal-to-noise ratio.
10
W/Rh Mo/Mo
1.8
1.6
1.4
AGD*/mGy
1.2
We see a way to reduce dose up to 50%
1.0
while maintaining image quality
0.8
0.6
0.4
0.2
0
0 1 2 3 4 5 6 7 8
Breast thickness in cm
* Average Glandular Dose
OpView, Siemens’ advanced image processing
software, is specially designed for digital
mammography to produce superior image quality.
New image processing algorithms provide excellent
visibility of the breast border as well as structures in
dense tissue. OpView also provides better
visualization of microcalcifications and masses.
11
MAMMOMAT NovationDR
Digital mammography at its very best
User convenience
MAMMOMAT NovationDR is equipped with a large
format detector size (24 cm x 29 cm) for imaging
virtually all breast sizes. In addition, isocentric
and motorized movements of the swivel arm allow
fast and accurate image acquisition in all projections.
The unique pivoting bucky enables one unit
to perform all functions – full-field digital
mammography, digital spot imaging, and digital-
imaging-based stereotactic biopsy. The field of
view for both large- and small-format images and
magnification adjusts automatically to the
compression plate in use.
Excellent patient comfort
MAMMOMAT NovationDR is designed with unique
features for patient and user comfort.
• Opfocus™ compression plate is designed for the
most efficient use of the detector area – allows a
larger area of the pectoral muscle to be included
in the image
• SoftSpeed slows down the compression plate after
initial contact with the breast and adjusts the speed
according to compression resistance
• Opcomp® compresses only as long as the breast
is soft and pliable and stops at the point of optimal
compression for maximum image quality
• Opdose® automatically selects the best anode/filter
combination (Mo/Mo, Mo/Rh, W/Rh) and the lowest
dose for the individual breast characteristics
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All-in-one digital breast care solution
MAMMOMAT NovationDR is equipped with the unique
and extremely popular pivoting bucky to enable
100 % system utilization. The system allows the
integration of Opdima digital spot imaging and
digital biopsy system.
MAMMOMAT NovationDR with Opdima – providing
the advantages of an all-in-one digital unit for the
entire digital mammography work-up:
• Digital mammography screening and diagnostics
• Digital and geometrical magnification
• Digital high resolution spot imaging
• Digital stereotaxy – fine and core needle biopsy
• Digital needle localization
• Digital specimen radiography
• Digital galactography
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Acquisition Workstation (AWS)
Dedicated acquisition workstation
The unique AWS is syngo-speaking and ideally suited
for mammography. You profit from the significant
advantages of syngo, including ease of use. For
We see a way to quickly access all case
example, a multi-modality viewer allows you to consult
related information at one workstation,
previous images, as well as images from other
including request, report and display
modalities, to prepare for the current examination or
images from all modalities
interventional procedures. If required, syngo enables
the RIS client to run on the AWS with no need for a
second workstation. The AWS has full DICOM
capabilities, including “Modality Performed Procedure
Steps” (MPPS), to enable the workstation to send
information about the examination (e.g., kV, mAs,
number of acquired images) to other systems such
as RIS.
After the exposure, OpView image processing software
runs on the acquired image. The image is then
displayed on the monitor and is automatically
annotated with the related exposure parameters such
as kV and mAs, plus compression force and dose
information as may be required in certain countries.
14
Opdima
The gold standard in digital biopsy and spot imaging
We see a way to provide the Opdima, an option for MAMMOMAT NovationDR,
highest digital resolution in is designed to perform quick and efficient stereotactic
the industry with up to 20 lp/mm needle and core biopsies, localization procedures,
and digital spot imaging. With a detector resolution
of up to 20 lp/mm, Opdima provides the highest
resolution of any spot imaging system as well as
a very high contrast range of 4,096 shades of grey.
This level of resolution is usually sufficient to detect
the smallest microcalcifications.
Opdima displays images in near real-time at
the workstation. Biopsy targeting takes place
online, allowing automatic coordinate calculation.
The benefits are shorter examination times, higher
throughput and less discomfort for your patients.
Opdima’s software provides a comprehensive set
of functions covering all operations necessary
to complete an examination. Patient registration,
Spot images evaluation, post-processing, interactive backup
and archiving are all integrated in the same window-
oriented user interface. All functions are accessible
via logically structured menus and can be called
up with the mouse. Opdima provides the following
DICOM functionalities: Print and Send & Receive.
Stereo images
15
syngo MammoReport
Breast care workplace – plus so much more
syngo MammoReport, the dedicated breast care We see a way to improve your diagnostic
workplace, is designed for high throughput and workflow – loading 8 mammograms
optimized workflow – ideal for screening as well in less than one second
as diagnostics. With syngo software, syngo
MammoReport adds a simple, intuitive user interface
and powerful networking capabilities to its already
exceptional advantages.
Advanced hanging protocols allow easy viewing of
syngo MammoReport is designed to meet all your a study with more than four mammograms, including
needs in mammography – tailoring the entire images from other modalities. Plus, a special workflow-
reporting process to your individual requirements. oriented keypad can be customized, including one
With extremely fast image loading, one case key touch for the complete reporting process.
(comprising eight images) can be called up in less
than one second.
16
syngo MammoReport has true multi-modality with other physicians available with telemammography.
capabilities to integrate images from other modalities, Multiple magnifying glasses, structured roaming
such as MR and Ultrasound, into your clinical workflow. and a panning function allow for full spatial resolution.
The workplace is also suited for special application Reporting can be done according to BiRads classification
packages, such as 3D, 3D Fusion (PET/CT) and MR and the system is fully compliant with DICOM standard
Soft Tissue Evaluation, as well as mammograms from and IHE* workflow.
third-party mammography vendors.
syngo MammoReport enables efficient use of computer
aided detection (CAD) from iCAD, Inc. and R2
Technology, Inc. and makes remote consultation * Integrated Healthcare Enterprise
Magnification
View
MR Soft Tissue Evaluation
Computer
Aided
Detection
3D Fusion (PET/CT)
17
Siemens Digital Mammography
Smart investment and reliable service
Life
Life is the unique customer care solution from Siemens
that helps you get the most from your investment.
From the moment of your purchase, Life surrounds
you with an array of programs and support that
enables the continuous development of your skills,
productivity, and technology. Allowing you to broaden
your capabilities. Increase profitability. And take
patient care to the next level.
Service
Siemens Remote Service – the efficient and
comprehensive infrastructure for the complete
spectrum of medical equipment-related remote
services – combines high-tech medical engineering
with state-of-the-art information technology.
Services, which formerly required on-site visits,
are now available via data transfer. But that’s not all.
By proactively monitoring your system, we can detect
parameter deviations before problems occur. And
that is just a brief glimpse into the new dimension
in system support.
18
Proven Outcomes in Digital Mammography
Satisfied customers
Siemens’ innovative technology enables us Thanks to MAMMOMAT NovationDR we have
to better pinpoint disease and plan treatment. improved our patients’ satisfaction. Radiation
As a radiologist, I appreciate the excellent image exposure is an important issue for patients and
quality and ease of use of manipulative tools physicians. MAMMOMAT NovationDR has a large
afforded by the MAMMOMAT NovationDR, while detector which means, in most cases, only one
our patients appreciate its speed, convenience, exposure is necessary for a complete breast image.
and comfort. And Siemens’ unique compression plate means
less painful exams because only the pressure
Dr. Ken Hager, Radiologist
necessary for optimal image quality is applied.
Advanced Imaging of Gadsden
We are convinced that MAMMOMAT NovationDR
Gadsden, AL, USA
meets two important goals: offering women an
excellent diagnostic service and ensuring them
optimal comfort.
Professor Dr. Detlev Uhlenbrock
St. Josefs-Hospital
Dortmund, Germany
A comfortable, efficient imaging process
significantly contributes to the high level of quality
patient care we provide. With the MAMMOMAT
NovationDR system, we’ve experienced improved
workflow, with decreased imaging time and
the ability to manipulate images easily at the
workstation.
Connie Deardorff, Program Manager
Breast Health Center, Athens Regional Medical Center
Athens, GA, USA
21
Proven Outcomes in Digital Mammography
The power to see the whole picture
MAMMOMAT NovationDR Acquisition Workstation (AWS)
Excellent image quality Dedicated acquisition workstation
• Dual target X-ray tube: Mo/Mo, Mo/Rh, W/Rh • syngo-speaking acquisition workstation
for dose reduction • Ideally suited for mammography
• 2nd generation direct-to-digital technology
(FFDM amorphous selenium detector) with Networking
excellent absorption rate, resolution, and DQE • Allows RIS client to run on AWS with no need for
(Detective Quantum Efficiency) second workstation
• OpView, advanced Siemens’ image processing • Access and review of previous exams including
software, for better visualization of breast borders other modalities, reports, and requests
as well as structures in dense tissue
• Full DICOM capabilities
User convenience
Advanced image processing
• Large format detector size (24 cm x 29 cm)
for almost all breast sizes • OpView, Siemens’ image processing software
• True isocentric rotation for fast and accurate • Automatic image annotation with related
positioning exposure parameters, plus compression force and
dose information as may be required in certain
• Motorized system movements
countries
• Unique pivoting bucky – FFDM detector and
Opdima
Excellent patient comfort
• Revolutionary compression plate Opfocus
for central positioning
• Special comfort features SoftSpeed and Opcomp
• Opdose for excellent image quality at the lowest
dose
All-in-one digital breast care solution
• Pivoting bucky to support Opdima
• Digital screening and diagnostics
• Digital and geometrical magnification
• Digital high resolution spot imaging
• Digital stereotaxy – fine and core needle biopsy
• Digital needle localization
• Digital specimen radiography
• Digital galactography
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Opdima – Digital Biopsy and Spot Imaging syngo MammoReport Breast Care Workplace
Superb image quality User convenience
• Unmatched detector resolution, up to 20 lp/mm • For the highest demands in both screening and
• High contrast range, 4,096 shades of grey diagnostics
• Increased diagnostic ability to view tiny • All steps of the reporting process can be tailored
microcalcifications to your individual requirements
• Extremely fast image loading; one case (comprising
Time savings eight mammograms) can be called up in less than
one second
• Near real-time image display at workstation
• Advanced hanging protocols allow easy viewing
• Online targeting; fully digital
of a study with more than four mammograms
• Faster examinations
• Special keypad customized to your individual
workflow
Digital operation
• Post-processing; digital functionality All-in-one breast care workplace
• Intuitive menus for ease of operation • All the advantages of syngo
• Transfer and archiving of images, DICOM Print, • True multi-modality viewing capabilities to integrate
Send & Receive images from other modalities, such as US and MR,
into your clinical workflow
• Special application packages such as 3D, 3D Fusion
(PET/CT) and MR Soft Tissue Evaluation
• Suited for mammograms from third-party
mammography vendors using the DICOM
(MG for presentation) standard
Proven Outcomes. This is what Siemens
is helping to deliver right now. Outcomes Streamlined workflow
that result from truly efficient workflow. Outcomes • CAD (Computer Aided Detection) from iCAD, Inc.
that improve your bottom line. Outcomes that and R2 Technology, Inc., plus full DICOM SR
lead to a level of care that feels exceptional to (Structured Report) compatibility
the patient and the care provider. Proof positive
• Full spatial resolution with magnification,
of the value of integrating medical technology, IT,
zoom & pan or structured roaming
management consulting and services. In a way
• Data management for ”Second reading”,
that only Siemens can.
including marking of image details
• Reporting according to BiRads classification
• Fully compliant with DICOM standard and
IHE workflow
20
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