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www.siemens.com/mi syngo.via Images, my way. Redefining PET and CT reading with revolutionary ease-of-use – anywhere.

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Page 1: Br 10 Syngo Via

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www.siemens.com/mi

syngo.viaImages, my way.

Redefining PET and CT reading with revolutionary ease-of-use – anywhere.

Page 2: Br 10 Syngo Via

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syngo.via

Images, my way.

Redefining PET and CT

reading with revolutionary

ease-of-use – anywhere.1,4

Your diagnostic report will help determine the care that a waiting patient will

receive. The rich diagnostic information from your PET and CT imaging system has

been acquired, but there’s still a lot of work to be completed before you can deliver

the critical diagnosis that the patient’s physician needs.

Siemens understands that high quality image acquisition is important, but that

you need more. You need faster and easier ways to process, read and share those

PET and CT images. Enter the world of syngo.via, the new imaging software that

redefines PET and CT reading with revolutionary ease-of-use – anywhere.1,2,4

Experience reading efficiency – Convenient access to tools on the image.

Experience workflow integration – Live access to your PET and CT cases from any location.

Experience investment protection – Remote updates occur automatically and the system is expandable to meet your changing needs.

Page 3: Br 10 Syngo Via

My cases – ready.

syngo.via automatically

prepares the images and

enables timely navigation

through a case, in line with

disease-specific requirements.

My places – networked.

syngo.via makes it possible to

quickly access information from

any location, from any modality,

and to share it with colleagues

and clinical partners.1,2,4

My needs – anticipated.

syngo.via keeps all of the

functionality state-of-the-art

and offers a predictable cost-of-

ownership throughout the life

cycle.

Experience unparralled image

access, ease-of-use and workflow

efficiency with the syngo.via1

imaging software based on a client-

server platform. It is designed

for your PET and CT imaging and

diagnostic needs of today, and it

has the ability to evolve to meet

your software and system needs of

tomorrow.

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syngo.via

My PET and CT cases – ready.

Increasing patient and data volumes are demanding more of you and your

equipment. You can’t afford lost time searching for the right patient, prior studies

and the right tools. syngo.via lets you focus on the image, making your reading more

efficient. With syngo.via, you can experience reading efficiency.

Instant case accessvia QuickWorklist and automated case preparation

Structured reading via Case and Findings Navigators

PET and CT tools on the image via dynamic and smart menus

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Instant case access. Your cases are ready for interpretation

and are available directly from your

QuickWorklist, including all relevant

prior studies. And your worklist can be

set to batch mode, which ensures that

the next case is ready and waiting for

you, after you complete each case.

Structured reading. The Case Navigator provides a guided

workflow, specific to the type of

modality and to the case at hand.

The necessary tools are organized

in logical order. And while you read

the case, all of your findings are

automatically tracked and stored

in the Findings Navigator for easy

reference and reporting.

PET and CT tools on the image. Oncology cases automatically load into the

oncology reading environment, including

the right layouts and tools. All user interface

elements can be hidden so you can focus on

the case. And when you need to change to a

different PET or CT tool, it’s where you need

it. Its on the image, in the corner menus and

your configurable Context Menu.

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Page 6: Br 10 Syngo Via

syngo.via

My PET and CT places – networked.

Your PET and CT imaging systems deliver rich clinical information with remarkable detail.

Making full use of this information by extracting and communicating all of the findings

efficiently is a matter of image access and networking. syngo.via provides a single

database and working environment for you and your clinical partners, so nothing

is lost in transition. Advanced PET and CT visualization for case preparation, reading

and results communication is now available where and when it’s needed – including

PACS. With syngo.via, you can experience workflow integration.

Reduced reading time via efficient case preparation

Advanced PET and CT reading on every PACS5 via IT integration

Live access anytime, anywhere via client-server architecture

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Page 7: Br 10 Syngo Via

Reduced reading time.With a single database, your technologist

can now prepare your cases before plac-

ing them in the reading worklist. Routine

tasks will be completed, so more time is

available for reading. All cases are avail-

able instantly, without sending studies

across the network.

Advanced PET and CT reading on every PACS.5

With syngo.via, you can freely navigate

the entire dataset, use advanced PET and

CT segmentation and quantification tools,

and document your findings – right on

your RIS/PACS reporting workplace. Cases

can now be interpreted and reported

with access to full clinical information,

without depending on parallel ranges or

switching between reporting and reading

workplaces.

Live access anytime, anywhere.On your PACS, at the tumor board meeting, in

the OR, or even from home, live access to all

cases and tools is just a login away on any PC.1,2,4

Referring physicians can access WebReports* to

review findings and related images. This creates

new possibilities, like easy second opinion and

on-call scenarios, using the Findings Navigator to

elegantly present cases, or using 3D visualization

for surgery planning and patient communication.

syngo.via frees medical images from the local

workstation to bring the power of hybrid imaging

to clinical routine.

“In an oncology department,

syngo.via helps to make case

presentations easier. With the

link between text and image,

it is quite easy, for example, to

present ten cases prepared by

different investigators, because

their findings can easily be

tracked by everyone.”

Prof. Dr. med. Dipl.-Phys. Heinz-Peter Schlemmer

University Hospital Tuebingen, Department of

Diagnostic and Interventional Radiology

Tuebingen, Germany

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syngo.via

My PET and CT needs – anticipated.

State-of-the-art applicationsvia automatic remote updates

Improved uptime via a centrally managed server

Cost-effective scalability via flexible licensing

8

Your image management and visualization solution is part of the infrastructure of your

department. You rely on uptime and state-of-the-art functionality to remain productive

and competitive. You need it to be up and running, with minimal downtime. And you

want the infrastructure to grow with your needs.

The syngo.via service agreement keeps the system state-of-the-art with automatic remote

updates. Uptime is improved with server-grade hardware that is remotely monitored and

centrally managed. And with the flexible licensing model, additional user and application

licenses can be configured as needed. With syngo.via, you can experience investment

protection. Refer to page 15-16 of this brochure for complete details on the service and

support available to you along the entire life cycle of your syngo.via investment.

Page 9: Br 10 Syngo Via

State-of-the-art applications. Remote updates become automatically

available on the server and ready for

installation by the local administrator.

All users can immediately benefit

from continuous innovations and new

developments.

Improved uptime.Server-grade hardware in a controlled

server room can be centrally managed

and remotely monitored. Siemens Remote

Service monitors the server continuously

for preventive maintenance to ensure

system performance.

Cost-effective scalability.The flexible licensing model of concurrent

users allows additional users and application

licenses to be configured at any time. Existing

computers can also be used as syngo.via

clients, which can run on any standard PC.1,2,4

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Page 10: Br 10 Syngo Via

syngo.viaModular. Multimodality. Client-Server Based Architecture.

syngo.via can be configured with a large selection of advanced applications. Engine

and Engine Pro options are available and include applications designed for specific

clinical specialties. The Engine option focuses on the functions required for routine

PET use, and Engine Pro contains additional PET and CT functionality.

The PET and CT Engines5 for syngo.via provide a higher level of automation and

quantification. The system helps deliver a processing and evaluation solution tailored

to your specific PET and CT workflow requirements, installed modalities, and clinical

focus requirements in order to facilitate reproducible results faster, a necessity in high

volume environments.

Standard multimodality reading functionality

Standard CTA functionality

Standard integrated PET and CT functionality

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optional

standard

syngo.viaStandard Applications

syngo.via clients

PACS/Archive

syngo.viaClient-server platform and universal functionality

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syngo.via is a modular solution that consists of a client-server architecture and a variety of standard and optional software applications that

together form the revolutionary syngo.via image management software platform. With the client-server architecture at its foundation,

syngo.via PET and CT users can achieve functionality like “anywhere, anytime access,” a single database workflow environment, remote upgrade

and service capability, centralized server administration, and cost-effective, scalable license sharing and expansion capability.

Add a powerful set of optional clinical applications and engines, and you can go beyond image display to advanced visualization and

quantification that is tailored to the needs of specific clinical specialties, like oncology, cardiology or neurology. These powerful engines

can be purchased at any time - making syngo.via a modular, multimodality, client-server solution that can grow with you today, as well as

tomorrow.

The number of syngo.via client

licenses, applications and

engines can be configured

independently with regard to

timing and quantity. A complete

list of the software applications

available on syngo.via for PET and CT

is listed on page 12-13 of this

brochure.

11

Page 12: Br 10 Syngo Via

Application Features

syngo.via Standard Functionality

syngo.mCT Engine

syngo.mCT Engine Pro

Specialty Applications

Oncology syngo.mCT Oncology Engines

syngo.PET&CT Oncology Automatic image registration and fusion, MIP-based case navigation, synchronized MPR, VRT view, automatic pre-fetching of relevant prior studies, multi-timepoint comparison, RECIST/WHO measurements (manual), reporting, Findings Navigator, Corner Menus, Context Menu, multiple layouts, LUTs, windowing pre-sets

Standard Standard Standard

syngo.PET Segmentation 1-click PET segmentation with 2D and 3D SUV-based iso-contouring tools, PET quantification incl. SUVmax, SUV average, max diameter l l

syngo.Onco Cross-timepoint Evaluation Quantitative follow-up incl. percent change over time per lesion l l

syngo.CT Segmentation 1-click CT segmentation with 3D tools for liver lesions, lymph nodes, lung nodules, and general segmentation, automatic calculation of RECIST/WHO diameters and volume, quantitative follow-up incl. RECIST-based total tumor burden

l

RT Export1 Capability to export PET based iso-contours as RT structure sets for therapy planning l

Gating Support1 Display and analysis of respiratory gated studies incl. movie, max. range of motion quantification, and gated superset contour creation l

syngo.Lung CAD CT Lung CAD with autoprocessing l

syngo.CT Colonography CT virtual colonoscopy with 2D and 3D reading (fly through), global view (solid and semi transparent), registered navigation (prone/supine), small intestine deletion, distance to rectum, panoramic view, perpendicular flight

l

syngo.CT Colonography - PEV CT virtual colonoscopy with Polyp Enhanced Viewing (PEV) l

Cardiology syngo.mCT Cardiology Engines

syngo.CT Vascular Bone removal, table removal, manual vessel tracking, MPR, thin MIP images, curved and cross-sectional MPR, reporting Standard Standard Standard

syngo.CT Cardiac Heart isolation, plaque visualization, manual coronary tracking, cardiac planes, curved and cross-sectional MPR, reporting, movie (beating heart) Standard Standard Standard

Corridor 4DM or Cedars PET Quantification1 Standard PET quantification package from Cedars or Corridor 4DM for perfusion, viability, and functional analysis l l

syngo.CT CaScoring Calcium Scoring l l

syngo.CT Coronary Analysis2 Automatic coronary tracking and labeling (LAD, RCA, LCX), VesselSURF for navigation along coronaries, curved and cross sectional ranges, single click stenosis function provides diameter, plaque composition, curved length, lumen profile curve, and minimum lumen information

l l

syngo.CT Cardiac Function2 Left ventricular functional analysis of CT angiography studies incl. volumetry in all cardiac phases, ejection fraction, wall motion and thickening. Results displayed in polar plots and graphs. l

syngo.CT Cardiac Function – Enhancement2 First pass myocardial enhancement based on Single Energy CT data l

syngo.CT Cardiac Function – Right Ventricle2 Right ventricular volumetry for CT angiography studies l

syngo.CT Vascular Analysis2 Curved and cross sectional ranges, navigation along vessels, vessel tracking, stenosis measurement, calcium removal (Single Energy), lumen to vessel measurement l

syngo.CT Vascular Analysis – Autotracer2 Automatic tracking and labeling of main vessels l

Myocardial Blood Flow Evaluation1 Absolute quantification of the myocardial blood flow in ml/g/min based on dynamic PET perfusion study. Helps to improve diagnostic confidence even in patients with balanced disease. l

Neurology syngo.mCT Neurology Engines

Neuro Viewer Neuro layouts, dynamic data display Standard Standard Standard

Neurology PET Evaluation1 Visualization, volumetric analysis, automated registration and fusion of PET studies with CT and MR, FDG PET normal database comparison (voxel based), regional evaluation of abnormal glucose metabolism, prededined regions of interest optimized for evaluation of dementia

l l

Neuro Perfusion CT1 Quantitative evaluation of dynamic CT data to aid in early differential diagnosis of acute ischemic stroke and image the bloodbrain barrier disruption found with some brain tumors; Provides Cerebral Blood Flow (CBF), Cerebral Blood Volume (CBV), Time-to-Peak and Multi-Parameter Classification from one set of dynamic CT images for assessment of the type and extent of cerebral perfusion disturbances. Capability to generate permeability images of brain tumors may enhance the physician’s ability to grade tumors, plan biopsies and monitor therapy. Using many automated functions, mirroring of ROI’s, and automated calculations, fast results like multiparameter tissue classification can occur in seconds.

l

syngo.CT Neuro DSA2 Bone removal from CT Angiography datasets for improved visualization of the cerebral vasculature l

syngo.viaApplications Overview for PET and CTFunctionality at a Glance

1 Clinical functionality provided on syngo MMWP. Functionality to be transferred to syngo.via at a later date.

2 Pending clearance by the US FDA. Not commercially available.12

Page 13: Br 10 Syngo Via

Application Features

syngo.via Standard Functionality

syngo.mCT Engine

syngo.mCT Engine Pro

Specialty Applications

Oncology syngo.mCT Oncology Engines

syngo.PET&CT Oncology Automatic image registration and fusion, MIP-based case navigation, synchronized MPR, VRT view, automatic pre-fetching of relevant prior studies, multi-timepoint comparison, RECIST/WHO measurements (manual), reporting, Findings Navigator, Corner Menus, Context Menu, multiple layouts, LUTs, windowing pre-sets

Standard Standard Standard

syngo.PET Segmentation 1-click PET segmentation with 2D and 3D SUV-based iso-contouring tools, PET quantification incl. SUVmax, SUV average, max diameter l l

syngo.Onco Cross-timepoint Evaluation Quantitative follow-up incl. percent change over time per lesion l l

syngo.CT Segmentation 1-click CT segmentation with 3D tools for liver lesions, lymph nodes, lung nodules, and general segmentation, automatic calculation of RECIST/WHO diameters and volume, quantitative follow-up incl. RECIST-based total tumor burden

l

RT Export1 Capability to export PET based iso-contours as RT structure sets for therapy planning l

Gating Support1 Display and analysis of respiratory gated studies incl. movie, max. range of motion quantification, and gated superset contour creation l

syngo.Lung CAD CT Lung CAD with autoprocessing l

syngo.CT Colonography CT virtual colonoscopy with 2D and 3D reading (fly through), global view (solid and semi transparent), registered navigation (prone/supine), small intestine deletion, distance to rectum, panoramic view, perpendicular flight

l

syngo.CT Colonography - PEV CT virtual colonoscopy with Polyp Enhanced Viewing (PEV) l

Cardiology syngo.mCT Cardiology Engines

syngo.CT Vascular Bone removal, table removal, manual vessel tracking, MPR, thin MIP images, curved and cross-sectional MPR, reporting Standard Standard Standard

syngo.CT Cardiac Heart isolation, plaque visualization, manual coronary tracking, cardiac planes, curved and cross-sectional MPR, reporting, movie (beating heart) Standard Standard Standard

Corridor 4DM or Cedars PET Quantification1 Standard PET quantification package from Cedars or Corridor 4DM for perfusion, viability, and functional analysis l l

syngo.CT CaScoring Calcium Scoring l l

syngo.CT Coronary Analysis2 Automatic coronary tracking and labeling (LAD, RCA, LCX), VesselSURF for navigation along coronaries, curved and cross sectional ranges, single click stenosis function provides diameter, plaque composition, curved length, lumen profile curve, and minimum lumen information

l l

syngo.CT Cardiac Function2 Left ventricular functional analysis of CT angiography studies incl. volumetry in all cardiac phases, ejection fraction, wall motion and thickening. Results displayed in polar plots and graphs. l

syngo.CT Cardiac Function – Enhancement2 First pass myocardial enhancement based on Single Energy CT data l

syngo.CT Cardiac Function – Right Ventricle2 Right ventricular volumetry for CT angiography studies l

syngo.CT Vascular Analysis2 Curved and cross sectional ranges, navigation along vessels, vessel tracking, stenosis measurement, calcium removal (Single Energy), lumen to vessel measurement l

syngo.CT Vascular Analysis – Autotracer2 Automatic tracking and labeling of main vessels l

Myocardial Blood Flow Evaluation1 Absolute quantification of the myocardial blood flow in ml/g/min based on dynamic PET perfusion study. Helps to improve diagnostic confidence even in patients with balanced disease. l

Neurology syngo.mCT Neurology Engines

Neuro Viewer Neuro layouts, dynamic data display Standard Standard Standard

Neurology PET Evaluation1 Visualization, volumetric analysis, automated registration and fusion of PET studies with CT and MR, FDG PET normal database comparison (voxel based), regional evaluation of abnormal glucose metabolism, prededined regions of interest optimized for evaluation of dementia

l l

Neuro Perfusion CT1 Quantitative evaluation of dynamic CT data to aid in early differential diagnosis of acute ischemic stroke and image the bloodbrain barrier disruption found with some brain tumors; Provides Cerebral Blood Flow (CBF), Cerebral Blood Volume (CBV), Time-to-Peak and Multi-Parameter Classification from one set of dynamic CT images for assessment of the type and extent of cerebral perfusion disturbances. Capability to generate permeability images of brain tumors may enhance the physician’s ability to grade tumors, plan biopsies and monitor therapy. Using many automated functions, mirroring of ROI’s, and automated calculations, fast results like multiparameter tissue classification can occur in seconds.

l

syngo.CT Neuro DSA2 Bone removal from CT Angiography datasets for improved visualization of the cerebral vasculature l

13

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syngo.viaMy needs – anticipated.

syngo.via service provides

you with peace of mind.

You can be confident that

you are on the leading edge

of technology, and that

your systems and workflow

are running smoothly.

Continued innovations keep you on the leading edgeWith our dedicated syngo.via service agreement, your core functionality and clinical

applications are always state of-the-art. We continuously provide you with managed

remote updates for software enhancements. These will be delivered automatically,

via our secure remote infrastructure, without unplanned workflow interruptions. This

means that you are able to expand your clinical spectrum with the latest applications,

when needed.

Integrated services for comprehensive supportWith our service agreement, you receive support for your workflow, not just for a single

step. Our remote maintenance and repair services ensure quick response and repair

times for better staff planning and patient scheduling. Our service team is available

for you up to 24/7. During the Principal Coverage Period, native language support is

available for most major languages. Furthermore, you will have a primary contact

person who has in-depth knowledge of your facility. In addition, our application support

and modular training offering mirror your needs, schedule, and work-flow.

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Confident financial and department planning with predictable life-cycle costsOur comprehensive service agreement

and the flexible licensing model are key to

planning security. Software maintenance

and support services are an integral part

of the syngo.via service agreement,

which makes service costs predictable.

In addition, you can adapt your service

agreement to meet your unique needs by

adding optional services. Our concurrent

user model for syngo.via is highly flexible.

Simply choose the number of licenses

that meet your needs, not the number

of connected hardware. Should your

requirements change, you can always

expand the number of licenses or add new

clinical applications.

Foreseeable Total Cost of OwnershipAnother big plus on the business

perspective: foreseeable Total Cost

of Ownership. Because software

maintenance and support services are

an integral part of your syngo.via service

agreement, service costs are predictable

and clearly calculable. In combination with

the fl exible licensing model, this makes

precise budget planning easier for you.

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Benefits For All Members of the Imaging Team...

Technologists • syngo.via is easy to learn and intuitive to use.

• Technologists and physicians work with the same

tools. It helps eliminate workarounds, such as

parallel ranges for PACS reading.

• Preparation work performed by the technologist

is saved for further manipulation and review.

Adjustments can be made without rework at a

later time.

Reading Physician• The reading worklist with batch mode, automated

case preparation, and disease-oriented workflow

reduce reading time.

• Routine access and the use of integrated PET and CT

tools help extract all clinical information for full use

of hybrid scanner capabilities.

• All clinical data and applications can be accessed

when and where needed: during reporting from

PACS, during the tumor board from a PC, and

during on-call from home.

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Benefits For All Members of the Imaging Team...

Clinical Partners• syngo.via unites oncology, cardiology and

neurology tools in one intuitive multimodality

environment.

• Surgeons can plan an intervention by navigating

through the case in 3D instead of looking at

static 2D images. Oncologists can review lesions

with advanced measurement tools. And referring

physicians have access to WebReports.

• The consistent user interface and intuitive

workflow design enable consistent and

reproducible results even for applications only

used occasionally.

Administrator• A single database avoids time consuming data

transfers across the network.

• The syngo.via multimodality platform is the ultimate

enabler of the true PET and CT shared-services

department.

• Centralized IT administration, automatic updates,

and fast and efficient remote services improve

uptime and keep the system state-of-the-art.

• With low incremental cost per additional user,

syngo.via provides better return on investment and

grows with PET•CT needs.

Page 18: Br 10 Syngo Via

syngo.via – processing, reading and sharing images, your way.

In today’s challenging healthcare

environments, Siemens understands that

the cost and efficiency of healthcare delivery

is equally of concern as is the quality of

care. syngo.via is the latest innovation

from Siemens designed to address these

important concerns. When combined with

the state-of the-art Biograph™ PET•CT

imaging scanners, powerful software

applications, and radiopharmaceuticals

from PETNET® Solutions, the result is a

comprehensive solution designed to help

you efficiently transform patient medical

images into accurate clinical diagnoses and

treatment protocols that can help improve

the life of a patient.

To learn more about syngo.via, visit www.siemens.com/mi or contact your local Siemens sales representative to schedule your syngo.via onsite demonstration today.

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Global Siemens Headquarters

Siemens AGWittelsbacherplatz 2D-80333 MunichGermany

Global SiemensHealthcare Headquarters

Siemens AGHealthcare SectorHenkestrasse 127D-91052 ErlangenGermanyTelephone: +49 9131 84 - 0www.siemens.com/healthcare

Order No. A91MI-10216-2C-7600 | Printed in USA 5/2010 | PA 0510/1.5 | All rights reserved | © 2010 Siemens Medical USA, Inc.

www.siemens.com/mi

Disclaimers: * syngo.via can be used as a standalone device or together with a variety of cleared and unmodified syngo.via-based software options, which are medical devices in their own rights.

1. Prerequisites include: Internet connection to clinical network, DICOM compliance, meeting of minimum hardware requirements, and adherence to local data security regulations.

2. syngo.via supports interpretation and evaluation of examinations within healthcare institutions, for example in Radiology, Nuclear Medicine, and Cardiology environments.

3. The system is not intended for the display of digital mammography images for diagnosis in the U.S.

4. Any PC or MAC with a network connection and meeting minimum hardware requirements can be used as a client.

5. This product does not yet fulfill all the essential requirements of the European Medical Device Directive (93/42/EEC) and its national implementations. It is not yet commercially available in the European Union.

Whenever the hardware is supplied by us and is labeled accordingly, it is CE-compliant in accordance with EMC 2004/108/EC and, if applicable, with LVD 2006/95/EC. Caution: US federal law restricts the herein described devices to sell by or on the order of a physician.

Global Business Unit Address

Siemens Medical Solutions USA, Inc.Molecular Imaging2501 N. Barrington RoadHoffman Estates, IL 60192 USATelephone: +1 847 304-7700www.siemens.com/mi

Legal Manufacturer

Siemens Medical Solutions USA, Inc.Molecular Imaging2501 N. Barrington RoadHoffman Estates, IL 60192-2061USA

Trademarks and service marks used in this material are the property of Siemens Medical Solutions USA, Inc. or Siemens AG. All other company, brand, product and service names are trademarks or registered trademarks of their respective holders.

On account of certain regional limitations of sales rights and service availability, we cannot guarantee that all products included in this brochure are available through the Siemens sales organization worldwide. Availability and packaging may vary by country and is subject to change without prior notice. Some/All of the features and products described herein may not be available in the United States.

The information in this document contains general technical descriptions of specifications and options as well as standard and optional features which do not always have to be present in individual cases.

Siemens reserves the right to modify the design, packaging, specifications and options described herein without prior notice. Please contact your local Siemens sales representative for the most current information.

Note: Any technical data contained in this document may vary within defined tolerances. Original images always lose a certain amount of detail when reproduced.

10%

Cert no. SW-COC-001530