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In this blog post, you are going to learn all about the Toshiba Aquilion RXL and how it differs from the Toshiba Aquilion 16 and 32-slice.  

The portfolio of the Toshiba Aquilions is quite diverse. 

You may know the Aquilion 16, 32, 64 and 128.

But then, there is also the Aquilion Prime and Toshiba’s big pride – the Aquilion One.

We often get asked: Where does the Toshiba Aquilion RXL belong?  

Let us get started by answering this question. 


All about the Toshiba Aquilion RXL


Toshiba (now Canon Medical) calls the Toshiba Aquilion RXL the standard for radiology.

Why is that?

For over 130 years, Toshiba has been committed to developing new technologies that minimize radiation dose while maintaining industry-leading image quality.

Toshiba Aquilion RXL

Toshiba Aquilion RXL

And that’s what they have achieved with the Toshiba Aquilion RXL.

The Aquilion RXL represents the latest development of innovations in multi-slice CT technology.

Despite it being a lower slice system (either 16 or 32-slices), excellent dose-reduction technologies are standard on the RXL CT scanner.

It comes with a great detector technology – the 16 Row Quantum detector – that has a strong focus on high image quality. And with its coneXact ™ algorithm and double slice technology, the CT can generate up to 32 unique slices per rotation (for the 32-slice configuration). This way you can get images with great detail.

Additionally, there is no extra exposure necessary because this breakthrough technology is entirely based on reconstruction.

Therefore, the RXL can provide routine, low-dose scanning for each patient in a wide range of clinical procedures with lightning reconstruction speed and unbeatable workflow.

These are available thanks to the updated console that comes with the RXL.

Toshiba designed this CT scanner to handle the pace in the busiest departments with ease. And that’s why the RXL has the ability to meet healthcare requirements in the future. 

As the Toshiba Aquilion RXL was architectured for low dose exams, the reduction of radiation dose was considered at each step of the CT scanner design. 

Because all the small dose savings add up. 

As an example can serve the gantry that has the X-ray tube positioned further from the patient, thereby reducing the skin entrance dose.


And what are the low-dose technologies that you can find on the Toshiba Aquilion RXL?


In its configuration, the Toshiba Aquilion RXL has dose reduction technologies such as AIDR 3D, SUREExposure 3D Adaptive, Active Collimator, and dose management functions, including Dose Check and Dose Report. 

All the technologies reduce the radiation dose and contribute to greater image quality at the same time. 

And thanks to the lower radiation dose, the usage of the X-ray tube is lower and the tube lasts longer.

That makes the CT scanner cost-effective. 

So, let us introduce the technologies to you in more detail.


AIDR 3D (Adaptive Iterative Dose Reduction 3D)

This algorithm works in both raw data and reconstruction domains.

Toshiba Aquilion RXL with AIDR 3D

Source: Toshiba Aquilion RXL brochure

Hereby, resulting in robust noise reduction (up to 50%), which is necessary for reaching low-dose examinations in any routine scan.

To ensure optimal dose management, it is important to integrate the different dose reduction features.

And Toshiba managed to seamlessly integrate AIDR 3D into SUREExposure™ 3D – the next dose reduction technology we will introduce. 



SUREExposure™ 3D Adaptive (Automatic Exposure Control)

This effective dose reduction tool adjusts exposure for each patient based on a preset target level of image quality. 

In combination with AIDR 3D, X-ray exposure is automatically reduced before scanning.

This way the practitioner can maintain the pre-programmed image quality, which is set to the expected noise reduction level.


What is so great about the combination of the SUREExposure™ 3D and AIDR 3D?
Toshiba Aquilion RXL with SUREExposure™ 3D

Source: Toshiba Aquilion RXL brochure

On its own, SUREExposure 3D Adaptive can accomplish dose reduction of up to 40%, depending on the individual patient and anatomical area to be scanned.

However, when combined with the AIDR 3D, the dose is reduced even further, up to 75%. 



Dose Check and Dose Report

These two-dose management functions are important for monitoring and optimizing patient radiation exposure during CT scanning.

They are integrated into every step of all scans performed and ensure the highest possible level of patient safety.

In particular, the Dose Check software ensures that the radiation dose limits cannot be exceeded due to the wrong use of the CT scanner. The practitioners can define these limits themselves

Next, the Dose Report feature is available in the software of the Toshiba Aquilion RXL. 

Its Radiation Exposure Monitoring Profile function automatically records all scanning data, allowing accurate dose tracking. 


Active Collimator

Another dose-reduction technology present on the Aquilion RXL is Active Collimator.

This technology automatically blocks all X-rays that are not required to reconstruct the image in helical scanning, resulting in a further dose reduction.


So, what are the biggest differences between the Toshiba Aquilion RXL (16/32-slice) and Aquilion 16/32-slice?


Do you feel overwhelmed by all the info about the Aquilion RXL?

We were as well. Toshiba Aquilion 16

That’s why we summed up the most important things to remember.

The RXL is available in both 16 and 32-slice version, but it can reconstruct images faster than the regular Aquilion 16 and 32-slice.

It comes with the greatest dose reduction technologies and delivers higher image quality.

The 16 Row Quantum detector and the coneXact ™ algorithm, which ensure that your images are of high quality, are typically not available on the regular 16- and 32-slice Aquilions. But you can find them on Aquilions with a higher number of slices. 

Moreover, the Aquilion RXL has a better workflow as well as faster image reconstruction that reduces the time required for diagnosis. Hence, it provides faster and safer exams for both patients and practitioners.

What makes it even more valuable?

Thanks to its lower dose, the X-ray tube can last longer and thus saves you money.

And the Toshiba Aquilion RXLhas a better utilization due to its faster throughput and access to a wider range of applications.

Some of the applications of this system are cardiac examinations, colon view, lung volume analysis and fat index view.

While the Aquilion 16 is a good CT scanner for general imaging and basic cardiac studies and the Aquilion 32-slice is the most beneficial for basic cardiac clinical detection, diagnosis and care.

Furthermore, the Aquilion RXL has the option to perform neuro and angiography examinations. This option usually starts on CTs with 64-slices and you would not usually find it on the regular Aquilion 16 and 32-slice. 

Overall, the Aquilion RXL is a well-designed CT scanner that supports practitioners in all steps.

From examination planning to actual examination, and all the way through reconstruction and final report generation.


Any questions?

We hope that this blog post gave you a clear overview of the Toshiba Aquilion RXL and how does it differs from the Aquilion 16 and 32-slice.

Keep in mind:

When choosing a Toshiba Aquilion system, you should look for the right balance between your clinical needs, your patients’ throughput goals, and your budget.

There is no right choice, just what is right for you.

At LBN Medical we offer a wide range of models from the Aquilion series. We have both technical expertise in-house and access to parts and tubes for these CT scanners.

We also provide worldwide installation and offer a one year warranty on Aquilions we have refurbished ourselves.

So, if you have any questions regarding the Aquilion RXL or other Toshiba Aquilion systems, feel free to contact us.

We will be happy to answer and utilize our Toshiba CT expertise, which we gained during our long-term partnership with Toshiba (now Canon Medical).

Contact us

Regardless of your need, LBN Medical is here to serve. Please fill out the contact form below, let us know what interests you, and we’ll get back to you as quickly as possible.