Advanced Application Technology


Tomosynthesis, making the invisible visible

Tomosynthesis, making the invisible visible

Shimadzu realized the world’s first practical use of Tomosynthesis on RF-table systems, SONIALVISION series, with the latest Flat Panel Detector and advanced Digital Imaging Technology.

This state-of-the-art imaging technology offers high quality multi-slice images to visualize the part which was invisible by the conventional plain radiography, in a simple and quick workflow, and at low exposure dose. Therefore, Tomosynthesis is now spotlighted more and more in the world.

What is “Tomosynthesis” ?

”Tomosynthesis” is a coined term from ‘Tomography’ and ‘Synthesis’.

It is a new type of imaging technology that fuses cone-beam CT reconstruction with digital image processing to produce images specified cross sections from a single tomography scan. It provides multiple slice images reconstructed from its volume data.

Standing position Tomosynthesis image of weight-loaded knee joints

What will be realized by Tomosynthesis ?

Reduce Examination Time and X-ray Dose

Since the images of a specific cross section can be reconstructed from a single low dose tomography scan motion only, this technique requires less time and less x-ray dose to obtain multiple slice images than conventional linear tomography.

The short examination time would be very helpful to the stressed or immobile patients.

Position free tomography

Tomosynthesis by SONIALVISION allows recording of images at any angle required for diagnosis, including a variety of table angles or with the patient standing and reverse inclined position to apply gravity, which is not possible by CT scanners. It helps expand the examination range and remedy possibility.

High Resolution Images with Minimal Metal Artifacts

The combination of high resolution FPD and our advanced imaging technology realizes excellent resolution Tomosynthesis images which are highly appreciated in the diagnoses of a micro-fracture etc.
Another key clinical benefit is that Tomosynthesis images has minimal influence from the metal artifacts that are usually seen on CT images. Therefore, Tomosynthesis is nowadays spotlighted in the orthopedics for the follow-up diagnoses to the patient with metal implants.

Precise Fracture Diagnosis
(Courtesy of Okitama Public General Hospital)

Clear visualization for callus formation
(Courtesy of Nara City Hospital)

Reconstruction Method

Reconstruction Method

Tomosynthesis was perceived as part of CT scanning, and a reconstruction method resulting from enhancement of Filtered Back Projection (FBP) was introduced.


* Tomosynthesis is a premium option for SONIALVISION-series.

Tomosynthesis acquisition movement movie.

Exhibition Schedule

  • 1-5 Mar. AAOS, Orlando, USA
    2-6 Mar. ECR, Vienna, Austria
    17-20 Mar. KIMES, Seoul, Korea
    29 Mar.-1 Apr. APOA, Melbourne, Australia
    15-17 Apr. ITEM/JRC, Yokohama, Japan
    17-20 Apr. CMEF(spring), Shanghai, China
    22-24 Apr. ASMMIRT, Brisbane, Australia
    28 Apr.-1 May. JPR, Sao Paulo, Brazil


Clinical utility of T-smart tomosynthesis for micro MAX stem total hip arthroplasty (PDF 1.71MB)

Yoshihiro Shibata1, Isato Sekiya1, Naoya Takada1, Yuka Mukofujiwara1, Yoshikazu Hayashi1, Yasuhiro Katsuda1, Akira Kondo1, and Hirotaka Iguchi2
Department of Orthopedic Surgery, Kainan Hospital1, Department of Arthroplastic Medicine, Nagoya City University2

The Detection of Radiolucent Line in Total Knee Arthroplasty Using of Tomosynthesis (PDF 2.29MB)

Satomi Nagamine, Shuya Ide, Tomonori Tajima, Shinsuke Someya, Motoki Sonohata, and Masaaki Mawatari
Department of Orthopaedic Surgery, Faculty of Medicine, Saga University

Evaluation of Early biological bone ingrowth for Cementless stem using tomosynthesis. (PDF 2.13MB)

Koichi Hara1(currently at Hara Orthopaedic Surgery clinic), Shuta Shin1, and Nobuhiro Kaku2
Department of Orthopaedic Surgery, Yufuin Hospital1 and Department of Orthopaedic Surgery, Oita University2

Usefulness of Tomosynthesis in ERCP Procedures and Experience Using T-smart (PDF 1.88MB)

Hideki Yamaguchi, Yoshitami Murayama, Seiji Otsuka, Kenji Ogawa
Department of Radiology, Nippon Koukan Hospital
Department of Internal Medicine, Nippon Koukan Hospital

X-Ray Assessment of Total Knee Arthroplasty by Tomosynthesis - Luncheon Seminar 21, 88th Annual Meeting of the Japanese Orthopaedic Association - (PDF 9.82MB)

Shuya Ide, M.D.
Department of Arthroplasty, Department of Orthopaedic Surgery, Faculty of Medicine,
Saga University

A Study to determine the utility of the pelvic incidence measurement using tomosynthesis - 41st Annual Meeting of Japanese Hip Society - (PDF 7.27MB)

Tadahiko Ohtsuru, M.D.
Department of Orthopaedic Surgery, Tokyo Women's Medical University

Using Tomosynthesis Images for Measuring Total Spine Alignment Parameters Using the SONIALVISION safire Series - Also Using Tomosynthesis - (PDF 5.79MB)

Mr. Yasuyuki Morita
Department of Central Radiology, Tokyo Women's Medical University Hospital

Use of Tomosynthesis Radiography for Total Hip Arthroplasty (THA) at Iida Hospital (PDF 1.45MB)

Mr. Shota Horitake
Department of Radiology, Iida Hospital

Applications and Present Issues of Tomosynthesis in Spine Surgery (PDF 3.01MB)

Yoshiharu Kato, M.D., Ph.D.
Professor and Chairman
Department of Orthopaedic Surgery, Tokyo Women's Medical University

Can T-smart Tomosynthesis Improve Diagnostic Accuracy on THA Component Stability? (PDF 4.85MB)

Yixin Zhou, M.D., Ph.D.
Professor and Chair Dept. of Adult Reconstructive Surgery
Beijing Jishuitan Hospital, the 4th Clinical College of PKU

Potential of tomosynthesis as a new modality for evaluating and treating painful shoulders (PDF 1.81MB)

Satoshi Fujita, M.D.
Department of Orthopedics, Mitsubishi Kyoto Hospital

Using the SONIALVISION safire Series Tomosynthesis Application (PDF 6.47MB)

Mr.Yoshihiro Uchida
Department of Radiological Technology, Mitsubishi Kyoto Hospital

Tomosynthesis in Respiratory Medicine (PDF 6.40MB)

Takehiro Izumo, M.D., Ph.D., FCCP
Department of Endoscopy, Respiratory Endoscopy Division, National Cancer Center Hospital

Clinical Report on Digital Tomosynthesis - Usage experience in the otolaryngological field (cochlear implants)
(Extract from INNERVISION Vol.28 of Dec.,2013)
(PDF 7.67MB)

Mr.Hiroshi Hirano
Radiology Department, Shinshu University Hospital

Current Status and Future Possibilities of Gastrointestinal Tract Patency Evaluation Using Patency Capsules (PDF 3.34MB)

Dr.Teppei Omori
Department of Gastroenterological Medicine,Tokyo Women's Medical University Hospital

Experience Using Tomosynthesis(T-smart) at Nara City Hospital (PDF 9.42 MB)

Mr. Takeshi Kuzuwa
Department of Radiology, Nara City Hospital

How Tomosynthesis Changes the Evaluation of PLIF Bone Union (PDF 2.09MB)

Shuichiro Ohno, M.D., Ph.D.
Spine Center, Seirei Hamamatsu General Hospital

Application of Tomosynthesis for Colon X-Ray Examination (PDF 5.7MB)

Mr. Takashi Nonaka
Department of Radiology, Fussa Hospital

Use of Tomosynthesis at the Aizawa Hospital (PDF 5.3MB)

Mr. Masahiro Iwama
Diagnostic Imaging Center, Aizawa Hospital

Usefulness of Tomosynthesis for Orthopedics (PDF 1.88MB)

Dr. Hogaku Gen
Chiba Central Medical Center
Deputy Director, Director of Orthopedics, Director of Spine Center

Experiences Using the SONIALVISION safire Series -Investigation into Tomosynthesis of the Temporomandibular Joint- (PDF 1.02MB)

Mr.Ryohei Fukui
Division of Clinical Radiology, Tottori University Hospital

Experiences Using the SONIALVISION safire Series (PDF 4.56MB)

Mr.Manabu Takehara
Department of Radiology, Shingu Municipal Medical Center

Potential of Low-Dose Tomosynthesis for Lung Cancer Screening (PDF 3.43MB)

Ms Yuki Ito, Department of Radiation, National Cancer Center Hospital East

Utility of Swallowing Test by Dual Energy Subtraction (DES) (PDF 2.85MB)

Mr.Yuichi Nagai, Department of Radiation, National Cancer Center

Experiences with Cochlear Implant Examination Using Tomosynthesis (PDF 1.11MB)

Mr.Manabu Takei, Department of Radiology, Shinshu University Hospital

Applications of Tomosynthesis to Bronchoscopic Examinations (PDF 6.30MB)

Mr.Masahiro Nakajima, Department of Radiology, Dokkyo Medical University Koshigaya Hospital

Clinical Experiences with Tomosynthesis in Orthopaedic Surgery at the Dokkyo Medical University Koshigaya Hospital (PDF 3.72MB)

Mr.Kazunori Ohashi, Department of Radiology, Dokkyo Medical University Koshigaya Hospital

Utility of Slot Radiography and Epicondylar View After Implant Arthroplasties (PDF 2.29MB)

Mr.Kazuya Goto, Department of Radiology, NTT East Corp. Sapporo Hospital

Utility of tomosynthesis in the orthopaedic surgery at the Sumitomo hospital (PDF 309KB)

Mr.Masanari Taniguchi , Department of Radiology, Sumitomo Hospital

The Possibilities Tomosynthesis Brings to Lung Cancer Screening (PDF 1.75MB)
Clinical Applications to Orthopaedics by New X-ray Technology (PDF 2.70MB)
Experiences Using SONIALVISION safire and the Utility of Tomosynthesis (PDF 5.44MB)

Mr. Masahiro Nakajima
Radiology Division, Dokkyo Medical University Koshigaya Hospital

Efforts to Reduce Exposure Dose in Chest Tomosynthesis
-Targeting Lung Cancer Screening-
(PDF 2.44MB)

Ms.Kaoru Shimizu
Department of Radiology, National Cancer Center Hospital East

The Clinical Utility of Tomosynthesis in Lung Cancer Diagnosis (PDF 1.84MB)

Masami Ito, MD
Division of Thoracic Oncology, National Cancer Center Hospital East

Clinical Experience Using SONIALVISION safire II
-Utility of Tomosynthesis in Orthopedic Surgery-
(PDF 4.24MB)

Mr. Shouta Miura
Iwate Medical University Hospital,Central Department of Radiology

A New Side Station for T-smart (PDF 1.7MB)

Kazuhiro Mori
Medical Systems Division, Shimadzu Corporation

Evaluation of Tomosynthesis Using SONIALVISION safire Digital Table
-Based on Presentation by Dr.Flynn of Henry Ford Health System at RSNA 2006-
(PDF 4.69MB)

Tetsuo Imanishi
Medical Systems Division, Shimadzu Corporation,

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