Multitom Rax in clinical use
Application of Twin Robotoc X-ray across various
musculoskeletal specialties
Clinical use for radiologists
X-ray remains an essential modality for musculoskeletal imaging. Multitom Rax adds versatility and flexibility to your imaging fleet. See how it can be applied in emergency care, pediatric care and orthopedic and musuloskeletal care.
Orthopedic and Musculoskeletal Imaging
Multitom Rax offers unparalleled precision and flexibility in positioning, allowing projections from virtually all angles – adapting to patients with limited mobility.
Add advanced application to benefit even more. Real3D1 Hi-Res, exceptional spatial resolution allows for precise insight into the trabeculae and bone marrow. Real3D1 weight-bearing offers assessment of deformities and arthritis in the lower limbs under physiological loading. Combine fluoroscopy1 with Real3D1 for one-stop arthroscopy in the X-Ray room!
In orthopedic imaging, images that are scanned with the patient in an upright position may provide additional information for diagnosis and treatment planning, such as exact positioning of the joints for implant and prosthesis, planning, or malposition of anatomical structures.
Trauma diagnostics in the emergency room
Versatility and space are key in emergency imaging. With Multitom Rax, you can provide an efficient workflow around your patients. You move the system, not the patient, adapting to the situation in the emergency room. To increase the patients' comfort, they can e.g. remain on the stretcher or in their wheelchair for certain acquisitions.
For table-side imaging, our organ programs are designed to minimize patient repositioning.
Emergency rooms are mainly concerned with fractures and joint injuries. In trauma imaging, the 3D information1 can help enable the radiologist to detect and rule out extremity fractures and fracture-related findings more reliably than conventional radiography.
Diagnostics for your most vulnerable patients
Pediatric radiology has its challenges. Children differ fundamentally from other patient groups in terms of their emotional and cognitive needs. Siemens Healthineers is redefining the pediatric patient experience.
Multitom Rax is versatile and offers an open system design. In examining children and adolescents in pediatric care, sustaining close contact with the patient and minimizing waiting and transportation time can make all the difference between getting an image or not.
Low-dose imaging is particularly important for your most vulnerable pediatric patients and anyone needing frequent follow-up exams. Scatter reduction inherent in the beam collimation helps ensure ALADA2 dose.
Orthopedic and Musculoskeletal Imaging
Multitom Rax offers unparalleled precision and flexibility in positioning, allowing projections from virtually all angles – adapting to patients with limited mobility.
Add advanced application to benefit even more. Real3D1 Hi-Res, exceptional spatial resolution allows for precise insight into the trabeculae and bone marrow. Real3D1 weight-bearing offers assessment of deformities and arthritis in the lower limbs under physiological loading. Combine fluoroscopy1 with Real3D1 for one-stop arthroscopy in the X-Ray room!
In orthopedic imaging, images that are scanned with the patient in an upright position may provide additional information for diagnosis and treatment planning, such as exact positioning of the joints for implant and prosthesis, planning, or malposition of anatomical structures.
Trauma diagnostics in the emergency room
Versatility and space are key in emergency imaging. With Multitom Rax, you can provide an efficient workflow around your patients. You move the system, not the patient, adapting to the situation in the emergency room. To increase the patients' comfort, they can e.g. remain on the stretcher or in their wheelchair for certain acquisitions.
For table-side imaging, our organ programs are designed to minimize patient repositioning.
Emergency rooms are mainly concerned with fractures and joint injuries. In trauma imaging, the 3D information1 can help enable the radiologist to detect and rule out extremity fractures and fracture-related findings more reliably than conventional radiography.
Diagnostics for your most vulnerable patients
Pediatric radiology has its challenges. Children differ fundamentally from other patient groups in terms of their emotional and cognitive needs. Siemens Healthineers is redefining the pediatric patient experience.
Multitom Rax is versatile and offers an open system design. In examining children and adolescents in pediatric care, sustaining close contact with the patient and minimizing waiting and transportation time can make all the difference between getting an image or not.
Low-dose imaging is particularly important for your most vulnerable pediatric patients and anyone needing frequent follow-up exams. Scatter reduction inherent in the beam collimation helps ensure ALADA2 dose.
Orthopedic and Musculoskeletal Imaging
Multitom Rax offers unparalleled precision and flexibility in positioning, allowing projections from virtually all angles – adapting to patients with limited mobility.
Add advanced application to benefit even more. Real3D1 Hi-Res, exceptional spatial resolution allows for precise insight into the trabeculae and bone marrow. Real3D1 weight-bearing offers assessment of deformities and arthritis in the lower limbs under physiological loading. Combine fluoroscopy1 with Real3D1 for one-stop arthroscopy in the X-Ray room!
In orthopedic imaging, images that are scanned with the patient in an upright position may provide additional information for diagnosis and treatment planning, such as exact positioning of the joints for implant and prosthesis, planning, or malposition of anatomical structures.
Clinical use for surgeons
Diagnostic imaging supports you in developing your treatment strategy. Multitom Rax has a lot to offer for each musculoskelatal discipline. Discover what you can expect from diagnostic imaging. Please select your speciality.
High-resolution 3D assessment of small bones and joints
While conventional radiography remains the primary means for fracture diagnosis, subtle fracture detection, ascertaining affliction of the articular surface, and visualization of fracture displacement, as well as surgical planning, benefits from 3D insights.
A study from the University Hospital Würzburg reports changes in treatment decision after cone-beam CT evaluation of the appendicular skeleton in multiple patients. Multitom Rax is a versatile imaging system that allows adding 3D insights after radiography and makes an MDCT examination possible in the same room, courtesy of its Real3D cone-beam CT functionality In the upper extremities, the dedicated Real3D1 Hi-Res protocols are the preferred option for assessing trabecula and bone marrow.
Weight-bearing assessment of the lower extremities
Assessment of the lower extremities in three dimensions under physiological loading has the potential to improve understanding of various lesions and deformities, as well as surgical planning. For instance, studies have shown an abnormal internal rotation of the talus bone in patients with moderate and severe arthritis, visible in the horizontal plane. A 2D radiograph would not provide insight from that angle, whereas the rotation is only visible in weight-bearing position.8
In syndesmotic injury and detection of syndesmotic instability, standing radiographs can indicate widening of medial (MCS) and tibiofibular clear space (TCS), but will not suffice to show malrotation or a-p shift of the distal fibula within the incisura. MRI can show a ligament lesion but does not allow to assess stability.
Weight-bearing imaging is also beneficial in assessing progressive collapsing foot deformity, as it allows to evaluate the subtalar joint for inclination between the joint facets, angles between the facets and subluxation.
Diagnostic imaging for spinal care
Spine surgery sits at the intersection of many interesting problems. From a medical perspective, it is one of the most complex and impactful structures in the body, making spine surgery a delicate discipline that requires many considerations around the current and future life circumstances of a patient.
With innovative instrumentation and surgical strategies comes an increase in procedural cost, that is under scrutiny too prove long-term cost-effectiveness. The debate around health expenditure for spine surgery is fueled by the high incidence of spinal disorders/back pain and subsequent economic burden to society that stems from work absenteeism and other secondary effects. We believe that imaging plays an important role in illustrating treatment options, informing treatment decisions and documenting treatment needs and outcomes.
Precision and versatility are our guiding principles when designing imaging for spinal care. With Real3D1 imaging and True2scale Body Scan1, Multitom Rax offers innovative diagnostic imaging tools tuned for precision, inside a broad spectrum of radiographic and fluoroscopic applications that allow for full utilization. The system is designed to flexibly adapt to patients’ mobility needs. As an imaging company, designing for ALADA2 dose is at the core of our activities.
Fracture detection and follow-up imaging
The limitations of conventional 2D radiography in discerning fracture presence, articular involvement, and multi-fragment injuries collide with delays and positioning challenges resulting from referring the mobility-impaired patient to multi-detector CT scan.
With Multitom Rax and Real3D1, cone-beam CT imaging of the upper and lower extremities is available on the radiography system with minimal patient repositioning. Sideways extension of the upper limbs spares the trauma patient the adoption of a potentially painful superman position. Several studies have positively assessed image quality - with special consideration of the fine trabecular structures – and radiation dose compared to MDCT, as well as changes in treatment decisions compared to those made solely based on conventional radiography.
High-resolution 3D assessment of small bones and joints
While conventional radiography remains the primary means for fracture diagnosis, subtle fracture detection, ascertaining affliction of the articular surface, and visualization of fracture displacement, as well as surgical planning, benefits from 3D insights.
A study from the University Hospital Würzburg reports changes in treatment decision after cone-beam CT evaluation of the appendicular skeleton in multiple patients. Multitom Rax is a versatile imaging system that allows adding 3D insights after radiography and makes an MDCT examination possible in the same room, courtesy of its Real3D cone-beam CT functionality In the upper extremities, the dedicated Real3D1 Hi-Res protocols are the preferred option for assessing trabecula and bone marrow.
Weight-bearing assessment of the lower extremities
Assessment of the lower extremities in three dimensions under physiological loading has the potential to improve understanding of various lesions and deformities, as well as surgical planning. For instance, studies have shown an abnormal internal rotation of the talus bone in patients with moderate and severe arthritis, visible in the horizontal plane. A 2D radiograph would not provide insight from that angle, whereas the rotation is only visible in weight-bearing position.8
In syndesmotic injury and detection of syndesmotic instability, standing radiographs can indicate widening of medial (MCS) and tibiofibular clear space (TCS), but will not suffice to show malrotation or a-p shift of the distal fibula within the incisura. MRI can show a ligament lesion but does not allow to assess stability.
Weight-bearing imaging is also beneficial in assessing progressive collapsing foot deformity, as it allows to evaluate the subtalar joint for inclination between the joint facets, angles between the facets and subluxation.
Diagnostic imaging for spinal care
Spine surgery sits at the intersection of many interesting problems. From a medical perspective, it is one of the most complex and impactful structures in the body, making spine surgery a delicate discipline that requires many considerations around the current and future life circumstances of a patient.
With innovative instrumentation and surgical strategies comes an increase in procedural cost, that is under scrutiny too prove long-term cost-effectiveness. The debate around health expenditure for spine surgery is fueled by the high incidence of spinal disorders/back pain and subsequent economic burden to society that stems from work absenteeism and other secondary effects. We believe that imaging plays an important role in illustrating treatment options, informing treatment decisions and documenting treatment needs and outcomes.
Precision and versatility are our guiding principles when designing imaging for spinal care. With Real3D1 imaging and True2scale Body Scan1, Multitom Rax offers innovative diagnostic imaging tools tuned for precision, inside a broad spectrum of radiographic and fluoroscopic applications that allow for full utilization. The system is designed to flexibly adapt to patients’ mobility needs. As an imaging company, designing for ALADA2 dose is at the core of our activities.
Fracture detection and follow-up imaging
The limitations of conventional 2D radiography in discerning fracture presence, articular involvement, and multi-fragment injuries collide with delays and positioning challenges resulting from referring the mobility-impaired patient to multi-detector CT scan.
With Multitom Rax and Real3D1, cone-beam CT imaging of the upper and lower extremities is available on the radiography system with minimal patient repositioning. Sideways extension of the upper limbs spares the trauma patient the adoption of a potentially painful superman position. Several studies have positively assessed image quality - with special consideration of the fine trabecular structures – and radiation dose compared to MDCT, as well as changes in treatment decisions compared to those made solely based on conventional radiography.
High-resolution 3D assessment of small bones and joints
While conventional radiography remains the primary means for fracture diagnosis, subtle fracture detection, ascertaining affliction of the articular surface, and visualization of fracture displacement, as well as surgical planning, benefits from 3D insights.
A study from the University Hospital Würzburg reports changes in treatment decision after cone-beam CT evaluation of the appendicular skeleton in multiple patients. Multitom Rax is a versatile imaging system that allows adding 3D insights after radiography and makes an MDCT examination possible in the same room, courtesy of its Real3D cone-beam CT functionality In the upper extremities, the dedicated Real3D1 Hi-Res protocols are the preferred option for assessing trabecula and bone marrow.
Customer voices
Being one of the busiest emergency medical facilities in Munich, Artemed Hospital Munich South is dealing with a high number of trauma patients every day. See how Dr. Jürgen Landes uses Multitom Rax in the emergency room3.
Artemed Hospital Munich South focuses on muscoloskeletal care, orthopedics and trauma surgery. With a high number of emergency admissions, Dr. Amir Bigdeli chose Multitom Rax for its efficiency and accuracy3.
The University Hospital Carl Gustav Carus in Dresden, Germany, is the first hospital in the world to use True2scale Body Scan1. See how they first experienced True2scale Body Scan1,3.
Multitom Rax has made an impact on day-to-day clinical routine at Krankenhaus der Augustinerinnen in Cologne, Germany. See how they benefit from Multitom Rax with Real3D1,2,3.
The Nemours Children’s Hospital in Orlando, Florida, U.S.A. is focused on pediatric research and care. See how this hospital benefits from Multitom Rax in their pediatric clinical routine1,3.
“Overall, there is a good spatial resolution. In particular, the relatively overlay-free representation of the thoracic spine facilitates the assessment and measurement of the curvatures of the axial skeleton in the sagittal plane.” 4
"In particular, the fact that panoramic images can be taken, where, for example, both shoulder joints can be seen in one image under stress, is of immense advantage to us and important for traumatology in deciding whether there is a surgical indication. This is a big step forward." 4
„With the new version (VF11) of Multitom Rax we have noticed an improvement in speed, in the positioning of the patients, the workflows are smoother and the daily routine of the MTRA is much easier.” 4
"Our trauma imaging for wrists and feet has been completely shifted to Multitom Rax. This frees up 5 to 6 slots a day on the multi-detector CT which can then be used for other types of imaging tasks." 4
"3D-weight-bearing imaging represents the position and relative movement of the bones within joints better than lying tomographic examinations." 4
Clinical corner
Discover all the latest discoveries and highlights from clinical experts in the field as they exploit the advantages and potential of Twin Robotic X-ray with Real3D1 and True2scale Body Scan1. Learn more about Multitom Rax in clinical practice though our white papers, case studies, scientific publications, clinical talks, workflow videos and online training programs.
Multitom Rax Training
Get more insights on Multitom Rax. We offer an online training on PEP connect that consists out of different modules. Download the flyer to learn more.
Clinical Case Library
We offer an impressive collection of clinical cases for Real3D1 and True2scale Body Scan1. See how different hospitals use it in their daily clinical routine.
Clinical Workflows
How do clinical workflows look like for Multitom Rax? We made a collection of videos available. Click here to learn more about the clinical workflows.
Clinical Talks
Watch the videos of our customers' experiences with Multitom Rax: clinical talks, webinars and testimonials with experts in the MSK imaging industry.
White Papers
Get more insights about the clinical application of Real3D1 and True2scale Body Scan1 for musculoskeletal imaging. Learn more from our white papers.
Scientific Publications2
Have a look at the scientific results of peer-reviewed journal publications and see how Multitom Rax performs in studies of clinical research institutions.
Clinical Catalog
This 'Clinical Corner' interactive catalog includes all available clinical information on Multitom Rax, in one catalog.
PEP Connect
Start your educational journey and get more insights on Multitom Rax. We offer online trainings on PEP Connect, accessible for everyone. Register now!