Strato 2000Digital The Next Step in Digital Panoramic Systems

Advantages of Digital Imaging State-of-the art technology Eliminates films, chemicals, developer and related costs of consumables and waste disposal Dose reduction to the patient and extended X-ray tube lifetime Real-time image acquisition: no waiting for film to process Image manipulation and storage Reduction/elimination of retakes, thanks to the post-processing compensation of exposure errors

Advantages of Digital Imaging Integration between different image modalities (Intraoral sensor, camera, etc.) Integrated management of patient info Elimination of the film archive (one CD can store hundreds of images) Possibility to easily share images by e-mail, CD, or other media

Computer Requirements Intel 1.2 GHz chipset and processor 256 MB of RAM recommended 64 MB AGP graphics card USB 2.0 port CD-ROM drive and/or 3.5" (1.44 MB) diskette drive At least 8 GB hard disk Removable hard disk, Zip or Jaz backup system

Strato Digital Sensor State-of-the-art CCD sensor with CsI (Cesium Iodide) layer The CsI layer (Scintillator screen) creates a better image with lower dosage compared to sensors with “GadOx” which is used by most competitors Total image matrix (Pan): 1536 x 2805 x 12 bit in binning modality Real-time image display Image resolution is the same or better than film

Advantages Using the CsI Screen Strato Digital Sensor Advantages Using the CsI Screen Cesium Iodide GadOx CsI screen technology provides higher image resolution for superior diagnostic ability compared to GadOx

Advantages Using the CsI Screen Strato Digital Sensor Advantages Using the CsI Screen The Cesium Iodide acts as a fiber optic, thus reducing light scatter GadOx

Advantages Using the CsI Screen Strato Digital Sensor Advantages Using the CsI Screen The use of the CsI scintillator layer increases the light output. This reduces the assorbed dose of the patient.

Strato Digital Image Quality The advanced CCD sensor produces a superb high-quality image in real-time The pixel size is 48µm and the theoretical resolution is 10.4 lp/mm The effective resolution is 5.2 lp/mm which is higher than conventional panoramic film

Strato Digital Image Quality

Compact Flash Cards The sensor assembly includes a Compact Flash® card slot that allows you to acquire and print images even WITHOUT CONNECTING to a PC

Compact Flash Cards Instead of being immediately transferred to the PC, the images are stored onto the memory card Once the image is acquired and stored on the CF card, it can be uploaded to any PC, using a memory card reader CF cards are used in consumer digital cameras and are widely available in the market in different sizes, up to 1 GB

USB 2.0 Connection The new USB 2.0 interface connection allows high data transfer rate (up to 480Mb/s) between the sensor and the PC This translates into a real-time image display during the acquisition. The image is fully available at the very end of the tubehead rotation

USB 2.0 Connection The sensor is connected to the PC via a USB cable There is no need to insert dedicated boards inside the PC or change any other hardware characteristics of the PC This means that the system can be connected to any PC, laptop or desktop, and it is not restricted to only one PC in the practice The Strato Digital and software is fully networkable

Software Integration The exposure parameters and all of the pre-examination steps can be performed on the computer, including the setting of the patient data All of the information of the image, the patient and the exposure are stored in the computer for easy and complete retrieval

Virtual Keyboard With the Virtual Keyboard, the user can set all the examination parameters directly from the PC

The Software The software includes a number features: Full archival of patient data and Strato Digital images with associated exposure values. The software is integrateable Possibility to integrate images from intraoral sensors, cameras and scanners Full image processing capabilities Networking capabilities

Image Post-Processing A large number of post-processing features help you to get the best diagnostic value out of each exam: Filters Zoom Contrast, Brightness, Gamma Automatic Contrast Enhancement Positive/Negative Inversion Hardcopy

The Software

The Software

Examination Programs Standard Examinations : 1. Standard Panoramic 2. Hemi-Pan Left 3. Hemi-Pan Right 4. TMJ: Open/Closed Mouth 5. TMJ: Bi-Axial 6. Orthogonal Dentition 7. Maxillary Sinus P-A 8. Maxillary Sinus L-L (All available in Child and Adult modes)

Examination Programs Works In Progress Will be added to the system by a firmware upgrade: 9. TMJ: P-A 10. Frontal Dentition 11. Reduced-Dosage Quick-Motion Panoramic (all available in Child and Adult modes)

Panoramic Panoramic Adult Exposure time: 15 s Panoramic Child

Hemi Panoramic Useful to reduce the dose when the region of interest is limited to one half of the arch Half panoramic Left Exposure time: 8 s Half panoramic Right Exposure time: 8 s

TMJ Open/Close Mouth 4 images are taken on the same film Each condyle is X-rayed with open and closed mouth to study the dynamics of the movement Right close Right open Left open Left close

Bi-Axial TMJ 4 images are taken on the same film: left/right condyle, longitudinal/oblique projection. One projection is perpendicular to the condyle long axis, the other is tilted by 40° compared to the first. 40° 90° The two views provide a detailed study of the position of the condyle inside the fossa

Work In Progress: TMJ P - A

+/- 7mm Maxillary Sinus P-A Layer Projection

Maxillary Sinus L-L +/- 3 mm SX DX Layer Projection

Improved Orthogonal Dentition The X-ray beam is always orthogonal to the dental arch to reduce a super-imposition of the teeth The scope is limited to the dentition area to reduce exposition area

Improved Orthogonal Dentition Standard Pan Note: Only a limited portion is shown for comparison purposes

Frontal Dentition The scope is limited to the frontal dentition area (canine to canine) Focal layer is increased to allow a clear view of the most critical details

Reduced Dose Pan The examination area is limited to the dentition zone in order to reduce the dosage to the patient Patient positioning is simplified compared to the “Improved” projection

Frontal Patient Positioning Front to front positioning Direct eye contact increases patient confidence No parallax errors due to the mirror The patient is not facing a closed surface no claustrophobic effect The operator can see the patient and the control panel at the same time

Anatomical Programs According to the anatomic program selected, the system automatically calculates: Shape of the focal layer Optimal kV value Optimal mA value Optimal exposure time

Constant Magnification All examination programs have constant magnification Exact measurements can be taken on the images In the panoramic exam the magnification is constant in the center of the focal layer

Competitive Analysis

Competitive Analysis Trophy Digital Pan Weak Points Low cost CCD sensor with Gadox technology and low resolution Single motor mechanical system (can only perform panoramic and basic TMJ) Manual column movement Weak temple clamp fixation Manual setting of canine plane Exposure can only be set using the virtual keyboard Requires a PCI board inside the PC Manual collimator Only 5 programs

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