Multitom RaxMove beyond traditional X-ray

With Multitom Rax, we offer a Twin Robotic X-ray system that offers unparalleled positioning flexibility.
It is particularly suited for difficult exams such as trauma or orthopedic cases. Benefit from unique insights, efficient workflows, as well as comprehensive diagnosis on a single system – and set new standards in advanced musculoskeletal and trauma imaging.

What’s more, Multitom Rax now features True2scale Body Scan for full-body images that avoid distortion. Standing, seated, or even supine. All at ALADA dose.

Features & Benefits

Precise insights through unique automation

Multitom Rax offers unparalleled precision and flexibility in positioning, allowing projections from nearly all angles and unique automated workflows that make musculoskeletal insights feasible in clinical routine. And all that while saving dose.

Extended¹ anatomical coverage
Benefit from unique automation with enhanced RAXortho² acquisition modes built on the well-known SmartOrtho tilting² technique.
More precision¹
Obtain accurate MSK insights through precise system and patient positioning easily. Twin Robotic arms give you more flexibility through projections from nearly all angles.
Right dose
Use the right dose for every patient: Choose proven technology with dedicated low-dose and pediatric organ programs to help reduce necessary radiation, limit unnecessary radiation and minimize the risk of over-exposure.

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Courtesy of Krankenhaus der Augustinerinnen, Cologne, Germany

Cross-table SmartOrtho² lateral – for lateral full spine images of a patient in supine position

"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."³

Dr. med. Thomas Paffrath

Chief physician of the section of trauma surgery, Krankenhaus der Augustinerinnen, Cologne, Germany

Efficient workflows around your patients

Advanced musculoskeletal imaging requires exact patient and system positioning, complex manual workflow steps. Multitom Rax precisely positions and aligns itself, reducing the need for unnatural patient positioning even in challenging situations like trauma cases. It supports staff and offers barrier-free patient access.

Faster¹, robotic exam setup in clinical routine
Faster setup is made possible by one-touch workflows and virtually unlimited, customizable organ programs that meet your specific requirements.
Refined automated alignment of tube and detector
Thanks to RAXalign and RAXtrack, detector and tube align automatically and stay aligned when repositioning the system. The predictable and very compact virtual U-arm movement quickly shifts the system 90° around the patient ideal for emergency departments.
Less patient repositioning for enhanced care
The system moves around the patient, so repositioning them is no longer necessary. And flexible workflows for wheelchairs, trolleys, and stretchers mean that patients need not be transferred onto the system's table at all.

Motorized system and preconfigured positions –

for ease of positioning

Significantly faster positioning performance¹

„With the new version of the 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.”³

Alexandra Despineux

Chief Medical Assistant, Krankenhaus der Augustinerinnen, Cologne, Germany

Comprehensive diagnosis with multiple procedures

Thanks to its modular design, Multitom Rax can be quickly configured to suit your and your patients' demands. Starting with precision radiography, it also allows 3D bone imaging² as well as fluoroscopic² and interventional imaging² for functional assessment.

More informed diagnosis and treatment planning⁴
Acquire diagnostically relevant 3D bone imaging with our optimized Real 3D²for improved image quality, more stable patient positioning, fewer artefacts, and streamlined, faster exams. The new Real 3D Hi-Res² functionality is designed to get even higher spatial resolution for images of the hand, wrist, and elbow.
Expanded⁴ orthopedic capabilities
Perform fluoroscopy² and minor interventions² for functional diagnosis of joints, fracture, and luxation repositioning or needle guidance in musculoskeletal procedures such as contrast and drug injections into joint spaces, as well as catheter or tube placements.
Enhanced flexibility⁴ and independence
By offering 2D and 3D imaging on a single system along with complementary imaging results from fluoroscopic examinations, Multitom Rax gives you more independence.

Whitepapers

Full Body Scan X-ray Imaging Technique

True2scale, an option on the Multitom Rax, is engineered to capture geometrically accurate biplanar images of the entire body, whole spine, and long-leg. These images are intended to assess skeletal malposition, such as scoliosis⁵ or osteoarthritis secondary to malalignment of the limbs⁶. Since postural dysfunctions may be influenced by the scanning position of the patient, weight-bearing radiographs are preferred for length extended imaging procedures, if the patient is able to stand during the examination⁷. Long-leg images are also used for preoperative planning for total hip or knee prostheses⁸.

See the technique (pdf)

Real3D for musculoskeletal imaging

Real3D is an option on the Twin-Robotic X-ray system Multitom Rax, developed for the requirements of a musculoskeletal or trauma department. Due to its modular design, Multitom Rax enables conventional radiography, fluoroscopic examinations for functional assessment as well as 3D bone imaging on the same system. Real3D offers three-dimensional information on the scanned body region – free from magnification and distortion – in sagittal, coronal, and axial views as well as a rendered bone volume.

Explore Real 3D (pdf)

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Real 3D² weight-bearing imaging – enhance diagnosis and surgical planning

"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."³

Jan-Peter Grunz, MD

University Hospital Wuerzburg, Germany

Fleet Level Benefits - unlock your potential and increase the efficiency of your X-ray department

High complexity in diagnostic imaging makes it challenging to run the radiology department efficiently. Siemens Healthineers helps you to reduce complexity by offering specific solutions across the entire X-ray portfolio which let you standardize, analyze and secure the imaging fleet. In this way, you can gain valuable Fleet Level Benefits: consistency, transparency and confidence. This results in improved outcomes, increased efficiency and greater staff and patient satisfaction.

Standardize for consistency
Analyze for transparency
Secure for confidence

Learn more about Fleet Level Benefits

Clinical Use

Clinical Workflows

Click here for Clinical Workflows

Clinical Library

Click here for Clinical Cases

Clinical Images

multulosceletal (MSK) imaging scannner Multitom Rax

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High Precision Radiography for MSK examinations Multitom Rax

"I think what impresses all of us the most though is the image quality we are able to produce with the new 3D high-resolution programs."³

Dr. Schellhammer

Chief Radiologist for diagnostic and interventional radiology, Krankenhaus der Augustinerinnen, Cologne, Germany

Technical Specifications

RAXortho²	For extended anatomical coverage Cross-table SmartOrtho lateral for lying lateral spine of patient in supine position Transversal SmartOrtho panorama standing for standing orthopedic examinations along the tranversal body axe
Real 3D²	For more insight improving diagnostic confidence
Fluoroscopy²	For extended MSK imaging tasks with multifunctional wireless footswitch²
Max detectors²	MAX wi-D detector: 35 cm x 43 cm; Weight capacity: max. 300 kg MAX mini detector: 24 cm x 30 cm
RAXdetector	Ceiling-mounted built-in 43 cm x 43 cm detector for static, dynamic², and 3D² imaging
Fast, robotic exam setup	High speed, safe positioning with robotic precision Tube and detector move around the patient on up to 10 axes simultaneously Automated detector/tube alignment thanks to RAXalign, RAXtrack and Virtual U-arm
Large color touchscreen (10”)	User-friendly interface offers access to key image parameters with MAXtouch
Table²	Motorized height-adjustable table with minimum table height of 50 cm. Foot kick-switches for table height adjustment. Weight capacity: 240 kg

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Multitom Rax and the features mentioned herein are not commercially available in all countries. Their future availability cannot be guaranteed.

Compared to previous software version

Option

The statements by Siemens Healthineers customers described herein are based on results that were achieved in the customer’s unique setting. Since there is no “typical“ hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.

Compared to radiography only systems

Diebo BG, Shah NV, Boachie-Adjei O, Zhu F, Rothenfluh DA, Paulino CB, Schwab FJ, Lafage V. Adult spinal deformity.Lancet 2019; 394:160-72.

Gheno R, Nectoux E, Herbaux B, Baldisserotto M, Glock L, Cotten A, Boutry N. Three-dimensional measurements of the lower extremity in children and adolescents using a low-dose biplanar X-ray device. Eur Radiol. 2012 Apr;22(4):765-71. doi: 10.1007/s00330-011-2308-y. Epub 2011 Oct 20. PMID: 22011904.

Hasegawa K, Okamoto M, Hatsushikano S, Caseiro G, Watanabe K. Difference in whole spinal alignment between supine and standing positions in patients with adult spinal deformity using a new comparison method with slot-scanning three-dimensional X-ray imager and computed tomography through digital reconstructed radiography. BMC Musculoskeletal Disorders (2018) 19:437.

Graden NR, Dean RS, Kahat DH, DePhillipo NN, LaPrade RF. True Mechanical Alignment is Found Only on Full-Limb and not on Standard Anteroposterior Radiographs. Arthroscopy, Sports Medicine, and Rehabilitation, Vol 2, No 6

(December), 2020: pp e753-e759.