Multitom RaxMove beyond traditional X-ray

siemens healthineers multitom rax

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, pediatric 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.

Features & Benefits

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.                                         

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.                                         

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 3Dfor 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.


full body

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.

Real 3D Whitepaper preview image

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.

Fleet Level Benefits

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

Clinical Use

Technical Specifications


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


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
  • 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


  • 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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