systemToshibaCTfamily: aquilion

Toshiba Aquilion CXL

Family: Aquilion · Manufacturer: Toshiba Medical · Modality: CT

The premium 128-slice variant of the Aquilion CX platform — same TSX-301A chassis with a broader applications package and the AIDR 3D iterative reconstruction option that established Toshiba's dose-reduction story before AiCE deep-learning recon arrived under Canon. 64-row physical detector × 0.5 mm pitch delivering 128 reconstructed slices per rotation via the coneXact algorithm, just like the CX.

Specs

  • 128 reconstructed slices · 64 physical rows · 0.5 mm pitch
  • 78 cm gantry aperture (wide bore)
  • ~0.35 sec minimum rotation on premium trims
  • AIDR / AIDR 3D iterative reconstruction
  • Full advanced applications suite (cardiac, perfusion, oncology, dual-energy)
  • PUREViSION-lineage X-ray tube

Clinical positioning

  • Premium tertiary / academic CT — cardiac CT (coronary CTA, functional), advanced oncology volumetrics, neuroperfusion.
  • Cardiac flagship — sub-half-second rotation + AIDR 3D made the CXL Toshiba's cardiac workhorse before the Aquilion ONE captured the wide-detector flagship slot.
  • Refurb position — the CXL is the premium slot in the legacy Toshiba 64-row family; commands a meaningful premium over Aquilion CX in the secondary market for the AIDR 3D entitlement and broader applications library.

Top failure modes

  1. Tube end-of-life — cardiac- and perfusion-heavy use cycles burn the PUREViSION tube. Track HU counts; >800k on cardiac sites = budget for tube reserve.
  2. AIDR 3D license drift — the cardiac and dose-reduction value lives in licensed software; verify entitlement on every refurb purchase.
  3. Detector calibration on cardiac sites — gated cardiac protocols expose calibration drift earlier. Annual recal on cardiac-volume sites.

Acceptance checklist (refurb)

  • Tube HU counter
  • AIDR 3D Enhanced license active
  • Cardiac gating accuracy verified
  • All 64 detector rows + coneXact recon working
  • Software version captured for parts compatibility
  • DICOM transfer + dose-SR validated against customer PACS

Related