A History of INNOVATIONThe history of tomography begins in Italy. Its inventor was Prof. Alessandro Vallebona, the renowned radiologist, born in Genoa in 1899, who developed the technique in 1930. Unlike conventional radiography, tomography allowed users to image a specifically desired layer. Using the principles of projective geometry, it eliminated the surrounding anatomical structures, all thanks to synchronised movement of X-ray generator and detector. Skipping forwards to tell the NewTom story, we come to 1996, when four experts at the Verona-based company then called QR (Quantitative Radiology) developed the NewTom 9000, the first CBCT for clinical applications ever marketed. The key differences between a CBCT and a conventional CT unit are cone beam emission as opposed to fan-shaped emission and, secondly, the large Flat Panel detector. A CBCT performs volume acquisition via a single 360° joint rotation of X-ray tube and detector in which only the part of the patient’s anatomy under investigation is irradiated. In 2004 NewTom launched the successor to its first model, the NewTom 3G, a device that, at the time, offered the largest available FOV and the largest reconstructed volume (ø20 cm). NewTom VG (Vertical Generation), launched in 2007, was the first CBCT device to provide for a vertical position. It was soon followed by advanced models such as VG Flex, VGi and VGi Flex. The year 2010 saw the arrival of the NewTom 5G, featuring no less than seven different FOVs and an open gantry. To extend its use in medical and veterinary fields, the 5G underwent upgrades that same year to allow diagnostic examinations of the head and neck, ENT and MXF surgery diagnostics and orthopaedic use. Since 2012 there has been a steady stream of increasingly advanced models with performance levels that ensure the highest image quality, much shorter acquisition times and, consequently, much lower doses, all backed up by dedicated, comprehensive, user-friendly software. Here are the main models: NewTom GiANO for 2D, 3D and Ceph (2012) exams; VGi evo with a maximum FOV of 24×19 cm (2014); NewTom 5G XL (2015); GiANO HR (2018) and NewTom GO, a device introduced in 2015 that was later developed from an exclusively 2D model into a Ceph and 3D one. The latest model is the NewTom 7G, the first CBCT Multi-Scan Body for extended clinical applications. The most advanced CBCT unit on the market, it can image anatomical micro-structures at a resolution of up to 90 µm, allowing highly detailed analysis.
The DNA of a Leader: PERFORMANCEDental. For years now, NewTom has set the standard for comprehensive, high quality dental applications for the orthodontic, endodontic-periodontal and implantology fields. It has done so by providing the highest precision when assessing impacted teeth, fractures/irregularities in the bone and mandibular canal, treatment for tissues adjacent to the tooth, dental prostheses, braces and implants. NewTom technology lets users generate sharp, detailed panoramic images, teleradiography images and 3D scans. These let dentists identify every last detail in the analysed area and plan effective treatment, whether for aesthetic purposes or the treatment of more serious pathologies. Maxillofacial. If you’re looking for a product that provides a full view of the entire dental-maxillofacial area, with sharp 3D images that offer the highest resolution on the market, look no further than NewTom. Maxillofacial surgery planning, with implant simulation and post-op follow-up, and the dual view function for symmetrical analysis of the temporomandibular joints are just a few examples of the many applications of NewTom technology: a technology that aims to be the ‘perfect assistant’ for specialists who treat the most common aesthetic-functional pathologies (e.g. traumas and malformations). Otorhinolaryngology – Neuroradiology. The quest for ultra-high definition of the images and volumes used to diagnose the complex micro-structures of the ear and all the airways is a key driver for NewTom as it constantly strives to extend its technological range. Outstanding scan display sharpness highlights a vast number of details in the structures of the inner ear and the petrous bones. They also allow evaluation of any disorders of the airways and make it easier to diagnose sleep apnoea problems. Muscular-skeletal. To meet the growing demand for targeted trauma care and other specialised orthopaedic treatments involving muscular-skeletal tissues, doctors need precise information on bone tissue all the way down to the micro-structures in order to gain a full understanding of the clinical picture. NewTom responds to this need by providing cutting-edge performance and tools that bring the advantages of Cone Beam technology to all anatomical areas – spine, shoulder and hip included – for the first time. Thanks to images of outstanding resolution and quality, NewTom leads the way in detailed upper and lower limb investigation, allowing users to diagnose fractures, dislocations, loss of alignment or alterations in the bone-joint structure.
A history of innovation
1996NewTom 9000 NewTom 9000, known in Italy as MAXISCAN, was the first digital volumetric tomography unit to apply Cone Beam technology to dentistry, reducing patient doses by a factor of at least 5 compared to traditional CAT scans. Thanks to a combination of horizontal patient positioning and a laser alignment system, diagnostics immediately became simpler. Moreover, at software level both the mandibular canal marking function and a wide range of acquired image reconstructions were made available.
2004NewTom 3G At the time of its launch the NewTom 3G was one of the very first units to provide three FOVs (6’’, 9’’ and 12’’) on a single machine. The only device on the market able to provide a Ø 20 cm reconstructed volume, it could create - with a single scan - an unlimited number of diagnostic images (cephalometric, panoramic, transverse, axial, sagittal, coronal and 3D); compared to the NewTom 9000, it halved scan times and doses.
2007NewTom VG / NewTom VG Flex Designed for dental practices, NewTom VG was one of the first vertical CBCT devices. The only equipment of its kind in the world to feature a new 20 mA generator, with a 3,000 rpm rotating anode and a 0.3 mm focal spot, the smallest ever. The Flat Panel detector shortened examination completion and image display times significantly while outstanding compactness made it perfect for installation in places where space is at a premium.
2009NewTom VGi / NewTom VGi Flex An evolution of previous models, with further size reductions and improved aesthetics: these devices allowed more precise measurement and treatment planning thanks to the 50% sharper image resolution provided by the HiRes Zoom function (0.075 mm) and the 50% reduction in ‘slice’ thickness. Seven different FOVs - from 6x6 to 15x15 cm - meant even greater diagnostic flexibility while technological advances resulted in less scattering (i.e. fewer metal artifacts).
2010NewTom 5G Further innovation in terms of scope saw CBCT technology introduced into the human and veterinary muscular-skeletal field. Thanks to an open gantry, motor-driven table, remote correction of patient positioning via Scout View and the 15x5 cm HiRes FOV for bilateral acquisition of the petrous bones, the NewTom 5G was highly suited to head and neck, ENT and maxillofacial surgery work, as well as orthopaedics and the main veterinary applications. Attainment of excellent images was also aided by high levels of patient comfort and stability during the examination.
2012NewTom GiANO GiANO was the first 2D and hybrid 2D/3D NewTom device; the SafeBeamTM function was available for all types of exams. NewTom GiANO enhanced versatility thanks to the availability of vertically extended FOVs, provided via the Extra FOV (11x13 and 11x8 cm) functions, and 39 different types of 2D exams (acquired on a removable CCD sensor that could be transferred from the main body for use on the Ceph arm).
2014NewTom VGi evo With an enhanced 32 mA generator featuring a 10,000 rpm rotating anode, the world’s smallest focal spot (0.3 mm) and an Eco Scan mode for each FOV, the NewTom VGi evo optimised patient doses. A large latest-generation sensor capable of examining a volume of up to 24x19 cm, the introduction of remote patient position correction via Scout View and the new CineX mode for dynamic image capture put the VGi evo at the top of the performance charts in this professional equipment category.
2015NewTom GO At the time of its market launch, NewTom GO had a footprint of less than one square metre, making it one of the most compact devices in the world. Remotely controllable via Ethernet and featuring a user-friendly virtual control panel, this device automatically adapted exposure parameters to match the patient's anatomy. The MultiPAN function, which supplied a set of 5 panoramic images, meant users could effectively examine even complex morphologies by choosing the best diagnostic viewpoint. With 3D acquisition, a choice of 3 different protocols meant the dose could be adapted to specific clinical requirements.
2015NewTom 5G XL An offshoot of the previous model, NewTom 5G XL was the first device to feature a native 21x19 cm FOV for detailed investigation of large volumes. Enhanced X-ray tube performance resulted in significant improvements to image quality in the ENT field. Moreover, the renewed sensor made Ray 2D X-ray images and 2D CineX videos available (also via rear access to the gantry) for the study of joint dynamics.
2018NewTom GiANO HR With the release of GiANO HR, NewTom offered a higher-performance hybrid device. With three 3D FOV set-ups (Prime, Advanced and Professional), GiANO HR maximised versatility by allowing selection of the configuration best suited to the needs of the practice or X-ray centre. Specific diagnostic applications, a more powerful generator and a choice of three different emission levels resulted in more efficient, user-friendly workflows by adjusting patient exposure to actual diagnostic needs. The CMOS sensor for 2D exams lets users capture MultiPAN images, which can generate 5 panoramic images; this is also true for the new ORTHO PAN acquisition mode, which minimises interproximal overlapping of crowns.
2019NewTom GO 2D/3D Ceph The Ceph application made available for GO completed the 2D acquisition range, allowing a wide range of cephalometric examinations to be performed. The teleradiographic arm was equipped with a dedicated head support (with two different side rod lengths to prevent thyroid exposure in paediatric subjects). Furthermore, a choice of 3 different protocols meant doses could be adapted to specific clinical needs (very low for surgical follow-ups, standard for treatment planning, very high levels of detail for micro-structure analysis).
2020NewTom 7G For the very first time, Cone Beam technology is applied to all areas of the body, including spine, shoulder and hip. With the 7G, NewTom again leads the way. Equipped with an extremely high performance X-ray generator (up to 120 kV and 120 mA) and independent selection of the focal spot (0.3 mm or 0.6 mm), NewTom 7G lets users perform accurate bone tissue examinations at a resolution of up to 90 µm, ensuring ultra-precise analysis of even very small complex structures such as those of the inner ear. The ability to perform exams quickly in "Low Dose" mode - with acquisition of the desired anatomical area in just in 7 seconds - is particularly convenient. Cine-Scout, CineX and Ray 2D protocols complete the range of clinical applications.