Fujifilm iStream 128 CT Scanner: AI Dose Reduction and Advanced Clinical CT
Authorized Fujifilm CT equipment supplier. The Fujifilm iStream 128, branded the FCT iStream, combines cutting edge technologies with AI enhanced image processing and workflow to address today’s increasing patient volume, comfort, and dose concerns. It is a 128-slice CT that delivers high resolution and high speed imaging through a 75 cm open bore, in a compact space saving design that uses just three components.
The defining strength of the iStream is dose reduction. Intelli IPV, Fujifilm’s Vision Model iterative reconstruction developed with machine learning, enables up to 83 percent dose reduction while preserving image quality. It is backed by the full Intelli suite, including IntelliODM organ dose modulation and IntelliEC Plus three direction tube current modulation. The MaxiLight full digital detector and HiMAR Plus metal artifact reduction sharpen every study, while the SynergyDrive workflow and advanced clinical packages for cardiac, dual energy, and interventional imaging extend the clinical range of the system.
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Intelli IPV Dose Reduction, MaxiLight Detector, and SynergyDrive Workflow
The iStream 128 is built around AI dose reduction and an automated workflow, then extended by advanced clinical packages. Each technology targets a specific demand in modern CT. Full technical detail is in the expandable sections below.
Intelli IPV: next generation Vision Model iterative reconstruction developed with machine learning that achieves up to 83 percent dose reduction and up to 90 percent image noise reduction while closely matching the texture of filtered back projection images
IntelliODM: intelligent organ based tube current modulation that reduces dose to the eyes during the scan while preserving image quality
IntelliEC Plus: three direction tube current modulation that adjusts dynamically based on patient anatomy, thickness, and the selected reconstruction for real time, patient specific dose reduction at a constant noise standard deviation
MaxiLight Full Digital Detector: capture circuitry that eliminates analog wiring between boards to lower signal loss, noise, and power consumption for high resolution, low noise images
HiMAR Plus: intelligent metal artifact reduction that uses iterative processing to improve visibility around metal objects, with adjustable sensitivity
Dose Reporting: automated dose reports embedded with each image series, with DICOM Structured Reporting that complies with the NEMA XR-29 standard
SynergyDrive Workflow: accelerated workflow and automation with a Quick-Entry user interface that initiates a scanogram in just three clicks, plus one button positioning that sets table height and stop position by protocol
AutoPose and iTilt: AutoPose intelligently maps the scan range from the scanogram, and iTilt automatically creates and previews tilted images during scanning
60 ips Reconstruction: reconstruction at up to 60 images per second in parallel with acquisition, with automatically generated MPR images sent to PACS
Automated Cardiac, IntelliEC Cardiac, and CardioHarmony: automated cardiac protocol and phase selection, electrocardiogram based dose modulation, and automatic reconstruction of cardiac phases with minimal motion
Dual Energy Scan: scanning at two energy levels between 80 or 100 kV and 140 kV, with image sets transferred to a 3D visualization server for tissue and lesion characterization
GuideShot Interventional Feature: CT guided interventional radiology and biopsy support with table side scanning of three contiguous slices for accurate needle and catheter placement
How the iStream 128 compares against a conventional 128-slice CT scanner:
The entire iStream system comprises just three components, the gantry, the table, and the console, which improves space utilization and makes upgrades and maintenance easier. The smaller gantry and table footprint make it well suited to replacing an older CT with little or no room reconfiguration. Two power saving economy modes reduce energy consumption during inactivity, with on time standby cutting gantry power by up to 41 percent. A 99 percent uptime guarantee and Sentinel 24 hour remote monitoring with predictive failure reporting keep the system available and running.
Full Technical Specifications
Complete reference data for capital procurement, RFP submissions, and biomedical review. Radiology directors, purchasing teams, and biomedical engineers rely on this specification set when they evaluate a low dose 128-slice CT scanner. Expand each category for full detail.
| Slices | 128-slice high resolution, high speed CT |
| Bore | 75 cm open bore for versatility and patient comfort |
| Detector | MaxiLight full digital high voltage detector for low noise, high resolution images |
| Reconstruction | Up to 60 images per second with automatically generated MPR sent to PACS |
| Intelli IPV | Vision Model iterative reconstruction, up to 83 percent dose reduction and up to 90 percent noise reduction |
| IntelliODM | Organ based tube current modulation that reduces dose to the eyes |
| IntelliEC Plus | Three direction tube current modulation for real time patient specific dose reduction |
| Dose Reporting | Automated dose reports with DICOM Structured Reporting, compliant with NEMA XR-29 |
| Generator | High efficiency, high voltage generator with 60 kW output |
| Maximum Current | Up to 670 mA |
| X-ray Tube | 6 MHU X-ray tube assembly |
| Power Supply | 75 kVA power supply capacity |
| Automated Cardiac | Automated pre scan protocol and post scan cardiac phase selection, with step and shoot and retrospective ECG gated acquisition |
| IntelliEC Cardiac | Electrocardiogram based dose modulation that minimizes current during non target phases |
| CardioHarmony | Automatic cardiac phase selection and reconstruction with minimal motion |
| Dual Energy Scan | Two energy levels between 80 or 100 kV and 140 kV, transferred to a 3D visualization server |
| GuideShot | CT guided interventional and biopsy feature with three contiguous slice table side scanning |
| HiMAR Plus | Adjustable intelligent metal artifact reduction |
| 3D Visualization | Interfaces with Synapse 3D and other advanced visualization platforms |
| SynergyDrive | Accelerated workflow with Quick-Entry UI, three click scanogram, and one button positioning |
| AutoPose and iTilt | Intelligent scan range mapping and automatic tilted image preview |
| Three Module System | Gantry, table, and console only, for better space utilization and easier upgrades |
| Energy Saving | Two economy power modes, with on time standby reducing gantry power up to 41 percent |
| Uptime | 99 percent uptime guarantee |
| Remote Service | Sentinel 24 hour monitoring with predictive failure reporting |
Clinical Applications
Deployed across general and advanced CT programs where low dose imaging, automated workflow, and cardiac and interventional capability decide how much a single scanner can do.
Intelli IPV Vision Model reconstruction delivers up to 83 percent dose reduction across routine head, chest, abdomen, and pelvis imaging without compromising image quality.
SynergyDrive, the three click Quick-Entry UI, and 60 image per second reconstruction keep a high volume schedule moving from registration to PACS.
Automated Cardiac, CardioHarmony, and IntelliEC Cardiac support low dose ECG gated cardiac studies with automatic phase selection.
The GuideShot interventional feature provides table side real time guidance for needle and catheter placement during biopsies and targeted injections.
Dual energy scanning feeds a 3D visualization server such as Synapse 3D for characterization of tissue types, lesions, and contrast agents.
HiMAR Plus reduces metal artifacts to improve diagnostic visibility around implants and hardware.
From Three-Click Entry to PACS and Dose Reporting
A CT workflow built to move from registration to a diagnostic study with minimal steps. Automated entry, real time dose reduction, and parallel reconstruction keep throughput high. Expanded workflow details are in the expandable sections below.
The SynergyDrive Quick-Entry user interface initiates a scanogram in just three clicks, select protocol, confirm, and start. One button positioning then moves the table to position and sets table height and stop position based on the selected protocol, which reduces setup time for every patient.
AutoPose intelligently maps the scan range from the scanogram, and iTilt previews tilted images during scanning. Intelli IPV, IntelliODM, and IntelliEC Plus apply patient specific dose reduction in real time, so each scan uses only the dose required for diagnostic image quality.
Reconstruction runs at up to 60 images per second in parallel with acquisition, which allows real time checking. MPR images are generated automatically and sent to PACS, and images can transfer to a diagnostic workstation or in parallel to a 3D workstation to speed patient care.
Cardiac, dual energy, and GuideShot interventional packages extend the study when needed, and dual energy image sets transfer to a 3D visualization server. Automated dose reports are embedded with each series and sent through DICOM Structured Reporting to PACS, a VNA, or dose registries for tracking and benchmarking.
Regulatory Compliance and Safety
FDA cleared as a computed tomography system, manufactured by FUJIFILM Healthcare Americas Corporation. Medical Outfitters is an ISO 13485:2016 certified supplier of CT equipment, so every iStream 128 ships through a documented and audited quality management system. Full compliance documentation is available in the expandable sections below.
FDA Cleared: the Fujifilm iStream 128 is FDA cleared as a computed tomography system, suitable for hospital radiology departments and outpatient imaging centers.
ISO 13485: Medical Outfitters Inc. is independently ISO 13485:2016 certified as a CT equipment supplier, so every system ships through a fully audited quality management system.
Dose Reduction: the Intelli suite supports the ALARA principle through Intelli IPV, IntelliODM, and IntelliEC Plus dose modulation.
Dose-SR Compliance: automated dose reports use DICOM Structured Reporting in full compliance with the NEMA XR-29 standardized output, sending dose data to PACS, a VNA, and dose registries.
Uptime: a 99 percent uptime guarantee with Sentinel 24 hour remote monitoring and predictive failure reporting.
Energy: two power saving economy modes reduce consumption during inactivity.
Environmental: RoHS and EU REACH compliant.
Site Planning & CT Replacement Review
Provide your room dimensions and existing CT layout. The compact three module footprint often replaces an older CT with little room reconfiguration, and our Fujifilm site planning experts confirm fit and coordinate installation.
Capital Equipment & RFP Support
Volume pricing, technical documentation, and logistics for CT program deployments. We support radiology directors, biomedical engineers, and purchasing departments evaluating CT scanners. Contact us for RFP packages.
Frequently Asked Questions
Quick answers to the most common purchase and technical questions about the Fujifilm iStream 128 CT scanner. Tap any question to expand.
The Fujifilm iStream 128, also branded the FCT iStream, is a 128-slice CT scanner that combines AI enhanced image processing and workflow with a 75 cm open bore and a compact three module design. It is built to address rising patient volume, patient comfort, and radiation dose concerns through the Intelli dose reduction suite and the SynergyDrive workflow.
Intelli IPV is Fujifilm’s next generation Vision Model iterative reconstruction, developed using machine learning. Unlike conventional iterative reconstruction, it achieves dose reduction without compromising image quality and closely matches the texture of filtered back projection images. It enables up to 83 percent dose reduction and up to 90 percent image noise reduction depending on the clinical task and patient.
All three are Fujifilm CT scanners. The iStream 128 leads with the Intelli AI dose reduction suite, the MaxiLight digital detector, HiMAR Plus, and advanced clinical packages such as Automated Cardiac, CardioHarmony, and the GuideShot interventional feature. The SCENARIA View 128 is the flagship with dual energy and a lateral shift table, and the Supria 128 is the compact value system. Our team helps match the right CT to your facility.
The optional advanced cardiac package provides Automated Cardiac, which selects the optimal pre scan protocol and the most informative post scan cardiac phase. IntelliEC Cardiac reduces dose using electrocardiogram information, and CardioHarmony automatically simplifies phase selection by detecting and reconstructing cardiac phases with minimal motion. Prospective step and shoot and retrospective ECG gated acquisition are available.
GuideShot supports CT guided interventional radiology and biopsy. It provides controlled scanning of three contiguous slices at the table side with real time image guidance, which helps clinicians accurately position needles or catheters during biopsies and targeted injections. Two table movement speeds are available for fine or faster positioning.
The iStream 128 has a 75 cm open bore for versatility and patient comfort. The MaxiLight full digital high voltage detector uses Fujifilm capture circuitry that eliminates analog wiring between boards, which lowers signal loss, noise, and power consumption to acquire high resolution, low noise images.
Yes. The Fujifilm iStream 128 is FDA cleared as a computed tomography system. Medical Outfitters Inc. is ISO 13485:2016 certified as the supplying distributor, so every system ships through an audited quality management system, and dose reporting complies with the NEMA XR-29 Dose-SR standard.
Through Medical Outfitters Inc., ISO 13485:2016 certified, Miami, FL. We supply factory new systems with nationwide installation, site planning, and applications training. Call (305) 885-4045 or request a quote online.
Compatible Equipment
Other Fujifilm CT systems and visualization tools to consider alongside the iStream 128, from the flagship SCENARIA View 128 to the compact Supria 128, plus the Synapse 3D advanced visualization platform the iStream connects with.
Fujifilm Synapse 3D
Advanced visualization · 50+ clinical modules · dual energy · vendor neutral
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