Aquilion Exceed LB

by Canon Medical Systems Corporation  · Based in Japan → — Expand your view with AI-powered large bore CT.
Interventional Radiology Oncology Radiology
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Regulatory Status Disclosed

Overview

The Aquilion Exceed LB is a state-of-the-art Computed Tomography (CT) system from Canon Medical Systems, specifically designed to enhance precision and efficiency in radiation therapy planning and CT-guided interventions. It features the world’s largest bore opening at 90 cm and an extended 90 cm Field-of-View (eFOV) reconstruction, which significantly improves patient access, comfort, and safety, particularly for bariatric patients or those requiring challenging positioning.

This system incorporates Canon Medical’s Advanced intelligent Clear-IQ Engine (AiCE) Deep Learning Reconstruction (DLR) technology, which utilizes Artificial Intelligence to deliver sharp, clear, and distinct images with excellent delineation, crucial for accurate contouring and treatment planning. The Aquilion Exceed LB is engineered to streamline radiation oncology workflows, ensuring accuracy and reproducibility without compromising on image quality. It also includes SUREWorkflow Technologies and SEMAR technology to minimize metal artifacts, further enhancing image quality for patients with implants.

Beyond radiation oncology, its premium CT capabilities position the system for shared services, enabling high-quality treatment follow-up and various interventional procedures.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • World's largest 90 cm bore for enhanced patient access and comfort
  • Extended 90 cm Field-of-View (eFOV) reconstruction
  • AI-powered Advanced intelligent Clear-IQ Engine (AiCE) Deep Learning Reconstruction (DLR)
  • Fast and efficient radiation oncology workflows
  • Delivers sharp, clear, and distinct images
  • SUREWorkflow Technologies for streamlined operations
  • Wide 47 cm and comfortable patient table with low height (33 cm)
  • SEMAR technology to minimize metal artifacts
  • Designed to accommodate bariatric patients and challenging patient positioning
  • Integrated and efficient imaging without compromise

Use Cases

  • Radiation therapy planning and CT simulation
  • CT-guided interventions
  • Oncology care and treatment follow-up
  • Diagnostic imaging (shared services)
  • Imaging for bariatric patients

What Physicians Need to Know

Key Capabilities
Features a 90 cm wide bore and extended Field-of-View (eFOV) for enhanced patient access and complex positioning. Utilizes Advanced intelligent Clear-IQ Engine (AiCE) Deep Learning Reconstruction (DLR) for sharp, clear, and distinct images with reduced noise and improved spatial resolution. Offers Dual Energy capabilities for high-accuracy therapy planning, including virtual monochromatic images and iodine maps. Includes Single Energy Metal Artifact Reduction (SEMAR) for improved visualization around metallic implants. Provides 4D CT capabilities for respiratory-gated scanning and SUREWorkflow Technologies for streamlined operations. Features automated patient setup with SUREPosition and Tech-Assist Lateral Slide, along with hybrid CT fluoroscopy for guided interventions.
Clinical Utility
Primarily designed for fast, efficient, and accurate radiation oncology workflows and CT simulation, improving contouring of tumors and organs at risk. Enhances patient comfort and safety, accommodating bariatric patients and those requiring challenging positions. Supports various CT-guided interventional procedures and enables high-quality treatment follow-up. Contributes to lower radiation doses for patients.
Integration Options
Integrates seamlessly with a range of respiratory gating devices and connects with existing planning devices and positioning lasers for a smoother workflow. Can be linked to Canon Medical's Vitrea imaging solution for additional clinical insights.
Compliance Status
Received FDA 510(k) clearance. Conforms to applicable Performance Standards for Ionizing Radiation Emitting Products (21 CFR, Subchapter J, Part 1020). Manufactured under ISO 9001, ISO 13485 (Quality Management System), and ISO 14001 (Environmental Management System) standards.
Pricing Model
Specific pricing for the AI features is not explicitly detailed as a separate model (e.g., subscription, per-use). As a CT scanner, it represents a capital equipment investment. Information suggests potential annual licensing for specific software features like SURESUBTRACTION Iodine Mapping.
User Experience
Offers an 'intelligent workflow' designed for enhanced productivity, with fast and efficient radiation oncology processes. Features automated patient setup technologies (SUREPosition, Tech-Assist Lateral Slide) and comfortable patient positioning due to its large bore. Provides reduced reconstruction times, facilitating 4D scans. Installation is designed to be fast, cost-effective, and efficient with minimal disruption.
Support Quality
Backed by expert technicians, remote service solutions, and local engineering and clinical application teams. Canon Medical provides high-quality service and education offerings.
Implementation Complexity
Designed with a compact gantry and small footprint to fit into most standard radiation oncology suites without requiring major building renovations. Installation is described as fast, cost-effective, and efficient, with minimal disruption. The AiCE algorithm training is not performed at the end-user's site, simplifying deployment.
Evidence Base
AiCE Deep Learning Reconstruction technology is trained to reduce noise and increase spatial resolution. Phantom studies demonstrated the system's image quality metrics (CNR, CT Number Accuracy, Uniformity, SSP, MTF, SD, NPS, LCD) to be substantially equivalent or improved compared to predicate devices. Deep Learning Reconstruction has been shown to reduce radiation dose by a factor of five, and AiCE protocols achieve high Hounsfield Unit accuracy.
Physician Tip

Leverage the Aquilion Exceed LB's large bore and AI-powered imaging (AiCE) for superior patient comfort and highly accurate contouring in radiation therapy planning, especially for complex cases and bariatric patients. Utilize the Dual Energy and SEMAR capabilities for improved tissue characterization and artifact reduction, enhancing diagnostic confidence. Integrate with existing respiratory gating devices and planning systems to optimize workflow efficiency and ensure precise treatment delivery. The automated patient setup features can significantly reduce setup time and improve reproducibility.

The Aquilion Exceed LB is designed for seamless integration with various respiratory gating devices and existing radiation oncology planning systems, including positioning lasers. Compatibility with Canon Medical's Vitrea imaging solution further enhances access to clinical insights. This focus on interoperability aims to create a cohesive and efficient workflow within the oncology department.

Details

Category Oncology AI, Radiology & Imaging AI
Pricing Contact for pricing — Contact vendor for details
DeploymentOn-premise
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status Yes AI-estimated

The Aquilion Exceed LB (TSX-202A/3) V10.9 with AiCE-i received FDA 510(k) clearance (K211828) on September 10, 2021, as a Computed Tomography X-ray System indicated to acquire and display cross-sectional volumes of the whole body.
Integrations
EHR Not specified
Specialties Interventional Radiology, Oncology, Radiology

What the Web Says

The Canon Aquilion Exceed LB is a CT scanner specifically designed for radiation oncology, aiming to improve treatment planning and patient experience. It features a wide bore and utilizes AI-based deep learning reconstruction (AiCE) for enhanced image quality and reduced noise. Physicians and technologists highlight its accuracy, speed, and ability to handle challenging patient cases.

Overall: Positive

Strengths

  • Industry-leading 90 cm wide bore and extended field-of-view for easy patient positioning and imaging of bariatric patients.
  • Advanced intelligent Clear-IQ Engine (AiCE) Deep Learning Reconstruction (DLR) provides sharp, clear, and distinct images with reduced noise and lower radiation dose.
  • Fast and efficient radiation oncology workflows, including quicker scan times and reconstruction.
  • Improved accuracy and precision in treatment planning, even for complex simulations.
  • Single Energy Metal Artifact Reduction (SEMAR) optimally depicts target areas in challenging patients with metallic implants.
  • Versatile for shared services, including diagnostic CT use, treatment follow-up, and interventional procedures.

Limitations

  • No specific cons were identified in the provided search results.
  • Pricing details are not publicly available and require contacting the vendor.
  • Limited independent reviews from platforms like G2, Capterra, or Reddit were found, with most information coming from Canon Medical Systems or medical institutions.

Based on reviews from: Radiotherapy Institute Friesland, HealthAidb, KBR (Korea Biomedical Review), Canon Medical Systems, Slideshare (Canon Medical Systems VISIONS Magazine), accessdata.fda.gov, AuntMinnie, BioSpace, Interventional News, Canon Medical Belgique, IndiaMART, Market Reports World, TMS Sp. z o.o., ACS Nano

Last updated: 2026-07-17

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Press & Coverage

Canon Medical Systems USA
Canon Medical's AI-Powered, Premium Large Bore CT Receives FDA Clearance
Canon Medical Systems USA, Inc. announced FDA clearance for its Aquilion Exceed LB CT system, designed to enhance radiation therapy planning with accuracy, precision, and speed. The system features a 90 cm bore and AI-powered deep learning reconstruction technology.
2021-01
AuntMinnie
Canon's wide-bore CT for radiation therapy clears FDA
Canon Medical Systems' extra-wide-bore Aquilion Exceed LB CT scanner, intended for radiation therapy applications, has received U.S. Food and Drug Administration clearance. The 160-slice scanner boasts a 90-cm bore and incorporates Advanced Intelligent Clear-IQ Engine (AiCE) deep-learning reconstruction technology.
2021-01
Diagnostic Imaging
FDA Clears Canon Medical's AI-Powered Large-Bore CT
Canon Medical Systems has received FDA clearance for its Aquilion Exceed LB CT system, an AI-powered system aimed at improving the planning and delivery of radiation therapy. It features a 90-cm bore, a 90-cm extended-to-edge field-of-view reconstruction, and AI-powered contouring.
2021-01
Interventional News
Canon launches CT scanner with 90cm bore at ASTRO 2020
Canon Medical Systems introduced its Aquilion Exceed LB CT scanner, designed for radiation therapy planning, at the ASTRO 2020 virtual meeting. The scanner features a 90cm bore and utilizes Canon's Advanced intelligent Clear-IQ Engine (AiCE) Deep Learning Reconstruction (DLR) technology.
2020-10
Imaging Technology News
Canon Medical Showcases New Aquilion Exceed LB CT System at ASTRO20
Canon Medical Systems USA, Inc. unveiled the Aquilion Exceed LB CT system at the virtual American Society for Radiation Oncology (ASTRO) Annual Meeting. This system aims to provide clinicians with enhanced accuracy, precision, and speed for radiation therapy planning, featuring a 90 cm bore and AI-powered imaging.
2020-10
Nottingham University Hospitals NHS Trust
Nottingham City Hospital goes live with the UK's first advanced radiotherapy CT scanner
Nottingham City Hospital has implemented the UK's first Aquilion Exceed LB CT scanner, which is designed to improve radiation therapy planning through quicker patient scans, better image quality, and AI-based reconstruction. The system features a 90cm-wide bore and Canon Medical's Advanced intelligent Clear-IQ Engine (AiCE) Deep Learning Reconstruction technology.
2022-08
Korea Biomedical Review
Canon Medical installs AI-backed low-dose radiation CT simulation at Yeungnam University Medical Center
Canon Medical Systems Korea has installed the Aquilion Exceed LB, an AI-powered low-dose radiation CT simulation machine, at Yeungnam University Medical Center, marking the first such installation in North Gyeongsang Province. This system uses AiCE deep learning technology to provide high-quality images with minimal radiation exposure.
2024-04
Journal of Applied Clinical Medical Physics
A comprehensive quality assurance procedure for 4D CT commissioning and periodic QA
This peer-reviewed article details a comprehensive quality assurance procedure for 4D CT, utilizing the Canon Aquilion Exceed LB CT scanner. The study assessed the scanner's performance in capturing target motion during regular and irregular breathing patterns for radiation therapy planning.
2022-09

Videos

Product demos, reviews, and walkthroughs for Aquilion Exceed LB.

View all on YouTube

Frequently Asked Questions

The Aquilion Exceed LB incorporates Canon Medical's Advanced intelligent Clear-IQ Engine (AiCE) Deep Learning Reconstruction (DLR) technology. This AI-powered reconstruction improves image quality by reducing noise and enhancing clarity, which aids in better contouring and more accurate simulation for radiation therapy planning.
The Aquilion Exceed LB CT system, including its AI-powered imaging capabilities like AiCE Deep Learning Reconstruction, has received FDA clearance. This clearance indicates that the device is deemed substantially equivalent to legally marketed predicate devices for its intended use in acquiring and displaying cross-sectional volumes for whole-body imaging and specialized studies.
While AI in the Aquilion Exceed LB enhances image quality and workflow, general limitations of AI in radiation oncology include the need for robust, high-quality data for model training and the potential for algorithms to not capture individual clinician preferences or biases. Continuous human oversight and validation of AI-generated results remain crucial to ensure accuracy and patient safety.
While specific AI features vary by vendor, alternative CT simulation systems from manufacturers like Siemens, GE, and Philips also exist in the market. The Aquilion Exceed LB distinguishes itself with its 90 cm bore and AiCE DLR technology for enhanced image quality and contouring in radiation therapy planning.
Specific pricing for the Aquilion Exceed LB is not publicly disclosed and typically requires a direct quote from Canon Medical Systems or authorized distributors. While the advanced AI technology likely contributes to the system's overall value and cost, it is integrated as a core feature designed to optimize workflow and image quality, rather than an optional add-on.
While the Aquilion Exceed LB itself processes imaging data locally using its integrated AiCE DLR, general medical device regulations and institutional protocols govern data privacy and security. Adherence to standards like HIPAA is critical for any medical imaging system handling patient data, ensuring that the use of AI aligns with privacy requirements.

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Suggest an Edit → | Last Verified: 2026-04-17 | First Added: 2026-04-17
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