MAGNETOM Terra.X

by Siemens Medical Solutions USA  · Based in United States →Make the difference. Introducing the next generation of 7T MRI.
Neurology Orthopedics Radiology

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Regulatory Status Disclosed

Overview

The MAGNETOM Terra.X is a second-generation clinical 7-tesla magnetic resonance imaging (MRI) scanner from Siemens Healthineers. It dramatically advances the capabilities of 7T MR scanning with new hardware and XA60A software, succeeding the original MAGNETOM Terra which debuted in 2017. This system incorporates groundbreaking Ultra IQ Technology, which leverages the world’s first clinical eight-channel parallel transmit architecture to deliver unprecedented image clarity and homogeneity, revealing even extremely subtle pathological details. Furthermore, it integrates AI-powered Deep Resolve, a deep learning-based image reconstruction technology trained specifically with 7T data, to achieve new levels of speed and image resolution. The MAGNETOM Terra.X also features a high-performance gradient system for exceptional diffusion imaging and functional MR imaging. It offers a multinuclear option, allowing for clinical imaging of substances like sodium in the brain and phosphorus in muscle tissue, providing a metabolic component to its anatomical imaging capabilities. This technology enables routine high-resolution brain and knee exams in under 20 minutes, a significant improvement for 7T MRI.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • Second-generation clinical 7-tesla MRI scanner
  • New hardware and XA60A software
  • Ultra IQ Technology for unprecedented image clarity and homogeneity
  • AI-powered Deep Resolve for faster image reconstruction and higher resolution
  • World's first clinical eight-channel parallel transmit architecture
  • High-performance gradient system for exceptional diffusion and functional MR imaging
  • Multinuclear option for imaging substances like sodium and phosphorus
  • Enables routine high-resolution brain and knee exams in under 20 minutes
  • Supports research initiatives in neurodegenerative diseases
  • Open Recon3 platform for custom reconstructions (for research)

Use Cases

  • High-resolution neurological imaging (brain)
  • Detailed musculoskeletal imaging (knee)
  • Research into neurodegenerative diseases (e.g., Alzheimer's, epilepsy, Parkinson's, multiple sclerosis)
  • Metabolic imaging using multinuclear options (sodium in brain, phosphorus in muscle)
  • Oncology diagnosis and treatment response
  • Examination of sub-cortical brain activity through functional MRI

What Physicians Need to Know

Stroke Detection Speed
The system's high resolution and ability to visualize small vessels (0.4 mm isotropic resolution) with Time of Flight (ToF) imaging, combined with AI-powered Deep Resolve for faster image acquisition, support rapid and detailed assessment relevant to stroke.
Brain MRI Analysis
MAGNETOM Terra.X offers unprecedented image clarity and unparalleled resolution for brain imaging, leveraging 7T field strength, Ultra IQ Technology, and AI-powered Deep Resolve reconstruction. It supports functional MRI (fMRI) for sub-cortical brain activity and multinuclear imaging (e.g., sodium in the brain) for metabolic insights.
Seizure Detection
While not a real-time seizure detection tool, the scanner is instrumental in understanding the physiology and pathology of neurological diseases like epilepsy, aiding in the visualization of subtle details and structural changes related to the condition.
Neurodegenerative Disease Screening
The system supports key research initiatives and clinical assessment pertaining to neurodegenerative diseases such as Alzheimer's, Parkinson's, and multiple sclerosis, enabling the visualization of subtle changes and microstructures.
Large Vessel Occlusion Detection
Its high-resolution imaging capabilities, including the visualization of small vessels with 0.4 mm isotropic resolution via Time of Flight (ToF), are highly relevant for detecting large vessel occlusions.
Physician Tip

Leverage the unparalleled resolution and speed of MAGNETOM Terra.X for intricate neurological cases, particularly for detecting subtle pathologies and gaining metabolic insights through multinuclear imaging. Utilize its dual clinical and research modes to advance both patient care and scientific understanding in neuroimaging.

The MAGNETOM Terra.X operates with syngo MR XA60A software and integrates AI-powered Deep Resolve for advanced image reconstruction. Its Open Recon3 platform allows for the implementation of custom reconstructions, facilitating seamless transitions between research and clinical workflows within the Siemens Healthineers ecosystem.

Details

Category Neurology AI, Radiology & Imaging AI
Pricing Contact vendor N/A
DeploymentOn-premise
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status Yes AI-estimated

The MAGNETOM Terra.X 7-tesla magnetic resonance imaging scanner received 510(k) clearance (K232322) from the U.S. Food and Drug Administration (FDA) on March 27, 2024. This clearance also includes upgrades for installed MAGNETOM Terra systems to the Terra.X and XA60A software version.

Integrations
EHR Not specified
Specialties Neurology, Orthopedics, Radiology

What the Web Says

The Siemens MAGNETOM Terra.X is a second-generation 7 Tesla (7T) MRI scanner that has received FDA clearance for clinical use, building upon the original MAGNETOM Terra. It is designed for advanced clinical and research imaging, particularly in neurological and musculoskeletal fields, offering significantly higher signal strength and greater image detail compared to lower-field MRI systems. The system incorporates Ultra IQ Technology and AI-powered Deep Resolve reconstruction to enhance image clarity and reduce scan times.

Overall: Positive

Strengths

  • Exceptional image quality and resolution, revealing subtle pathological details not visible with lower-field MRIs.
  • Faster scan times for high-resolution brain and knee exams (under 15-20 minutes) due to AI-powered Deep Resolve and accelerated acquisition techniques.
  • Dual Mode functionality allows seamless switching between research and clinical operations, with separate databases.
  • Advanced capabilities for neurological and musculoskeletal imaging, including detailed anatomical imaging of cells and examination of sub-cortical brain activity.
  • Multinuclear option permits imaging of substances like sodium and phosphorus, adding a metabolic component to imaging.
  • Lighter 7T magnet (50% lighter than comparable 7T magnets) designed for faster integration and reduced maintenance costs.

Limitations

  • High acquisition, infrastructure, and operational costs, making it a substantial investment.
  • Limited information available from independent physician reviews, healthcare IT, or tech reviewers outside of Siemens Healthineers' promotional materials and medical news outlets.
  • No reviews found on G2 or Capterra.
  • Reddit discussions primarily focus on general MRI topics or user-created models, not direct reviews of the MAGNETOM Terra.X.
  • While the original Magnetom Terra was cleared for head, arms, and legs, the specific cleared applications for Terra.X are primarily neurological and knee imaging.

Based on reviews from: Medical Device Network, Siemens Healthineers USA, Applied Radiology, Diagnostic Imaging, Mallinckrodt Institute of Radiology (MIR), 24X7mag, accessdata.fda.gov, Bimedis, AuntMinnie, Nurselk.com, Imaging Technology News, Reddit

Last updated: 2026-07-20

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Press & Coverage

Siemens Healthineers USA
Siemens Healthineers Announces FDA Clearance of MAGNETOM Terra.X 7-Tesla Magnetic Resonance Scanner
Siemens Healthineers received FDA clearance for MAGNETOM Terra.X, a second-generation clinical 7-tesla MRI scanner with new hardware and software, including Ultra IQ Technology for enhanced image quality. The clearance also covers upgrades for existing MAGNETOM Terra systems.
2024-03
Applied Radiology
FDA Clears MAGNETOM Terra.X 7T MR Scanner
Siemens Healthineers announced US FDA clearance of the MAGNETOM Terra.X, a second-generation clinical 7T MR scanner featuring new hardware and XA60A software. This system builds on the original MAGNETOM Terra, offering higher-quality patient care in neurological imaging and the knee.
2024-04
Diagnostic Imaging
FDA Clears New 7T MRI System from Siemens Healthineers
The MAGNETOM Terra.X, a new 7T MRI system from Siemens Healthineers, has received 510(k) clearance from the FDA. It features the first eight-channel parallel transmit architecture for clinical use and deep learning image reconstruction for improved clarity and speed.
2024-03
24x7mag
Siemens Healthineers Magnetom Terra.X Gets FDA Nod
Siemens Healthineers has received U.S. FDA clearance for the Magnetom Terra.X, a second-generation clinical 7-tesla MRI scanner, which includes new hardware and XA60A software, and offers upgrades for existing Magnetom Terra systems.
2024-03
Medical Device Network
Siemens Healthineers Magnetom Terra 7 Tesla MRI Scanner - Medical Device Network
The Magnetom Terra X, an FDA-cleared 7T MRI, utilizes Ultra IQ technology and AI-powered Deep Resolve for enhanced image clarity and faster clinical routines. It was installed at Auburn University in March 2024 for clinical patient use.
2024-05
Siemens Healthineers Canada
Siemens Healthineers announces the next generation 7T MRI scanner, MAGNETOM Terra.X, now available in Canada
Siemens Healthineers announced the availability of the MAGNETOM Terra.X 7 Tesla (7T) MRI scanner in Canada, recently licensed by Health Canada. This technology offers enhanced diagnostic precision and advanced research capabilities.
2024-04
Vesta Teleradiology
New FDA Clearances for Imaging Systems and Solutions
The Magnetom Terra.X, a new 7T MRI system from Siemens Healthineers, has received 510(k) clearance from the FDA. It is a second-generation successor to the Magnetom Terra, offering several enhancements for 7T imaging.
2024-04
PMC (PubMed Central)
Ultrahigh-field imaging (7 Tesla) in DNET: Unmasking microstructural imaging characteristics u2013 A case report
This case report highlights the advantages of the second-generation 7T MRI scanner, Siemens Magnetom MAGNETOM Terra.X, which received FDA approval in March 2024, for providing unprecedented detail in tumor characterization for conditions like dysembryoplastic neuroepithelial tumors (DNET).
2025-02

Videos

Product demos, reviews, and walkthroughs for MAGNETOM Terra.X.

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Frequently Asked Questions

Deep Resolve, an AI-powered reconstruction technology, significantly improves image speed and resolution, allowing for faster scans without compromising image quality. This enables physicians to visualize subtle pathological details more clearly and conduct comprehensive brain and knee exams in under 15-20 minutes.
MAGNETOM Terra.X, including its AI-powered Deep Resolve technology, received FDA clearance in March 2024. The system conforms to medical device software standards like IEC 62304, and its AI features have documented training and validation datasets to ensure clinical safety and efficacy.
MAGNETOM Terra.X stands out as a second-generation 7T MRI with its Ultra IQ Technology and AI-powered Deep Resolve, offering superior image clarity and accelerated scanning specifically optimized for 7T data. While other high-field MRIs exist, Terra.X's advanced AI and 7T capabilities provide unparalleled resolution for subtle pathologies and metabolic insights not easily seen at lower field strengths.
MAGNETOM Terra.X is a significant investment, with installation costs potentially around $16 million, and is not considered 'budget-conscious'. The return on investment stems from its ability to provide unprecedented diagnostic detail, accelerate research, and potentially improve patient outcomes through earlier and more precise diagnoses, though it requires substantial infrastructure upgrades.
Practical limitations include the substantial infrastructure requirements for installation, such as specialized shielding and architectural modifications, due to its 7T field strength. While the AI enhances image quality and speed, physicians will need training to fully leverage its advanced capabilities and interpret the ultra-high-resolution images for nuanced clinical decision-making.
The MAGNETOM Terra.X system conforms to medical device software standards such as IEC 62304, which typically include provisions for data integrity and security. Siemens Healthineers, as the manufacturer, adheres to stringent data protection regulations to ensure patient data processed by the integrated AI remains secure and compliant with healthcare privacy laws.
Siemens Healthineers continually develops its AI technologies, and the MAGNETOM Terra.X is designed for future enhancements, with upgrades for existing MAGNETOM Terra systems to the Terra.X and XA60A software already included in its FDA clearance. This indicates a commitment to integrating future AI advancements and software improvements to maintain cutting-edge capabilities.

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Suggest an Edit → | Last Verified: 2026-04-19 | First Added: 2026-04-19
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