MAMMOMAT B.brilliant
Overview
The MAMMOMAT B.brilliant is Siemens Healthineers’ first completely redesigned mammography platform in over a decade, engineered to advance breast imaging with a focus on accuracy, speed, and patient comfort. This innovative system integrates new 3D image acquisition and reconstruction technology, offering capabilities for full-field digital mammography (2D), breast biopsy, and advanced titanium contrast-enhanced mammography (CEM).
A key feature is its 50-degree wide-angle tomosynthesis, powered by PlatinumTomo 3D technology, which enables high-resolution 3D breast images to be acquired in under five seconds. This wide angle provides superior tissue separation, helping radiologists visualize otherwise obscured lesions and microcalcifications more clearly. The system incorporates a new detector and an X-ray tube with flying focal-spot technology, adapted from Siemens’ CT scanners, to enhance the visualization of microcalcifications.
UltraHD image reconstruction technology further refines image quality by reducing metal artifacts, providing crisp visualization of calcifications, and offering customizable image settings. It also generates a synthetic 2D image without additional radiation exposure to the patient. For contrast-enhanced examinations, the newly developed ClearCEM image reconstruction technique delivers crystal-clear enhancement and consistent image quality, particularly beneficial for lesion detection in dense breast tissue. The system also supports ClearCEM Biopsy, increasing diagnostic confidence without the need to switch imaging modalities.
Patient comfort is significantly improved through features such as personalized soft breast compression, an ergonomic hand grip, and an optimized stationary face shield. Technologist workflow and ergonomics are enhanced by features like ComfortMove, which allows automated and independent movement of the tube head, and a prominent display monitor for clear visibility of patient information and work steps. For biopsies, a needle navigator provides visual feedback for precise targeting, and InSpect integrates specimen imaging for quick review. Designed as an on-site solution, MAMMOMAT B.brilliant aims for cost-effectiveness and high availability in radiology practices.
Reviewed by Pouyan Golshani, MD — Interventional Radiologist
Key Features
- 50u00b0 Wide-Angle Tomosynthesis (PlatinumTomo 3D)
- Under 5-second 3D image acquisition
- UltraHD PREMIA Image Reconstruction (AI-enabled denoising, customizable settings)
- Flying Focal Spot Technology for microcalcification visualization
- ClearCEM (Titanium Contrast-Enhanced Mammography)
- ClearCEM Biopsy with wide-angle tomosynthesis guidance
- Synthetic 2D images (no additional radiation)
- Intelligent Personalized Compression
- ComfortMove (automated ergonomic tube head movement)
- ComfortPackage (ergonomic hand grip, optimized face shield)
- Needle Navigator for biopsy targeting
- InSpect integrated specimen imaging
Use Cases
- Breast cancer screening
- Diagnostic clarification of suspicious findings
- Imaging in dense breast tissue
- Contrast-enhanced mammography (CEM)
- 3D-guided breast biopsies
- Visualization of microcalcifications
What Physicians Need to Know
Leverage the MAMMOMAT B.brilliant's 50u00b0 wide-angle tomosynthesis and AI-powered UltraHD PREMIA reconstruction for superior visualization of lesions and microcalcifications, especially beneficial in dense breast tissue. Utilize Titanium Contrast-Enhanced Mammography (TiCEM) for diagnostic clarification and as a potential MRI alternative, taking advantage of its unique filter for unlimited consecutive exams. The system's ergonomic design for both patients and technologists can enhance patient compliance and improve staff efficiency. Be mindful of the pending FDA clearance for the ClearCEM reconstruction technique if planning to use the most advanced contrast-enhanced features in the US.
The MAMMOMAT B.brilliant is engineered for seamless integration into existing imaging ecosystems, supporting standard DICOM protocols for efficient communication with Picture Archiving and Communication Systems (PACS) and Radiology Information Systems (RIS). Its advanced image reconstruction and visualization tools, such as synthetic 2D images and UltraHD PREMIA, are designed to enhance the diagnostic reading experience within established clinical workflows.
Details
| Category | Oncology AI, Radiology & Imaging AI |
| Pricing | Contact for pricing |
| Deployment | On-site solution |
| Compliance | |
| BAA Available | Unknown AI-estimated |
| HIPAA Compliant | Unknown AI-estimated |
| FDA Status |
1 AI-estimated The MAMMOMAT B.brilliant received initial FDA 510(k) clearance in April 2024 for full-field digital mammography, breast biopsy, and titanium contrast-enhanced mammography. It subsequently received Premarket Approval (PMA) P140011/S008 in September 2024 for its 3D tomosynthesis option, including PlatinumTomo and UltraHD reconstruction technology. |
| Integrations | |
| EHR | Not specified |
| Specialties | General Surgery, Oncology, Radiology |
What the Web Says
The Siemens Healthineers MAMMOMAT B.brilliant is a mammography system that has received positive feedback from physicians and healthcare professionals for its advanced imaging capabilities, patient-centric design, and improved workflow. It features wide-angle tomosynthesis, which provides high-resolution 3D images and enhanced visibility of microcalcifications, and also offers contrast-enhanced mammography (CEM) and biopsy capabilities. The system aims to improve diagnostic confidence, enhance the patient experience, and streamline operational efficiency in breast imaging.
Overall: PositiveStrengths
- Excellent image quality for 2D FFDM and DBT, with enhanced visibility of microcalcifications and reduced metal artifacts.
- Fast acquisition and reconstruction times for DBT, with 3D images acquired in under five seconds.
- Improved patient comfort through features like mood lighting, curved SoftComp paddles, and an optimized face shield that allows patients to lean in.
- Enhanced user ergonomics and workflow efficiency for technologists with features like ComfortMove, eye-level displays, and one-touch controls.
- Modular and future-ready platform, allowing for upgrades and seamless integration of traditional 2D mammography and advanced 3D tomosynthesis.
- FDA approved for 3D imaging, breast biopsy, and titanium contrast-enhanced mammography (TiCEM).
Limitations
- More intense training required to become familiar with all new features and limitations compared to older systems.
- Initial usability of controls was rated as not as intuitive as previous models, requiring additional button presses in certain situations (though this is understood to be resolved in a subsequent software update).
- The InSpect (integrated specimen scanner) was not evaluated in one report, indicating it might not be a standard or fully integrated feature in all setups.
- Some features like PRIME, Contrast-enhanced mammography, InSpect, or DBT in 'Perspective' mode were not part of the main evaluation in one report, suggesting potential limitations in the scope of initial practical assessments.
- Higher initial investment cost compared to traditional film-based systems, which can be a financial challenge for some healthcare facilities.
- No specific negative reviews from Reddit, G2, or Capterra were found in the search results.
Based on reviews from: Medical Physics, Siemens Healthineers, Frost & Sullivan, Cassling, Becker's Hospital Review, MedTech Dive, ICE Magazine, AuntMinnieEurope, Formacion Senologia, Precedence Research, Zenodo, Scribd, Toronto Breast Imaging Conference, OAMRS Spring 2025 Multidisciplinary Breast Imaging Symposium
Last updated: 2026-07-20
Ratings & Reviews
No reviews yet. Be the first to review this tool!
Rate MAMMOMAT B.brilliant
Press & Coverage
Videos
Product demos, reviews, and walkthroughs for MAMMOMAT B.brilliant.
2026 Imaging Conference and Expo Recap
