Trinias unity Ceiling Mounted Package

Trinias C8/C12/C16 unity edition - Ceiling mounted flat panel cardiovascular system equipped with an 8, 12 or 16 inch FPD

The Trinias unity edition Ceiling Mounted system has been developed for optimal support of cardiovascular procedures with easy positioning and excellent visibility of fine blood vessels and devices across the entire field of view.

The advanced design of the Trinias unity edition ceiling mounted C-arm provides transverse movement for easy Radial and Brachial approach, providing fingertip-to-fingertip coverage during examinations.

The transverse movement is easily activated by simply moving the C-arm control joystick in the desired direction at any stage throughout a procedure.

Reflecting years of experience, Trinias unity edition has been meticulously developed in conjunction with our customers.
A true Crossover Cardiovascular System, the Trinias unity edition is designed to provide full body imaging with a choice of flat panel sizes to best match your clinical requirements -

  •  C8   - 8 x 8 inch (20x20 cm) FPD
  • C12 - 12 x 12 inch (30x30 cm) FPD
  • C16 - 12 x 16 inch (30x40 cm) FPD

Featuring new software and hardware, the new unity edition allows you to fully experience just how much more advanced and powerful the system is and how it supports even less invasive procedures, providing improved patient care

The SCORE PRO Advance high-speed image processing unit was designed based on a concept of low exposure dose and high image quality and features a state-of-the-art motion tracking noise reduction (NR) function.
The resulting high-quality images obtained by using Shimadzu's real-time image processing technology provide support for advanced interventional procedures

SCORE StentView+Plus is advanced software developed to support PCI procedures based on real-time image processing technology.

SCORE StentView+Plus displays an enhanced image of stents in a fixed position in real-time which is particularly effective in assessing positional relationships between overlapping stents, or when re-expanding a stent using a balloon.

In cases with more than 2 markers, the region of interest (ROI) may be selected in order to provide improved automatic detection and to reduce procedure times.

SCORE StentShot provides a detailed stent enhanced image which is highly effective for observing more detail, such as checking for broken stents. Working with both StentView and StentShot will help improve PCI procedures.

  Flex-APS and New SCORE StentView

  Using Dynamic StentView Effectively

The Trinias unity edition provides DSA in addition to the standard cardiac and DA imaging. This includes the provision for contrast medium and CO2 examinations with optional stage DSA for peripheral stepping. (SCORE Chase – Option)

Flexible Active Pixel Shift (Flex-APS) in DSA imaging, saves time by automatically adjusting three-dimensional miss registration caused by body movement, including twist motion, providing enhances image detail.

The DSA includes a comprehensive set of processing tools that result in excellent DSA images.

SCORE RSM is a motion tolerant DSA technique achieved through Shimadzu’s high-speed, real time digital image processing technology.

SCORE RSM is particularly effective in bolus chasing in extremities and abdominal examinations when patients have difficulty remaining still.

When used in conjunction with the C-arm Procession or Pendulum modes, a reduction in radiation dose and contrast medium to the patient can be achieved.

Acquired images using SCORE RSM are automatically stitched together into a single overview image. Interactive positioning between the image and patient position facilitates improved patient care.

(Note: SCORE Chase requires the SMART Table option)

SCORE Navi/Navi+Plus is an application that utilizes preprocedure images to support minimally invasive interventions.

By synchronizing the C-arm projections to pre-procedure MDCT images, the system enables these MDCT images to be used as a reference during interventions, reducing contrast media usage and X-ray dose.

Registration of the MDCT images and the fluoroscopy images is easily achieved and the software can overlay images onto fluoroscopy, providing a map function.

The Navi+Plus application includes a virtual stent feature that allows you to simulate the stent size and placement position before carrying out a procedure.

SCORE MAP includes the new TraceMAP function. TraceMAP is easy to operate, creating an overlay image on fluoroscopy by automatically tracing the contours of vessels from the DSA image. This makes it possible to recognize bifurcation and control devices quickly and easily in various vascular interventions such as EVT etc.
In addition, manually drawn lines or guides can be used to provide further flexibility.

The SCORE 3D application allows rapid display of the 3D reconstructed images automatically after rotational radiography.
High image quality is achievable through high acquisition speed, reducing movement artifacts and the quantity of contrast medium required.
Operability is further improved through the user friendly and customisable GUI.


SCORE CT provides cross-sectional imaging of low-contrast regions during procedures. With a 10s and a 20s mode to choose from to best match your procedure, axial, coronal and sagittal images are automatically displayed after acquisition.


The Trinias unity edition increases the image processing gray scale from 14-bit to 16-bit, significantly improving image quality for SCORE CT where low-contrast resolution is of particular importance.

The flexible C-arm design as well as the overall system design is optimised for one-touch actions to help facilitate advanced interventions.

The ceiling-mounted C-arm (C8/C12/C16) provides full body imaging without moving the patient, thanks to the 190cm longitudinal and 210cm transverse coverage.

Joy Stick Control

The system has been designed for single-action performance, making control in the examination and control rooms as intuitive as possible.

The all new SMART Touch bedside digital console enhances the physicians experience with more than 60 one-touch customizable functions available for selection.

A choice of lever-type Joystick or single-handed CyberGrip control consoles is available to best match your preference. (Configuration dependent)

The intuitive DirectMemory graphics controller provides direct access to registered clinical angles and easily set position memories during procedures.

The multi-functional SMART Table is designed for complex case throughput, including cardiac, neurological, abdominal and peripheral procedures.

The procedure table provides Tilting and Cradle functionality as well as conventional Panning with motor assist selectable when horizontal and provided while tilted.

Full integration into the imaging system, provides advanced imaging including 3D/CT, fusion with preprocedural imaging and peripheral synchronised acquisition and intervention.

With the optional large 58-inch high-resolution colour LED monitor, the operator can select the optimal display of images to best suit the current procedure.

Multiple video inputs are available for selection through the customisable menu.

Shimadzu’s SMILE concept is primarily about concern for patient and operator comfort and safety in terms of reducing radiation and improving reliability. The concept is intended as a total solution to ensure safety and peace of mind, which benefits both patients and operators.

  • High-speed setup – Full system functionality within 2 minutes of power on.
  • Data Mirroring – Image data mirroring provides a redundant data architecture.
  • Backup Filament – If one filament fails, the other filament automatically takes over to complete the examination.

Clinical Use of RSM DSA- Kalispell Regional Medical Centre - (PDF 2.9 MB)
RSM DSA provides outstanding vascular visualization with background anatomy information without motion artefacts.

Minimally Invasive Procedure in Practice -Efforts by Kokura Memorial Hospital- (PDF 1.6 MB)
With the increasing complexity and sophistication of lower extremity EVT, there is a demand for Angio systems capable of reducing radiation exposure, reducing contrast medium and shortening examination times.

Flex-APS and New SCORE StentView (PDF 2.1MB)
Dynamic real time StentView and enhanced StentShot provide advanced interventional imaging tools.
Flexible Active Pixel Shift (Flex-APS) in DSA imaging further enhances image detail, especially when patient movement is present.

Making the best use of Trinias applications for lower extremities (PDF 2.3MB)
Department of cardiology, the Fraternity Memorial Hospital
Dramatic progress has been made in lower extremity interventional procedures in recent years.

Contrast agent-free endovascular treatment using 3D imaging (PDF 0.8MB)
Osaka Saiseikai Nakatsu Hospital
Incorporation preprocedural 3D CT imaging and angiograms to reduce contrast medium burden to the patient.

Cerebral interventional procedure on Bi-Plane system (PDF 2.6MB)
Neurosurgery, Yamaguchi University Facility
The Shimadzu Trinias has resulted in substantial dose reduction without sacrificing image quality.

Achieving minimally invasive procedure in practice (PDF 1.1MB)
Mimihara General Hospital
Using StentView and C-arm rotation to confirm the positional relationship of guide wires and IVUS catheters.

Achieving minimally invasive procedure in practice (PDF 1.6MB)
Kokura Memorial Hospital
Using SCORE-RSM to confirm ascertain the hemodynamics of the entire lower extremity.

Achieving minimally invasive treatment (PDF 2.6MB)
Osaka Nakatsu Hospital
Using SCORE StentView+Plus and SCORE Navi+Plus with preprocedural CT to achieve minimally invasive treatment.

Minimally invasive EVT with SCORE RSM (PDF 5.1MB)
Toyohashi Heart Centre
Low radiation dose, high image quality and low contrast medium imaging is achievable using SCORE RSM.

Optimal C-Arm angle during DCA (PDF 8.5MB)
Toyohashi Heart Centre
High image contrast and low lag make it easier to determine DCA catheter cutter movement and orientation of cutter housing.

Usefulness of Trinias MiX (PDF 4.5MB)
Dr. Toshiyuki Konishi, M.D., PhD.
Clear imaging with low dose rates while providing the opportunity to implement more rigorous patient treatment.

Development of the Trinias MiX Package (PDF 5.5MB)
Keiichi Goto
Medical Systems Division, Shimadzu Corporation

New SCORE PRO Advance X-Ray Image Processing Unit (PDF 9.5MB)
Kazuhiro Mori
Medical Systems Division, Shimadzu Corporation

Enthusiasm of doctors and new-generation imaging technology (PDF 3.36MB)
-Part one-
Dr. Kazuya Kawai, Chief Director
Dr. Shuichi Seki, Director
Dr. Satoshi Yamamoto, Chairperson
Chikamori-kai Group, Chikamori Hospital Department of Cardiovascular Medicine

-Part two-
Dr. Masami Sakurada, Hospital Director
Tokorozawa Heart Center

-Part three-
Dr. Shozo Ishihara, Director
Dojinkai social medical corporation, Mimihara General Hospital Department of cardiovascular medicine

Development of the Trinias FPD-Equipped Angiography System (PDF 2.07MB)
Yoshiaki Miura
Medical Systems Division, Shimadzu Corporation

Dynamic StentView: Cardiovascular Intervention Support Software (PDF 2.07MB)
Yoshiaki Miura
Medical Systems Division, Shimadzu Corporation

PCI with SCORE StentView on the Trinias Angiography System (PDF 11MB)
Shozo Ishihara, M.D.
Department of Cardiology, Mimihara Gereral Hospital

Using Dynamic StentView Effectively - Tokorozawa Heart Center (PDF 5.0MB)
Masami Sakurada, Director
Tokorozawa Heart Center