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Artis Q
IR
Neuro
Surgery
Cardio
Artis Q.zen
Cardio
EP
CHD
Diagnosing small bleedings
Detecting intracranial edemas

Transformation in the Radiology Department

How to benefit from CT-like 3D image quality
in the angio suite with the Artis Q
University College Hospital, Galway, Ireland
Clearly visualize distal coronary branches
Low-dose acquisition of high-grade
CX stenosis

Transformation in the Radiology Department

How to save 20 CT slots per month
by shifting CT-guided procedures to the Artis Q.
University College Hospital, Galway, Ireland
Acquiring high-contrast, low-dose coronary angiograms at steep angulations
Clearly delineating metal implants
High-contrast imaging despite steep angulations
Confidently identifying vessels branching off cerebral aneurysms
Treatment of subclavian
artery fistula
Precise depiction of pacemaker leads in ultra-low-dose fluoroscopy
A new benchmark for ultra-low dose procedures in electrophysiology
Diagnosing traumatic TFCC rupture with 140 μm spatial resolution
Confident lead placement with syngo DynaCT Cardiac
Increasing image quality while minimizing patient dose
Reliable end point determination with less dose
Clearly visualizing the smallest vessels
Clear delineation of a double right ventricular outflow tract at a revolutionary low-dose level
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Transformation in the Radiology Department

How to benefit from CT-like 3D image quality in the angio suite with the Artis Q
University College Hospital, Galway, Ireland
Recommend site

Transformation in the Radiology Department

How to save 20 CT slots per month by shifting CT-guided procedures to the Artis Q
University College Hospital, Galway, Ireland
Recommend site
Interventional Neuroradiology

Diagnosing small bleedings

Clearly detect and diagnose small bleedings that can result from a head injury, hemorrhagic stroke, or an aneurysm. The excellent low-contrast resolution displaying the soft tissue is made possible by a fine-tuned, unique combination of technical enablers in our Artis Q.

We are definitely able to exclude hemorrhages with the Artis Q’s syngo DynaCT functionality. With such a system there is no longer any compelling reason to ship patients to the CT first.

Prof. Martin Skalej
Head of the Department of Neuroradiology,
University Hospital of Magdeburg, Germany
1) Superior sagittal sinus, clearly delineated close to the scull
2) Cortical vein/transversal sinus
3) Bleeding

Courtesy: University Hospital Magdeburg, Germany
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The statements by Siemens' customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.

The technical enablers

GIGALIX X-ray tube – for more details HDR detector – to detect subtle variations in contrast True 16 bit imaging chain –
for full gray-value information
  • Cone-beam reconstruction ‒ to remove artifacts
  • 20 s syngo DynaCT at 109 kV
Interventional Neuroradiology

Detecting intracranial edemas

Diagnose bleedings and even visualize edemas directly in the interventional suite and free up your CT scanner for other cases. With a revolutionary high dynamic range of 16 bit in the entire imaging chain, Artis Q lets you differentiate subtle variations in CT values.

With the Artis Q the low-contrast resolution has significantly increased and facilitates the detection of small bleedings.

Johannes Weber, MD
Head of the Department of Diagnostic and Interventional Neuroradiology, Kantonsspital
St. Gallen, Switzerland
1) Frontal bleeding
2) Edema diagnosed in the interventional suite

Courtesy: University Hospital Magdeburg, Germany
Recommend site
The statements by Siemens' customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.
Interventional Neuroradiology

Clearly visualizing the smallest vessels

Save time due to better visualization of vessels or objects like coils or cerebral stents. Interventional procedures may even be performed faster, increasing cath lab availability.

The visibility of small vessels is increased by up to 70% compared to previous X-ray tube technology. With the square-shaped focal spot offered by Artis Q, the high spatial resolution is isotropic and therefore does not depend on the orientation of the stent or vessel. With the micro focal spot, a 2D resolution of up to 4.6 lp/mm can be achieved.

Severe stenosis of the left middle cerebral artery.
Tube voltage: 69 kV
Field of view: 42 cm
DAP: 5.65 μGym²/f
Detector dose : 835 nGy/f

Courtesy: University Hospital Magdeburg, Germany
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Interventional Neuroradiology

Confidently identifying vessels branching off cerebral aneurysms

Increase patient safety and potentially avert complications before coiling an aneurysm. Differentiate small vessels originating from an aneurysm from those just passing close by for your decision on the best treatment.

The high spatial resolution you get with syngo DynaCT Micro and the GIGALIX X-ray tube of Artis Q allows you to boost up the level of detail in the clinical image by up to 40%. In fact, the spatial resolution that can be achieved in 3D images is 3.5 lp/mm, resolving objects as small as 140 µm.

Can you confidently tell if the vessel originates from
the aneurysm or is just passing close by?
In a 2D image, it’s difficult to classify the origin of the vessel.
2D Image
High 3D spatial resolution confirms patency of small vessel in follow-up imaging.
3D Image
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Interventional Radiology

Reliable end point determination with less dose

Achieve a reliable end point determination while saving radiation and contrast agent dose. The Artis Q provides an ultra-short 5 s syngo DynaCT Body Care protocol that achieves excellent low-contrast resolution by using only 248 frames instead of 400 frames as used in other systems. Furthermore, the application syngo DynaPBV Body provides physiological information, for example, blood volume maps, directly in the interventional lab.

The Artis Q has given us improved image quality in 2D images with lower dose. Additionally, the DynaCT images are not only quicker to acquire, but the image quality is also better: the resolution is higher and the image appears crisper.

David Lacey, MD
Interventional Radiologist,
Iowa Methodist Hospital, Des Moines, USA
1.5 mm MPR of the liver after TACE
Acquisition time: 5 s
Number of frames: 248

Courtesy: St. Vincent’s University Hospital Dublin, Ireland
Recommend site
The statements by Siemens' customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.
Interventional Radiology

Diagnosing traumatic TFCC* rupture with 140 μm spatial resolution

Save time and visualize lesions you couldn’t see before. A TFCC* rupture is usually not visible on an X-ray, regardless of its condition. The acquisition with Artis Q, syngo DynaCT Micro, and a contrast injection allows you to detect the dye leakages between compartments.

3T MRI, wrist coil
Increased level of detail with syngo DynaCT Micro

Courtesy: Hannover Hospital & Medical School, Hannover, Germany
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*TFCC = Triangular Fibrocartilage Complex
Interventional Cardiology

Increasing image quality while minimizing patient dose

Reduce patient dose up to 60% ‒ while keeping the image quality up and increasing the quality of the diagnosis. The GIGALIX X-ray tube of Artis Q provides higher power than conventional X-ray tubes. In turn, the system’s Automatic Exposure Control increases prefiltration on the fly and thus reduces patient dose. On top of that, GIGALIX also provides excellent temporal resolution and increases the acquisition of moving organs.

We have two angio systems in our department of cardiology. Once you have worked with the Artis Q you never want to go back to the other system again.

Burkhard Hügl, MD,
Head of the Department of Cardiology,
Marienhausklinikum Neuwied, Germany
Due to the greater power of the GIGALIX X-ray tube, the Automatic Exposure Control adds more prefiltration thereby reducing patient dose.

Patient height: 165 cm
Patient weight: 65 kg
BMI: 23.9
Tube voltage: 76 kV
Prefiltration: 0.3 mm Cu
Focal spot: small
FOV: 22 cm
DAP: 0.28 μGym2/f
Detector dose: 80 nGy/f

Courtesy: Sunshine Coast University Private Hospital, Birtinya, Australia
Recommend site
The statements by Siemens' customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.







Interventional Cardiology

Acquiring high-contrast, low-dose coronary angiograms at steep angulations

Acquire coronary angiograms at low dose and get clear image quality ‒ even in patients with a higher BMI and when performing the acquisition at steep angulations. Even under these challenging conditions, the GIGALIX X-ray tube and the Automatic Exposure Control on Artis Q uses prefiltration to minimize skin dose for the patient.

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Surgery

Clearly delineating metal implants

Confidently place metal screws during interventional surgery. The unique combination of tube performance and detector capabilities in Artis Q offers a high spatial resolution and an increased dynamic range to clearly visualize even the screw windings. The transfer to conventional CT becomes unnecessary, freeing up time in the CT department.

3D syngo DynaCT run for pristine visualization of metal screws placed during spine surgery.

Courtesy: Hannover Hospital & Medical School, Hannover, Germany
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Interventional Cardiology

Clearly visualize distal coronary branches

Perform a confident evaluation of even the smallest coronary vessels by revealing fine details due to a higher spatial resolution. Benefit from higher temporal resolution in the case of strongly moving coronary branches. The Artis Q.zen is equipped with the GIGALIX X-ray tube, which provides higher spatial and temporal resolution. Unique technology, such as the second generation flat emitter and short X-ray pulses, paves the way for robust coronary angiography.

Complete LAD occlusion. Double injection to visualize collateral filling.

Patient height: 167 cm
Patient weight: 65 kg
BMI: 23.3
Tube voltage: 85 kV
Tube current: 403 mA
Pre-filtration: 0 mm Cu
Focal spot: small
FOV: 26 cm
Detector dose: 144 nGy/frame
DAP: 2.9 μGym2/frame
Frame rate: 10 frames/s
Frames: 45
Total DAP: 130 μGym2
Courtesy: Department of Cardiology, University of Erlangen-Nuremberg, Germany
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Interventional Cardiology

High-contrast imaging despite steep angulations

Confidently perform steep angulations at maximized contrast and minimized patient dose. The GIGALIX X-ray tube provides greater power and is therefore able to deliver the required dose at lower voltages.

Steep angulations, or “spider views,” usually put the X-ray tube to the test: With every 3 cm of increase in water value, the patient dose has to double to maintain low image noise. Conventional tubes therefore quickly reach their maximum tube voltage thus degrading contrast in the image.

Spider view of ostial and bifurcation lesion after stenting. In addition to increased contrast, the smaller focal spots in the GIGALIX X-ray tube allow you to clearly identify the guidewires.

Patient height: 167 cm
Patient weight: 65 kg
BMI: 23.3
Angulation: LAO 45° / CAUD 27°
Tube voltage: 100 kV
Tube current: 792 mA
Pre-filtration: 0 mm Cu
Focal spot: large
FOV: 20 cm
Detector dose1: 165 nGy/frame
DAP: 2.5 μGym2/frame
Frame rate: 10 frames/s
Frames: 25
Total DAP: 63.07 μGym2
1 Referring to a 22 cm FOV

Courtesy: Department of Cardiology, University of Erlangen-Nuremberg, Germany
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Interventional Cardiology

Low-dose acquisition of high-grade CX stenosis

The Artis Q.zen’s low-dose protocols represent a fine-tuned composition of X-ray parameters that fully leverage the system’s unique technology. The acquisition on the right was acquired with a dose area product (DAP) of only 0.31 μGym2/frame.

Fluoroscopy
Acquisition
High-grade circumflex (CX) coronary artery stenosis.High contrast and spatial resolution despite low-dose protocol (detector dose of 80 nGy/frame at reference FOV).

Tube voltage: 78 kV
Tube current: 410 mA
Pre-filtration: 0.2 mm Cu
Focal spot: small
FOV: 32 cm
Detector dose: 56 nGy/frame
DAP: 0.31 μGym2/frame
Frame rate: 15 f/s
Frames: 68
Total DAP: 21.08 μGym2 Courtesy: Oulu University Hospital, Finland
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Electrophysiology

Confident lead placement with syngo DynaCT Cardiac

Confidently place pacemaker leads in the CS with the help of intraprocedural rotational angiography. syngo DynaCT Cardiac helps you to clearly visualize the target vein for CS lead implantation. The availability of any caudal or cranial reference view minimizes the need for additional venographies. The mid-size detector on the Artis Q.zen facilitates patient positioning and helps you to cut time during the procedure.

Fluoroscopy
Acquisition
Overlay of syngo DynaCT Cardiac acquisition of coronary sinus and live fluoroscopy image with syngo 3D Roadmap. The overlay guides the placement of a biventricular pacemaker to treat ventricular dyssynchrony.
Patient height: 185 cm
Patient weight: 94 kg
BMI: 27.5 Courtesy: Hospital Wels-Grieskirchen, Austria
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Electrophysiology

A new benchmark for ultra-low dose procedures in electrophysiology

Eliminate electronic noise and perform fluoroscopy at ultra-low-dose levels, i.e., below 20 nGy/frame. Fluoroscopy with conventional technology is usually performed at around 40 nGy/frame in order to compensate for the image quality deterioration due to electronic noise. Depending on the operator preference, typical Artis Q.zen fluoroscopy settings include a detector dose of only 10 nGy/frame at the same frame rate of 5 frames per second, reducing the detector dose by a factor of four compared to conventional systems. A recent study has shown that the Artis Q.zen reduces patient dose (dose area product) for EP procedures by more than 60%.1

In my view, Artis Q.zen rates as one of the world’s best angiography X-ray systems.

Professor Stefan Osswald, MD,
Head of Cardiology at Basel
University Hospital, Switzerland

Conventional
fluoro dose
39 nGy/frame
10 nGy/frame
6 nGy/frame
Courtesy: University Hospital Basel, Switzerland
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1Knecht et al., European Heart Journal. 2014; 35 (Abstract Supplement ):710-711.

The statements by Siemens' customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.
Electrophysiology

Precise depiction of pacemaker leads in ultra-low-dose fluoroscopy

Minimize electronic noise and reduce detector dose.

The Artis Q.zen’s crystalline silicon technology allows you to place pacemaker electrodes at a detector dose of only 10 nGy/frame. To further minimize dose, the Artis Q.zen supports electroanatomic mapping and navigation systems from St. Jude Medical (EnsiteTM VelocityTM, MediGuideTM Technology) and Biosense Webster (CARTO®3).

Visualization of pacemaker and electroanatomical mapping catheters at a fluoroscopy detector dose of only 10 nGy/frame.

Patient height: 168 cm
Patient weight: 75 kg
BMI: 26.6
Tube voltage: 77 kV
Tube current: 143 mA
FOV: 26 cm
Detector dose: 10 nGy/frame
Frame rate: 3 frames/s
Courtesy: Hospital Wels-Grieskirchen, Austria
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Congenital heart disease

Clear delineation of a double right ventricular outflow tract at a revolutionary low-dose level

Set a new benchmark for the ALARA1 principle and treat congenital heart disease (CHD) with previously unseen low radiation doses and sufficient image quality. The Artis Q.zen eliminates electronic noise and provides the means to cut the dose where it matters most – in pediatrics. The entire acquisition shown on the left achieves a total DAP of only
0.35 μGym2 (0.007 μGym2/frame), which represents a drastic reduction compared to examinations performed with conventional technology.2,3

We are confident that we are doing the best for all our patients with congenital heart disease by using the Artis Q.zen system. With Siemens ultra-low-dose imaging we achieve drastic reductions in contrast agent and radiation exposure.

Frank Uhlemann, MD
Chairman of the Center for Congenital Heart Disease,
Olgahospital Stuttgart, Germany
Low-dose acquisition of newborn with double right ventricular outflow tract prior to surgery.

Patient age: 3 months
Patient weight: 3.8 kg
Tube voltage: 59 kV
Tube current: 164 mA
Pre-filtration: 0.6 mm Cu
FOV: 20 cm
Detector dose4: 64 nGy/frame
DAP: 0.35 μGym2 (total), or 0.007 μGym2/frame
Frame rate: 15 frames/s
Frames: 51

Courtesy: Olgahospital Stuttgart, Germany
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1 ALARA: As low as reasonably achievable
2 Sun et al., J Radiat Res. 2014 Nov; 55(6):1122-30.
3 Manica et al., Arq Bras Cardiol. 2014 Aug;103(2):131-7.
4 Referring to a 22 cm FOV

The statements by Siemens' customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.
Congenital heart disease

Treatment of subclavian artery fistula

Be confident to routinely work at the lowest possible dose when it matters most and gain detailed knowledge of the patient’s anatomy. Choose between imaging in the ultra-low-dose range to gain an anatomical overview, for instance, or applying regular pediatric dose for excellent image quality, for instance to identify small anatomical irregularities or when visualizing small devices – always in accordance with ALARA1.

We looked at some of our procedures, which we did on the Artis Q.zen, and our dose is between 30% and 60% less than the figures published in current studies.2

Luke Lamers, MD,
Director of the cath lab in the cardiology department
of the American Family Children’s Hospital
at the University of Wisconsin, Madison, USA
syngo DynaCT Cardiac
before treatment
syngo DynaCT Cardiac
after treatment
 
Courtesy: University of Wisconsin, USA
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1 ALARA: As low as reasonably achievable
2 Ghelani et al., JACC Cardiovasc Interv. 2014 Sep;7(9):1060-9

The statements by Siemens' customers described herein are based on results that were achieved in the customer's unique setting. Since there is no "typical" hospital and many variables exist (e.g., hospital size, case mix, level of IT adoption) there can be no guarantee that other customers will achieve the same results.




close
HDR detector
GIGALIX X-ray tube
Biplane Artis Q

Meet Artis Q

With Artis Q, you can confidently perform even the most demanding diagnostics and interventions. Available in four different configurations, the C-arm system fits your clinical environment.
Floor-mounted Artis Q
Ceiling-mounted Artis Q
Artis zeego with Q technology
< Choose your system
small detector as20 for cardiology
GIGALIX X-ray tube
Floor-mounted Artis Q*

Meet Artis Q

With Artis Q, you can confidently perform even the most demanding diagnostics and interventions. Available in four different configurations, the C-arm system fits your clinical environment.
Ceiling-mounted Artis Q
Biplane Artis Q
Artis zeego with Q technology
HDR-Detector
* Small as20 detector optimized for cardiology
HDR detector
GIGALIX X-ray tube
Artis zeego with Q technology

Meet Artis Q

With Artis Q, you can confidently perform even the most demanding diagnostics and interventions. Available in four different configurations, the C-arm system fits your clinical environment.
Floor-mounted Artis Q
Biplane Artis Q
Artis zeego with Q technology
< Choose your system
HDR detector
GIGALIX X-ray tube
Ceiling-mounted Artis Q

Meet Artis Q

With Artis Q, you can confidently perform even the most demanding diagnostics and interventions. Available in four different configurations, the C-arm system fits your clinical environment.
Floor-mounted Artis Q
Biplane Artis Q
Artis zeego with Q technology
< Choose your system
Crystalline silicon detector
GIGALIX X-ray tube
Floor-mounted Artis Q.zen

Meet Artis Q.zen

With Artis Q.zen, you can confidently perform even the most demanding diagnostics and interventions. Available in three different configurations, the C-arm system fits your clinical environment.
Ceiling-mounted Artis Q.zen
Biplane Artis Q.zen
< Choose your system
Crystalline silicon detector
GIGALIX X-ray tube
Ceiling-mounted Artis Q.zen

Meet Artis Q.zen

With Artis Q.zen, you can confidently perform even the most demanding diagnostics and interventions. Available in three different configurations, the C-arm system fits your clinical environment.
Floor-mounted Artis Q.zen
Biplane Artis Q.zen
< Choose your system
Crystalline silicon detector
GIGALIX X-ray tube
Biplane Artis Q.zen

Meet Artis Q.zen

With Artis Q.zen, you can confidently perform even the most demanding diagnostics and interventions. Available in three different configurations, the C-arm system fits your clinical environment.
Floor-mounted Artis Q.zen
Ceiling-mounted Artis Q.zen
< Choose your system
close

GIGALIX X-ray tube –

focused power

The flat emitter technology of the GIGALIX X-ray tube provides unparalleled performance for excellent image quality at a lower dose.

Artis Q case book Artis Q product brochure
GIGALIX x-ray tube
Filament tube Image of coronary stent.
Filament tube
with rectangular-shaped focal spot
Flat emitter tube Image of coronary stent.
Flat emitter tube
with square-shaped focal spot
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GIGALIX X-ray tube –

focused power

The flat emitter technology of the GIGALIX X-ray tube provides unparalleled performance for excellent image quality at the lowest possible dose.

Artis Q product brochure Artis Q.zen product brochure
GIGALIX x-ray tube
Filament tube Image of coronary stent.
Filament tube
with rectangular-shaped focal spot
Flat emitter tube Image of coronary stent.
Flat emitter tube
with square-shaped focal spot
 




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Crystalline silicon detector –

high sensitivity for ultra-low-dose imaging

The on-pixel amplification of the crystalline silicon detector eliminates electronic noise and boosts the image quality in the ultra-low-dose range of less than 20 nGy/frame.

Artis Q.zen product brochure
Crystalline silicon detector
Crystalline silicon

More technical enablers

GIGALIX X-ray tube – for more details
 




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GIGALIX X-ray tube with syngo DynaCT Micro –

a unique combination

The unique combination of the GIGALIX X-ray tube with syngo DynaCT Micro allows an extra 40% increase in spatial resolution, revealing finer details in 3D studies.

Artis Q case book Artis Q product brochure


syngo DynaCT Micro image
Courtesy: Department of Neuroradiology, University of Erlangen, Germany


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HDR detector –

high dynamic range and dose efficiency

The HDR detector increases low-contrast resolution for CT-like 3D imaging. It boosts syngo DynaCT studies, especially in interventional radiology and neuroradiology.

Artis Q case book Artis Q product brochure
HDR detector
750 μm cesium iodide scintillator enables better image quality at lower radiation.
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True 16 bit imaging chain –

enhanced gray-scale resolution

A true 16 bit 3D imaging pipeline is necessary to make full use of 16 bit detector technology.

Artis Q case book Artis Q product brochure
With 65,000 gray values, 16 bit technology features a four times higher soft-tissue resolution in 3D imaging than standard 14 bit technology. The true 16 bit imaging chain is essential to providing this detailed information in the final image.
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Artis Q case book Artis Q product brochure Artis Q.zen product brochure
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