The Symbia Evo Excel SPECT system is a new version of the successful Symbia E. Symbia Evo Excel that combines industry-leading SPECT image resolution and detector sensitivity with the smallest room size requirement in its class. Designed to fit into almost any existing nuclear medicine exam room, Symbia Evo Excel virtually eliminates costs associated with room renovation and expansion. With a high-capacity patient bed, larger bore size compared to previous systems and highly flexible detectors, the system is optimized for obese or critically ill patients and increases the variety of applications a healthcare institution can offer. With a room size requirement up to 29 percent smaller than for conventional systems in its class, Symbia Evo Excel fits in a room as small as 3.60 m (11 ft 8 in) x 4.57 m (15 ft). The system improves patient comfort with a 30 percent larger bore [102 cm (40.2 in)], compared to its predecessor, and a high-capacity patient bed that supports patients up to 227 kg (500 lbs). The bed also improves accessibility for patients with limited mobility with a convenient minimum access height of 53 cm (21 in). The exceptional detector flexibility allows imaging of critically ill patients on a gurney or in a hospital bed. Additionally, the short tunnel length and maximum scan length of up to 200 cm (6 ft 7 in) improves patient comfort for claustrophobic and tall patients. The detector heads easily rotate into numerous positions, including caudal/cephalic tilt, providing comprehensive imaging configurations for general purpose, cardiology, oncology and neurology studies. Symbia Evo Excel addresses the demand for a cost-effective modernization option for nuclear medicine departments looking to avoid renovation of existing infrastructure.