Choosing Between 64 and 128 Slice CT Scanners

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If you’re comparing CT scanners for your facility, chances are you’re weighing the differences between 64-slice and 128-slice systems. At PrizMED Imaging, we help clients navigate this decision every week. While both options are powerful and versatile, they serve different needs depending on your workflow, patient volume, and clinical demands. Let’s break it down so you can make the right call.

What’s the Deal with Slice Count?

In simple terms, slice count refers to how many cross-sectional images a CT scanner can capture per rotation. More slices mean faster scans, higher resolution images, and more detailed data, but also typically a higher cost.

Why Facilities Choose 64-Slice CT Scanners

GE Discovery 690 PET/CT 64

A 64-slice CT scanner is considered the workhorse of modern imaging. It offers excellent scan quality and is fast enough for most routine and advanced studies.

Key Benefits:

  • Efficient throughput for outpatient imaging centers and ER departments
  • Accurate cardiac and vascular imaging with reduced motion artifacts
  • Lower initial investment compared to 128-slice systems
  • Widely used and trusted across general hospitals and diagnostic facilities

Best For:
Facilities with steady patient volume, general diagnostic needs, and an eye on balancing performance with cost.

Estimated Cost Range: $150,000 to $350,000 (refurbished)

When to Consider 128-Slice CT Scanners

GE Optima CT660 128

If your facility handles more complex cases or is focused on cardiac, trauma, or oncology imaging, a 128-slice system may be the better fit.

Key Benefits:

  • Faster image acquisition for high-motion or critical patients
  • Improved resolution for detailed organ and vascular imaging
  • Lower radiation doses thanks to more advanced reconstruction algorithms
  • Future-proofing for advanced clinical applications and growing volume

Best For:
Large hospitals, specialty centers, or facilities aiming to expand service offerings.

Estimated Cost Range: $300,000 and up (refurbished or new)


Feature 64 Slice CT 128 Slice CT
Scan Speed Fast Ultra-fast
Image Detail High Very High
Motion Correction Good Excellent
Ideal Use General imaging, ER, outpatient Cardiac, oncology, trauma, high-volume centers
Price Lower Higher

PrizMED Tip

We always tell our clients, do not buy more than you need, but do not underpower your facility either. If you’re not sure, we will help you compare use cases, review your patient volume, and determine whether future expansion should factor into your decision.

Want Help Making the Right Choice?

Whether you’re looking at 64 or 128-slice CT scanners, we’ve helped hundreds of facilities make the right call. Let’s talk about your goals and build a strategy that aligns with your clinical needs and budget.


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