3D acquisition protocols for ARTIS icono biplane (VExx)

3D acquisition protocols for ARTIS icono biplane (VEXX) job aid Angiography – ARTIS software VEXX An additional job aid is available on PEPconnect to determine the software version of the system. • The ability to perform a 3D/4D acquisition on your ARTIS systems depends on purchased licenses and system capabilities. • Start Positions will vary depending on the ARTIS system type. Automatic/manual control for 3D acquisition The examination sequence depends on the 3D Control setting in the acquisition protocol: • If Auto is set in the acquisition protocol, then the movement of the C-arm starts auto- matically with the acquisition. I.e., the acquisition is started by pressing an exposure release button or pedal, and - the injection, mask, and fill phase occur automatically. If an injector is connected to the system and set to Armed, injection is also started au- - tomatically (possibly with a delay). If no injector is connected to the system or if it is connected but not set to Armed, - you must perform the injection manually. • If Manual is set, you must manually start a movement of the C-arm (and start the ac- quisition) with the multifunctional button on the hand switch. The acquisition is started by pressing an exposure release button or pedal, and the injec- tion must be triggered manually. The bolus can be monitored during the injection. When sufficient contrast medium filling has been reached, the mask/fill phase must be started by pressing the multifunctional button on the hand switch. If the fill phase is not triggered manually, it starts after 30 seconds. SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 03/05/2025 | QR700019662 3D acquisition protocols* – Interventional Radiology Acquisition protocol Used for Clinical application example Contrast enhanced vessels: Aorta, 4sDR Body High contrast imaging Spinal AVM, High-Density Anatomy: Bones, Spine 4sDSA Body High contrast imaging Contrast enhanced vessels: Aorta, Spinal AVM Pediatric Interventions 4sDR Body Care High contrast imaging Patient 3D/3D Registration Needle Progress Checking Liver embolization, PAE, endoleak 5sDCT Body Body soft tissue imaging after EVAR, Pulmonary Artery embolization Body soft tissue imaging, Detect supporting vessels Liver embolization, PAE, endoleak 4sDCT Body Care with contrast after EVAR, Pulmonary Artery embolization Manual Controlled 3D to capture different phrases of Manual Controlled 3D to capture 5sDual DCT Body contrast medium filling different phases of contrast me- dium filling Body soft tissue imaging Liver embolization Manual Controlled 3D to capture different phrases of Manual Controlled 3D to capture 4sDual DCT Body Care contrast medium filling different phases of contrast medium filling. Body soft tissue imaging Liver embolization Support detection of small lesions 4sDyna PBV Body Shows the distribution and and feeders in the liver or lung. amount of blood in lesions In-suite assessment of embolization treatment. For moving anatomy (e.g. liver, Faster spin to reduce move- lung, aorta) 3sDCT Body Highspeed ment artifacts. Patients who cannot hold their breath long or may have renal dys- Head side only. function to reduce contrast. SIEMENS Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2025 | HOOD05162003074494 Healthineers Job Aid Effective Date: 03/05/2025 | QR700019662 Page 2 of 9 High contrast imaging Contrast-enhanced vessels in the 4sDR [B]** Body Acquired by lateral plane when lower body area: aorta, internal iliac, ROI cannot be covered using arteries in the leg. A plane head side High-density anatomy: spine, pelvis High contrast imaging Acquired by lateral plane when Contrast-enhanced vessels in the 4sDSA [B]** Body ROI cannot be covered using lower body area: aorta, internal iliac, A plane head side arteries in the leg. Body soft tissue imaging 5sDCT [B]** Body Acquired by Lateral plane when PAE, UFE, vertebroplasty, ROI cannot be covered using kyphoplasty A plane head side Body soft tissue imaging 4sDCT [B]** Body Care Acquired by Lateral plane when PAE, UFE, vertebroplasty, ROI cannot be covered using kyphoplasty A plane head side *Special 3D protocols are only available with specific system engines/purchasable licenses depending on system options. **Fusion with A plane is needed for overlay or workflow on B plane. SIEMENS Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2025 | HOOD05162003074494 Healthineers Job Aid Effective Date: 03/05/2025 | QR700019662 Page 3 of 9 3D acquisition protocols* – Surgery Acquisition protocol Used for Clinical application example Contrast enhanced vessels: 4sDR Surgery High contrast imaging Aorta, Spinal AVM. High Density Anatomy: Bones, Spine Contrast enhanced vessels: 4sDR Surgery P High contrast imaging with Aorta, Spinal AVM detector in Portrait Position High Density Anatomy: Bones, Spine Liver embolization, PAE, endo- 5sDCT Surgery Body soft tissue imaging leak after EVAR, Pulmonary Artery embolization. Detect supporting vessels with Contrast. Liver embolization, 4sDCT Surgery Care Body soft tissue imaging PAE, endoleak after EVAR, Pul- monary Artery embolization. 4sDCT Surgery Care P Body soft tissue imaging with EVAR/TEVAR, detector in Portrait Position spine interventions High contrast imaging with detector in Portrait Position. 4sDR EVAR P EVAR Guidance Workflow will be EVAR/TEVAR Aorta Imaging opened automatically after spin. Body soft tissue imaging with 4sDCT EVAR Care P detector in Portrait Position. EVAR/TEVAR grafts visualization EVAR Guidance Workflow will be and endoleak checking. opened automatically after spin. Body soft tissue imaging with De- tector in Portrait Position. This is used during EVAR guidance workflow. Review Layout will be 4sDCT EVAR CTL Care P opened after spin to check 3D vol- During EVAR guidance workflow ume first, then manually switch to for progress checking. EVAR guidance workflow manually. 3D/3D fusion is required to con- tinue the workflow. *Special 3D protocols are only available with specific system engines/purchasable licenses depending on system options. SIEMENS Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2025 | HOOD05162003074494 Healthineers Job Aid Effective Date: 03/05/2025 | QR700019662 Page 4 of 9 3D acquisition protocols* – Neuro Interventional Radiology Acquisition protocol Used for Clinical application example Contrast-enhanced vessels: An- 4s DR Head High contrast imaging eurysm, AVM Skull/Bone structure Coils, stents 4sDSA Head High contrast imaging Contrast-enhanced vessels: for Vessels Aneurysm, AVM Contrast-enhanced vessels: 4sDR Head Care Low dose high contrast Aneurysm, AVM. imaging Pediatric imaging Bone structure for fusion. Time-resolved 3D imaging to view blood flow and arterial inflow. 6sDSA Dyna4D Head AVM/AVF/Aneurysm inflow Head side only, no twin spin Time-resolved 3D imaging to view blood flow, Arterial inflow and 12sDSA Dyna4D Head venous outflow. AVM/AVF inflow and washout Head side only, no twin spin Brain Tissue, stroke, bleeds, 4sDCT Head Care Head soft tissue Imaging with less tumor, flow diverter/web device, dose compared to 8s protocols. venous sinus Flow Diverter/Web Follow-up Brain Tissue, stroke, bleeds, Head soft tissue & Vessel tumor, flow diverter/web device, 4sDSA DCT Head Care Imaging with less dose venous sinus compare to 8s protocols. Flow Diverter/Web Follow-up Dual Phase Head DynaCT Brain tissue, stroke, bleeds, 8sDCT Head 109kV Head soft tissue imaging w/o tumor, flow diverter/web device, injection venous sinus Flow Diverter/Web Follow-up Brain tissue, stroke, bleeds, 8sDCT Head 70kV Head soft tissue imaging w/ tumor, flow diverter/web device, injection venous sinus Flow Diverter/Web Follow-up SIEMENS Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2025 | HOOD05162003074494 Healthineers Job Aid Effective Date: 03/05/2025 | QR700019662 Page 5 of 9 Parenchymal Blood Volume Visualizes the contrast-enhanced Monitor the functional state 5sDynaPBV Neuro ia blood volume distribution of the during endovascular stroke whole brain, intra-arterial treatment injection Parenchymal Blood Volume Visualizes the contrast-enhanced Monitor the functional state 5sDynaPBV Neuro iv blood volume distribution of the during endovascular stroke whole brain, intra-venous treatment injection Whole brain imaging, stroke, 7sDCT Sine Spin Excellent head soft tissue bleeds, tumor with low pixel Imaging with fewer artifacts Resolution Smoother Soft tissue Imaging Whole brain imaging, stroke, bleeds, tumor, flow diverter/web 9sDCT Sine Spin Device Excellent head soft tissue imaging device with fewer artifacts Better Resolution for small struc- tures compared to 7s DCT Sine Spin Evaluate the perfusion status of 60sDCT Head Perfusion Multiphase DynaCT a stroke patient Visualization of collateral vessels with syngo DynaCT Multiphase High-contrast imaging for Vessels Contrast-enhanced vessels: 3sDSA Head HighSpeed with less time Aneurysm, AVM Fewer movement artifacts Head side only, no twin spin. Less contrast injection 4sDSA Head Micro Visualize the smallest details Coils/stents checking with Good for high-contrast imaging Contrast enhanced vessels Time-resolved 3D imaging to view Coils/stents checking with 6sDSA 4D Head Micro blood flow and arterial inflow. Contrast enhanced vessels Visualize the smallest details AVM/AVF checking Time-resolved 3D imaging to view 12sDSA 4D Head Micro blood flow, arterial inflow, and Coils/Stents checking with venous outflow. contrast-enhanced vessels Visualize the smallest details AVM/AVF checking Visualize the smallest details Coils/Stents/Flow Diverter/Web 7sDCT Head Care Micro Good for soft tissue/diluted checking w/ or w/o contrast contrast/special intracranial enhanced vessels devices like pipeline Petrous bone/inner ear Visualize the smallest details Coils/Stents/Flow Diverter/Web 14sDCT Head Micro Great for soft tissue/diluted checking w/ or w/o contrast contrast/special intracranial enhanced vessels devices like pipeline Petrous bone/inner ear SIEMENS Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2025 | HOOD05162003074494 Healthineers Job Aid Effective Date: 03/05/2025 | QR700019662 Page 6 of 9 3D acquisition protocols* – Spine Acquisition protocol Used for Clinical application example 4sDR Spine P Vertebrae imaging with detector in Vertebroplasty, kyphoplasty, Portrait Position. needle guidance for spine procedures. Low-dose vertebrae imaging with Fusion with CT/MR, previous 4sDR Spine Care P the detector in Portrait Position. Dyna CT, or needle progression checking. Vertebroplasty, kyphoplasty, Vertebrae imaging with the detec- needle guidance for Spine 4sDCT Spine Care P tor in Portrait Position with better The procedure with better visu- soft tissue visualization. alization of spongy bones or tu- mors 3D acquisition protocols* – Cardiac Acquisition protocol Used for Clinical application example Atrium, aorta, pulmonary artery 4sDR Card Heart structure and great arteries with high contrast. imaging, pediatric heart/artery anatomy. Low-dose heart and great arteries Atrium, aorta, pulmonary artery 4sDR Card Care imaging with high imaging, pediatric heart/artery contrast. anatomy. Heart structure and great Heart soft tissue. 4sDCT Card arteries with low contrast. Atrium, aorta, pulmonary artery imaging, and pediatric heart/ar- Diluted contrast medium. tery anatomy. Left Atrium Imaging with high con- 4sDR Card EP trast, EP planning workflow will be Left Atrium fibrillation, pulmo- enabled automatically after spin. nary vein ablation. Low-dose left atrium imaging with 4sDR Care EP high contrast, and the EP planning Left Atrium fibrillation, pulmo- workflow will be enabled automat- nary vein ablation. ically after the spin. Left Atrium Imaging with Low con- 4sDCT Card EP trast, EP planning workflow will be Left Atrium fibrillation, enabled automatically after spin. pulmonary vein ablation. Aorta imaging with low contrast 4sDCT Card AVG and aortic valve guidance workflow Transcatheter Aortic Valve will be enabled automatically. Implantation/Repair. *Special 3D protocols are only available with specific system engines/purchasable licenses depending on system options. SIEMENS Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2025 | HOOD05162003074494 Healthineers Job Aid Effective Date: 03/05/2025 | QR700019662 Page 7 of 9 Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the soft- ware and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please con- tact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthineers AG 2025 SIEMENS Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2025 | HOOD05162003074494 Healthineers Job Aid Effective Date: 03/05/2025 | QR700019662 Page 8 of 9 Siemens Healthineers Headquarters Siemens Healthineers AG Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens-healthineers.com SIEMENS Unrestricted 0 Published by Siemens Healthineers AG © Siemens Healthineers AG, 2025 Master Template Effective Date: 3/5/2025 | HOOD05162003074494 Healthineers Job Aid Effective Date: 03/05/2025 | QR700019662 Page 9 of 9