3D acquisition protocols for Artis zee/Q (VDxx)

3D Acquisition protocols for Artis zee/Q (VDxx) job aid Angiography – ARTIS software VDxx 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 rotational examination sequence depends on the Dyna Control or 3D Control setting in the acquisition program: • If Auto is set in the acquisition program, then the movement of the C-arm starts automatically with the acquisition. If an injector is connected to the system and set to Armed, injection is also started - automatically (possibly with a delay). If no injector is connected to the system or if it is connected but not set to Armed, - you must carry out the injection manually. • If Manual is set, you must manually start a movement of the C-arm (and start the acquisition) with the multifunctional button on the hand switch. The injection must also be carried out manually. - 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 | QR700019661 3D Acquisition protocols* – Interventional Radiology Acquisition protocol Used for Clinical application example Contrast-enhanced vessels: Aorta, 5sDR Body High contrast imaging Spinal AVM, High-density anatomy: Bones, Spine 5sDSA Body High contrast imaging Contrast-enhanced vessels: Aorta, Spinal AVM Pediatric Interventions 5sDR Body Care High contrast imaging Patient 3D/3D Registration Needle progress checking Liver embolization, PAE, endoleak 6sDCT Body Body soft tissue imaging after EVAR, Pulmonary Artery embolization Body soft tissue imaging, Liver embolization, PAE, endoleak 5sDCT Body Care Detect supporting vessels after EVAR, Pulmonary Artery with contrast embolization Manual Controlled 3D to Manual Controlled 3D to capture Modify based on capture different phrases of 6s 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 Modify based on 5s 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. *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 | QR700019661 Page 2 of 8 Body soft tissue imaging Liver Centric 3D acquiring from LAO 6s DCT Body Open Apply Open Trajectory, 50° to RAO 150° to reduce collision (Ceiling Only) LAO 50° to RAO 150° risk when the table has been moved to the left, especially for obese pa- Head Side only. tients or an arm board has been used. Body soft tissue imaging Liver Centric 3D acquiring from LAO 5s DCT Body Care Open Apply Open Trajectory, 50° to RAO 150° to reduce collision (Ceiling Only) LAO 50° to RAO 150° risk when the table has been moved to the left, especially for obese pa- Head Side only. tients or arm board has been used. Shows the distribution and amount of blood in lesions Support detection of small lesions 5s Dyna PBV Body Open Apply Open Trajectory, and feeders in the liver or lung (Ceiling Only) LAO 50° to RAO 150° In-suite assessment of embolization Head Side only. treatment. Faster spin to reduce movement 3s DR Highspeed artifacts For moving anatomy e.g. lung, aorta (zeego Only) For patients who cannot hold their Head Side only. breath for a long time. Body soft tissue imaging covering a larger image area (35cmX24cm) Big organs like the Liver and lung 6s Large Volume 360° Longer segment for aorta or spine (zeego Only) Not available on the right side Skin entrance for syngo Needle Not available with Table rotated Guidance Body soft tissue imaging covering a wider image area 12s DCT Large Volume L (45cmX18.5cm) Big organs like liver and lung (zeego Only) Skin entrance for syngo Needle Not available with Table rotated Guidance Body soft tissue imaging covering a larger image area Big organs like the liver and lung 12s DCT Large Volume P (35cmX24cm) Longer segment for aorta or spine (zeego Only) Skin entrance for syngo Needle Not available with Table rotated Guidance *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 | QR700019661 Page 3 of 8 3D Acquisition protocols* – Surgery Acquisition protocol Used for Clinical application example Contrast enhanced vessels: 5sDR Surgery High contrast imaging Aorta, Spinal AVM. High density anatomy: Bones, Spine Contrast enhanced vessels: 5sDR Surgery P High contrast imaging with Aorta, Spinal AVM detector in Portrait Position High density anatomy: Bones, Spine Liver embolization, PAE, 6sDCT Surgery Body soft tissue imaging endoleak after EVAR, Pulmonary Artery embolization. Detect supporting vessels with Contrast. liver embolization, 5sDCT Surgery Care Body soft tissue imaging PAE, endoleak after EVAR, Pul- monary Artery Embolization. 5sDCT Surgery Care P Body soft tissue imaging with EVAR/TEVAR, Spine Interven- the detector in Portrait Position tions High contrast imaging with the detector in Portrait Position. 5sDR EVAR P EVAR Guidance Workflow will be EVAR/TEVAR Aorta imaging opened automatically after spin. Body soft tissue imaging with 5sDCT 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 5sDCT EVAR CTL Care P opened after a spin to check 3D During EVAR guidance workflow volume first, then manually switch for progress checking. to EVAR guidance workflow manu- ally. 3D/3D fusion is required to continue 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 | QR700019661 Page 4 of 8 3D Acquisition protocols* – Neuro Interventional Radiology Acquisition protocol Used for Clinical application example Contrast-enhanced vessels: An- 5sDR Head High contrast imaging eurysm, AVM Skull/Bone structure Coils, stents 5sDSA Head High contrast imaging Contrast-enhanced vessels: for vessels Aneurysm, AVM Contrast-enhanced vessels: 5sDR Head Care Low dose high contrast Aneurysm, AVM. imaging Pediatric imaging Bone structure for fusion. Time-resolved 3D imaging to view 6sDSA Dyna4D Head blood flow and arterial inflow. 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, 10sDCT 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, 10sDSA 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, 20sDCT 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, 20sDCT 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 | QR700019661 Page 5 of 8 5s DSA Head Visualize the smallest details Coils/stents checking with (zoom 22cm) Good for High contrast imaging Contrast enhanced vessels 6sDSA 4D Head Time-resolved 3D imaging to view Coils/stents checking with (zoom 22cm) blood flow, arterial inflow Contrast enhanced vessels Visualize the smallest details AVM/AVF checking Time-resolved 3D imaging to view 12sDSA 4D Head blood flow, arterial inflow and Coils/stents checking with (zoom 22cm) venous outflow Contrast enhanced vessels Visualize the smallest details AVM/AVF checking Visualize the smallest details Coils/stents/flow diverter/web 10s DCT Head Good for soft tissue/diluted checking w/ or w/o contrast (zoom 22cm) contrast/special intracranial enhanced vessels device like pipeline Petrous Bone/Inner ear Visualize the smallest details Coils/stents/flow diverter/web 20s DCT Head 70kV Great for soft tissue/diluted checking w/ or w/o contrast (zoom 22cm) contrast/special intracranial enhanced vessels device like pipeline Petrous bone/inner ear 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. Fusion with CT/MR, previous 4sDR Spine Care P Low dose vertebrae imaging with 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 procedure with better visualiza- soft tissue visualization. tion of spongy bones or tumors 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 | QR700019661 Page 6 of 8 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. Atrium, aorta, pulmonary artery 4sDR Card Care Low-dose heart and great arteries imaging with high contrast. imaging, pediatric heart/artery anatomy. Heart structure and great arteries Heart soft tissue. 4sDCT Card with low contrast. Atrium, aorta, pulmonary artery Diluted contrast medium. imaging, and pediatric heart/ar- tery anatomy. The EP planning workflow will be 4sDR Card EP enabled automatically after the Left atrium fibrillation, pulmo- spin for left atrium imaging with nary vein ablation. high contrast. Low-dose left atrium imaging with 4sDR Care EP high contrast and the EP planning Left atrium fibrillation, workflow will be enabled automat- pulmonary vein ablation. ically after the spin. Left atrium Imaging with Low con- 4sDCT Card EP trast, EP planning workflow will Left atrium fibrillation, enabled automatically after spin. pulmonary vein ablation. Aorta imaging with low contrast, 4sDCT Card AVG Aortic Valve Guidance workflow will Transcatheter Aortic Valve Im- be enabled automatically. plantation/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 | QR700019661 Page 7 of 8 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 Healthineers Headquarters Siemens Healthcare GmbH 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 | QR700019661 Page 8 of 8