Acquisition and Processing of CT Multi-Series Stitch in Conjunction with PET Imaging

Acquisition and Processing of CT Multi- Series Stitch in Conjunction with PET Imaging All Biograph PET/CT Systems Description: This job aid will assist the user in acquiring and processing a protocol with CT Multi- Series Stitch in conjunction with PET Imaging. CT Multi-Series Stitch allows user to acquire CT scans with different CT dose and acquisition parameters to form a single wholebody series that can be fused with PET. Acquiring a CT Multi-Series Stitch Protocol 1. Register Patient. Patient Applications PET Edit In E-Logbook F12 Register ... Num 0 Emergency ... Browser ... Num . Examination Job Status Close Patient 2. Click Exam. Emergency Registration PATIENT PROCEDURE Last name 21.02.10-02:15:23-STD-Specials Po Accession No First name Requested B- Specials PolyTrauma (Adult) Patient ID 21.02.10-02:15:23-STD-1.3.12.2.110 procedure(s) Date of birth |18-Nov-1858 [dd-MMM-yyyy] Sex . Male Female . Other Study list Specials PolyTrauma (Adult) Age 162 Years Height in Weight Ibs oz . Metric Add Delete Study Specials PolyTrauma (Adult) HOSPITAL Referring physician Admitting diagnosis Institution name STITUTION Ward Admission ID 1. Performing physician 1. Operator Exam Cancel Help Please enter date in 'dd-MMM-yyyy' format. ISO_IR 100 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/08/2023 | HOOD05162003327237 Healthineers 3. From the Patient Model Dialogue Box, Choose the PETCT Multi-Series protocol to be performed. 4. Verify Patient Orientation, click OK. 5. Perform Topogram. Topogram 6. Before proceeding with any further scanning: a. Align all CT FoVs for each series and/or reconstructions. Note: CT FoVs must match. Also, ensure that there are overlaps between contiguous series (at least 1 slice). 21.02.10-02:15:23-STD-Specials PolyTraum ................. 21.02:10-02:15:23-STD-1:3.12.2. Hospital: *18-Nov-1858, O, 162Y 1-2 Biograph64 VG70A Multi Stitch_PET (Adult) :10-Feb-2021 1-1 H-SP: 04:38:26.25 Topogram 1 IMA 1 :TOP 1 (CT Head/NRT SP -701.0 Contrast SP 1: -771.5 CT CAP 12-2 2-SP 2: LEN: -1114.0 342.5 Pause GT: 0.0 FoV: 780 PET WB CE: 0/0 R 10cm CT Series 1 FoV 1 21.02.10-02:15:23-STD-Specials PolyTraum 21.02.10-02:15:23-STD-1.3.12.2. H raph64 *18-Nov-1858, O, 162Y 1-2 1-1 3109 VG70A Multi_Stitch_PET (Adult) 10-Feb-2021 04:38:26.25 Topogram 1 IMA 1 TOP 1 CT Head/NRT SP -701.0 Contrast ......... 12-2 SP 1 -1077.5 CT CAP RT SP 2: -1626.0 2.1.EN: 548.5 Pause GT: FoV: PET WB NC CE Load 10cm CT Series 2 FoV 2 /2-2 2- Overlap Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/08/2023 | HOOD05162003327237 Healthineers Page 2 of 7 b. Click on the PET Series, then align PET FoV. Note: Total CT FoV needs to be larger than PET so that system can calculate SUVs. Total CT FoV and PET FoV will not match exactly. STD-Specials PolyTraum H TD-1,3.12.2 ..... Hospital j1-2 11-1 iograph64 VG70A Multi_Stitch_PET (Adult H-SP opogram CT Head/NRT] Contrast CT CAP RT /2-2 /2-1 Pause PET WB O Load Recor 0cm c. Enter PET Dose and any other information before performing the exam. 7. Proceed with the scan. 8. Complete the entire study—Including PET, before attempting any stitch processing or attenuation correction for PET. 9. Once scans are complete—leave the patient scan open and follow the steps below for stitching and processing. Stitch and Processing of Ct Multi-Series with PET 1. While keeping the patient study open, to stitch CT series perform the following: a. Open the Patient Browser. Patient Applications PET Edit E-Logbook F12 Register ... Num 0 Emergency ... Browser .. Num Examination Job Status Close Patient Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/08/2023 | HOOD05162003327237 Healthineers Page 3 of 7 b. For any CT series with a Contrast tag, the tag will need to be removed or applied to non- contrasted series before stitching. This is corrected in: Edit > Correct > Instances > Uncheck or Check Contrast. Correct X "21.02.10-02:15:23-STD-Specials PolyTraum" on "Local" 1 Series selected Specific Character Set ISO_IR 100 Modifier's name meduser Last name 21.02.10-02:15:23-STD-Specials PolyTr Date 10-Feb-2021 Patient ID 21.02.10-02: 15:23-STD-1.3.12.2.1107.5 Time Injection Start Time 05:19:37 Patient Referring physician Injection Stop Time 05:19:37 Admission ID Injection Total Dose O [m] Contrast Ingredient Contrast Agent APPLIED Accession No Study ID 1 Contrast medium Study Hospital Series description AC CT CAP 5.0 HD_FoV RI Calibration image Series date 10-Feb-2021 Laterality None Series Number Comment instance OK Cancel Help c. Highlight and select all AC CT scans for stitch. [1] Topogram 0.6 T80f [2] AC CT Head/Neck 5.0 HD_FoV SIk [3] CT Head/Neck 5.0 B30f Local Database _ 21.02.10-02:15:23-STC_ PET Multi_Stitch_PET 11111 Prot/ //// Prote [4] AC CT CAP 5.0 HD_FOV Scheduler 21.02.10-01:33:54-STD-S| [5] CT CAP 5.0 B30f 11111 1 d. Click on Multi-Series Stitch Icon. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/08/2023 | HOOD05162003327237 Healthineers Page 4 of 7 e. Dialogue box will open. In this box, Series Description, Slice Thickness, Increment, and Image Order can be adjusted. Click Create > once complete, Click Close. Merge Multi CT Series Description AC CT Fused Thickness 5.0 Increment 5.0 Image Order Craniocaudal 0% Create Close Help f. Repeat the steps above for all CT scans for Fusion. 2. Refresh the Patient Browser. 3. Two new series will now be listed. Local Database 21.02.11-01:03:43-STD-SI PET Multi_Series_CT. [103] AC CT Stitched Scheduler Brain_4 [104] CT WB Stitched 4. Leave the Patient Browser open and shift to another screen--if only one screen, minimize the browser to visualize the Examination card. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/08/2023 | HOOD05162003327237 Healthineers Page 5 of 7 a. Click on the 1st PET recon (typically set PET AC): If the newly created AC CT Stitched has not populated correctly for Attenuation Correction CT, check the drop-down arrow to see if the appropriate file is listed. Attenuation correction CT AC CT Head/Neck 5.0 HD AC CT Head/Neck 5.0 HD FoV (1-1) :T) CT Head/Neck 3.0 B30f (1-2) AC CT CAP 5.0 HD_FoV (2-1) CT CAP 3.0 B30f (2-2) nofault b. If the AC CT Stitched is not listed, highlight the series in the Patient Browser and drag the file into the reconstruction card for PET. This should populate the file in list AC CT list. Attenuation correction CT AC CT Stitched (*) Recon c. Click on to reconstruct PET AC. d. Click on the 2nd recon for PET (typically set for PET NAC). e. From the Attenuation Correction CT list, choose the correct stitched file. Note: although the 2nd recon is for Non-Attenuation, changing the reference CT wilensurere all beds will be processed f. Click on Recon to reconstruct PET NAC. 6. Close Patient. 7. Refresh the Patient Browser and proceed with TrueD Lite, TrueD, or syngo.Via processing. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/08/2023 | HOOD05162003327237 Healthineers Page 6 of 7 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 software 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 contact 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 Healthcare GmbH 2023 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Siemens Medical Solutions USA, Inc. Henkestr. 127 91052 Erlangen, Germany 40 Liberty Blvd. Molecular Imaging Phone: +49 9131 84-0 Malvern, PA, USA 19355-9998 2501 N. Barrington Road siemens-healthineers.com Telephone: +1-888-826-9702 Hoffman Estates, IL, USA 60192 siemens.com/healthcare Telephone: +1 847 304-7700 siemens.com/mi Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Page 7 of 7