Creating Protocol with CT Multi-Series Stitch in Conjunction with PET Imaging

Creating Protocol with CT Multi-Series Stitch in Conjunction with PET Imaging All Biograph PET/CT Systems Description: This job aid will assist the user in creating a protocol with CT Multi-Series Stitch in Conjunction with PET Imaging. CT Multi-Series Stitch allows users to acquire CT scans with different CT dose and acquisition parameters to form a single Wholebody series that can be fused with PET. Creating a CT Multi-Series Stitch Protocol 1. Register a Test Patient or use System Emergency Patient. Note: When using Emergency Patient, the patient‘s weight is not needed to proceed to Exam. Patient | Applications PET Edit E-Logbook F12 Register ... Num 0 Emergency ... Browser ... Num . Examination Job Status Close Patient Emergency Registration x PROCEDURE PATIENT 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 INSTITUTION Referring physician Admitting diagnosis Institution name 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 2. Click Exam. 3. From the Patient Model Dialogue Box, Choose the PET protocol to be modified. 4. Verify Patient Orientation, then click OK. 5. Click on PET series in Chronicle and uncheck Match CT Range. Note: when unchecking, a warning box will display stating that unchecking may result in a mismatch of CT and PET fields of view. Click OK. Scan range Match CT Range A PET Examination X Changing the Default Bed Planning may result in a mismatch of CT and PET Fields of View. Do you wish to continue? OK Cancel Scan range Match CT Range 6. To add multiple CT series to the chronicle; a. Right Click on CT series>Repeat. b. Click on the Patient Model Dialogue Box >Append/Cut Topogram. Protocol . Replace . Append Topogram · Cut . Keep Next, choose the CT protocol to add. Note: Appended CT series will be placed at the end of the series chronicle. This will have to be cut and placed in the correct order. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, SIEMENS 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 02/08/2023 | HOOD05162003327237 Healthineers Page 2 of 6 7. Adjust the CT parameters for each CT series. a. 1st CT Reconstruction is/should be associated with AC CT HD FoV (780mm) . Topogram Recon job 2 3 4 5 6 7 8 Series description AC CT WB 5.0 HD_FoV CT WB RT Slice 5.0 mm Recon job type o Axial 3D Pause ADMIRE Recon region: Narrow . Wide o None CT WB RT Kernel B30f medium smo - iMAR ] FAST M Window Abdomen Begin position -774.5 mm 2: Pause End position -1626.0 mm 2: PET WB HD FOV FoV 780 mm Image order Craniocaudal Center X 0 mm Increment 3.0 mm Overview CenterY 0 mm No. of images 284 Mirroring None Comments Load Hold Extended CT scale Rennn Recon b. 2nd CT Reconstruction is/should be associated with CT WB for Fusion. These two reconstructions should each have the same slice and increment. Topogram Recon job 1 2 3 4 5 6 8 Series description CT WB 3.0 B30f ICT WB RT Slice 3.0 mm Recon job type o Axial 3D Pause ADMIRE Recon region: Narrow . Wide . Kernel B30f medium smo - iMAR None CT WB FAST Window Abdomen Begin position -774.5 mm2: Pause End position -1626.0 mm 2 PET WB HD FOV FOV 500 mm2: Image order Craniocaudal Center X 0 mm Increment 2.0 mm Overview Center Y 0 mm No. of images 426 Mirroring None Comments Load Hold Extended CT scale Recor c. All subsequent CT Reconstructions are specifically associated with those series. d. Contrast can also be applied to all or some CT series. Topogram CT WB RT Contrast CT WB RT 2 Pause CT WB 3 Pause PET WB 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 6 e. Please note—Various CT series intended for stitching should be scanned in either Craniocaudal or Caudalcranial and not out of order. 8. Adjust PET Series acquisition and reconstruction parameters. Topogram sotope F-18 Pharm. Fluorodeoxyglucose CT WB RT Dose 0.00 mC Contrast Date 10-Feb-2021 Time 03:19:24 CT WB RT Scan range Match CT Range No. of beds 8 Pause Scan duration/bedE 3 min CT WB 3 Pause PET WB Range: Begin End Table: Position Height Loa Hold Recon -1562.5 .774.5 -700.0 100.0 Recor Caudocranial 9. Click on PET Auto Tasking Sub Task card—uncheck Auto Recon and change Auto Display to None. Do this for both PET AC Recon and PET NAC Recon. Recon job 1 2 3 4 5 6 7 8 Auto recon Auto Display None 10. To save CT Multi-Series PET protocol: a. Click on Edit in the top menu bar. Patient Applications PET Edit  b. Save scan protocol. Save Scan Protocol ... Delate C Protocol  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 6 c. Rename protocol. File name: Multi Stitch PET Adult  d. Click Save. Save 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 6 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 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: XX/XX/XXXX | HOOD/HILS Healthineers Page 6 of 6