CT VB80 Rapid Results Technology What’s New - USA

SIEMENS Healthineers What’s New in Rapid Results Technology of syngo.via CT VB70-VB80 Template Effective Date: 10 Aug 2021 | HILS 2223 This training material is based on the medical devices syngo.CT Applications VB80A and syngo.CT Dual Energy VB80A. Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Disclaimer SIEMENS Healthineers syngo.via Q Scanner AI-Rad Companion V syngo.via Syngo Carbon View&GO Space Please keep in mind that the user interface may differ slightly from what is shown in this Job Aid. The actual usage of the tool may differ slightly on the different host systems, for example on syngo.via, Syngo Carbon Space, syngo.via View&GO, AI-Rad Companion or on the scanner. However, the intended purpose of the tool is the same. The tool functionality defined in this Job Aid is applicable to any of the Siemens Healthineers products in which you find this tool. 2 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 What’s new in Rapid Results Technology (RRT) SIEMENS Healthineers of syngo.via CT VB70-VB80 – Table of contents Multiple DICOM nodes for auto archiving 4 Lung Lobe Segmentation 9 SIEMENS . VRT and presets Healthineers 14 Improved parameters for spine 25 Extension of Dual Energy Result Types 28 New Result Types 37 General features and information – Removal of FastTransfer 51 3 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 SIEMENS Healthineers syngo.via CT VB70-VB80 Rapid Results Technology What‘s New Job Aid Multiple DICOM nodes for auto archiving 4 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Drop-down list of possible DICOM nodes and SIEMENS Healthineers Automatic Archiving • Two ways to send RRT Results to PACS: a) Automatic Archiving Rapid Results Technology − PACS1 (Default) Autorouting − ¥ PACS1(Default) • Dropdown list of verification and archiving in Configuration Panel PACS2 shows possible DICOM nodes (Fig. a): Autorouting The list is sorted alphabetically. − b) V Automatic Archiving Default node is marked with Default. − PACS1(Defaul (); )AC @; Autorouting DICOM node can be configured in Remote DICOM Nodes of − ¥ PAC51(Default) Administration Portal. ¥ PACS2 • Multiselection of DICOM nodes are available. ¥ Autorouting • Selected DICOM node(s) is (are) displayed in the texts field: c) ¥ Automatic Archiving ; is shown when multiple nodes are selected (Fig. b). − • Drop-down list will be colored yellow when DICOM node is not PAC51(Default) selected and Automatic Archiving is activated (Fig. c). PAC52 Autorouting 5 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Autorouting SIEMENS Healthineers • Autorouting rules for data transfer in the Installation º Technical Configuration Clinical Configuration Autorouting Rules window in Technical Site Information Autorouting Rules Configuration of the syngo.via Administration Remote Service Edit / Create Rule Portal in previous software versions. Licensing Condition Name Cardiac 1 New Rule Rename Rule Delete Rule User and Role Administration Type Category Operator Value • Rules for which data should be transferred to DICOM Nodes Clinical Result n.a. n.a. n.a. where. DICOM Data Handling Add Line • Configuration for each result (Basic Text Structured Archiving and Deletion Save Rule Save Rule As Report, Enhanced Structured Report, Result Exclude from Archive Choose Routing Target Autorouting Images, etc.). You can specify the result type to Job Settings transfer the data. Media Compression Add Rule • Complex rules possible with Autorouting. Export Path Autorouting Rule List • Autorouting is independent setting from RRT Study Preloading Prediction Check to set rule as active Encapsulated PDF -> $DefaultArchive$ Apply rule System Backup Secondary Capture Image -> $DefaultArchive$ immediate Comprehensive Structured Report -> $DefaultArchive$ Basic Text Structured Report -> $DefaultArchive$ during default archiving/send time period configuration. Auditing to Syslog Server Enhanced Structured Report -> $DefaultArchive$ Apply for operation Result Images -> $DefaultArchive$ Media imported objects • In VB70, Autorouting is used when activating Device Guard Received and retrieved objects Automatic Archiving. Save 6 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Using the Automatic Archiving option SIEMENS Healthineers • You can select the Automatic Archiving check box to transfer V Automatic Archiving the calculated result series directly to the PACS without reviewing it. Autorouting • If you activate the Automatic Archiving check box, the PACS1 (Default) following preselection is made by default: PACS2 ¥ Autorouting If one of the listed DICOM nodes is set as the default − node, this default node is selected as the target PACS. Automatic Archiving If no DICOM node is set as the default node, Autorouting − Autorouting is selected. In this case, the result series is PACS1 transferred to the DICOM node configured as the destination PACS for autorouting. PAC52 V Autorouting 7 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Auto archive destination for RRT SIEMENS Healthineers • The destination of RRT results can be configured for each result. a) Automatic Archiving • One can choose specific DICOM nodes or use the Autorouting PAC51 functionality by checking the corresponding check box. ¥ PACS1 • In Fig. a) in the setting window, result series are transferred to PAC52 PACS1. Autorouting In Fig. b) in the setting window, result series are transferred to b) • Automatic Archiving PACS1 and to the configured destination PACS for Autorouting. PAC51; Autorouting • If Autorouting is selected, the result series is automatically PACS1 transferred to the configured destination PACS, even if the PAC52 respective DICOM node is deselected in the listed archives. ¥ Autorouting • In Fig. c) in the setting window, result series are transferred to the c) Automatic Archiving configured destination PACS for Autorouting. The result series are transferred only once, even if the target PACS Autorouting • is selected twice (from the list, and indirectly via autorouting). PAC51 PAC52 ¥ Autorouting 8 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 SIEMENS Healthineers syngo.via CT VB70-VB80 Rapid Results Technology What‘s New Job Aid Lung Lobe Segmentation 9 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Lung Lobe Segmentations for parallel ranges (1/2) SIEMENS Healthineers The Lung Lobe Segmentation option is available for parallel ranges in the Output section in the Configuration Panel with VB80. The Lung Lobe Segmentation and evaluation table can be provided when Lung Lobe Segmentation check box is selected. Properties of Thorax Range_New1 Anatomical Structure Thorax Ranges Type Parallel General Parameters Output Display Type MPR Thick Output Type Conventional CT (including DE) Windowing Preset Output type allows you ... Lung Phase Auto % Orientation Axial Lung Lobe Segmentation Image Order Head to Feet Verification and Archiving 10 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Lung Lobe Segmentations for parallel ranges (2/2) SIEMENS Healthineers • Available Output Types o Monoenergetic Plus Output Type Lung Analysis - Lung PBV Fused o Virtual Unenhanced VNC lodine Thin Slice (Original) − Lung Analysis i Output type allows you ... o Lung PBV Phase Auto % − Lung Mono M Lung Lobe Segmentation 1 − Parallel ranges Selected output type is used for the range computation. • Lung Lobe Segmentation option is not available for radial ranges. Output Type Lung Analysis - Lung PBV Output type allows you ... Phase Auto % ( 1 Radial ranges 11 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Output of Lung Lobe Segmentation SIEMENS Healthineers Lung PBV and Lung Mono RRT Output 171.0 Two additional images are created and added to the result series: • Overlay: You can view the different lung lobes. • Result table: The mean HU value corresponds to the selected base image. The display depends on the selected output type and the configuration of the Dual Energy data. Overlay For Lung PBV, the iodine enhancement [HU] is also displayed. For Lung Mono, the corresponding Lung Mono value is displayed. total R Lung Lung UR[1] MR[2] LR[3] UL[4] LL[5] Volume [ml] 6120 3498 2621 1340 453 1704 1434 1186 Images used: Volume % 100% 57.17% 42.83% 21.9% 7.42% 27.85% 23.44% 19.39% Mean Value [HU] -852.38 -843 -864.9 -855.31 -867.27 -826.85 -867.81 -861.39 • Lung Lobe Segmentation: lodine Enh. [HU] 17.49 18.47 16.19 21.7 14.38 17.01 18.58 13.29 o Single Energy images: Input images. Dual Energy images: Calculated Conventional CT images. Result table (example of Lung PBV) o • Evaluation: o Single Energy images: Input images. o Dual Energy images: Input images. 12 12 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Effective Date: xx Sep 2024 | QR70000xxxx Unrestricted © Siemens Healthineers, 2024 Unrestricted © Siemens Healthineers, 2024 Results of Lung Lobe Segmentation SIEMENS Healthineers Result items are shown depending on selected option. Single Energy Conventional Mono + VNC Lung PBV Lung Mono (incl. DE CT (Energy) calculated volumes Iodine Fused Lung Mono Fused without spectral information) Volume [HU]         Volume [%]         Mean Value Display as Display as Conv Display as Display as VNC Display as Conv Display as Conv [HU] Mean Value CT Mean [HU] Mono+ (Energy) Mean [HU] CT Mean [HU] CT Mean [HU] [HU] Mean [HU] Iodine Enh. [HU]   Iodine Concentration [ug/cm3] Lung Mono [HU]   (independent from DE Config of Iodine) • Mean Value is not displayed when Iodine or Lung Mono is selected. • Lung Mono [HU] is displayed when Lung Mono is selected. 13 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 SIEMENS Healthineers syngo.via CT VB70-VB80 Rapid Results Technology What‘s New Job Aid VRT and presets 14 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Cinematic VRT SIEMENS Healthineers Cinematic VRT* can be chosen from the Properties of Aorta Range_New1 Display Type list. Please note: Cinematic VRT will be changed Anatomical Structure Aorta to normal VRT for editing. Ranges Type Radial General Parameters Display Type Cinematic VRT VRT VRT Preset Cinematic VRT MIP Orientation Sagittal * Cinematic Volume Rendering Technique is an optional feature. 15 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Image Resolution for Cinematic Rendering SIEMENS Healthineers • Normal retains the original resolution of the image. Visualization The output depends on the image size and aspect ¥ Table Removal ratio of the FoV. Bone Removal Isolate Heart 1 • High multiplies the resolution of the results by the configured value. The default value is 2. Isolate Coronary Tree 1 Please note: Selecting High for Cinematic VRT results will Image Resolution Normal Normal multiply the time needed for computing the results by a High factor of around 4 compared to Normal. 16 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Cinematic VRT Preset SIEMENS Healthineers • More than 70 Siemens Healthineers factory default General Parameters VRT presets are available. Display Type Cinematic VRT • All VRT presets can be used for Cinematic VRT VRT Preset Vascular Cinematic images. There are also some specific cinematic Soft tissue Orientation presets listed, for example, Vascular Cinematic. If a Solid Solid 2 cinematic preset exists, using the cinematic presets Image Order Solid MI for Cinematic VRT is recommended. Viewing Direction Solid Shaded Spine Angle between Images Spine B/W Thorax Number of Images Thorax Aneurysm Thorax Gray Image Comment Translucent Translucent 2 Translucent MI Vascular Cinematic Vascular General 17 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Customized presets of VRT Gallery in VB70 SIEMENS Healthineers • You can overwrite or create VRT gallery presets if you have the correct job rule. Overwritten or created presets of VRT and cinematic VRT are listed in the properties. • Customized presets created by the user are not displayed in the preset list of RRT configuration. Only factory presets are displayed. • User customized presets cannot be used for the RRT. VRT gallery VRT presets list in RRT configuration VRT Properties Cinematic VRT ? X Display Type Object Settings Customized presets VRT Preset Vascular Cinematic Osseous Tissue Only factory presets are displayed. Modality CT Body Part All Orientation Osseous Tissue Head  Customized presets cannot be used for • Routine vessel Patient Marking CT VRT Image Order Plaque IVUS RRT. Prosthetic Valves • Routine ring Direction Pulmo3D • Routine Angio Routine Angio DualEnergy_Bo tween Images Pulmo3D_Airways Routine vessel Routine Pulmonary Density neRemoval ber of Images Pulmonary Vascularization Red Myocardium age Comment Rib Cage RT Image Suite General Vascular Coronary Blue Coronaries Pulmo3D_Airwa Runoff 1 General Cinematic ys Runoff 2 18 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Preset of cVRT and VRT in VB80 SIEMENS Healthineers VRT Properties ? × Display Type Cinematic VRT Object Settings VRT Preset Vascular Cinematic[Siemens] Modality CT Body Part All Routine Angio [adminUser] Orientation Routine H and N [adminUser] Pulmonary Vascularization Rib Cage Runoff 1 Runoff 2 Image Order RT Image Suite General [Siemens] Runoff 1 [Siemens] ving Direction Runoff 2 [Siemens] Runoff 3 Spine Spine B/W Thorax RRT configuration • User customized presets cannot be used for the RRT. Thorax Thorax Gray Aneurysm Routine H and N Routine Angio 19 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Job role and VRT preset SIEMENS Healthineers • The following factory default user roles can create, edit, and restore Operation name Default roles Authorized function factory settings of VRT/cVRT presets with dedicated tasks. VrtPreset.Site.Create ClinicalAdministrator, Allows to create VRT presets for all users. ITAdministrator VrtPreset.Site.Edit ClinicalAdministrator, Allows to modify VRT presets for all ITAdministrator users. o Clinical Admin VrtPreset.Site.Restore ClinicalAdministrator, Allows to restore factory settings of VRT ITAdministrator presets for all users. o IT Administrator VrtPreset.User.Create Technologist Allows to create VRT presets for the Technologist current user. o VrtPreset.User.Edit Technologist Allows to modify VRT presets for the current user. VrtPreset.User.Restore Technologist Allows to restore factory settings of VRT presets for the current user. WindowingPreset.Site. Create ClinicalAdministrator, Allows to create windowing presets for ITAdministrator all users. WindowingPreset.Site. Edit ClinicalAdministrator, Allows to modify windowing presets for Job role Clinical Admin IT Administrator Technologist ITAdministrator all users. Task WindowingPreset.Site. Restore ClinicalAdministrator, Allows to restore factory settings of ITAdministrator windowing presets for all users. Creation VrtPreset.Site.Create VrtPreset.Site.Create VrtPreset.User.Create WindowingPreset.User.Create Technologist Allows to create windowing presets for the current user. Edit VrPReset.Site.Edit VrPReset.Site.Edit VrPReset.User.Edit WindowingPreset.User.Edit Technologist Allows to modify windowing presets for the current user. Restore factory WindowingPreset. User. Restore Technologist VrPReset.Site.Restore VrPReset.Site.Restore Allows to restore factory settings of VrPReset.User.Restore windowing presets for the current user. settings WorkflowManagerSaveAddTask ClinicalAdministrator Allows to add and save workflow steps. 20 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Job role and RRT configuration SIEMENS Healthineers • The following factory default users can create, edit, and delete the RRT configuration. o Clinical Admin o IT Administrator Factory default Technologist cannot configure RRT, even if technologists can create, edit, and delete the VRT presets. 21 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Preset of VRT and cVRT in VB80 SIEMENS Healthineers • There are three kinds of access levels: o Siemens default (Siemens) Display Type Cinematic VRT o Clinic (Clinic) VRT Preset Vascular Cinematic[Siemens] User-specific presets (e.g., Remote Administrator) AAA Body [Siemens] o Orientation Siemens factory default and Clinic presets can be used for RRT Abd test 1 [Clinic] • Image Ord Abd test 2 [Remote Administrator) configuration. Abdominal [Siemens] • User-specific presets cannot be used for RRT configuration. Viewing Direction Abdominal 2 [Siemens] User-specific presets should be enabled if they should be used in Angle Jetween Images Abdominal BW [Siemens] • RRT configuration. Airways [Siemens] • The list is displayed in alphabetical order. Number of Images Aortic Valve View [Siemens] Blue Coronaries [Siemens] Image Comment User specific preset Bone Fractures and Metal [Siemens] Bone Fractures and Metal [Siemens] Bone Metal [Siemens] BR AAA Calcium [Siemens] 22 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Enable User VRT preset in RRT SIEMENS Healthineers • RRT must not use user-specific VRT presets. When you select a user-specific VRT preset, a dialog box opens, and you can change the preset to [Clinic]. • If you select OK, the Clinic preset will change. • It will stay as it is, if you select Cancel. The VRT preset will not change to clinic-wide preset and the configured preset will be kept. • This preset can be enabled/disabled by the clinical administrator and IT administrator with factory default job rule. Display Type Cinematic VRT Output Type Conventional CT (including DE) VRT Preset CVRT Default[Remote Administrator] Output type allows you ... Enable User VRT Preset AF X Orientation Sagittal Phase Auto i When you enable this VRT Preset for Rapid Image Order Counter Clockwise Verification and Archiving Results Technology, other users of your institution will be able to use it in all Viewing Direction Left to Right applications with VRT functionality. If Series Name Aorta Range_ applicable, this preset will overwrite an Angle between Images 10 + Automatic Archiving existing clinic preset or hide a Siemens preset of the same ID. Your Preset "C VRT Number of Images 37 Default[Remote Administrator]" will become "C VRT Default[Clinic]" Image Comment V Get notification in case of failure Reference Image Text Language English (United States) OK Cancel General Parameters The preset name becomes C VRT Default (Clinic) after you select OK. Display Type Cinematic VRT • VRT Preset CVRT Default[Clinic] Orientation Sagittal Image Order Counter Clockwise 23 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Hints for VRT presets SIEMENS Healthineers When creating a new customized preset, if a clinic-wide preset with Display Type Cinematic VRT the same name exists, it will be overwritten. In addition, this may have an impact on the VRT gallery. VRT Preset Vascular Cinematic[Siemens] AAA Body [Siemens] Orientation Abd test 1 [Clinic] If a factory preset with the same name exists, the VRT gallery only Image Order Abd test 2 [Remote Administrator] Abdominal [Siemens] displays the corresponding clinic-wide preset. Therefore, you need to Viewing Direction Abdominal 2 [Siemens] be very careful about the name of your customized preset. Angle between Images Abdominal BW [Siemens] Airways [Siemens] Number of Images Aortic Valve View [Siemens] The preset name should be understandable for all users if you set it as Blue Coronaries [Siemens] Image Comment Bone Fractures and Metal [Siemens] Clinic preset. Bone Fractures and Metal [Siemens] Bone Metal [Siemens] BR AAA Calcium [Siemens]- on 24 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 SIEMENS Healthineers syngo.via CT VB70-VB80 Rapid Results Technology What‘s New Job Aid Improved parameters for spine 25 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Spine/Rib Labels in parallel ranges SIEMENS Healthineers • In VB70, spine labels and rib labels cannot be configured in the Edit properties of: Thorax_Parallel_Range RRT Configuration Panel. In VB80, Spine/Rib Labels* can be activated with the check Anatomical Structure Complete Volume • Ranges Type Parallel box in Parallel Range. General Parameters • Spine and rib labels are available for the following body Display Type MPR Thick regions: Windowing Preset Soft-Tissue Head/Neck Orientation Axial − Thorax Image Order Head to Feet − Abdomen and pelvis Viewing Direction Feet to Head − Image Thickness 2 + Whole body − Distance between Images 1.5 ¢ • The labels are stored as overlays (they can be enabled and Image Comment disabled in the PACS system). Reference Image Visualization Spine/Rib Lables Image Resolution Normal * Optional feature 26 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Curved Ranges Type of Spine Range SIEMENS Healthineers Image order and viewing direction can be set for Curved Ranges Type for Spine Range. Properties of Abdomen Range_New1 Properties of Complete Volume Range_New1 Anatomical Structure Anatomical Structure Spine Spine Ranges Type Curved Ranges Type Curved General Parameters General Parameters Display Type MPR Thick Display Type MPR Thick Windowing Preset Soft-Tissue Windowing Preset Soft-Tissue Orientation Sagittal Orientation Sagittal Image Order Right to Left Image Thickness mm Viewing Direction Left to Right Distance between Images 0,7 Image Thickness mm mm Distance between Images 2 mm Number of Images 60 Number of Images 60 Image Comment Image Comment VB60 Higher than VB60 27 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 SIEMENS Healthineers syngo.via CT VB70-VB80 Rapid Results Technology What‘s New Job Aid Extension of Dual Energy Result Types 28 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Extended Output Type SIEMENS Healthineers Dual Energy application classes Range type VB60 VB80 Newly available application classes Output Type Conventional CT (including DE) Brain Hemorrhage Output Type Conventional CT (including DE) Conventional CT (including DE) Conventional CT (including DE) Gout Parallel Monoenergetic Plus Phase Brain Hemorrhage Kidney Stones • Pure Lumen Liver VNC Phase Liver VNC Lung Analysis - Lung PBV • Lung PBV Virtual Unenhanced ng Lung Analysis - Lung Vessels Gout • Lung Vessels Kidney Stones Series Name Monoenergetic Plus Pure Lumen Virtual Unenhanced Output Type Conventional CT (including DE) Conventional (T (including DE) Output Type Conventional CT (including DE) Gout • Gout Conventional CT (including DE) Phase Kidney Stones Radial Monoenergetic Plus Liver VNC Pure Lumen Lung Analysis - Lung PBV • Lung PBV Phase Liver VNC ng Lung Analysis - Lung Vessels Virtual Unenhanced Monoenergetic Plus • Lung Vessels Series Name Pure Lumen Virtual Unenhanced 29 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Extended Output Type SIEMENS Healthineers Lung Analysis • The following subclasses are available with VB80: 80 [HUI Lung PBV and Lung Mono − Lung Vessels − • Parallel Range and Radial Range are available for all subclasses. InH] o Anatomical Structure Complete Volume Ranges Type Parallel Parallel Radia General Parameters Output Display Type MPR Thick Output Type Lung Analysis - Lung PBV Windowing Preset Soft-Tissue Fused Overlay Center 50 lodine Thin Slice (Original) 30 30 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Unrestricted © Siemens Healthineers, 2024 Lung Analysis – Lung PBV SIEMENS Healthineers Parallel Range Available Output Type options: Output Type Lung Analysis - Lung PBV • Fused Fused • Iodine lodine Thin Slice (Original) • Thin Slice (Original) 31 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Lung Analysis – Lung Mono SIEMENS Healthineers Parallel Range Available Output Type options: Lung Analysis - Lung Mono • Fused Output Type • Lung Mono Fused • Thin Slice (Original) Can be selected with Lung Mono. Lung Mono Thin Slice (Original) Output Type Lung Analysis - Lung Mono Fused Lung Mono Thin Slice (Original) 32 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Lung Analysis – Lung Vessels SIEMENS Healthineers Parallel and radial ranges Lung Vessels images are always fused Anatomical Structure Complete Volume images  No option of Output Types Ranges Type Parallel for parallel and radial ranges. Parallel Radial General Parameters Output Display Type MPR Thick Output Type Lung Analysis - Lung Vessels Windowing Preset Soft-Tissue i Output type allows you ... Overlay Center O Width 200 4 Phase Auto Color LUT 1 Dual Energy - Lung Vessels Lung Lobe Segmentation 1 Verification and Archiving Orientation Axial Image Order Head to Feet Series Name Complete Volume Range_New1 Viewing Direction Automatic Archiving Feet to Head Image Thickness 2 4 mm Get notification in case of failure Distance between Images mm Text Language English (United States) Image Comment Reference Image 33 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Gout SIEMENS Healthineers Radial Range Gout is available in Radial Range. Anatomical Structure Complete Volume Ranges Type Radial General Parameters Output Display Type Cinematic VRT Output Type Gout VRT Preset DE Gout[Siemens] i Output type allows you ... Orientation Sagittal Phase Auto Image Order Counter Clockwise Verification and Archiving Viewing Direction Left to Right Angle between Images 10 + Series Name Complete Volume Range_New1 Automatic Archiving Number of Images 37 + Image Comment Get notification in case of failure Reference Image Text Language English (United States) Visualization Table Removal Bone Removal Isolate Heart 1 Isolate Coronary Tree Image Resolution Normal 34 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Brain Hemorrhage SIEMENS Healthineers Parallel ranges only Brain Hemorrhage is available only for Anatomical Structure General Alignment parallel ranges. Ranges Type Parallel Parallel Available Output Type options: meters Output Display Type MPR Thick Output Type Brain Hemorrhage • VNC . VNC · Fused • Iodine Windowing Preset Soft-Tissue lodine Thin Slice (Original) • Fused Orientation Axial i Output type allows you ... Phase Auto • Thin Slice (Original) Image Order Head to Feet Verification and Archiving Viewing Direction Feet to Head Series Name General Alignment Range_New1 Image Thickness mm Automatic Archiving France between Images 0.7 + mm Image Comment Get notification in case of failure Text Language English (United States) Reference Image 35 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Windowing default settings of Dual Energy Output Types SIEMENS Healthineers Windowing default settings, Grayscale, and CT Dual Energy Configuration Window Value are referred to the configuration Application Profiles Application Classes of Dual Energy Application Classes. Application Class Lung Analysis Base Application Class Lung Analysis Create New Delete Application Subclasses Lung PBV Use Lung Mono Lung Vessels Lung Mono Dual Energy Spectra Drive/Flash/DS ... 80/140KV Visualization Algorithm Material Presets Preprocessing ROI Properties Automatic Automatic Parameters Definitions Options Parallel Ranges Radial Range CT Overlay Color Look-Up Table Grayscale Hot Body Window Value Center[HU] 150 + Center[HU] 100 Center[100ug/cm3] 50 Width[HU] 600 ¢ Width[HU] 200 + Width[100ug/cm3] 100 36 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 SIEMENS Healthineers syngo.via CT VB70-VB80 Rapid Results Technology What‘s New Job Aid New Result Types 37 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Lung Analysis SIEMENS Healthineers Lung Vessels and Lung PBV or Lung Mono are available to configure in Parallel Ranges type of Dual Energy Output selection. VB60 VB80 Output Output Type Conventional CT (including DE) Brain Hemorrhage Output Type Conventional CT (including DE) Conventional CT (including DE) Conventional CT (including DE) Phase Gout Monoenergetic Plus Pure Lumen Kidney Stones Phase Liver VNC Liver VNC Virtual Unenhanced ing Lung Analysis - Lung PBV Verification and Archiving Gout Lung Analysis - Lung Vessels Kidney Stones Monoenergetic Plus Series Name Pure Lumen Virtual Unenhanced 38 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 New Result Types in Head and Neck SIEMENS Healthineers The following brain emergency Result Types are available in Head and Neck. Choose a Result Type: Head and Neck • Brain HyperdensityPlus* Brain HyperdensityPlus Complete Volume Range • Midline Shift* CT ASPECT Score CT LVO Detection CT LVO Detection* • CT Neuro Perfusion General Alignment Range Head & Neck Range Head AC-PC Line Range Head Orbital Bone L Range Head Orbital Bone R Range Each RRT should be configured in advance. Head Orbitomeatal Line Range The result images are not generated if RRT is not configured. Configure Result Configure Rapid Results Technology Assignments Set up rules to specify how incoming series trigger Rapid Results Technology calculations. + Add new Rule When Study Description is: AND when Series Description is: (AND Addit. Condition is:) (With Addit. Value:) Calculate this Result: Study Description Series Description Additional Condition Additional Value (Optional) (Optional) Rapid Results Technology Result head Kerne -Hr38 Brain HyperdensityPlus head Kerne *Hr38 Midline Shift head Kerne Hr38 LVO Detection 39 Job Aid Effective Date: 26 Sep 2024 | QR700012654 * Optional feature Unrestricted © Siemens Healthineers, 2024 Brain emergency SIEMENS Healthineers New Results in RRT for brain Volume: 49.61 cm3 Suspected Brain Hemorrhage found! Min/Max: 20 HU/110 HU Mean/SD: 57 HUM5 HU Brain HyperdensityPlus syngo.CT Brain Quantification - Midline Shift syngo.CT LVO Detection - • syngo.CT Brain Quantification is a radiological post- Caution: View only after first read! processing application for the analysis of non-contrast head Automatic Resut CT images. The device is intended for automatic labeling, visualization, and quantification of intracranial structures. Suspected Large Vessel Occlusion detected. • syngo.CT LVO Detection is a radiological post-processing application for the analysis of CT angiography (CTA) head images. syngo.CT LVO Detection supports computer-aided triage and it addresses complete blockage of major arteries -- of the anterior circulation of the brain, commonly referred to as large vessel occlusion (LVO). Caution: View only after first read. 40 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Restricted © Siemens Healthineers, 2024 syngo.CT Brain Quantification SIEMENS Healthineers Clinical benefits: AH Volume: 49.61 cm3 Min/Max: 20 HU/110 HU Mean/SD: 57 HUM5 HU • Performs automatic labeling, visualization, and quantification of intracranial structures by analyzing no contrast head CT scans. • Supports the physician in evaluating head CT examinations by segmenting and quantifying acute hyperdense structures. Automatic Resut • Detects specific landmarks, the device supports the physician in measuring the shift of the brain midline. 41 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Restricted © Siemens Healthineers, 2024 syngo.CT Brain Quantification SIEMENS Healthineers Image requirements Requirements are the same for Brain Hyperdensity and Midline shift: AH Volume: 49.61 cm3 Min/Max: 20 HU/110 HU Mean/SD: 57 HUM5 HU • Scan range Non-contrast CT head scans with a field of view (FoV) containing the entire brain. The reconstruction must include the external occipital protuberance and the crista galli. The reconstruction must cover a minimum length of 120 mm. • Original axial reconstruction. • Matrix size: 512 × 512 • Maximum slice thickness: 5.0 mm. • Soft kernel reconstruction (Hr 48 or lower recommended). • Dual Energy data supports Conventional CT and Mixed. • Patient must be older than 18 years. Automatic Resut The images will not be processed if any of the above criteria are not met. H. 42 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Restricted © Siemens Healthineers, 2024 syngo.CT Brain Quantification SIEMENS Healthineers Viewing of results 1. Open MM Reading view in stack layout. Volume: 195.9 cm3 Min/Max: 20 HU/110 HU Mean/SD: 63 HUM1 4 HU AH or - - 2. Choose Trauma Layout from Tools gallery. 3. Select Brain Hemorrhage layout. 4. The result series is loaded in the designated right side image segment. 5. In order to load the soft tissue series in MPR segments, data role assignment has to be set on scanner side. 43 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Restricted © Siemens Healthineers, 2024 syngo.CT Brain Quantification SIEMENS Healthineers The results are processed automatically and are AH 1 Volume: 49.61 cm3 Min/Max: 20 HU/110 HU read-only. You cannot edit the displayed results. Mean/SD: 57 HUM5 HU Volume: 49.61 cm3 The quantified result consists of: Min/Max: 20 HU/110 HU Total volume of segmented hyperdensities Mean/SD: 57 HU/15 HUI • • Minimum and maximum HU values within the segmented hyperdensity areas • Mean and standard deviation HU values within the segmented hyperdensity areas If the processing is successful and no hyperdensities are segmented, the middle image of the reconstructed Automatic Result input series displays the following information: No hyperdensities have been segmented. No hyperdensities have been segmented. 44 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Restricted © Siemens Healthineers, 2024 syngo.CT Brain Quantification SIEMENS Healthineers Midline Shift quantification Clinical background Midline Shift (MLS) is an important indicator of increased intracranial pressure (ICP) and also serves as an indicator of reduced brain perfusion. Midline Shift of more than 5mm is considered significant for surgery. The functionality automatically identifies three anatomical landmarks: • Anterior falx • Posterior falx • Septum pellucidum After the anatomical landmarks are identified, the in-plane distance between the line connecting the two falx points and the septum pellucidum is measured. 45 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Restricted © Siemens Healthineers, 2024 RRT configuration for Brain HyperdensityPlus and Midline Shift SIEMENS Healthineers • Same as input dataset can be chosen from the Windowing drop- General Parameters down list: The windowing values that are configured for the recon Windowing Same as input dataset job at the connected CT scanner are applied. Same as input dataset Soft-Tissue Output Lung Bone Liver • The following DE Output Types are available: Output Type Angio Energy Level Colon 7U kev Conventional CT Output type allows you ... − i Monoenergetic Plus − Output Output Type Monoenergetic Plus Conventional CT (including DE) Energy Level Monoenergetic Plus i Output type allows you ... Verification and Archiving Series Name Midline Shift Automatic Archiving Get notification in case of failure Text Language English (United States) 46 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 syngo.CT LVO detection SIEMENS Healthineers Clinical benefits syngo.CT LVO detection is a radiological post-processing application for the analysis of CT angiography (CTA) head images. Suspected Large Vessel Occlusion detected. It provides computer-aided triage. The pathology addressed by syngo.CT LVO detection is large vessel occlusion. The output for triage is intended for informational purposes only. It is not intended for diagnostic use and does not alter the original medical image. Caution: View only after first read. syngo.CT LVO detection may allow a faster detection of stroke patients that may benefit from therapy. 47 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Restricted © Siemens Healthineers, 2024 syngo.CT LVO Detection SIEMENS Healthineers Viewing of results Result symbols Suspected Large Vessel Occlusion detected. • Open MM Reading view in stack layout. • Result symbol shows the result of calculation depending on the LVO detection (see the right-side LVO positive Caution: View only after first read. figures). • LVO detection is only used in cases of suspected LVO. Automatic Result The output for triage is intended for informational Large Vessel Occlusion calculation finished. purposes only. It is not intended for diagnostic use and the user must read the original medical image irrespective of LVO negative the LVO result. Caution: View only after first read. 48 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Restricted © Siemens Healthineers, 2024 Contraindications of CT LVO Detection SIEMENS Healthineers • Pediatric head CTA (< 18 years) Result image • Old infarcts • Other diseases (for example, brain tumor) • Metal artifacts (for example, coils) • Surgical signs If the calculation failed, a failure information image is displayed as the middle image of the input series. The text at the bottom also displays the reason for the computation failure. Midline Shift computation failed. Patient must be older than 18 years. 4949 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Restricted © Siemens Healthineers, 2024 CT LVO detection SIEMENS Healthineers There is no General Parameters and Output Type in the Verification and Archiving configuration. Series Name LVO Detection Automatic Archiving PACS1(Default); Autorouting Get notification in case of failure Text Language English (United States) 50 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 SIEMENS Healthineers syngo.via CT VB70-VB80 Rapid Results Technology What‘s New Job Aid General features and information – Removal of FastTransfer 51 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 General Features and Information – SIEMENS Healthineers Removal of FastTransfer FastTransfer can be configured in Somaris 5* and Somaris 7** scanners. Siemens Healthcare Service Software - Internet Explorer provided by Siemens Healthcare Configuration Service Key Expiry Date: 20190211 Reports Home It is not recommended to use the FastTransfer feature due to the possibility System Options Network Workflow Specific Configuration -Local Host Export 3D Reference Image of unforeseeable problems that can appear even without notification. Site Info TCP/IP LAN Machine Prefix for Autosend on Exam End check Application Technical Single Tube Syngo FastTransfer Nodes PKCTE08RN Maintenance PKCTE03RN Starting with VB70, syngo.via will ignore the FastTransfer setting, and the Users OFO3CTE15W MonitorType OVIA VB30 - Security OPKCTE02RN transfer is changed to DICOM transfer automatically. The data role is kept in -Database Syngo Via VIA_VB30 V Satellite Console the image transfer with RRT configuration. So, the images are transferred, Wake on LAN Export Topogram - Service SRS even if FastTransfer is still configured on the CT scanner. T * SOMATOM Perspective, SOMATOM Emotion and SOMATOM Scope 52 ** SOMATOM Force, SOMATOM Drive, SOMATOM Edge Plus, SOMATOM Definition Flush, SOMATOM Definition Edge, Job Aid Effective Date: 26 Sep 2024 | QR700012654 SOMATOM Definition AS+ and SOMATOM Definition AS Unrestricted © Siemens Healthineers, 2024 SIEMENS Healthineers 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. Please 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 2024 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 53 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024