CT View&GO Online Training (VA40)

Continue CT View&GO Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? CT View&GO Online Training (VA40) In this training, you will learn about the routine reading workflow of CT View&GO. 1 2 3 Identify the benefits provided by the CT View&GO at the scanner console Name and define the different elements of the CT View&GO user interface Locate all relevant functionality for performing a routine reading workflow Welcome Audio Filename: ct_view-go_olt_welcome.mp3 Audio Script: Welcome to the CT View&GO Online Training course. In this training, you will learn about the routine reading workflow of CT View&GO. We will take a closer look on the user interface, image interactions, measurements, automated reconstruction using ranges, printing, and result distribution. This course will cover the three learning objectives listed on the right. Please note: This Online Training reflects software version VA40. Hints for Navigating this Online Training Before you start, we would like to give you a few tips on how to navigate: Table with 2 columns and 3 rows Not all pages contain audio. Some pages invite you to read for yourself or watch a video. Some pages show an X button in the upper right corner. Click the X button to return to the overview page and not miss any information provided. Some images show a magnifier icon. Click on the icon to see an enlarged view of the image. Another click brings you back to the normal view. Enjoy the course! Hints for Navigation ? Benefits of CT View&GO Evaluate the scanning results Ensure optimal image quality during acquisition Perform basic post-processing operations Distribute results directly at the scanner With the help of CT View&GO you can: Check the image quality of your scans Generate additional results for the radiologist, for example, by creating ranges Get an overview of the scanned series and all post-processing results Select the right images for printing, distribution, and archiving Benefits of CT View&GO Audio Filename: ct_view-go_olt_benefits.mp3 Audio Script: CT View&GO is the viewing application that can be used to evaluate the scanning results, ensure optimal image quality during acquisition, perform basic post-processing operations, and distribute results directly at the scanner. With the help of CT View&GO you can check the image quality of your scans generate additional results for the radiologist, for example, by creating ranges get an overview of the scanned series and all post-processing results and select the right images for printing, distribution and archiving. ? Introduction to CT View&GO User Interface Introduction to CT View&GO User Interface Audio Filename: ct_view-go_olt_intro-ui.mp3 Audio Script: The screen layout of CT View&GO consists of an image area and several panels. The CT View&GO panel provides preferred layouts for organizing the image area. The Favorite Tools panel provides preferred tools for viewing and post-processing of images. And the Series panel provides an overview of the series and instances that belong to the loaded study. Tip: To enlarge the image area, you can hide the various panels by clicking the x icon in the upper right corner of a panel. The panel is hidden and displayed as a tab at the side of the screen. Click the tab to display the corresponding panel again. ? Screen Layout of CT View&GO Explore the screen layout of CT View&GO by selecting the colored callouts on the left. Screen Layout of CT View&GO Audio Filename: ct_view-go_olt_screen-layout.mp3 Audio Script: Here you can explore the screen layout of CT View&GO by selecting the colored callouts on the left. CT View&GO panel Provides preferred layouts for organizing the image area, for example, an overview layout (3x2) and a 3D layout (MPR/VRT) If required, you can add further layouts from the Layout Gallery Access bar Displays the Scheduler, the Patient Browser, the Exam, and the CT View&GO tab Series panel Lists all currently loaded data ​From the Series panel, you can drag further series, other time points, or results into the image area Provides access to the Send and Archive window to check the sending status, and to the Add Study dialog box to load additional patient data Favorite Tools panel Provides frequently used tools for viewing and post-processing of images Provides access to the Tool Gallery, which includes all available tools for viewing and post-processing of images Tools can be added to this panel via the Tool Gallery Tab area Lists all available panels as a tab at the side of the screen Provides also access to the Printing window Image area Displays the images in the selected layout. In each segment, corner menus are available ? CT View&GO Panel Select the Layout Gallery icon, to open the Layout Gallery. CT View&GO Panel Audio Filename: ct_view-go_olt_ct-view-go-panel01.mp3 Audio Script: Let's take a closer look at the individual panels of CT View&GO. The CT View&GO panel provides icons for preferred layouts. A layout determines the number, size, and order of segments in the image area, as well as the data group displayed in the segments. You can add further layouts from the Layout Gallery, if required. Select the Layout Gallery icon, to open the Layout Gallery and see which layouts you can find there. Audio Filename: ct_view-go_olt_ct-view-go-panel02.mp3 Audio Script: The Layout Gallery contains all predefined layouts. Select the markers to learn more. Layout operations The layout operations allow you to save your own layouts after you have adjusted certain viewing properties for a segment (e.g., slice thickness or windowing values) Save layout: Saves the current layout Save layout as: Saves a copy of the current layout Private Layouts Collection of your own personal layouts. You can create, modify, and delete your own private layouts. Please note: If you do not have a Private Layouts section, you are not allowed to create private layouts. For more information, please contact your administrator. Public Layouts Collection of layouts that have been predefined by a clinical administrator for your entire institution. From here, you can copy layouts to the Private Layouts section. ​Only administrators are allowed to edit public layouts. Siemens Layouts (only visible for administrators) Collection of layouts provided by Siemens Healthineers. Select the markers to learn more about the predefined layouts. ? Favorite Tools Panel Select the More icon, to open the Tool Gallery. Favorite Tools Panel Audio Filename: ct_view-go_olt_favorite-tools-panel01.mp3 Audio Script: The Favorite Tools panel provides your preferred tools and functions for image viewing and post-processing. You can access the Tool Gallery to add frequently used tools by clicking on the More icon at the bottom of the Favorite Tools area. Select the More icon, to open the Tool Gallery and see which tools you can find there. Audio Filename: ct_view-go_olt_favorite-tools-panel02.mp3 Audio Script: The Tool Gallery provides all available tools, sorted according to their category, for example, Measurements or Display Types. You can use the Tool Gallery to add frequently used tools to the Favorite Tools area. Thus, your favorite tools are always available. Another option is to open the tools directly from the Tool Gallery. Therefore, you can leave the Tool Gallery permanently open, or you can open it every time you want to use a specific tool. Select the markers to learn more about the tools in the Tool Gallery. Activated tool Tool has been selected in the Tool Gallery and can be applied to the images Section/Tool category Active tools These tools can be applied to the currently loaded images Inactive tool This tool cannot be used for the currently loaded images as some prerequisites are not given or fulfilled Select the markers to learn more about the tools in the Tool Gallery. ? Image Area Bottom right corner menu Window settings and modality-specific presets Bottom left corner menu Visualization functions and display types Top right corner menu Measurement and marking tools Top left corner menu Image manipulation tools Image Area Audio Filename: ct_view-go_olt_image-area.mp3 Audio Script: The image area displays the images in the selected layout. In each image segment, … … corner menus are available. They provide tools for image preparation, optimization, evaluation, and property settings. << Please add a 4 second pause >> The corner menus can be opened by clicking or hovering the mouse over the segment corner. The tools offered in the corner menus depend on various conditions, such as current step, and image and display type. They are indicated by a watermark and grouped by functionality. In the Top left corner menu you can find Image manipulation tools. The Top right corner menu contains Measurement and marking tools. The Bottom left corner menu contains Visualization functions and display types. And in the Bottom right corner menu you can find Window settings and modality-specific presets. ? Series Panel Select the markers to learn more about the screen layout of the Series panel. Expand and collapse hierarchy icon Change view icon Gives an overview of the data sorted into data groups List view: Gives a textual presentation of the data groups Thumbnails view: Gives a preview of the data groups Add Study icon Opens the Add Study dialog box for loading additional patient data Send and Archive icon Opens the Send and Archive window in which you can check the sending status of the current study Images listed according to data attributes The sorting is structured hierarchically and the different levels are usually sorted by image attributes, for example, modality and study date on first level, and series date and time on second level. Result icon Indicator that a result series has been created Series Panel Audio Filename: ct_view-go_olt_series-panel.mp3 Audio Script: The Series panel gives an overview of the series of the loaded study and groups this data according to specific criteria. Select the markers to learn more about the screen layout of the Series panel. ? Defining Your Preferred Layouts Adding frequently used layouts from the Layout Gallery to the CT View&GO panel Click the Layout Gallery icon in the CT View&GO panel Drag the required layout onto the CT View&GO panel Or right-click a layout and choose Add to Favorites from the context menu Removing a layout from the CT View&GO panel Right-click the layout and choose Remove from Favorites from the context menu Setting your personal default layout Right-click the required layout and choose Set as default from the context menu Text explanation is visualized in this video snippet without audio. Defining Your Preferred Layouts Audio Filename: ct_view-go_olt_defining-layouts.mp3 Audio Script: CT View&GO allows you to add frequently used layouts from the Layout Gallery to the CT View&GO panel so that they are instantly available if you want to switch the layout. Click the Layout Gallery icon in the CT View&GO panel. The Layout Gallery window opens. Drag the required layout onto the CT View&GO panel. Or right-click a layout and choose Add to Favorites from the context menu. The selected layout is now also displayed in the CT View&GO panel. To remove a layout from the CT View&GO panel, right-click the layout and choose Remove from Favorites from the context menu. To set your personal default layout right-click the required layout and choose Set as default from the context menu. Please note, you need the clinical administrator's privileges to adapt the CT View&GO panel. ? Adding Tools to the Favorite Tools Area Adding frequently used tools from the Tool Gallery to the Favorite Tools area In the Favorite Tools area, click the More icon to open the Tool Gallery In the Tool Gallery, select an icon and drag it to the Favorite Tools area Or right-click an icon and choose Add to Favorite Tools from the context menu Removing a tool from the Favorite Tools area Right-click the icon and choose Remove from Favorite Tools from the context menu Text explanation is visualized in this video snippet without audio. Adding Tools to the Favorite Tools Area Audio Filename: ct_view-go_olt_adding-tools.mp3 Audio Script: You can add frequently used tools from the Tool Gallery to the Favorite Tools area of the Viewer. In the Favorite Tools area, click the More icon to open the Tool Gallery. In the Tool Gallery, select an icon and drag it to the Favorite Tools area. Or right-click an icon and choose Add to Favorite Tools from the context menu. The selected tool is now also displayed in the Favorite Tools area. To remove a tool from the Favorite Tools area, you can right-click the icon and choose Remove from Favorite Tools from the context menu. Please note, you need the clinical administrator's privileges to adapt the Favorite Tools area. ? CT View&GO Workflow Steps In this chapter, you will learn about the workflow in CT View&GO as well as interactions with various basic tools. We will guide you through the following workflow steps: Step 1: Load patient into CT View&GO Step 2: View images Step 3: Print images Step 4: Send and archive images Step 5: Close patient CT View&GO Workflow Steps Audio Filename: ct_view-go_olt_workflow-steps.mp3 Audio Script: In this chapter, you will learn about the workflow in CT View&GO as well as interactions with various basic tools. We will guide you through the following workflow steps: Step 1: Load patient into CT View&GO Step 2: View images Step 3: Print images Step 4: Send and Archive images and Step 5: Close patient For each step you will get an overview with basic information and a screen video that shows you the corresponding user interactions. ? Step 1: Load Patient into CT View&GO Step 1: Load Patient into CT View&GO Audio Filename: ct_view-go_olt_load-patient.mp3 Audio Script: If you want to load patient data into CT View&GO, you have three options after selecting a patient study in the Patient Browser: You can just double-click the patient study. Or you can click the CT View&GO icon in the toolbar. Or you can right-click on the patient study and choose Open or Open with - CT View&GO from the context menu. The patient study opens in CT View&GO and you can start viewing the images. ? Step 2: View Images On the following pages, we show you how to work with the Viewer and how to access important functions with your mouse. navigate use selected tool windowing and scrolling If you double-click a segment, it will be enlarged. A second double-click reduces it again. Step 2: View Images Audio Filename: ct_view-go_olt_view-images.mp3 Audio Script: On the following pages, we show you how to work with the Viewer and how to access important functions with your mouse. In general, you can navigate with the right mouse button and use the selected tool with the left mouse button. The middle mouse button or scroll wheel is used for windowing and scrolling. If you double-click a segment, it will be enlarged. A second double-click reduces it again. ? Zooming and Panning Images Whether an image is zoomed or panned depends on the position of the mouse pointer in the image. In a segment, choose Zoom/Pan from the top left corner menu. Zooming Drag the mouse pointer in the outer area of the image: Dragging up zooms in Dragging down zooms out Moving the image within the segment Drag the mouse pointer in the inner area of the image until the desired selection is displayed Text explanation is visualized in this video snippet without audio. Zooming and Panning Images Audio Filename: ct_view-go_olt_zooming-panning-images.mp3 Audio Script: Whether an image is zoomed or panned depends on the position of the mouse pointer in the image. In a segment, choose Zoom-Pan from the top left corner menu. The mouse pointer changes shape according to its current position. To zoom, drag the mouse pointer in the outer area of the image: Dragging up zooms in. Dragging down zooms out. To move the image within the segment, drag the mouse pointer in the inner area of the image until the desired selection is displayed. ? Rotating Images You can optimize the image presentation by rotating the displayed images, or the displayed volume to the desired orientation. In a segment, choose Rotate from the top left corner menu. Rotating an image or volume in-plane Drag the mouse next to the image border in the desired rotation direction: Clockwise or counter-clockwise. Performing a 3D rotation of a volume Drag the mouse in the desired rotation direction. Please note: You can always rotate MIP and VRT images using the right mouse button. You can rotate MPR images with the right mouse button and the Alt key. Text explanation is visualized in this video snippet without audio. An orientation cube indicates the anatomical orientation of the image. Rotating Images Audio Filename: ct_view-go_olt_rotating-images.mp3 Audio Script: You can optimize the image presentation by rotating the displayed images, or the displayed volume to the desired orientation. In a segment, choose Rotate from the top left corner menu. The mouse pointer changes shape. To rotate an image or volume in-plane, drag the mouse next to the image border in the desired rotation direction: clockwise or counter-clockwise. To perform a 3D rotation of a volume, drag the mouse in the desired rotation direction. Please note, you can always rotate MIP and VRT images using the right mouse button. You can rotate MPR images with the right mouse button and the Alt key. An orientation cube indicates the anatomical orientation of the image. ? Flipping Images You can optimize the image presentation by flipping the displayed images horizontally or vertically. In a segment, choose Flip Horizontal from the top left corner menu to flip the images left or right. Or choose Flip Vertical from the top left corner menu to flip the images up or down. To reverse the flip, execute the same function a second time. Text explanation is visualized in this video snippet without audio. Flipping Images Audio Filename: ct_view-go_olt_flipping-images.mp3 Audio Script: You can optimize the image presentation by flipping the displayed images horizontally or vertically. In a segment, choose Flip Horizontal from the top left corner menu to flip the images left or right. Or choose Flip Vertical from the top left corner menu to flip the images up or down. To reverse the flip, execute the same function a second time. ? Orientation Cube The orientation cube helps you to interactively change the view in the segment. Click one side of the orientation cube to display the corresponding orientation. Click the orientation cube to rotate the cube by 90°. Double-click the orientation cube to restore the initial orientation in the selected segment. Right-click the orientation cube and choose an orientation from the context menu. Right-click the orientation cube and choose Reset position in all segments from the context menu to reset all segments to the orientation in which the images originally displayed after loading. Text explanation is visualized in this video snippet without audio. Orientation Cube Audio Filename: ct_view-go_olt_orientation-cube.mp3 Audio Script: The orientation cube helps you to interactively change the view in the segment. Click one side of the orientation cube to display the corresponding orientation. Click the orientation cube to rotate the cube by 90°. Double-click the orientation cube to restore the initial orientation in the selected segment. Right-click the orientation cube and choose an orientation from the context menu. Right-click the orientation cube and choose Reset position in all segments from the context menu to reset all segments to the orientation in which the images originally displayed after loading. ? Windowing Images You can window images to modify their brightness and contrast. This often helps to recognize suspicious anatomical structures on images. To adjust the contrast and brightness, you can: Window with the mouse Apply predefined window values The current window values are displayed in the bottom right corner of an image: W (width) defines the contrast C (center) defines the brightness Select the tab arrows to learn more about windowing images. Windowing tools Windowing with the mouse Applying CT Presets Saving window values Video: Windowing images Windowing Images Audio Filename: ct_view-go_olt_windowing-images.mp3 Audio Script: You can window images to modify their brightness and contrast. This often helps to recognize suspicious anatomical structures on images. To adjust the contrast and brightness, you can: Window with the mouse or apply predefined window values The current window values are displayed in the bottom right corner of an image: W - for "width" - defines the contrast C - for "center" - defines the brightness Select the tab arrows to learn more about windowing images. Windowing images Text explanation is visualized in this video snippet without audio. Saving window values You can save windowing values permanently for every image that is displayed in a segment. Click the Save Windowing icon in the Tool Gallery after adjusting the center or width of the window. Please note: It is important to save your results when closing the viewer, otherwise the new window values will be lost (even after clicking Save Windowing). Click the Save and Send icon or the Save and Pause icon in the CT View&GO panel. The workflow is closed and the windowing values are saved in the DICOM header for every image of the series. Applying CT Presets You can apply predefined windowing presets to the displayed images. Windowing level presets are predefined sets of window values. They are configured according to the modality type and the scanned organ. In a segment, choose CT Presets from the bottom right corner menu. A menu is displayed containing all presets that are available for the modality on which the images have been made. Choose the desired windowing presets. Please note: The windowing presets can be assigned to keyboard function keys (F5 to F8). For assignment, point to a windowing preset in the bottom right corner menu, and click the settings icon. Then you choose a function key from the context list. Windowing with the mouse You can perform windowing interactively with the mouse: In a segment, press the middle mouse button (or the scroll wheel) and drag the mouse. Or choose Windowing from the top left corner menu, then click and drag the mouse. The mouse pointer changes shape. To adjust the center of the window, move the mouse vertically. To adjust the width of the window, move the mouse horizontally. Windowing tools The following tools are available for adjusting the contrast and brightness of images: Top left corner menu Windowing Changes width and center values. In the images of most modalities, the window is defined by width and center. In PET, NM, or SPECT images, the window is defined by the position of the lower and upper window limit (bottom and top). Bottom right corner menu Reset Windowing Resets the window values (width and center) to the values the image was displayed with after initial loading. CT Presets Lets you apply windowing preset values from a list. ? Scrolling Images You can use the mouse to scroll through images: Use the scroll wheel. Or keep the right mouse button pressed and move the mouse up or down. You can also use the arrow up and down keys to scroll to the next or previous slice in space. Scroll wheel or arrow keys: Images are scrolled one after the other without skipping images. Right mouse button: It can happen that some images are skipped. Skip is displayed in the segment. Tip: You can enable scrolling without skipping with the U key. Text explanation is visualized in this video snippet without audio. Scrolling Images Audio Filename: ct_view-go_olt_scrolling-images.mp3 Audio Script: You can use the mouse to scroll through images: Use the scroll wheel. Or keep the right mouse button pressed and move the mouse up or down. You can also use the arrow up and down keys to scroll to the next or previous slice in space. When you use the scroll wheel or the arrow keys, the images are scrolled one after the other without skipping images. When you scroll with the right mouse button it can happen that some images are skipped. If this mode is activated, the string Skip is displayed in the segment. Tip: You can enable scrolling without skipping with the U key. ? Measurements CT View&GO offers several tools to evaluate your images. Let's take a closer look at two of them: You can use the Distance Line tool, for example, to evaluate the longest axis of a finding. You can use the ROI tool, for example, to evaluate the diameter of a finding. Select the tab arrows to learn more about measuring lengths with the Distance Line tool and about drawing ROIs. Drawing a distance line Drawing a circle or an ellipse ROI Video: Distance Line tool and ROI tool Measurements Audio Filename: ct_view-go_olt_measurements.mp3 Audio Script: CT View&GO offers several tools to evaluate your images. Let's take a closer look at two of them: You can use the Distance Line tool, for example, to evaluate the longest axis of a finding. And you can use the ROI tool, for example, to evaluate the diameter of a finding. Select the tab arrows to learn more about measuring lengths with the Distance Line tool and about drawing ROIs. Distance Line tool and ROI tool Text explanation is visualized in this video snippet without audio. Drawing a circle or an ellipse ROI You can draw a ROI Circle, for example, to measure the diameter of a vessel. Choose ROI Circle from the top right corner menu. The mouse pointer changes shape. To draw a circle, keep the mouse button pressed and drag the mouse until the circle has the desired size. To draw an ellipse, press the Shift key while drawing. The configured evaluation results are displayed, preceded by the graphic identification tag. Please note: To change the size of an ellipse or circle, select it and move the handles to resize the figure. When you grab the resize handle while you hold down the Alt key or the Shift key, the shape switches to an ellipse. Drawing a distance line To measure lengths, you can use the Distance Line tool. Choose Distance Line from the top right corner menu. The mouse pointer changes shape. Click the start point and drag the mouse to the desired end point. The evaluation result is displayed next to the distance line and continually updated during line drawing. Please note: You can also draw distance lines in volumetric images, such as MIP and VRT images. These distance lines are marked with the extension “o.p.” (on projection), which means that the measured distance is correct but the exact depth within the volume cannot be determined. ? Snapshots Measurements like distance lines or ROIs are laid over the images and can be saved on a snapshot. To create a snapshot of the selected segments: Select the Snapshot tool from the Tool Gallery or press S on the keyboard. The snapshot is displayed in the Series panel and also in the Send and Archive window. Text explanation is visualized in this video snippet without audio. Snapshots Audio Filename: ct_view-go_olt_snapshots.mp3 Audio Script: Measurements like Distance Lines or ROIs are laid over the images and can be saved on a snapshot. To create a snapshot of the selected segments select the Snapshot tool from the Tool Gallery or press S on the keyboard. The snapshot is displayed in the Series panel and also in the Send and Archive window. ? Table Removal and Bone Removal To generate an optimized 3D visualization of an angiographic exam, it is possible to easily remove table and bones and thus obtain an occlusion-free view of the vasculature. Use the Remove Table tool, e.g., to visualize the body region of interest without interfering structures. Use the Remove Bones tool to remove the bone voxels from the baseline of the scan and to achieve a vascular-only view. Both tools can be found in the Tool Gallery. Text explanation is visualized in this video snippet without audio. Table Removal and Bone Removal Audio Filename: ct_view-go_olt_table-bone-removal.mp3 Audio Script: To generate an optimized 3D visualization of an angiographic exam, it is possible to easily remove table and bones and thus obtain an occlusion-free view of the vasculature. You can use the Remove Table tool, for example, to visualize the body region of interest without interfering structures. And you can use the Remove Bones tool to remove the bone voxels from the baseline of the scan and to achieve a vascular-only view. Both tools can be found in the Tool Gallery. ? Creating Ranges Ranges allow you to reformat volumetric data as a series of images. Types of ranges: Parallel, radial, radial sliced, curved, spine, and vascular ranges Select a Range tool from the top left corner menu or from the Tool Gallery Segments switch to range definition mode Start defining the range Select the tab arrows to learn more about the screen layout for range definition and how to define a range using a radial range as an example. Screen layout for range definition Workflow: Defining a radial range Video: Defining a radial range Creating Ranges Audio Filename: ct_view-go_olt_creating-ranges.mp3 Audio Script: Ranges allow you to reformat volumetric data as a series of images, for example, to create other anatomical planes or projections, or for better visualization. You can create parallel, radial, radial sliced, curved, spine and vascular ranges for different body regions. To do this, select a Range tool from the top left corner menu or from the Tool Gallery. The segments switch to the range definition mode and you can start defining the range. Select the tab arrows to learn more about the screen layout for range definition and how to define a range using a radial range as an example. Defining a radial range Text explanation is visualized in this video snippet without audio. Creating the range output 1 1 In the Ranges preview segment, choose the desired display type from the bottom left corner menu. On the Image tab, select the required Image Resolution from the list: Normal or High. Click Start to calculate the range. To save the output range, click Accept. The output range is saved with the entered name. The new range series is available in the Series panel. 2 2 3 3 4 4 4 Adapting the radial range To change the total coverage of the range, drag the handles of the range definition graphic or enter the values in the Number of images field and the Angle between images field. To change the field of view, drag the handles of the FoV graphic. To rotate the range, drag the outer parts of the range center line. To move the range, click the pivot or the inner part of the central range line and drag it. Select step 4 to continue. 1 1 2 2 3 3 4 4 3 Repositioning the range If the position or orientation of the range does not match your needs, you can reposition the range or change its basic orientation: You can zoom and pan the preview in the preview segment. This helps you to display the required image section before you start the calculation of the range output, for example, in cardiac examinations. To change the orientation of a range, you can also use the options on the Orientation tab. Select step 3 to continue. 1 1 2 2 3 3 4 4 2 Starting radial range definition Depending on the application, for a volumetric radial range, make sure to switch to a layout including 3D (VRT) in addition to MPR and / or MIP. Select the segment that defines the position and orientation of the range and choose Ranges > Radial Ranges from the top left corner menu or select the Radial Ranges tool from the Tool Gallery. The layout for defining ranges is displayed. Select step 2 to continue. 1 1 2 2 3 3 4 4 1 Defining a radial range – Overview With radial ranges, you can generate series of images with different view directions. Views for reconstruction are arranged around a pivot by defined angles. To create ranges for automated image reconstruction, you typically proceed as follows: Starting radial range definition Repositioning the range (optional) Adapting the radial range Creating the range output Select step 1 to continue. 1 1 2 2 3 3 4 4 Screen layout for range definition FoV segment Shows the field of view of the range Screen layout for range definition Ranges control segment Contains the tools to: Define and create the range Edit and save presets You can interactively switch the range type with the corresponding range tabs Screen layout for range definition Preview segment Shows a preview of the output range Screen layout for range definition Lateral view segment Shows the lateral view Screen layout for range definition Reference segment Images are planned orthogonal to the segment When you click any range line in the segment, the corresponding slice is shown in the preview segment Screen layout for range definition Explore the screen layout for range definition by selecting the colored callouts on the left. ? Step 3: Print Images With the print functionality, you can expose images on film at a DICOM printer, or print them on paper with a standard Windows printer. Printouts can be used for reporting, archiving, documentation, and treatment decisions You can send images for printing from the image area and from the Series panel The film sheets in the Printing window display a print preview of all series or images Select the tab arrows to learn more about the screen layout of the Printing window and how to print images. Screen layout of Printing window Workflow: Printing images Video: Printing images Step 3: Print Images Audio Filename: ct_view-go_olt_print-images.mp3 Audio Script: With the print functionality, you can expose images on film at a DICOM printer, or print them on paper with a standard Windows printer. Printouts can be used for reporting, archiving, documentation, and treatment decisions. You can send images for printing from the image area and from the Series panel. The film sheets in the Printing window display a print preview of all series or images. Select the tab arrows to learn more about the screen layout of the Printing window and how to print images. Printing images Text explanation is visualized in this video snippet without audio. Smart Print 1 1 2 2 If you do not want to print every image of a series, click the Keep Every N-th Image icon in the printing tools area. In the dialog box, enter a number in the Keep Every Image field. The number that you enter defines which images you want to print. For example, if you enter the number three, every third image of the series is printed. The other images of the series are removed from the film sheet. 3 3 4 4 5 5 5 Printing If necessary, select the Invert Background check box to have a white background color on the film sheets. To print out all film sheets, click the Print icon. To print out selected film sheets, right-click a film sheet and choose Print Selection from the context menu. A print job is started. You can get information about the progress via the status icon in the status bar. Select step 5 to continue. 1 1 2 2 3 3 4 4 5 5 4 Opening printing window After you have sent images for printing, they are available on the film sheets in the Printing window. A notification badge appears on the Printing tab to indicate that images/series are available in the Printing window. To open the Printing window, click the Printing tab in the Tab area. Select step 4 to continue. 1 1 2 2 3 3 4 4 5 5 3 Sending images from Series panel From the Series panel, you can send original images or results for printing. Select the required study or series, right-click and choose Print Series from the context menu. Or drag the required study or series to the film sheet. Select step 3 to continue. 1 1 2 2 3 3 4 4 5 5 2 Sending images from image area In the image area, you can select images or series that you want to print out. These images are sent for printing, including, for example, all measurement results. To print single images, select the required images from the segments and click the Print Image icon. To print the images in a stack, select the required stacks from the segments and click the Print Stack icon. The selected images/series are sent to the printing film sheet. Select step 2 to continue. 1 1 2 2 3 3 4 4 5 5 1 Film sheet The film sheet for the currently selected thumbnail is displayed If required, you can modify the film sheet before you print it out Screen layout of Printing window Thumbnail gallery The thumbnail gallery shows all available film sheets You can scroll through the available film sheets Screen layout of Printing window Tools area Screen layout of Printing window Screen layout of Printing window Explore the screen layout of the printing window by selecting the colored callouts on the left. ? Step 4: Send and Archive Images The Send and Archive window provides an overview of the available series and results of the current study and shows the sending status of these series. Inspect all available data of the study Exclude or include data for sending to the specified DICOM nodes Check the sending status Select the tab arrows to learn more about the screen layout of the Send and Archive window and how to send images to an archive. Screen layout of Send and Archive window Workflow: Sending images to an archive Video: Sending images to an archive Step 4: Send and Archive Images Audio Filename: ct_view-go_olt_send-and-archive.mp3 Audio Script: The Send and Archive window provides an overview of the available series and results of the current study and shows the sending status of these series. During an evaluation, you can inspect all available data of the study, as displayed in the Series panel. You can exclude or include data for sending to the specified DICOM nodes. After you have completed the evaluation, you can check the sending status which is indicated by specific icons. Select the tab arrows to learn more about the screen layout of the Send and Archive window and how to send images to an archive. Sending images to an archive Text explanation is visualized in this video snippet without audio. Sending images to an archive Send series to DICOM nodes Click the Send button at the bottom of the window to directly send the selected images to the specified DICOM nodes. If you want to send the images after you have completed the evaluation, click the Save and Send icon in the CT View&GO panel. The workflow closes and the selected series are sent to the specified DICOM nodes. 1 1 2 2 3 3 4 4 4 Sending images to an archive Select series to be sent Clear the check boxes of series that you do not want to send, or select the check boxes of series to be sent. Results that have been created using CT View&GO are automatically selected for archiving. Tip: When you select the check box in the DICOM node column header, all series check boxes are selected automatically. Select step 4 to continue. 1 1 2 2 3 3 4 4 3 Sending images to an archive Select your preferred view Click the head arrow icon. Preview view: Shows a preview of all available series; you can scroll through each series Thumbnail view: Shows a preview of the available series; the middle image of each series is displayed as a thumbnail image List view: No preview available; the series can be identified by the series description Select step 3 to continue. 1 1 2 2 3 3 4 4 2 Sending images to an archive Open Send and Archive window Click the Send and Archive icon in the Series panel. Select step 2 to continue. 1 1 2 2 3 3 4 4 1 Screen layout of Send and Archive window Close button Closes the Send and Archive window Screen layout of Send and Archive window Send button Sends the selected series to the specified DICOM nodes Screen layout of Send and Archive window Icons indicating the sending status Green icon with checkmark: Sending successful Red icon with cross: Sending error Screen layout of Send and Archive window Check box Indicating that the series is selected to be sent to the specified DICOM node Screen layout of Send and Archive window View selection Switches the view in the display area Screen layout of Send and Archive window Available DICOM nodes targets Screen layout of Send and Archive window Description column Displays the series description Screen layout of Send and Archive window Preview column (only available in the Preview and Thumbnail view) Screen layout of Send and Archive window Explore the screen layout of the Send and Archive window by selecting the colored callouts on the left. ? Step 5: Close Patient Finally, close the patient and return to the Patient Browser. To do so, click the Close button on the patient tab and select one of the following options: Save and Send Results are stored on the system and sent to your archive Save and Pause Results are stored only on the system Discard Changes Unsaved results will be lost Step 5: Close Patient Audio Filename: ct_view-go_olt_close-patient.mp3 Audio Script: Finally, close the patient and return to the Patient Browser. To do so, click the Close button on the patient tab and select one of the following options: Save and Send: Results are stored on the system and sent to your archive Save and Pause: Results are stored only on the system or Discard Changes: Unsaved results will be lost ? Course Review Congratulations. You have completed the CT View&GO Online Training (VA40) course. Select the numbered buttons below to review the material before proceeding to the final assessment. Locate all relevant functionality for performing a routine reading workflow Name and define the different elements of the CT View&GO user interface Identify the benefits provided by the CT View&GO at the scanner console 1 1 2 2 2 3 3 3 Course Review Step 5: Close Patient To close the patient and return to the Patient Browser , click the Close button on the patient tab and select: Save and Send (results are stored on system and in archive) Save and Pause (results are stored only on system) – or – Discard Changes (results are not saved) 1 1 2 2 3 3 4 4 5 5 5 Locate all relevant functionality for performing a routine reading workflow Step 4: Send and Archive Images To open the Send and Archive window, click the Send and Archive icon in the Series panel. Select the check boxes of series to be sent. Click the Send button at the bottom of the window to directly send the selected images to the specified DICOM nodes. 1 1 2 2 3 3 4 4 5 5 4 Locate all relevant functionality for performing a routine reading workflow Select step 5 to continue. Step 3: Print Images To send images for printing, select the required images or stacks from the segments and click the Print Image / Print Stack icon. Or select the required study or series from the Series panel, right-click and choose Print Series from the context menu. You can also drag the required study or series from the Series panel to the film sheet. To open the Printing window, click the Printing tab in the Tab area. To print out all film sheets, click the Print icon. To print out selected film sheets, right-click a film sheet and choose Print Selection from the context menu. 1 1 2 2 3 3 3 Locate all relevant functionality for performing a routine reading workflow 4 4 5 5 Select step 4 to continue. Creating Ranges You can create parallel, radial, radial sliced, curved, spine and vascular ranges for different body regions. To create a radial range, select the segment, that defines the position and orientation of the range and choose Ranges > Radial Ranges from the top left corner menu or select the Radial Ranges tool from the Tool Gallery. Adapt the range according to your needs, then click Start to calculate the range. To save the output range, click Accept. Remove Bones You can use the Remove Bones tool to remove the bone voxels from the baseline of the scan and to achieve a vascular-only view. Remove Table You can use the Remove Table tool, for example, to visualize the body region of interest without interfering structures. ROI Circle You can draw a circle or an ellipse ROI (Region Of Interest): Choose ROI Circle from the top right corner menu. To draw a circle, keep the mouse button pressed and drag the mouse until the circle has the desired size. To draw an ellipse, press the Shift key while drawing. Distance Line To measure lengths you can use the distance line tool: Choose Distance Line from the top right corner menu, then click the start point and drag the mouse to the desired end point. Snapshots To create a snapshot of the selected segments select the Snapshot tool from the Tool Gallery or press S on the keyboard. Windowing Images You can window images to modify their brightness and contrast: Press the middle mouse button and drag the mouse or choose Windowing from the top left corner menu, then click and drag the mouse. To adjust the brightness (center) of the window, move the mouse vertically. To adjust the contrast (width) of the window, move the mouse horizontally. CT Presets in the bottom right corner menu lets you apply windowing preset values from a list. Rotating Images Choose Rotate from the top left corner menu. To rotate an image or volume in-plane, drag the mouse next to the image border in the desired rotation direction. To perform a 3D rotation of a volume, drag the mouse in the desired rotation direction. Zooming and Panning Images Choose Zoom/Pan from the top left corner menu. To zoom, drag the mouse pointer in the outer area of the image: Dragging up zooms in, dragging down zooms out. To move the image within the segment, drag the mouse pointer in the inner area of the image. Flipping Images Choose Flip Horizontal from the top left corner menu to flip the images left or right. Choose Flip Vertical from the top left corner menu to flip the images up or down. To reverse the flip, execute the same function a second time. Step 2: View Images 1 1 2 2 3 3 2 Locate all relevant functionality for performing a routine reading workflow 4 4 5 5 After reviewing the tools, select step 3 to continue. Select the icons to review the tools. Step 1: Load Patient into CT View&GO To load patient data into CT View&GO, you have three options after selecting a patient study in the Patient Browser: Double-click the patient study. Click the CT View&GO icon in the toolbar. – or – Right-click on the patient study and choose Open or Open with > CT View&GO from the context menu. 1 1 2 2 3 3 4 4 5 5 1 Locate all relevant functionality for performing a routine reading workflow Select step 2 to continue. Name and define the different elements of the CT View&GO user interface The screen layout of CT View&GO consists of: Image area: Displays the images in the selected layout CT View&GO panel: Provides preferred layouts for organizing the image area ​Favorite Tools panel: Provides preferred tools for viewing and post-processing of images Series panel: Provides an overview of the series and instances that belong to the loaded study Identify the benefits provided by the CT View&GO at the scanner console CT View&GO is the viewing application that can be used to evaluate the scanning results, ensure optimal image quality during acquisition, perform basic post-processing operations, and distribute results directly at the scanner. With the help of CT View&GO you can: Check the image quality of your scans Generate additional results for the radiologist Get an overview of the scanned series and all post-processing results Select the right images for printing, distribution, and archiving Disclaimer 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 2021 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Assessment This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate. You may repeat the assessment as many times as needed. Start ? Assessment Select the best answer. ? Question 1 of 5 CT View&GO offers you a variety of tools for preparation and processing of CT images. Where can you find these tools? In the Favorite Tools panel, Tool Gallery, context menu and the corner menus In the Favorite Tools panel In the context menu and the corner menus In the Tool Gallery and the Series panel Multiple Choice Incorrect Incorrect Incorrect Correct Select the best answer. ? Question 2 of 5 What can you do with the help of CT View&GO? Search and manage patient data, series, and instance information Check the image quality of your scans and generate additional results for the radiologist Register patients and open workflows Configure DICOM nodes Multiple Choice Incorrect Incorrect Correct Incorrect Select the best answer. ? Question 3 of 5 Once in range layout, how can you change the total coverage of a range? Zoom and pan the preview in the preview segment Click the pivot or the inner part of the central range line and drag it Drag the handles of the range definition graphic or change the values in the Number of images field or Angle between images field Drag the handles of the FoV graphic Multiple Choice Incorrect Correct Incorrect Incorrect Select the best answer. ? Question 4 of 5 How can you perform windowing interactively with the mouse after choosing Windowing from the top left corner menu? Use the scroll wheel to adjust the center and width of the window. Hold down the left mouse button and drag the mouse vertically to adjust the width of the window and horizontally to adjust the center of the window. Hold down the left mouse button and drag the mouse vertically to adjust the center of the window and horizontally to adjust the width of the window. Double-click the image to reset the center and width of the window to default values. Multiple Choice Incorrect Correct Incorrect Incorrect Select the best answer. ? Question 5 of 5 What does the green folder icon with a checkmark indicate in the Send and Archive window? The sending of a series was successful. The selected series is ready for sending. The image quality of a series is good enough for archiving. The selected DICOM node is available. Multiple Choice Incorrect Incorrect Incorrect Correct Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%% %Results.PassPercent%% ? Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course.. Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the CT View&GO Online Training (VA40). Completion Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Timeline Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Question Bank 1 HOOD05162003191448 | Effective Date: 29-JUN-2021 1.1 Welcome 1.2 Hints for Navigation 1.3 Benefits of CT View&GO 1.4 Introduction to CT View&GO User Interface 1.5 Screen Layout of CT View&GO 1.6 CT View&GO Panel 1.7 Favorite Tools Panel 1.8 Image Area 1.9 Series Panel 1.10 Defining Your Preferred Layouts 1.11 Adding Tools to the Favorite Tools Area 1.12 CT View&GO Workflow Steps 1.13 Step 1: Load Patient into CT View&GO 1.14 Step 2: View Images 1.15 Zooming and Panning Images 1.16 Rotating Images 1.17 Flipping Images 1.18 Orientation Cube 1.19 Windowing Images 1.20 Scrolling Images 1.21 Measurements 1.22 Snapshots 1.23 Table Removal and Bone Removal 1.24 Creating Ranges 1.25 Step 3: Print Images 1.26 Step 4: Send and Archive Images 1.27 Step 5: Close Patient 1.28 Course Review 1.29 Disclaimer 1.30 Assessment