Performing dual energy reconstructions using the slider bar to select desired energy

Dual energy reconstructions using the slider bar to select desired energy SOMATOM go. Sim, go. Open Pro, VA 40 SOMATOM go. systems allow you to perform tasks in multiple ways and this is just one way to perform dual energy reconstructions using the slider bar to select the desired energy. 1. Log in to the system as a SuperUser. 2. Select Exam Designer from the Cog Wheel menu. 3. Select the Factory Default protocols under the RTP folder for either the Abdomen or Head & Neck, as the process is the same. 4. Click the Modify Protocols button on the bottom right. 5. Make necessary adjustments to scan and reconstruction parameters as needed. Note: the Siemens Healthineers default Head & Neck protocol has 2 reconstructions already available, and the Siemens default Abdomen protocol does not. 6. If needed, right mouse click on the Abdomen reconstruction and select Repeat. 7. Rename the reconstructions for better clarity. 8. Adjust one of the reconstructions for 120 KV, if needed. 9. This can be the base Dual Energy section of the final protocol. Scan/Recon . General Scan Scan/Recon Patient Type Organ Characteristic Target Region FAST Topo Region Scan Mode Accessible Scan Modes Strategy Review RTP Abdomen DE [factory] (Adult) Topogram Adult Abdomen Abdomen Scanplanning TopoAdultSn ScanplanningTopoAdultSn DE Abdomen for contouring Aduit Abdomen Abdomen RoutineSpiralAdultAbdomenTwinspiral (ma: RoutineSpiralAdultAbdomen; R ... Off Adult Abdome Abdom RoutineSpiralAdultAbdomen SpiralAdultAbdomen; R ... Of RoutineSpiralAdultAbdomenTwinspiral (max. 100 cm) 10. Select the Recon&GO tab. On the reconstruction for contouring, hover over the drop- down arrow on Spectral Recon and select None. Back to Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Protocol Scan Favorites General Scan Dose Timing Config Physio Scan Contrast Recon Favorites General Recon Recon&GO mage Impression Recon Box Physio Recon Auto Tasking nline Options Find/Replace Scan/Recon Recon&GO x Scan/Recon Spectral Spectral Recon Recon keV Inline Results Multi Recons Fix Axial RTP Abdomen DE [factory] (Adult) Topogram Abdomen Abdomen 1.50 Qr40 A3 Monoenen Monoenergetic Plus SIEMENS Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 07/10/2023 | HOOD05162003362625 11. On the Inline Results tab, hover over the drop-down arrow next to Multi Energy and select SPP (Spectral Postprocessing). Scan/Recon Recon&GO can/Recon Spectral Inline Results|Multi Recons| Fix Axial Recon RTP Abdomen DE [factory] (Adult) Topogram DE Abdomen for dose calculation DE Abdomen for dose calculation 1.50 Qr40 A3 None None On DE Abdomen for contouring DE Abdomen for contouring 1.50 Qr40 A3 None None None On None Parallel Ranges Radial Ranges Multi Energy DE Parallel Ranges DE Radial Ranges SPP L&H 12. Select the Inline Options tab. The default monoenergetic KeV is 70. You can change to a different starting energy if desired. 13. Rename the protocol per site specifications. 14. Select Confirm Changes and Save protocol. 15. You are now ready to scan. If a contouring and a 120KV reconstruction were not created, at this point, you can load a routine 120KV protocol and add the base Dual Energy. Protocol Protocol Selection rotocol Parameters Browse Protocols Physiological Signal Scan Requested Procedur o Reconstruction Protocol: RTP Abdomen DE Demo Close Search -Indications: radiotherapy planning of the abdomen wTopogram region, wo CM -Scan modes: RoutineSpiralAdultAbdomenTwinspiral (max. DE Abdomen for dose calculation 100 cm) DE Abdomen for contouring Adult Child Protocol: RTP Thorax_with Contours Indications: radiotherapy planning of the thorax wiwo CM Topogran -Scan modes: RoutineSpiralAdultThorax Thorax Protoc Protocol: RTP Head [factory] -Indications: radiotherapy planning of the head reg Topogram WO CM Head -Scan modes: RoutineSpiralAdultHead -Decision Tree: RTP Brain [factory] Trauma Protoc Protocol: RTP Head DE [factory] Intervention -Indications: radiotherapy planning of the head region for dose calculation and in addition monoenergetic plus Topogram images for contouring wo CM Head for dose calculation Scan modes: RoutineSpiralAdultHead, RoutineSpiralAdultHeadTwinspiral (max. 100 cm) Head for contouring -Decision Tree: TwinSpiral contrast medium [factory] Apply protocol Confirm Protocol: RTP Head and Neck [factory] OK Cancel -Indications: radiotherapy planning of the head, neck,shoulder region, w/wo CM Topogram 16. On the Auto Tasking tab, you can set the reconstruction to automatically load in View&GO or you can manually load the reconstruction from the Patient Browser into View&GO. Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon Auto Tasking Inline Options Scan/Recon Auto Recon Recon Ref. Requested Procedure Body Part Transfer Auto View&GO Dataroles Auto Local syngo.via syngo. via Lines Examined Nodes View ... Printing Applicati ... Workflow Datarole DE Abdomen for contouring 1.50 Qr40 A3 On Of ABDOMEN On None None None Auto Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/10/2023 | HOOD05162003362625 Page 2 of 9 Healthineers 17. Once the series is loaded into View&GO, the 1X1 layout is preferred but not required. Once loaded, look to the middle left side, and locate Mono+ and the selected KeV energy (70 in this case). demo, de spp SOMATOM go Open Pr demo "05/30/1973. 50Y CURRENT 05/30/2023 DE Head for contouring 2.00 Or40 A3 SPP_ME70 [3] 6.01:10.52 PM DEMEP 301 3 IMA 107 SP F898.5 SL 2 0/54x0 6/00 8 KOV 70 10cm KV 100/Sn 140 F mAs 40/73 0 35 GT 0.0 600 0/0 Q:40.13 18. With a single left mouse click, wait for the lettering to change to all blue. R X MPR SL min Parallel Mono+ keV 70 sport 19. Scroll through image slices to find an appropriate area to evaluate. Right-mouse click on the KeV number, and a slider bar pop-up box will appear. Dual Energy Mono+ Properties ? X [3] 70kev OK Cancel R MPR X SL min Mono+ keV 70 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/10/2023 | HOOD05162003362625 Page 3 of 9 Healthineers 20. Left mouse click on the bar and move to desired KeV for best viewing. In this example, 43KeV was chosen. CURRENT 05/30/2023 Dual Energy Mono+ Properties ? x DE Head for 3 IMA n.a 6:01:09.72 P SP F930.1 43keV OK Cancel R MPR SL min Mono+ keV 43 kV 100/Sn140 Filter Sn IL Mono+ 43keV Create an Axial Series at desired KeV There are 2 ways to create the series. The first is as follows: 1. Leave the slider bar at the desired energy level. Verify the energy level by checking the footer. Navigate to the upper left corner menu and select Save As Series. This will give you the chance to name the series as desired. Tip: include the selected KeV in the name so as not to confuse it with the 120kV series. Wait until the reconstruction is complete and listed in the Series window before closing. kV 100/Sn140 Filter Sn Mono+ 43keV Zoom/Pan Save as Series Windowing Series Name|Head for contouring 2.00 Or40 A3 43 Kel Rotate Image Comment Scroll 50Y Accept Cancel Eu Movie 3D Reference Point 2.00 Qr40 * Ranges 2 Save as Series Region Growing Crea Fit to Segment Home Position Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/10/2023 | HOOD05162003362625 Page 4 of 9 Healthineers 2. Select Save and Pause or Save and Send (if configured) to save the series. Current CT, 5/30/2023 RTP Abdomen DE Demo(A ... DE Head for contouring 2.0 LEEEEEEEEE. .. . .. .. . . . . . . . . .. . . . . . . . . . . . . . . ... .. .......... DE Head for contouring 2.00 Qr40 A3 43 KeV [1004] [1004] The second option allows you to set a new recon volume and a different slice thickness than the one set at the original scan time. 1. Go to the upper left corner menu and select Ranges > Parallel Ranges. Zoom/Pan Windowing Rotate [ Scroll 50Y I Movie 3D Reference Point) 2.00 Or40 A3 SPP_ME70 [3] Ranges Parallel Ranges as Series * Radial Sliced Ranges on Growing (O)Radial Ranges Fit to Segment Curved Ranges Home Position Spine Ranges * Vascular Ranges Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/10/2023 | HOOD05162003362625 Page 5 of 9 Healthineers 2. A new view will open. In the bottom right corner box, set the desired Image Thickness. demo, de spp demo, de spp SOMATOM go. Open Pro demo, de spp demo SOMATOM go. Open Pro BOMATOM go. Open Pro *05/30/1973, 50Y VA40A demo demo *05/30/1 973, 50Y VA40A "05/30/1973, 50Y VA40A CURRENT CURRENT CURRENT 05/30/2023 05/30/2023 CO DE Head for contouring 2.00 Qr40 A3 SPP ME70 [3] 1, 2 05/30/2023 DE Head for contouring 2.00 Qr40 A3 SP DE Head for contouring 2.00 Qr4 3 IMAn.a. FRM.n.a. 3 IMA ~128 3 IMAn.a. FRM n.a. 6:01:09.7.2.P.M. 6:01:09.72 PM 6:01:09.72 PM SP A134 6 SP F930.1 SP 0.0 ......... R A MPR MPR MPR SL 10cm SL min 10cm SL min Mono+ Mono+ Mono+ keV 43 keV 43 keV 43; A F Distance between Images: 1.2 mm Sice Thickness: 1.2 mm KV 100/Sn140 400 KV 100/Sn140 KV 100/8n140 Filter Sn Filter Sn Filter Sn Mono+ 43keV Mono + 43kev Mono+ 43kev Parallel {} Radial Curved Spine >% Vascular demo, de spp Preview "05/30/1973, 50Y Preset Select the Preset STUDY 05/30/2023 Image Thickness mm Distance between Images 1.2 Number of Images 256 Field of View 599.7 x 599.7 mm R ......... ................ Presets Orientation Image Series 10cm Complete Complete Complete F MPR 88 1.2 Start Accept Mono+ 43kev Close Parallel ( Radial Curved Spine * Vascular Preset Select the Preset Image Thickness 5.0 mm Distance between Images 5.0 mm Number of Images 42 Field of View 599.7 x 599.7 mm Presets Orientation Image Series Complete Complete Complete Coronal Accial Start Accept Close Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/10/2023 | HOOD05162003362625 Page 6 of 9 Healthineers 3. In the upper left box, set the desired begin and end position by left mouse clicking, holding on to the white dots, and dragging. demo, de spp SOMATOM go.Open Pr demo, de spp demo, de spp SOMATOM go.Open Pr demo demo SOMATOM go.Open Pro derno "05/30/1973, 50Y *05/30/1973, 50Y VA40A "05/30/1973, 50Y CURRENT CURRENT CURRENT 05/30/2023 05/30/2023 CO DE Head-for-contouring-2-00-Qr40R3 2 DE Head for contouring 2:00 Gr40 A3 SPP.ME70 [3] 1.2 05/30/2023 DE Head for contouring 2.00 Qr 3 IMAnar FRM.n.a 3 IMA-71 3 IMAna: FRM.n.a 6:01:09.72-PM 6:01:09.72 PM 6:01:09.72 PM SPA134/6- SP F845 1 SP 0.0 R A MPR MPR Ocm BL min 10cm min Mono. KBV 43 LA F Distance between images: 5.0 mm Sice Thickness: 5.0 mm KV 100/8n140 400 KV 100/8h140 400 40 KV 100/8n140 Filter Sn Mono- 43keV sono: 43hey Mono- 43kg Paralle Radial Curved Spine * Vascular demo e SPD Preview "05/30/1 973, 50Y Preset Select the Preset STUDY 05/30/2023 ge Thickness 5.0 mm on images 5.0 mm Number of Images 42 Field of View 599.7 = x 599.7 mm Presets Orientation Image Series 10cm Complete Complete Complete Coronal Axial Sagitta 5.0 tono. 43heV Start Accept Close 4. On the bottom right, select Start and you will then see a Preview of the series in the lower left box. demo, de spp SOMATOM go.Open Pro demo, de spp SOMATOM go.Open Pro demo, de spp demo VA40A demo VA40A demo "05/30/1973, 50Y "05/30/1 973, 50Y "05/30/1 973, 50Y CURRENT CURRENT CO CURRENT 05/30/2023 1.2 05/30/2023 1,2 05/30/2023 DE Head-for-contouring-2.00-Q:40RO DE Head for contouring 2.00 Or40 A3 SPP. ME70 [3] DE Head for contouring 2.00 Or 3 IMAn a. FRM-na 3 IMA-71 3 IMAna-FRM-na 6:01:09.72-PM 6:01:09.72 PM 6:01:09.72 PM SP A1 34,6- SP F845 1 SP 0.0 A 10cm MPR SL min 10cm MPR SL min Mono+ koV 43 F Distance between Images 50 m LA / 100/5n140 KV 100/5n1 4 400 Filter Sn KV 100/Sn140 Mono- 43kgV Monor cabe Filter Sn Mono- 43kDV Parallel Radial Curved Spine * Vascular demo, de spp Preview demo "05/30/1973, 50Y Preset Select the Preset STUDY 05/30/2023 Image Thickness 5.0 mm Distance between Images 5.0 mm Number of Images 42 Field of View 599.7 X 599.7 mm Presets Orientation Image Series Complete Complete Complete 3 LLLLLLLINK Coronal Sagittal SL So ono . 4Thev Start Accept Close Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/10/2023 | HOOD05162003362625 Page 7 of 9 Healthineers 5. Scroll through the Preview series. If acceptable, on the right lower box, you can rename the series to something preferable, such as site-energy-slice thickness, and then select Accept. Parallel Radial Curved Spine Vascular Preset Select the Preset Image Thickness 5.0 mm Distance between Images |5.0 mm Number of Images 42 ¢ Field of View 599.7 = x 599.7 mm Presets Orientation Image Series Range Series Name DE Head for contouring 5mm 43 Kev Image Comment Include Reference Image Reject Accept Close 6. The series will now be displayed in the list. 1, 2 Current CT, 5/30/2023 RTP Abdomen DE Demo(A ... 10cm contouring 5m DE Head for contouring 5mm 43 KeV [1006] [1006] 400 P 40 DE Head for contouring 2.00 .... 7. Select Save and Pause or Save and Send (if configured) to save the series. Note: If the original dual energy scan is available, the data can be reloaded into View&GO and the steps can be repeated to create different KeV’s. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/10/2023 | HOOD05162003362625 Page 8 of 9 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. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2023 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Siemens Shanghai Healthcare Sector Henkestr. 127 40 Liberty Blvd. Medical Equipment Ltd. 91052 Erlangen Malvern, PA 19355-9998 USA 278 Zhou Shu Road Germany Telephone: +1-888-826-9702 Shanghai 201318 Phone: +49 9131 84-0 Customer Care Telephone: P.R. China https://www.siemens-healthineers.com +1-800-888-7436 Telephone: +1 847 304 7700 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 07/10/2023 | HOOD05162003362625 Page 9 of 9 Healthineers