MM Radiation Therapy Image Suite (RTiS) - 4D Acquisition

RTiS 4D Spilt Series & Create Average, MaxMIP, MinMIP Series MM Radiation Therapy Image Suite (RTiS) VA40 Sim&GO VA40 and syngo.via VB60 Performing 4D Respiratory Gating scans can give the clinician tools to evaluate tumor motion. Phase gating is a typical 4D acquisition method. Some Treatment Planning Systems need the phases split into individual phase folders while other systems prefer all phases in a single folder and will bind phases themselves. 4D scans can be evaluated at the time of scanning using the RTiS program. Note: RTiS needs the series split for evaluation. Somaris 7 and Somaris 10 scanner software can Split Series and create Average and/or MIPs (Maximum or Minimum Intensity Projections). Note: The following examples use phase-based reconstructions. Split Series into Individual Folders for Evaluation 1. After acquiring a 4D scan, load the series into the RTiS workflow. 2. In the Series panel, press the caret symbol next to the phase series to expand the list to show individual phase folders. 3. An attempt to left mouse click and drag any of the phase folders will result in a popup box indicating that the series must be split before loading. CT, 8/2/2023 RTP Respiratory Invalid Image Data AF X 10 Navigat 1 The selected data is not supported: 4D multiphase series. Please go to Split Series in the workflow step 4D and MR Data Management in order to split the multiphase series into individual series. OK Respiratory M. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers 4. On the Navigation Panel on the left side, use the caret to select the 4D and MR Data Management tab. MM RT Image Suite Q + Contouring Series Dose Evaluation 4D and MR Data Management Beam Placement 11 T Navigator Findings Structures POI Name Type 5. Selecting the Split Series icon will generate a new popup box. If multiple 4D scans are available, verify that the correct series is listed in the Select Study box. The system will generate a 10-phase split series. Select OK to split the series. Note: This scan was designed to create 10 phases, 0% - 90%. If different increments are desired, create a new reconstruction on the scanner with the applicable increments. MM RT Image Suite RT Image Suite Note: You can rename the Series Patient Marking Description prior to selecting OK. Registration Split Series The software will automatically Contouring add Sort % at the end of each new Dose Evaluation Select Study 4D and MR Data Management series that can be manually RTP Respiratory Motion Management [factory](Adult) removed. Multiphase Series Beam Placement Series Description No. of Phases Group1 10 Resulting Series Series Description RT Navigator Findings Respiratory Motion 3.00 Qr40 53 0 - 90 0 In TPS_SORT 1% Respiratory Motion 3.00 Qr40 $3 0 - 90 10 In TPS_SORT 2% Respiratory Motion 3.00 Qr40 $3 0 - 90 20 In TPS SORT 3% Structures POI Respiratory Motion 3.00 Qr40 53 0 - 90 30 In TPS_SORT 4% Respiratory Motion 3.00 Qr40 53 0 - 90 40 In TPS SORT 5% O Name Type Respiratory Motion 3.00 Qr40 $3 0 - 90 50 In TPS_SORT 6% Respiratory Motion 3.00 Qr40 53 0 - 90 60 In TPS_SORT 7% Respiratory Motion 3.00 Qr40 53 0 - 90 70 In TPS SORT 8% OK Cancel Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 2 of 8 6. The new series folders will appear in the Series panel. Series Add Study Current CT. 8/2/2023 RTP Respiratory Motion Manage. Respiratory .M. Respiratory .M. Respiratory M. Respiratory M. iratory M. iratory M ... Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 3 of 8 7. In the Series panel, press the caret symbol next to any phase series to expand the list to show individual slices. Left-mouse-click and drag into the pane. Note: Although only one phase was selected, all phases will be available. Series 2 1M/An.a 2 IMA ~38 SP LO.O Respiratory Motion 3.00 Qr40 83 0 - 90|50 In TPS_SORT 6% SP F1122.0 08/02/2023 Respiratory Motion 3.00 Qr40 S3 0 - 90 50 In TPS_SORT 6% 1:07:17 PM CO 08/02/2023 Current 1:07:17 PM CT. 8/2/2023 Structure Set_1 RTP Respiratory Motion Manage ... UNAPPROVED 10cm 400 2 MM/An.a SP A135.0 Respiratory Motion 3.00 Qr40 83 0 - 90|50 In TPS_SORT 6% 08/02/2023 1:07:17 PM F 4 Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 4 of 8 Create an Average or MIP 1. On the Navigation Panel, select the 4D and MR Data Management tab. 2. Select the Create Series icon. A new popup box will appear. MM RT Image Suite Create Series ? × Registration Contouring Select Study Dose Evaluation 4D and MR Data Management RTP Respiratory Motion Management [factory](Adult) Groups of 4D Data Group Name No. of Series Beam Placender Group1 10 Series Inside the Group RT Navi Findings Respiratory Motion 3.00 Qr40 53 0 - 90 0 In TPS SORT 1% Respiratory Motion 3.00 Qr40 $3 0 - 90 10 In TPS_SORT 2% Respiratory Motion 3.00 Qr40 53 0 - 90 20 In TPS SORT 3% Structures POI Respiratory Motion 3.00 Qr40 53 0 - 90 30 In TPS_SORT 4% Name Type Respiratory Motion 3.00 Qr40 $3 0 - 90 40 In TPS SORT 5% Calculation Resulting Series Description Average Intensity Average_Various1 Maximum Intensity tMaxIP_Various1 Minimum Intensity tMiniP_Various1 OK Cancel Tools 3. Verify that the correct study is selected. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 5 of 8 4. Select the desired phases to create the new series. Select Average, Maximum Intensity, or Minimum Intensity as applicable. Note: You can rename the Series Description prior to selecting OK. Create Series ? X Select Study RTP Respiratory Motion Management [factory](Adult) Groups of 4D Data p Name No. of Series 10 Series Inside the Group Respiratory Motion 3.00 Qr40 53 0 - 90 0 In TPS SORT 1% Respiratory Motion 3.00 Qr40 S3 0 - 90 10 In TPS_SORT 2% Respiratory Motion 3.00 Qr40 53 0 - 90 20 In TPS SORT 3% Respiratory Motion 3.00 Qr40 53 0 - 90 30 In TPS_SORT 4% Respiratory Motion 3.00 Qr40 53 0 - 90 40 In TPS SORT 5% O Calculation Resulting Series Description Average Intensity Average_Various1 Maximum Intensity tMaxIP_Various1 Minimum Intensity tMiniP_Various1 OK Cancel Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 6 of 8 5. The resulting series will be available in the Series Panel. Series Add se Current - 8 ? CT, 8/2/2023 RTP Respiratory Motion Manage .. [Max P_Various 1 [2] Average_VariousT L 400 piratory M .. espiratory M ... Respiratory M ... Respiratory M ... - 8 Respiratory M. Respiratory M ... Respiratory M Respiratory M. LAI 400 Respiratory M. espiratory M .. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2023 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 7 of 8 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 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06 October 2023 | QR700001522 Healthineers Page 8 of 8