MM Radiation Therapy Image Suite (RTiS) - Manually Create Synthetic CT Images

Manually Create Synthetic CT in RTiS MM Radiation Therapy Image Suite (RTiS) VA40 syngo.via VB60 Synthetic CT provides images generated from MR scans that emulate CT images regarding electron density information. The images contain different Hounsfield units (HU) for different materials and these HU can be converted to electron density in the Treatment Planning System (TPS) using a calibration curve. The purpose of Synthetic CT images is to provide the electron density information to obtain dose calculations with the same accuracy as that of a CT image, enabling MR-only radiotherapy planning without needing additional CT images. The MAGNETOM RT Pro edition for MAGNETOM Sola and MAGNETOM Vida have a VIBE-Dixon sequence used as input for MR-based Synthetic CT reconstruction. Note: Synthetic CT is only available for Brain and Pelvis and the Synthetic CT license must be installed. There is a Synthetic CT configuration. If the Siemens Healthineers scanner and syngo.via are properly configured and have appropriate licenses, the Synthetic CT is automatically generated and available for display at the scanner or transferred to RTiS. The steps below are for the manual creation of the Synthetic CT. Configuration in RTiS 1. Log into the system as a superuser. 2. Open the RTiS application and load an MRI scan. 3. Navigate to the Configuration cog wheel. MM RT Image Suite RT Image Suite Patient Marking Registration 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. Select the Synthetic CT tab and choose the desired options. Select OK to save. RT Configuration ? X Workflow SyntheticCT Configuration Laser Configuration POI Configuration Machine Configuration Configuration The following result images shall be created by the SyntheticCT feature (check at least one option): M CT-like image Relative electron density Relative mass density OK Cancel 5. From the Patient Browser, load the scan into the RTiS program. 6. From the Navigation Panel, select the 4D and MR Data Management tab. MM RT Image Suite RT Image Suite Patient Marking Registration Contouring 4D and MR Data Management :D Data Create Series Split Series Synthetic CT Dose Evaluation Beam Placement 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 6 7. Select the Synthetic CT icon. A popup box will appear. Using the drop-down menu, select the appropriate series for each. 8. Select OK when finished. Note: It is possible to rename the Synthetic CT series if desired. MM RT Image Suite RT Image Suite Patient Marking Create Synthetic CT Series Select Body Region Select Study Select Series Opposed phase HadRAC COON CAI_Car app Series Desorption Postla (Optional) Synthetic CTDrang 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 6 9. The process can take several minutes to complete. Once finished, the Synthetic CT will be available in the Series Panel. Add Se Current CT MR PET, 9/7/2017 PET_F18-FDG_Ped3y_Epilepsy_S ... Head_MRAC DIXON Head MRAC DIXO _CAIPI_Cor_opp [2] CAIPL_Cor_in [3] SyntheticCT HU ynthetic CT Derno .. ead MRAC DIXON CAIPI Cor W [5] 25mm [13] 1 5mm (14) Head_12_FLAIR_3D ead_T2_QTSE_Co dwepi_753 sms4 b2800 ORIG .. 10 601 B-Value_01 [601 -Value_02 vani 753 cm54 b2800 DEC 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 6 10. The Synthetic CT can now be loaded into the layout alongside other CT, MR, or MI images for Patient Marking, contouring, or other evaluation. Note: Appropriate licenses must be installed. SIEMENS . Healthineers .. MMR Head * 1/1/2014 F Australia_MAC MM RT Image Suite Q+ Series RT Image Suite CURRENT mMR_Head Royal Children's Hospital mMR *1/1/2014, F, 3Y Ade seu Patient Marking 3 IMA ~76 CURRENT 9/7/2017 B-Value_ 01 [30] Registration SP H20.9 Structure Set_1 -- > RTE.FLOATING0.3D Auto Registration Contouring 1:20:07 PM UNAPPROVED 1, 2 39 IMAn.a. Series SyntheticCT H .. hetic CT Demo 2. 3 Structure Set_1 demo UNAPPROVED 100% -753-02-331 dwepi_BD [30] Reflect Contours Ter plate I isocenter Create Crop Margin Structure dwepi BU (39 4D and MR Data Management SL min Dose Evaluation Beam Placement Head MRAC ODION F RT Navigator F 128 OV 511 .500 Structures POI MPR : DIFFI ERes Tra in UNMA AC images ( 44) io Name Type isocenter ISOCEN ... SyntheticCT HU, Derived from MR Images CURRENT CURRENT mMR_Head Royal Children's Hospital mMR mMR_Head Royal Children's Hospital mmMF *1/1/2014, F, 3Y "1/1/2014, F. 3Y Fused Axial 1451 Fused Axial Spla 3 IMAn.a. FRM n.a 3.39. FRM n.a. CURRENT CURRENT 1,4 1,5 9/7/2017 1:20:07 PM 1:20:07 P 39 IMAn.a. 39 MAn.a. AH Tert Graphics MPR MPR MPR SPC 1 SPC 1.0 10cm F MPR SL min 5cm SL min A SPC 2.3 SPC 2.3 À Edit Snapshot Print Export Unde Redo TR 3600.0 TR 3600.0 Layout Image Image 120 SP L3.0 SP A12.1 40 MPR : DIFF/ FOV 283*281 TE 113.0 MPR : DIFFI FoV 503*500 7:43 PM SyntheticCT HU, Dertus SyntheticCT HU, Derived from MR images 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 6 Please note that the learning material is for training purposes only! For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2023 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 6 of 6