MM Reading CT Features - USA

SIEMENS Healthineers MM Reading CT Features syngo.via VB80 Template Effective Date: 10 Aug 2021 | HILS 2223 This training material is based on the medical device syngo.CT Extended Functionality 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 MM Reading – CT Features SIEMENS Healthineers Table of contents Post-processing tools Stroke plug-in 4 Trauma Tools plug-in – Brain Hyperdensity and Midline Shift 11 3D Editing tool Bone Removal (Improvement) 18 3 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 SIEMENS Healthineers MM Reading – CT Features Stroke plug-in 4 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Stroke plug-in SIEMENS Healthineers General • The Stroke plug-in provides a specific Favorite Tools X Tool Gallery layout which automatically loads stroke Post-processing acquisitions and post-processing result images. Stroke + • This tool is available in the Tool Gallery under the Post-processing section. Do notuse without che control images Suspected Large Vessel Occlusion c Suspected Brain Hemorrhage • Once the tool is activated, the current including the Subarachnoid Space found! layout that is displayed is replaced by 34.5 X 35.1 Caution: View only after first re: INS 31.6 X 36.4 the Stroke layout. 33.6 WM M2 35.3 CH 37.0 M4 34.5 M5 33.2 X 35.6 automated ASPECT Score 7 Deactivating the tool takes you back to Caution: View only after first read! • the previously used layout. 5 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Stroke plug-in SIEMENS Healthineers Inline results • The images and results displayed are based 1 Inline Options Configuration Panel 2 Scan/Recon Client Settings Advanced Visualization Display And Behavior Export on the type of stroke: Ischemic stroke or OpenAp Scan/Recon Inline Results Rapid Results Technology Hemorrhagic stroke. Non-Contrast Brain 4.00 Hr40 Q3 BrainHem Brain HyperdensityPlus Non-Contrast Brain 5.00 Hr40 Q2 ASPECT ASPECT Score Your configured results: + Configure a New Result Non-Contrast Brain 5.00 Hr60 Q2 ax Head and Neck Non-Contrast Brain 5.00 Hr60 Q2 sag None Configure Scanner Assignment A. Carotis COW Range_New2 • The result series loaded in the layout are Non-Contrast Brain 5.00 Hr60 Q2 cor A. Carotis L Int. Range_New1 Perfusion Brain A. Carotis R Int. Range_New1 those generated using the Inline Results (1) Perfusion Brain 5.00 Hr36 Brain Perfusion 3. .... Stroke Perfusion Aspect Score Topogram None Brain HyperdensityPlus during the original scan acquisitions (from Topogram 0.60 Tr20 cor Applications LVO Detection Premonitoring Stroke Perfusion Midline Shift the scanner syngo CT VB10 onwards) or Premonitoring 10.00 Br36 Sinus Coronal 3.0mm Stroke Perfusion using the Rapid Results Technology (2). 1 > Thorax Scan/Recon Inline Options Heart Scan/Recon Inline Results CPR Type Vessel Abdomen and Pelvis The layouts are pre-defined to load specific Extremities • CTA Brain and Neck CTA Brain and Neck 3.00 Hv36 Q2 sag Whole Body stroke-relevant images or results and CTA Brain and Neck 3.00 Hv36 Q2 cor None CTA Brain and Neck 3.00 Hv36 Q2 ax CTA Brain and Neck 3.00 Br40 Q3 Parallel Vas ... Parallel Vascular Ranges Curved A. Carotis R Int. cannot be edited. CTA Brain and Neck 3.00 Br40 Q3 Parallel Vas ... Parallel Vascular Ranges Curved Aorta To request the results, you need to set up a rule that triggers the result calculation for incoming series by clicking the Scanner CTA Brain and Neck 60.00 Br40 Q3 ax Parallel Ranges A. Carotis L Int. Assignment button, or you need to assign your configured results to a reconstruction at a Siemens Healthineers CT scanner. A. Carotis R Int. Runoff L Activate Rapid Results Technology Runoff R To find out more about Inline Results or Rapid Results Technology, please visit the syngo.via training area on the PEPconnect H. education platform. 6 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Stroke plug-in SIEMENS Healthineers Ischemic stroke – Top row The second row of the layout consists of the perfusion maps (from left to right): Do not use without checker . the quality control images. Automatically cal Alated results. Do not use without checkin the quality control images. Automatically cal A not use without checkin the quality control images. Automatically cal A lated results. checking the quality control images Cerebral Blood Flow (CBF) (1) 1 2 3 4 • 2 • Cerebral Blood Volume (CBV) (2) R R R R 0.00 • Time-to-Maximum (TMax) (3) F F A Carotis L AFR • Core & Penumbra (4) R RHP Please remember that the layout is a pre-defined factory layout. You cannot configure the segments to automatically load a different type of re on left sich image series or perfusion maps. H. However, you can drag and drop any series from the Series Navigator into the image segment. 7 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Stroke plug-in SIEMENS Healthineers Ischemic stroke – Bottom row The third row of the layout consists of the CT Angiography images (from left to right): Automatically call A lated results. ....................... Do not use without checking the quality control images. Do not use without checkhe's the quality control images. Automatically call Aisted results. Do not use without checking the quality control images. Automatic ally cal A lated results. Do not use without checking the quality control images. • CT Angiography (CTA) images as MIP Thin images with minimal slice thickness (1) 2 R R R R • Right carotid Parallel CPR Ranges (2) F F • Left carotid Parallel CPR Ranges (3) A. Carotis RI A. Carotis L AFR 1 2 3 4 • MIP Thin image of the Circle of Willis (4) R RHP The Rapid Result Technology can only generate a MIP Thin image of the Circle of Willis. On the other hand, the Inline Result from the H. scanner can generate a MIP Thin image, as well as a bone removed MIP Thin image of the Circle of Willis. 8 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Stroke plug-in SIEMENS Healthineers Hemorrhagic stroke The layout consists of (from left to right): AH AH 1 2 Suspected Brain Hemorrhage cluding the Subarachnoid Space found! • Non-contrast Head scan (1). Please drag data from Series Navigator Please drag data from Series Navigator • Brain Hemorrhage - Triage and Notification image with Caution: View only after first read! quantification of Hyperdensity areas, if detected (2). Please drag data from Series Navigator. Please drag data from Series Navigator. Please drag data from Series Navigator. Please drag data from Series Navigator. Please note: The rest of the segments remain empty. You can drag and drop H. images into these segments. Please drag data from Series Navigator. Please drag data from Series Navigator. Please drag data from Series Navigator. Please drag data from Series Navigator. 9 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 SIEMENS Healthineers MM Reading – CT Features Trauma Tools plug-in – Brain Hyperdensity and Midline Shift 10 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Trauma Tools plug-in – Brain Hyperdensity and Midline Shift SIEMENS Healthineers • The Trauma Tools plug-in provides multiple layouts corresponding to the different anatomical regions, Tool Gallery 2 Layout Gallery X allowing streamlined reading of the trauma acquisitions. Post-processing brain Brain Trauma Head Soft angio Hemorrha Stack2x2 • Find the Trauma Tools plug-in in the Tool Gallery, under Trauma Tools Head Head Soft Head 2 Neck Soft Sharp Sharp Phases Post-processing. 1 Neck Neck Soft Neck 2 Thorax Sharp +Sharp Phases SOTt • Activating the tool switches the current layout to the Viewing default Trauma Tools layout. The current Preferred Thorax Sharp Thorax Thorax 2 Spine&Ribs Soft+Sharp Phases Layouts in the Viewing Panel are replaced by some of the Trauma Head Soft Head Soft Stack2x2 +Sharp Abdomen Abdomen Abdomen Abdomen Trauma Tools layouts (1). All the other Trauma Tools Soft Sharp Soft+Sharp 2 Phases layouts offered by the plug-in are available in the Layout Neck Soft Thorax Abdomen +Sharp Soft+Sharp Soft+Sharp Abdomen Pelvis Soft Pelvis Pelvis Soft Gallery (2). 3 Phases Sharp Sharp Pelvis Soft +Sharp Pelvis 2 Pelvis 3 Phases Vessel Phases 11 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Trauma Tools plug-in – Brain Hyperdensity and Midline Shift SIEMENS Healthineers Brain Hemorrhage • One plug-in of the Trauma Tools layout is the Brain Hemorrhage layout. 1 Suspected Brain Hemorrhage including the Subarachnoid Space found! • Until now, the CT Non-enhanced Soft kernel Head acquisitions with the Brain Hemorrhage Triage and Notification result (1) were automatically loaded into the Caution: View only after first read! Brain Hemorrhage layout. 2 2 • In this version, the Brain Hemorrhage layout additionally displays two new results (2). 12 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Trauma Tools plug-in – Brain Hyperdensity and Midline Shift SIEMENS Healthineers Additional results In addition to the Brain Hemorrhage Triage and Notification HP HP AH AH result, the two new results that are now loaded into the 3 3 2 1 Brain Hemorrhage layout are: R AH Volume: 195.9 cm3 Min/Max: 20 HUM110 HU Mean/SD: 63 HUM1 4 HU • Brain HyperdensityPlus (1): This result shows an automatic segmentation and quantification of the AH hyperdense structures detected from the input CT head 3 data. • Midline Shift (2): This result shows the in-plane distance between the line connecting the anterior and posterior falx points and the septum pellucidum. As in the previous versions, the layout also loads CT Head R Non-Enhanced Soft Kernel acquisitions (3). The segments containing the CT Non-Enhanced Soft Kernel Head axial data and the Brain HyperdensityPlus result are synchronized for H. navigation. 13 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Trauma Tools plug-in – Brain Hyperdensity and Midline Shift SIEMENS Healthineers Automatic segmentation • To view the automatic segmentation of the hyperdense structures, select the segment with the Brain Hemorrhage Suspected Brain Hemorrhage Including the Subarachnoid Space found! Triage and Notification result, and scroll through the images. • The contours showing the Hyperdense structures and the distance line for the Caution: View only after first read! Midline Shift cannot be edited. • If there are no Hyperdensities detected, the following information is displayed on a single mid-volume image: No hyperdensities have been segmented. 14 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Trauma Tools plug-in – Brain Hyperdensity and Midline Shift SIEMENS Healthineers AH AH Volume: 195.9 cm3 Min/Max: 20 HUM110 HU Mean/SD: 63 HUM1 4 HU The in-plane distance between the line connecting Result displaying: the two falx points, and the • The Total Volume of Hyperdensities septum pellucidum • The minimum and maximum values in HU, within the segmented areas • The Mean and Standard Deviation values in HU, within the segmented area 4.91 mm Contours showing hyperdense structures Midline Shift Result Brain HyperdensityPlus Result 15 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Trauma Tools plug-in – Brain Hyperdensity and Midline Shift SIEMENS Healthineers • The Brain Hemorrhage Triage and Notification 1 2 Configuration Panel Result along with the Brain HyperdensityPlus result Scan/Recon Inline Options Client Settings Advanced Visualization Display And Behavior Export OpenA Scan/Recon are generated using the Inline Results (1) (from the Inline Results Rapid Results Technology Topogram scanner syngo.CT VB10 onwards) or using the Head Your configured results : Configure a New Result Head 5.00 Hr40 ax Head and Neck Head 5.00 Hr40 sag Configure Scanner Assignment Rapid Results Technology (2) in syngo.via. None A. Carotis COW Range_New2 Head 5.00 Hr40 cor A. Carotis L Int. Range_New1 Head 4.00 Hr40 BrainHem Brain HyperdensityPlus A. Carotis R Int. Range_New1 Aspect Score The Midline Shift Result can only be generated Brain HyperdensityPlus • 3 LVO Detection Scan/Recon Auto Tasking Midline Shift using the Rapid Results Technology (2). Sinus Coronal 3.0mm Scan/Recon CT View&GO Auto Local Dataroles Printing Applicati ... Stroke Perfusion Topogram Thorax › Heart • The CT Head Non-Enhanced Soft Kernel Topogram 0.60 Tr20 sag Off Head Abdomen and Pelvis Head 5.00 Hr40 ax Trauma >>Head > ... Off Extremities acquisitions are generated at the scanner using the Head 5.00 Hr40 sag Trauma >Auto Whole Body Head 5.00 Hr40 cor v Trauma >Head >NonEnhanced >Soft Poly Trauma [factory] or Head Trauma [factory] Head 4.00 Hr40 BrainHem Trauma >Head >NonEnhanced >Sharp Head 1.50 Hr40 SkullUnf Hem Trauma >Head >ArterialPhase >Soft Head 0.80 Hr60 ax To request the results, you need to set up a rule that triggers the result calculation for incoming series by clicking the Scanner Trauma >Neck >NonEnhanced >Soft Assignment button, or you need to assign your configured results to a reconstruction at a Siemens Healthineers CT scanner. Scan Protocols (3). Head 0.80 Hr60 sag Trauma >Neck >NonEnhanced >Sharp Head 0.80 Hr60 cor Trauma >Neck >ArterialPhase >Soft Activate Rapid Results Technology Head 0.60 Hr60 SkullUnf Fx To find out more about the Scan Protocols, Inline Results or Rapid Results Technology, please visit the syngo.via training area on H. the PEPconnect education platform. 16 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 SIEMENS Healthineers MM Reading – CT Features Bone Removal (Improvement) 17 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Bone Removal SIEMENS Healthineers Auto • All the bone removal algorithms have been Tool Gallery 1 2 improved, namely Bone Removal Head, Body, 3D Editing and Leg. Bone Removal Tools 17x Bone Removal Auto Bone auto Remo .. & Bone Removal Auto auto • On activating Bone Removal Auto, the tool Bone Removal Auto auto automatically detects the body region and Bone Removal Head Bone Removal Head selects the corresponding bone removal Bone Removal Body Bone Removal Body algorithm. For example: For a Head and Neck Bone Removal Leg Bone Removal Leg Scan, Bone Removal Head is applied. Structure Isolation Structure Isolation • To use this functionality, open the Tool Gallery (1), under the 3D Editing section and click on the Bone Removal Auto tool. • Alternatively, you can use the top left Corner Menu (2) in the VRT image segment to invoke the tool. 18 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 Bone Removal SIEMENS Healthineers Algorithms • The Bone Removal algorithms help in the visualization of CT angiography 1 2 scans by masking the bone structures. • The new Bone Removal algorithms (1) take slightly longer to perform the bone removal. It provides better visualization of the vasculature compared to the old algorithms (2) that were available in the previous software versions. • You can find an example of the comparison between the old and new bone removal algorithm for a head and neck scan on the right. 19 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024 SIEMENS Healthineers Please note this 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 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. © Siemens Healthcare GmbH 2024 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 20 Job Aid Effective Date: 26 Sep 2024 | QR700012654 Unrestricted © Siemens Healthineers, 2024