Siemens Healthineers Academy

MM RT Image Suite VB80 What’s New Part 1 (USA)

General Information | Auto Contouring – Organs RT | Patient Marking – Configuration | Patient Marking – Semi-Automatic Isocenter for a Vertebra | Registration – General
Target group: All users
Recommended to be viewed on the following devices: All (incl. tablet and smartphone)

SIEMENS Healthineers syngo.via MM RT Image Suite VB70-VB80 What’s New Job Aid Part 1 Template Effective Date: 10 Aug 2021 | HILS 2223 This training material is based on the medical device syngo.via RT Image Suite VB80A. Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Restricted 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: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 MM RT Image Suite VB70-VB80 What’s New Job Aid Part 1 SIEMENS Healthineers Table of Contents General Information 4 SIEMENS Healthineers 10.Open_Pro_0018, Eclipse Cli ... 8/13/1960 go.Open_Pro_0018 5 MM RI Image Suite @ X Series MM RT Image Suite Auto Contouring – Organs RT 19 SIMELA FRM na KEYb 5 IM4-75 Average_RTIS Deno SP F27.3 Adel Study Average RTIS Demo 4 Series Nanet Patient Marking – Configuration 29 Structure Set NAPPROVED 8/13/2019 Anatomy & Targets CT, RO_Thor Lung_Dire Favorite Tools Aura 5 Average_RTIS_Demo Structures POI 5 tMaxIP_Various1 Erachia Plexus Left Patient Marking – Semi-Automatic Isocenter for a Vertebra 32 Erachis Plexus Rght 5 tMiniP_Various1 Name Esophagus 5 Average_Various 1 O Antla AVOIDANCE Heart 14 90% [P14) Kidney Len Body 13 + 80% [P13) Registration – General 40 EXTERNAL Kidney Right 12 + 70% [P12) Brachial Plexus Left Lier Serles o 11 + 60% [P11] AVOIDANCE 10 + 50% [P10] o Brachial Plexus Rüght AVOIDANCE + 40% [P9] Esophagus 18 + 30% [P8] AVOIDANCE Me La FRM n a Haart 7 20% [P7] Favorite Tools 6 10% [PG) Findings 5 0% [P5] CT Synthetk CT Placement Marking Merge DVH Display Dose Anatomy & Targets W. IN IN A Criinsert 413Split Series Creste Ventilation Series Deste Mangin Adece Couleurs W 400 COF 3 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 SIEMENS Healthineers MM RT Image Suite General Information 4 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 General Information SIEMENS Healthineers A User Interface VB70 HeHEMENS Healthineers R go.Sim_0214 A 06/1 8/2021 M go. Sim_0214 MM RT Imane Suite Series Contouring Add Study Series Whole Body 3,00 Qr 40 Series Name VB-80 5/26/2021 11:06 AM UNAPPROVED CT, RO_WholeBody Contour Geometric Preview Reflect Contours Interpol ... Abdominopelvic Cavity 501 Patientenprotokoll 2 WholeBody 3,00 Qr40 Atrium Left Create Crop Cut Caudal Topogramm 0,60 Tr20 Margin Structure Atrium Right Bladder Dose Evaluation Body Bowel Large V Bowel Small Brachial Plexus Left RR Brachial Plexus Right RT Navigator Findings Structures POL o Name Type o Abdominopelvic ... AVOIDA ... o Aorta AVOIDA ... O Atrium Left AVOIDA ... Atrium Right AVOIDA ... Bladder AVOIDA ... Body EXTERNAL Tools Reset shot Print Export Image Image 10:21 AM SIEMENS ... go.Sim_0214 B Healthineers 6/18/2021 M go. Sim 0214 MM RT Image Suite Series MM RT Image Suite B User Interface VB80: Series Name 5/26/2021 1:06 AM • The workflows have been removed from the RT Image Suite Anatomy & Targets CT, RO_WholeBody 501 Favorite Tools Structures I Abdominopelvic Cavity Patientenprotokoll 2 WholeBody 3,00 Qr40 Topogramm 0,60 Tr20 The workflow steps have been converted to Plugins in the O Name • Abdominopelvic Cavity Bladder o AVOIDANCE Body Aorta Bowel Large AVOIDANCE Tools/Favorite Tools Gallery AVOIDANCE Brachial meus con Brachial Plexus Right Atrium Right AVOIDANCE sauas Bladder • To open and close the function, select/deselect the tool raVonLE TOOIS 'n Findings Patient Beam Marking Placement • By default, all functionalities are available in the Favorite auto Auto Apply Create Adapt Contour Template Structure Margin Contours Anatomy & Targets Display DVH Merge Tools Dose Display Dose IN Correct 4D Create Split Series Data Series Synthetic Lung Full Text Hide Lines CT Ventilation 7 + 10:21 AM 5 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 OneViewer Setup SIEMENS Healthineers Interactive image text:  The blue interactive image text indicates various A user interactions: 13 IMA ~172 SP F1369.0 Leber STX Inspiration 1.00 Br40 S3 Auto Registration Structure set approval or renaming 4/14/2021 • 8:32:42 AM Structure Set_1 UNAPPROVED • Opens the Dose Mini Toolbar • Opens the Registration Mini Toolbar R • Changing the window settings 10cm  Click on the interactive text with the left mouse button to open the user interactions. F SL min  Edit the name directly (e.g. Registration Name, W 300 C 40 Windowing Level, Structure Set Name) by double clicking with the left mouse button. 6 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 OneViewer Setup SIEMENS Healthineers To add functionalities (Plugin) to the Favorite Tools: MM RT Image Suite Q X A Tool Gallery 6 IMA SP F62 Prostate 1. Select the + icon in the Favorite Tools. 1/20/201 10:03:3 Undo Redo KU Rotate Scroll Zoom/Pan Home Position Structu UNAPP Image Visualization Bladde 2. The Tool Gallery opens. Body 3D Ref. Hide Lines Lock Ref. Hide Shutters Flip Full Text Kidney Point Lines Graphics On/Off Horizontal Kidney RT Tools and Workflows LN Cor LN CO CTI w Drag and drop the Plugin into the Favorite Tools. % 3. LN Ext Patient Beam Synthetic Display DVH Merge Lung Marking Placement CT Dose Display Dose Ventilation Anatomy & Targets LN Ext X LN Inte Contouring Tools Structures POI LN Inte LV auto 4. Close the Tool Gallery with the X in the upper + Apply Auto Adapt Template Create Margin Crop Contour Contours Structure O Name right corner. Series Editing o Bladder AL Favorite Tools Correct 4D Create Split Series X Data Series Windowing CT Patient Beam Synthetic Placement Display Windowi ... Reset Marking Windowi ... Display Types Create Crop Margin Structure + 7 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 OneViewer Setup SIEMENS Healthineers By default, all functionalities are available in the Favorite Tools panel. SIEMENS X Healthineers NeuroDSA_Demo * 2/23/1941 M 0100551354 MM RT Image Suite CE X Series MM RT Image Suite x Add Study Removing tools from the Favorite Tools: 11/16/2004 10:46 AM CT. Neck^_Hals_2_Phasen ...  A patient is loaded into the MM RT Image Suite. Favorite Tools 1. Move the mouse to the Plugin. Anatomy & Targets X Series Structures POI NE CTBY -SAIST ... o Nam Findings 2. Right click on the icon you want to remove. Please drag data from Series Navigator wwe 0.75 825+ [21 Anatomy & Targets 3. Select Remove from Favorites. Favorite Tools × CT Patient Beam Synthetic Display DYH Merge Marking Placement CT Dose Display Doce Agace Create Vont Intour Contours Margin Structure Users can organize tools using the Favorite Tools IN E+ Corre AD Create Sp Series Export Hide Lines Snapshot Series Data panel. It only includes the tools they need for their Undo Redo Configuration daily work. Remove from Favorites 1:49 PM Other tools that are rarely used, are accessible in the Tools Gallery. 8 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Tool Configuration SIEMENS Healthineers You can find the tool configurations for the following features SIEMENS .. Healthineers .. RO_LEWIS_XBU_Brain_Tumor 11944 M RO_LEWIS_XBU_ ... ? 8 8 in the context menu: MM RT Image Suite Ca x 3 IMAn.a. FRM n. a. SP100 3 IMA ~58 1 Planning CT 2.0 831f SP F900.0 1 Planning CT 2.0 B31f VII Target volumes UNAPPROVED Patient Marking Anatomy & Targets • Auge li. Structures POT Brain + GTV 2 HD 2 Beam Placement 10cm • Name KÖRPER O Auge li. ORGAN PTV Brain Synthetic CT ORGAN • O GTV 2 GTV O HD 2 Dose Display CAVITY • KÖRPER EXTERNAL 3 IMAn.a. FRM n.a. SPA18DO CT 20 Favorite Tools X Marting Placement Synthetic Configuration Remove from Favorites VB70 vs. VB80 10cm F RT Configuration ? x MY 350 Laser Configuration POI Configuration Machine Configuration Configuration Favorite Tools × + Available Workflow Steps Selected Workflow Steps Patient Marking Registration Dose Evaluation 4D and MR Data Management Bcam Placement Contouring . Active step when entering the application CT Patient Beam Synthetic Display Marking Placement CT Configuration Remove from Favorites OK Cancel 9 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Tool Configuration SIEMENS Healthineers To open the Tool Configuration: SIEMENS . RO LEWIS xBU Brain Tumor Healthineers * 1/1/1944 M RO LEWIS xBU E X  MM RT Image Suite is opened. MM RT Image Suite 2 X 3 IMA n.a. FRM n.a 3 IMA ~58 SP LO.O 1 Planning CT 2.0 831f SP F900.0 1 Planning CT 2.0 B31f VII arget volumes 1. Move the mouse to the Plugin. UNAPPROVED Anatomy & Targets X Auge li. Structures POI Brain + GTV 2 HD 2 o Name 10cm KÖRPER O Auge li. 2. Right-click the icon. PTV ORGAN O Brain ORGAN o GTV HD 2 CAVITY 3. Select Configuration. KÖRPER EXTERNAL 3 IMAn.a. FRM n.a. PTV SP A160.0 1 Planning CT 2.0 B31f x 10cm GT Patient Beam 4. The selected Configuration page opens. Configuration Remove from Favorites 10cm 350 10 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Anatomy & Targets Navigator SIEMENS Healthineers RT Navigator has been redesigned/renamed to Anatomy and Targets. VB70 vs. VB80 Anatomy & Targets × RT Navigator Findings Structures POI + Structures POI o Name O Name Type o NewStructure1 ORGAN 0 Body EXTERNAL Brachial Plexus Left AVOIDA ... o NewStructure2 ORGAN o Brachial Plexus Ri ... AVOIDA ... Brain AVOIDA ... o NewStructure3 O ORGAN Brainstem AVOIDA ... Eye Globe Left AVOIDA ... Eye Globe Right AVOIDA ... 11 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Anatomy & Targets Navigator SIEMENS Healthineers Anatomy & Targets Navigator: Anatomy & Targets × 1 • Creates a new structure Structures 3 4 1 2 POI 2 • Opens sub-menu with more functions: • Structure Set Overview • Copy Structure Set Load Structure Set Name Structure Set Overview • Copy Structure Set • Save Structure Set Abdominopelvi Load Structure Set AVOIDANCE Save Structure Set 3 Point of Interest Configuration Aorta 4 Close the Anatomy & Targets Navigator AVOIDANCE Bladder 12 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Contouring Work Step SIEMENS Healthineers Contour Editing Operations (interaction in image segment required) : • Available in the Mini Toolbar and in the Favorite Tools. VB80 Contouring Editing available in the VB70 2D 3D Mini Toolbar: Contouring 2 , • Cut Caudal/Cut Cranial • Geometric Draw Nudge Reflect Contour Smart Freehand Contour Structures Preview Interpol. Interpolation/Smart Series Brain 1.00 Hr40 S3 Interpolation • Reflect Structures • Contour Preview Favorite Tools × Contour Reflect Geometric Apply Preview Contours Interpol Template Structure Operations available C)+ as Tools in Gallery: Aday Crop Create Crop Cut Adapt • Apply Template Margin Structure Caudal Contours • Auto Contour Diartmi • Adapt Contours • Create Margin Export Snapshot • Crop Structure + 13 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Contouring Work Step SIEMENS Healthineers Update Crop Structure: MM RT Image Suite CA X • Now, users can add the color of structures 13 IMA ~172 SP F1369.0 Crop Structure ? X Leber STX Inspiratic _tra_se directly in the window. 4/14/2021 8:32:42 AM Structure Set_1 Crop the Following Two Structures UNAPPROVED ED Anatomy & Targets X • By default, the color and type of the Structures POI Margin 0.0 mm original structure are used (as in the prior + ... O Name R version). • If the user selects an existing structure in the New Name dropdown menu, the system keeps the color and type of the Favorite Tools x existing structure. New Structure 13 IMA n.a. FRM n. Name . New Structure SP LO.O a. Crop Structure Leber STX Inspiratid _tra_se • Unit of length changed from cm to mm. 4/14/2021 8:32:42 AM OK Cancel A R AHL 5cm 5 cm 14 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Contouring Work Step SIEMENS Healthineers Update 3D Margin Creation: 13 IMA ~172 25001 IMA n.a. SP F38.2 • Now, users can add the color of structures SP F1369.0 Leber STX Inspiration fs tra_s 4/14/2021 8:32:42 AM ? x directly in the window. 3D Margin Creation Structure Set_1 et_1 UNAPPROVED VED Anatomy & Targets X Original Structure Structures POI New Name . • By default, the color and type of the + Shrink Limit Result to External Structures M ... original structure are used (as in the prior o Name R . Expand Exclude Structure version). . Uniform 5.0 mm .Non-uniform • If the user selects an existing structure in Anterior 5.0 mm the New Name dropdown menu, the Right 5.0 mm Head 5.0 mm system keeps the color and type of the Favorite Tools X existing structure. Feet 5.0 mm Left 5.0 mm 13 IMA n.a. FRM n.a. Posterior 5.0 mm n. a. Create SP LO.0 Margin Leber STX Inspiration [fs_tra_s 4/14/2021 • Unit of length changed from cm to mm. 8:32:42 AM A OK Cancel A 15 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Mini Toolbar – 2D SIEMENS Healthineers 2D Mode: 2D • Draw Freehand 2D 3D • Nudge 2D • Reflect Structures 1st page 2 , • Contour Preview Geometric Interpolation/Smart Draw Nudge Reflect Contour Smart • Interpolation Freehand Contour Structures Preview Interpol .... 2D 3D • Pan/Scale/Rotate Cut Caudal/Cut Cranial 2nd page • • Rectangle/Ellipse + Pan/Scale Cut Ellipse Rotate Caudal 16 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Mini Toolbar – 3D SIEMENS Healthineers 3D Mode: 2D • Draw Freehand 3D 3D • Nudge 3D Reflect Structures 1st page • • Contour Preview • Pan/Scale/Rotate Draw Nudge Reflect Contour Pan/Scale Freehand Contour Structures Preview Rotate • Cut Caudal/Cut Cranial Segment by Value 2nd page 2D 3D • K Segment Cut By Value Caudal 17 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Change Series for Contouring SIEMENS Healthineers The yellow frame indicates the series selected for contouring: 2 IMA ~102 8 IMA ~102 SP F1087.5 Text Average_Various1 www Motion 1.50 Qr40 S3 20 In TPS_SORT 7% All objects created in the MM RT Images Clip Box  Structure Set_1 UNAPPROVED Fit to Segment Suite will be saved in the series with the Aorta O ROI Circle Body yellow frame. 3D Reference Point Brachial Plexus Left Brachial Plexus Right Esophagus Distance Line R IR is Marker VRT  To switch between the loaded series: 10cm Do Set as Contouring Series [I] Exclude Series Display Dose • Right-click in the segment that you F 400 40 2D 3D 400 would like to assign as series for Draw 2 Nudge Reflect Contour Smart contouring. Freehand Contour Structures Preview Interpol ... H 2 IMAn.a. FRM n.a. 2 IMA n.a. FRM n.a. 8 IMA n. a. 8 IMA n.a. FRM n.a. SP LO.O SP A201.5 SP LO.0 SP A201.5 Average_Various1 Average_Various1 Respiratory Motion 1.50 Qr40 S3 20 In TPS SORT 7% Respiratory Motion 1.50 Qr40 S3 20 In TPS SORT 7% 11/12/2019 11/12/2019 • Select Set as Contouring Series. 2:46:41 PM 2:46:41 PM R A R 10cm 10cm 10cm 10cm • The yellow frame switches to the LAT A W 400 400 400 C 40 40 selected series. 18 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 SIEMENS Healthineers Auto Contouring – Organs RT General 19 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Organs RT SIEMENS Healthineers Organs RT Overview:  New structures have been added to the list for auto contouring: • Head & Neck lymph nodes. • Axillary lymph nodes. • Thorax.  The new organs are based on a new license.  Cardiac structures have been updated from model- based segmentation to deep learning.  No contrast media is needed anymore. 20 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Auto-Contouring in Organs RT SIEMENS Healthineers Deep-learning based auto-contouring Head & Neck Breast & lung Cardiac Pelvic area • Brain • Female breast (L/R) • Whole heart • Bladder • Brainstem • Lung (L/R) • Atrium (L/R)2 • Prostate • Eye globe (L/R) • Lung lobe left (lower/upper) • Ventricle (L/R)2 • Rectum • Lens (L/R) • Lung lobe right • Ventricle left endocardium2 • Proximal femur (L/R) • Optic nerve (L/R) (lower/middle/ upper) • Left Anterior Descending • Seminal vesicles • Optic chiasm • Esophagus Artery (LAD)1 • Penile bulb1 • Parotid gland (L/R) • Brachial plexus (L/R) • Sigmoid1 • Submandibular gland (L/R) • Aorta Abdomen • Uterus1 • Oral cavity • Ribs Mandible Individual ribs (24 ribs) • Liver • • Lips Spleen Multi-site • • • Sternum • • Larynx (L/R) • Trachea1 Kidney (L/R) • Body contours • Glottis • Bronchial tree1 • Abdominopelvic cavity • Spinal cord Supraglottic larynx Chest wall (L/R)1 • Stomach1 • • • Skeleton • Pancreas1 • Cochlea (L/R)1 • Vena cava (inf./sup.)1 • Spinal canal1 Pulmonary vena artery1 • Duodenum1 • Pharyngeal constrictor • muscle (inf./mid./sup.)1 • Bowel (small/large)1 • Thyroid1 1 Organs-at-risk is currently only available with AI-Rad Companion Organs RT VA50 and auto-contouring on syngo.via RT Image Suite VB80. 2 Updated from model-based to a deep-learning based algorithm with auto-contouring on syngo.via RT Image Suite VB80. 21 Auto-contouring offering varies depending on country clearance and deployment availability. Future availability or release cannot be guaranteed. Job Aid Effective Date: 21 Oct 2024 | QR700013945 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Courtesy of University Hospital Aarhus, Denmark (Head & Neck); Courtesy of Nordstrahl, Praxis für Strahlentherapie, Nürnberg, Germany (Thorax) Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 All Lymph Nodes that can be Contoured in Organs RT SIEMENS Healthineers Head & Neck • Level Ia: Submental triangle Level Ib Submandibular triangle (L/R) Breast & Lung • • Level II: Upper jugular nodes (L/R) LN Axilla Level I (L/R) • • Level III: Middle jugular nodes (L/R) LN Axilla Level II (L/R) • • Level IVa: Lower jugular group (L/R) LN Axilla Level III (L/R) • • Level IVb: Medial supraclavicular group (L/R) LN Internal Mammary (L/R) • • Level V: Posterior triangle group (L/R) LN Supraclavicular (L/R) • • Level Vc: Lateral supraclavicular group (L/R) • Level VIa: Anterior jugular nodes • Level VIb: Prelaryngeal, pretracheal, and paratracheal nodes Level VIIa: Retropharyngeal nodes (L/R) Pelvic area • Level VIIb: Retro-styloid nodes (L/R) • LN Common Iliac (L/R) • • LN Internal Iliac (L/R) • Level VIII: Parotid group (L/R) • LN External Iliac (L/R) • Level IX: Bucco-facial group (L/R) LN Obturator (L/R) • Level Xa: Retroauricular and subauricular nodes (L/R) • • Level Xb: Occipital nodes (L/R) • LN Presacral 22 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Organs RT – Guideline Support SIEMENS Healthineers Guidelines:  Head & Neck organs at risk: • International consensus, Brouwer et al., 2015  Head & Neck lymph nodes: • International consensus, Gregoire et al., 2014  Thoracic organs at risk: • RTOG guideline, Kong et al., 2011  Abdomen organs at risk: • CT Anatomy for Radiotherapy, second edition, Pete Bridge and David J Tipper, M&K Publishing  Pelvic organs at risk: • RTOG guideline, Gay et al., 2012  Breast lymph nodes: • ESTRO guideline, Offersen et al., 2015  Pelvic lymph nodes for prostate cancer: • RTOG guideline, Gay et al., 2009 23 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Organs RT – Structure Template Configuration SIEMENS Healthineers Organs RT – Structure Template configuration:  Organs RT – Structure Template configuration has been renamed RT Automatic Contouring Configuration to Contouring Configuration. VB70 vs. VB80 SIEMENS. SIEMENS: Healthineers Healthineers R Configuration Panel Configuration Panel Client Settings Advanced Visualization Display And Behavior Export OpenApps Rep Client Settings Advanced Visualization Display And Behavior Export OpenApps Rapid Results Technology Rapid Results Technology Your configured results: + Configure a New Result Your configured results: + Configure a New Result Head and Neck O. Configure Scanner Assignment Head and Neck Configure Scanner Assignment Thorax Thorax Heart Heart Abdomen and Pelvis Abdomen and Pelvis Extremities Extremities Whole Body Whole Body To request the results, you need to set up a rule that triggers the result calculation for incoming series by clicking the Scanner Assignment button, or you need to assign your configured results to a reconstruction at a Siemens Healthineers CT scanner. To request the results, you need to set up a rule that triggers the result calculation for incoming series by dicking the Scanner Assignment button, or you need to assign your configured results to a reconstruction at a Siemens Healthineers CT scanner. Activate Rapid Results Technology V Activate Rapid Results Technology CT Dual Energy Configuration CT Liver Analysis MM Oncology Configuration Contouring Configuration A latenvantional Raadina CT uver Analysis RT Automatic Contouring Configuration MM Oncology Configuration 24 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Apply Structure Set Template SIEMENS Healthineers To apply structure templates: MM RT Image Suite X A  Click the Apply Template icon. 13 IMA ~172 SP F1369.5 • The Structure Template dialog window opens. Leber STX Inspiration 1.00 Br40 S3 4/14/2021 8:32:42 AM • Select Structure Template from the drop-down list. II Structure Set 1 nonAVER • Confirm with OK. Anatomy & Targets Structure Template ? x Structures POI + Select Structure Template ... O Name OK Cancel Favorite Tools X H 13 IMA n.a. FRM n.a. 13 IMA n.a. FRM n. auto SP LO.O SP A169.5 Apply Auto Template Contour Leber STX Inspiration 1.00 Br40;S3 Leber STX Inspiration 4/14/2021 4/14/2021 8:32:42 AM 8:32:42 AM 25 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Auto Apply Contourable Organs SIEMENS Healthineers Auto Apply Contourable Organs: MM RT Image Suite Q X The tool to apply auto contours is available in Organ Contours ? X the Favorite Tools/Tool Gallery: Name Abdominopelvic Cavity Before it was one palette button combining 11 Aorta Anatomy & Targets X Atrium Left Auto Contour and Apply Template. From VB80 Atrium Right Structures POI Bladder Body onwards, you have two separate buttons. + Bowel Large ... o Name Bowel Small Select the Auto Contour icon to open the list of Brachial Plexus Left Brachial Plexus Right available organs for auto contouring. Brain Brainstem Bronchial Tree Chest Wall Left Chest Wall Right Cochlea Left Cochlea Right Duodenum Favorite Tools X Esophagus Eye Globe Left Eye Globe Right Female Breast Left C Female Breast Right Apply auto Glottis Auto Template Contour Heart S3 Kidney Left Kidney Right OK ancel WI 300 C 40 26 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Edit Structure Set Label SIEMENS Healthineers  Click the Structure Set Label to open the 6 IMA ~304 Structure Set Label dialog window. SP F621.0 Prostate 1.00 Br40 S3 • Enter a new Structure Set name. 1/20/2020 10:03:32 AM • Confirm with OK. Structure change UNAPPROVED OR Structure Set Label ? X  Double-click the Structure Set Label to edit Structure Set Label Structure change the name directly without opening the dialog window (entire string is selected). OK Cancel • Enter new Structure Set name and press X Return to confirm. LN Internal Iliac Right • No separate pop-up menu necessary. R X 27 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Approve Structure Set SIEMENS Healthineers  Click the Structure Set Label to open the Approve Structure Set dialog window. 6 IMA ~304 SP F621.0 • Enter Username and Password. Prostate 1.00 Br40 S3 1/20/2020 10:03:32 AM • Confirm with OK. Structure change UNAPPROVED Bladder Bod Approve Structure Set ? X Kidney L Kidney F LN Comr User Name LN Comr Password LN Exter LN Exter LN Interr LN Interr OK Cancel R 28 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 SIEMENS Healthineers Patient Marking Configuration 29 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Configuration Patient Marking SIEMENS Healthineers New tool configuration for Patient Marking: 1 Planning CT 2.0 831f  MM RT Image Suite is open. II Patient Marking Configuration ? X Anatomy & Targets Workflow Type Structures POI O Markerless workflow Marker workflow 1. Right-click the Patient Marking tool. Workflow Setup (Default names can be set in POI Configuration) + ... O Name I Create Marker on Startup o Auge li. ORGAN Create Isocenter on Startup 2. Select Configuration. Brain Laser System Properties O ORGAN 2 movable laser axes Calibration Offset mm O GTV 2 GTV The calibration offset directly impacts the HD 2 CAVITY Export to Laser System calculation of the treatment isocenter coordinates. O A change in this value can lead to incorrect patient 3. The Patient Marking Configuration window KÖRPER Export as LAP File Format 2.0 marking. O EXTERNAL Export Path PTV opens. Export as RT Plan Favorite Tools PlanName Network Node CT Enable Direct Communication to the LAP System Patient Beam Synthetic Display Marking Placement CT Dose IP Address| 132.186.252.121 Port 2000 Configuration Offset Unit Remove from Favorites 0 cm mm OK Cancel 30 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Configuration Point Of Interest (POI) SIEMENS Healthineers A Point of Interest (POI) default has been UNAPPROVED Anatomy & Targets X Aude li implemented: Structures POI Configuration GTV 2  The Default POI Names will be visible as + _HD 2 ... O Name _ KORPER soon as a new POI is created in the MM RT o Auge li. ORGAN PTV Image Suite. o Brain ORGAN o GTV GTV POI Configuration o HD 2 ? X CAVITY R o KÖRPER POI Placement 1. Select the Configuration wheel in Anatomy EXTERNAL PTV Snap to Original Slice Position & Targets. Favorite Tools X Free Placement CTI 2. The POI Configuration window opens. Default POI Names Patient Beam Synthetic Marking Placement CT Display Dose Marker 3. The Default POI Names and color can be Isocenter defined. 4. Apply the changes with OK. OK Cancel 31 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 SIEMENS Healthineers Patient Marking Calculating the Semi- Automatic Isocenter for a Vertebra 32 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Calculating the Semi-Automatic Isocenter for a Vertebra - SIEMENS Healthineers Overview When calculating the semiautomatic isocenter for a SIEMENS . go.Sim_0016 X Healthineers". 29/10/2019 0 go.Sim_0016 vertebra, the function performs the following steps: MM RT Image Suite Q X MM RT Image Suite Select Vertebra 2 IMA-76 SP H36.0 SPH2EBID Becken 4.0 en 4 00 (@r4D Sa 10/29/2019 C1 TI T7 L1 9:48:44 AM 1. Detects the vertebrae of the spine. tructure S UNAPPRO 02 12 18 12 Favorite Tools . Patient Marking X Bladder 03 13 19 13 Laser Offset IEC (cm) Table (mm Body C4 14 T10 L4 X Y Position height LN Comm LN Comm 15 T11 LN Extem T6 T12 2. Creates an isocenter POI on a specific vertebra LN Extern 51 Series (coordinates can be sent to the RT laser). I confirm, that the automatic spine labels have been verified. 10cm 11 OK Cancel Findings Anatomy & Targets X Structures POI The newly created Point of Interest (POI) with the Type + : Name F ISOCTM Anatomy & Targets ISOCENTER can be sent to an external laser system. ISOCENTER Absolute Offset IEC Select the Patient Marking icon. X cm Favorite Tools X H 2 IMAn.a. FRM n.a 2 IMAn.a. FRM n.3 2 IMAn.a. FRMA n.a. SP RO.1 SP A247.5 SP L5.6 Becken 4.00 Or40 S Becken 4:00 Or40 $3 Decken 4 00 Qr40 83 10/29/2019 110/29/2019 10/23/2013 T10 9:48:44 AM 19:48:44 AM 9:48:44AM T11 The offset and the table position are calculated based on A T12 the image and the table information. A Point of Interest with the Type MARKER is not needed. 33 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Workflow SIEMENS Healthineers  Patient Marking is active. MM RT Image Suite Q X A MM RT Image Suite 2 IMA -18 SP H268.0 1. Click the Vertebra Isocenter icon. Becken 4.00 Qr40 S3 10/29/2019 9:48:44 AM Structur 2. In the Vertebra dialog box, select the UNAPPR Select Vertebra ? X Favorite Tools Patient Marking × Bladde required vertebra. The selected vertebra is Laser Offset IEC (cm) Table (mm) Body C1 T1 T7 L1 centered in the image segments. Y Z Position Height LN Cor LN Cor X C2 T2 T8 L2 1 IN Ext LN Ext C3 T3 T9 L3 3. In the image segments, check that the +0+ C4 T4 T10 L4 Series R er On/ Laser Zero Patient Breast Let Vertebra hocenter labeling is correct. C5 T5 T11 L5 C6 T6 T12 C7 S1 4. In the Select Vertebra dialog box, click the Findings Anatomy & Targets X check box to confirm that the automatic I confirm, that the automatic spine labels have been Structures POI verified. spine labels have been verified. + ... o Name OK Cancel T12_Isocenter Anatomy & Target ISOCENTER 5. Click OK. 34 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Workflow SIEMENS Healthineers The Select Vertebra dialog box: Select Vertebra ? ×  Displays labeled icons for all vertebrae of the spine. C1 T1 T7 L1  The system automatically detects the C2 vertebrae in the available CT images and T2 T8 L2 highlights the detected vertebrae in the C3 T3 T9 Select Vertebra dialog box. C4 T4 T10 L4  You can select a detected vertebra in the C5 T5 T11 L5 dialog box. C6 T6 T12 C7 51 I confirm, that the automatic spine labels have been verified. OK Cancel 35 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Workflow SIEMENS Healthineers The vertebrae are labeled as follows: Select Vertebra ? X A • Dark gray - vertebrae not available in the CT A C1 T1 T7 L1 C2 T2 T8 L2 B • Medium gray – vertebrae available in the C3 T3 C T9 CT C4 T4 T10 L4 C5 B T5 T11 L5 C • Light gray – selected vertebra for marking C6 T6 T12 C7 51 I confirm, that the automatic spine labels have been verified. OK Cancel 36 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Workflow SIEMENS Healthineers Anatomical requirements: ? X  Full medial-lateral and anterior-posterior extent of the Select Vertebra body. C1 T1 T7 L1  Head/Neck acquisitions, the cervical vertebrae C1-C3. C2 T2 T8 L2 C3 T3 T9  Thorax acquisitions, the most superior or most inferior rib. C4 T4 T10 L4 C5 T5 T1 L5  Abdomen or pelvis acquisitions, the most inferior rib, or C6 T6 T12 L5. C7 51  Sacral vertebra S1. I confirm, that the automatic spine labels have been verified.  Whole body acquisitions, the cervical vertebrae C1-C3, the lumbar vertebra L5, and the sacral vertebra S1. OK Cancel 37 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Workflow SIEMENS Healthineers  Patient Marking is active. Patient Marking × Laser Offset IEC (cm) Table (mm) 6. The system creates a POI with the type × Y Z Position Height ISOCENTER. 7. Click the Mark Patient icon. The selected +0+ Point of Interest (POI) with the type Breast Left Vertebra ISOCENTER will be sent to the external RT laser system. II To mark more than one vertebra, repeat the Anatomy & Targets x  Structures POI described steps. + ... o Name o T12 Isocenter ISOCENTER 38 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Result SIEMENS Healthineers Structure naming: Anatomy & Targets Point of interest (POI) includes the vertebra × region and vertebra number. Structures POI  C1 – C7: Cervical vertebrae  T1 – T12: Thoracic vertebrae (connected to Name the ribs) T12 Isocenter ISOCENTER  L1 – L5: Lumbar vertebrae  S1: Sacrum and coccyx 39 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 SIEMENS Healthineers Regisration General 40 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Registration SIEMENS Healthineers Auto Registration MM RT Image Suite Q X AHL MM RT Image Suite 13 IMA ~172 25001 IMAn.a. Rigid auto registration starts automatically SP F1369.0 SP F38.2  Leber STX Inspiration 1.00 Br40 S3 11_starvibe_fs_tra_self-gating_Average 4/14/2021 4/16/2021 8:32:42 AM 9:48:35 AM upon drag & drop (different Frame of VIII Structure Set_1 Structure Set_1 UNAPPROVED UNAPPROVED Auto Registration Copyl Anatomy & Targets X Favorite Tools Reference (FoR)). Structures POI + ... o Name R RAH 10cm 0cm The registration label appears at the same Series  position as in earlier versions. W 954 Favorite Tools Findings ILL Auto Registration_Copy1 If the images are in the same FoR: HPL HPL 13 IMAn.a. FRM n.a. 13 IMAn.a. FRM n.a. 25001 IMAn.a. 25001 IMAn.a SP LO.O SP A169.5 SP L7.8 SP P27.4 Leber STX Inspiration Leber STX Inspiration 1100 8:40 S3 t1_starvibe_fs_tra_self-gating_Average Anatomy & Targets 4/16/2021 t1_starvibe_fs_tra_self-gating_Average 4/14/2021 4/14/2021 4/16/2021  The images are not registered automatically. 8:32:42 AM 8:32:42 AM 9:48:35 AM 9:48:35 AM R AHL RAH 5cm 5cm A SL min SL min WI 300 W 954 Same FoR (not registered) is displayed in the C 40 C 438  images label.  With VB80, the registration of images with the same FoR is possible after the user confirms to break the FoR. 41 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Registration SIEMENS Healthineers Home Position AHL Windowing Zoom/Pan gating_Average Rotate Scroll Editing Images Registration: Fit to Segment 3D Reference Point  The registration can be modified by opening the Lock Reference Lines Edit Registration registration toolbar. 10cr • Click the Image Label Auto Registration F 300 Or # Auto Registration . + */ • Via the upper-left corner HPL HPL 3 IMA n.a. FRM n. a. 25001 IMA n. a 25001 IMA n.a P A169.5 SP L7 8 SP P27.4 eber STX Inspiration 1.0018:4 11_starvibe_fs_tra_self-gating_Average t1_starvibe_fs_tra_self-gating_Average menu Image Registration. 14/2021 4/16/2021 4/16/2021 32:42 AM 9:48:35 AM 9:48:35 AM AHL RAH AHL  No tools for registration in the Favorite Tools / Tool 25001 IMA n. a. SP F38.2 t1_starvibe_fs_tra_self-gating_Average 4/16/2021 9:48:35 AM Gallery. Structure Set_1 Auto Registration UNAPPROVED RAH  The registration is applied to the floating image 10cm where the editing is initiated (for multiple images). # Auto Registration H HPL HPL An.a. FRM n.a 25001 IMA n.a. 25001 IMA n.a. 169.5 SP L7.8 SP P27.4 STX Inspiration 1'0 11_starvibe_fs_tra_self-gating_Average 11_starvibe_fs_tra_self-gating_Average 2021 4/16/2021 4/16/2021 42 AM 9:48:35 AM 9:48:35 AM AHL RAH 42 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Registration SIEMENS Healthineers Two separate Mini Toolbars (MTB) are used to AHL perform image registration: 13 IMA ~172 | 25001 IMA n. a. 100 25001 IMA n.a. SP F1369.0 | SP F38.2 SP F38.2 Leber STX Inspiration 1.00 Br40 S3 | t1_starvibe_fs_tra_self-gating_Average t1_starvibe_fs_tra_self-gating_Average 4/14/2021 4/16/2021 8:32:42 AM 9:48:35 AM Structure Set_1 Structure Set_1 Mini Toolbar at fixed image. UNAPPROVED UNAPPROVED 1 11111 11 11 2 Mini Toolbar at floating image that is currently RAH registered. 1 New registration tool bar: Rigid Deformable 3 4 F iL min 954 SL min 438 X W 954 3.00% C 438 Visually VOI Register Reset Drop-down list with available registrations # Auto Registration_Copy1 3 X 2 + LL . Translation Rotation Prevent Rotations Rename current registration (single click on the H H HPL HPL 5 13 IMA n.a. FRM n.a. | 25001 IMA n.a. 13 IMA n.a. FRM n.a. | 25001 IMA n. a. 25001 IMA n.a. 25001 IMA n.a. SP LO.0 | SP L7.8 SP A169.5 | SP P27.4 SP L7.8 SP P27.4 name in the drop down). Leber STX Inspiration 1.00 Br40'S3 | t1_starvibe_fs_tra] Leber STX Inspiration 1.00 Br40 S3 | t1_starvibe_fs_tra t1_starvibe_fs_tra_self-gating_Average t1_starvibe_fs_tra_self-gating_Average 4/14/2021 4/14/2021 4/16/2021 4/16/2021 8:32:42 AM 8:32:42 AM 9:48:35 AM 9:48:35 AM A 1 cm R AHL RAH E 1 cm 5cm 5cm 4 Create new registration (Mini Toolbar opens). L A ul A SL min SL min W 300 954 300 954 SL min SL min 40 C 438 40 438 W 954 W 954 a 49.00% a 49.00% C 438 C 438 - 5 Edit current registration (Mini Toolbar opens at the fixed image). 43 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Registration SIEMENS Healthineers Drop-down list with available registrations: AHL O 100 • Switch between available registrations. 13 IMA ~172 | 25001 IMA n.a. 25001 IMA n. a. SP F1369.0 | SP F38.2 SP F38.2 Leber STX Inspiration 1.00 Br40 S3 | t1_starvibe_fs_tra -gating_Average t1_starvibe_fs_tra_self-gating_Average 4/14/2021 4/16/2021 8:32:42 AM 9:48:35 AM Structure Set_1 Structure Set_1 UNAPPROVED UNAPPROVED • Rename current registration with single click on the name in the list or double click with the left mouse button on the RAH 10 cm 10 cm blue image text. Rigid Deformable IF iL mil X • Delete an existing registration by 954 SL min 438 New Registration Miller + W 954 Align 3.00% C 438 selecting the trash can. Visuall Restrict Register X New Registration Miller m Translation Rotation Prevent Rotations Auto Registration H H H HPL HPL 13 IMA n.a. FRM n.a. | 25001 IMA n.a. 13 IMA n.a. FRM n.a. | 25001 IMA n.a. 25001 IMA n.a. 25001 IMA n.a. SP LO.O | SP L7.8 SP A169.5 | SP P27.4 SP L7.8 SP P27.4 Leber STX Inspiration 1.00 Br40'S3 | t1_starvibe_fs_tra] Leber STX Inspiration 1.00 Br40 S3 | t1 starvibe_fs_tra) t1_starvibe_fs_tra_self-gating_Average t1_starvibe_fs_tra_self-gating_Average 4/14/2021 4/14/2021 4/16/2021 4/16/2021 8:32:42 AM 8:32:42 AM 9:48:35 AM 9:48:35 AM 4 R 1 cm AHL RAH E 1cm E 5cm 5cm A SL min SL min 300 954 ₩ 300 I W 954 SL min SL min 40 |C 438 40 IC 438 W 954 W 954 @ 49.00% a 49.00% C 438 C 438 44 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Rigid Registration Mini Toolbar SIEMENS Healthineers Updated: Rigid Registration Mini Toolbar VB70 vs. VB80 Rigid Deformable Rigid Deformable Align Restrict Register Reset Align Restrict Register Rese Visually VOI Visually × Translation Rotation Prevent Rotations Translation Rotation Prevent Rotations Rigid Deformable Rigid Deformable Updated: Rigid Registration Mini Toolbar % Align VB70 vs. VB80 Restrict Register Reset Align Restrict Register Rese Visually VOI Visually VOI X × Translation Rotation Prevent Rotations Translation O Rotation Prevent Rotations 45 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 Deformable Registration Mini Toolbar SIEMENS Healthineers Updated: Deformable Registration Mini Toolbar VB70 vs. VB80 Rigid Deformable Rigid Deformable Show Restrict Set Deform Reset Show Restrict Set Deform Reset Deform VOI Markers Image X Deform VOI Markers Image X 46 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © 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 Healthineers HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com 47 Job Aid Effective Date: 21 Oct 2024 | QR700013945 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024

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