myAblation Guide Part 1: Segmentation (USA)

SIEMENS Healthineers myAblation Guide Part 1: Segmentation Template Effective Date: 10 Aug 2021 | HILS 2223 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © 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: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide SIEMENS Healthineers Patient loading Access the myAblation Guide. Then select the desired SIEMENS ... Healthineers R patient from the Patient Browser. Patient Browser Browse DE Course (32) RO (25) Read (11) 1. Perform a right-click with your mouse. Search by Name, ID, Date, Description and Modality (Ctrl 2. Chose Open with. Results (25 results, 13:11:11) Workflow Sta ... Workflow De ... Patient Name Study Description Date of Birth Modality CO 0037 RO Abd DD 01/01/1960 .. CT. SR 3. Click myAblation Guide. CO 0042 RO Thor Lung 4D 01/01/1936 ... CT. SR CO 0070 RO Head Brain SSDE 01/01/1949 CT CO 0071 RO HeadNeck SSDE 01/01/1952 CT, RTSTRUCT, SR CO_0130 RO_Thor_Lung_4D 01/01/1940 CT, SR go.Open_Pro_0012_go.Top RO Thor_Lung 21/08/2019 CT, SR go.Open_Pro_0012_go.Top RO_Thor Lung 21/08/2019 CT, RTSTRUCT, SR go.Open_Pro_0018, Eclipse Clinical + Functional Plan S .. RO Thor Lung_Direct 14D 13/08/1960. CT, SR go.Open_Pro_0086, For Lung lobe Ventilation calculation RO Thor Lung 4D 13/11/2019 CT. RTSTRUCT, SR go.Open_Pro_0120 RO_Thor Lung_4D_unsplitted 30/07/2020 CT go.Open_Pro_0164 RO_Thor Abd 10/06/2020 CT, RTSTRUCT, SEC Go.Sim 00 Open Ctrl+O RO_Thor Spine_T9_T11 27/08/2019 CT, RTSTRUCT go.Sim_01 10/01/2021 go.Sim 01 Open with - Favorites CT, RTSTRUCT, SR 2021 CT, RTSTRUCT, SR RO LEWIS View as Read-Only with MM RT Image Suite 1944 CT, REG, RTSTRUC RO LEWIS Batch Open Suggested 944 MR RO LEWIS Assign Workflow 944 CT, PET, RWV, SEG. RO OMAR Group Studies MM Onco + CT Bone 936 .... CT. REG, RTSTRUC RO OMAR MM Onco + CT Vascular 936 ... MR RO PABLO Batch Assign Workflow 961 ... CT, RTDOSE, RTPL RO PABLO Cancel Workflow MM Oncology 1961. CT, RTDOSE, RTPL RO Prost. Search Patient with DICOM Q/R MM Reading 1935 MR, RTSTRUCT, SR RO Prosta Add to Demo List MM RT Image Suite 935 RTDOSE, RTPLAN RO Prosta myAblation Guide 1935 CT, REG, RTSTRUC RO Prosta Remove from Demo List › More 935 CT, PET, REG, RTST Set Mark state Set Delete Protection state Set Archive state Remove Correction state Correct Cut Paste Delete Del 3 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Targets SIEMENS Healthineers Patient loading  Patient is loaded into myAblation Guide SIEMENS . Patient4, Ablation X Healthineers 01.01.1963 M Patient4^UKER If the study is not loaded automatically in the myAblation Guide Workflow Tasks Series X myAblation Guide ER 3 Previous 1 5 Next Add Study Image segment (particularly when multiple Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation series are available), please follow these steps: Segment Contour Margin Target Target -Spiral Abdomen 0,60 Br40 THN_07. 1 Favorite Tools 1. Select the desired study in the Series Anatomy & Targets X Spiral Abdomen Structures Needles Navigator. 3.00 Bx 40 THN_07. o Name Series 2. To move the study, click and hold the left Portalvenas 5,00 B. mouse button. Then drag and drop it into Please drag data from Series Navigator. Workflow Tasks the Image segment. 2 Favorite Tools Scroll Rotate Synch 3D Pef Point 3. In case a study is not visible in the Series 2 Anatomy & Targets Open Apps Quick Distance ROI Circle Guide Lline 1.00 bauch artenall Navigator, select Add Study to load the Parallel Snapshot PrintTools Export Ranges missing data. 4 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Targets SIEMENS Healthineers Zoom  Patient is loaded into myAblation Guide SIEMENS . Patient4, Ablation X Healthineers 01.01.1963 M Patient4^UKER To enhance the image for better visualization, myAblation Guide Q X Workflow Tasks Series myAblation Guide Previous 1 2 Next you can zoom in. Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation coment Contour Margin Unde Redo Distance socrate indewi Export 0.60 9140 THIN_07. Favorite Tools 1. Position the cursor over the image H 29 IMAn.a. FRM n.a. segment, ensuring it is outside the 29 IMA ~181 SP R6,2 Anatomy & Targets × SP F1361,3 Oberbauch portalvenos 1,00 Oberbauch portalvenos 1,00 Br40 A3 THN THN Structures Needles O Name patient's representation. StructureSet_1 1cm Series W 590 2. To zoom into the image, press and hold 1 C 95 1 R Workflow Tasks the left mouse button and move the H Favorite Tools IMA n.a. FRM n.a. 145,0 octotales 1.00 bauch portalvenos 1,00 Br40 A3 THN mouse. Hotate 3D Pat Point Anatomy & Targets Open Apps Quick Distance ROI Circle 3. Stop the adjustment by releasing the left Guide Line DO Br40 A3 THE 2 590 Snapshot PrintTools Export 95 mouse button. 18: 53 Please note: Use the Fit to Segment button to quickly adjust the image segment to the correct orientation, providing an immediate solution if you lose track. 5 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Targets SIEMENS Healthineers Pan  Patient is loaded into myAblation Guide SIEMENS .. Patient4, Ablation X Healthineers 01.01.1963 M Patient4^UKER Workflow Tasks To improve the image visualization, you can pan myAblation Guide Series myAblation Guide Previous 1 2 Next across the image. Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation Forment Contour Margin Undo Redo stance indewi Export Favorite Tools 1. Place the cursor within the image 0.60 RIGO THIN_07. H 29 IMAn.a. FRM n.a. segment over the area representing the 29 IMA ~181 SP R6,2 Anatomy & Targets SP F1361,3 Oberbauch portalvenos 1,00 STAN Oberbauch portalvenös 1,00 Br40 A3 THN Structures Needles 3.00 8:40 THN_07. o Name patient. StructureSet_1 1cm Series W 590 2. Press and hold the left mouse button, 1 C 95 R Workflow Tasks then move the mouse to adjust the 29 IMA n.a. FRM n.a. I Favorite Tools SP A145,0 X image's position. 10cm Oberbauch portalvenos 1,00 Br40 A3 THN Synth 3D Pat Point 121 O ... LE Anatomy & Targets Open Apps Quick Distance ROI Circle 3. To finalize the adjustment, release the left 1cm Guide Line 590 95 590 Snapshot PrintTools Export 95 mouse button. 18: 53 6 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Target SIEMENS Healthineers Auto – Segmentation  Auto – Segmentation of the target SIEMENS Patient4, Ablation x Healthineers * 01.01.1963 M Patient4^UIKER 1. To improve visualization, zoom in on myAblation Guide Workflow Tasks Series myAblation Guide 1 5 Add Study or pan over the individual segments. Previous Next Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation 2. Find the image slice where the tumor Unde Distance Fit to Full Text Windowi .... Export 0,60 Er40 THN_07_ Line Segment Image Favorite Tools is best visible. H 27 IMA n.a. FRM n.a. SP R84,8 Anatomy & Targets SP F1277,3 Oberbauch arteriell 5,00 Br40 A2 -Spiral Abdomen 3. Adjust the centerline so that it is 3.00 Er40 THN 07 Structures Needles O Name A centered on the lesion. StructureSet_1 Series SL min 590 Oberbauch portalvenda 5,00 B. 4. Click on the Segment Target icon W C 95 within the Workflow Tools. R Workflow Tasks H 5. Hold down the left mouse button Favorite Tools 27 IMA n.a. FRM n.a. Oberbauch portalvends 1.00 B. SP A104,9 Oberbauch arteriell 5,00 Br40 A2 Scroll Rotate Syrich 3D Ref. Point and draw a line through the lesion. O F R Oberbauch arterien Open Apps Quick Distance ROI Circle A 1.00 Br40 A3 THN. Anatomy & Targets Guide Line 6. A new target will then be listed in the 590 95 SL min W 590 Parallel Snapshot PrintTools Export Ranges C 95 Anatomy & Targets section (its name barbouich arterin 18:55 is editable). 7 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Target SIEMENS Healthineers Manual – Segmentation Our manual segmentation provides my Ablation Guide @ X Workflow Tasks Previous 2 Next two control methods: 2D and 3D Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation igame Cantor Redo Distance Fit to. Window Export contouring. 3 IMAna FRM n.a SP LO.0 3 IMA ~144 Spine T9_T11 3.00 Qr40 83 SP F41.9 8/22/2019 Spine T9_T11 3.00 Qr40 S3 10:17:46 AM 8/22/2019 2D contouring operates on 10:17:46 AM Anatomy & Targets × Auto_Thorax_Wirb Structures Needles individual slices, while 3D o Name 10cm Targets & Margins Target1 contouring works with the entire LI SL min volume. Contours must be created R in at least two of the three available 3 IMAn.a. FRM n.a. SP A230.0 10cm Spine T9_T11 3.00 Qr40 83 Favorite Tools 8/22/2019 10:17:46 AM planes. Scroll Rotate Sprich 3D Rof. Point Open Ol Circle Distance ROI Cir IF 10cm SL min W 300 A Label Layout 3D C 40 2D Activate Winglow Go to Settings to activ Auto + Draw Nudge Reflect Freshand Contour Structures 8 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Targets SIEMENS Healthineers Manual – 2D Segmentation (1/2)  Manual - Segmentation of the target SIEMENS. Healthineers' ... go.Sim_0214 * 18/06/2021 M go.Sim_0214 1. Zoom in or pan the individual segment for myAblation Guide Q x Workflow Tasks myAblation Guide Previous 1 Next better visualization. 3 argets Ablation Needles Verify Placements Accept and Ablate Assess Ablation 2. Move the centerline in the center of the Contour Distance Segment Text Windowi .., Export Favorite Tools 2 IMAn.a. FRM n.a. lesion. 2 IMA ~160 SP R7,2.0 Anatomy & Targets × SP F978.0 RT-Neuroachse 3,00 Qr40 RT-Neuroachse 3,00 Qr40 5/26/2021 11:09:26 AM Structures 5/26/2021 3. Click on the Contour Target icon in Needles 11:09:26 AM o Name Auto+POI_Abdomen Targets & Margins Series 5cm Workflow Tools. @ Target1 W 300 C 40 4. A new target will be added to Target & Workflow Tasks 2 IMAn.a. FRMn.a. Margins. The Mini toolbar for manual Favorite Tools × SP A243.1 RT-Neuroachse 3,00 2 5/26/2021 Scroll Rotate Synch 30 Ref. Open Apps Quick 11:09:26 AM Point contouring opens. Choose between 2D Anatomy & Targets ROI Auto Parallel Snapshot PrintTosh Export Contour Ranges and 3D contouring and proceed to Draw 2D 3D Hide Lines Label Layout Freehand. Freshand Contour stofest shore 9 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Targets SIEMENS Healthineers Manual – 2D Segmentation (2/2)  Manual - Segmentation 2D Draw Freehand SIEMENS Healthineers go.Sim_0214 * 18/06/2021 M go.Sim_0214 Zoom in on or pan over individual segments for myAblation Guide Q x Workflow Tasks myAblation Guide 1. 1 5 Previous improved visualization. 3 Next Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation Move the centerline to the center of the lesion. Contour Ungo Distance Line Fit to Full Text Windowi .., Export 2. Segment image Favorite Tools 2 IMAn.a. FRM n.a. 3. Select the Contour Target icon in the Workflow 2 IMA ~160 SP R72.0 RT-Neuroachse 3,00 Qr40- Anatomy & Targets X RT-Neuroachse 3,00 Qr40 5/26/2021 11:09:26 AM Structures Needles 5/26/2021 11:09:26 AM Tools. o Name Auto+POL_Abdomen Targets & Margins Series 5cm 4. A new target will be generated in Target & Target1 + W 300 40 Margins, and the Mini toolbar for manual Workflow Tasks Favorite Tools 2 IMAn.a. FRMin a contouring will open. X SP A243.1 RT-Neuroachse 3,00 0 ? 5/26/2021 Scroll Rotate Synch 30 Ref. Open Apps Quick 11:09:26 AM Point 5. 2D is selected by default, meaning all operations Anatomy & Targets ROI Auto Parallel Snapshot PrintToals Export Contour Ranges are performed on a per-slice basis. 2D 30 300 Hide Lines Auto Layout Views Hafect Within the segment, click and drag the + Freehand Contour Structures Interpol. Draw Nudge Smart • mouse to outline the contour. • Continue this step until the lesion is fully contoured (for detailed information, refer to the 2D contouring Job Aid). 10 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Targets SIEMENS Healthineers Manual – 3D Segmentation (1/2)  Manual - Segmentation 3D Draw Freehand SIEMENS go.Sim_0214 × Healthineers 18/06/2021 M go.Sim_0214 myAblation Guide X Workflow Tasks myAblation Guide 1. Zoom in or pan over individual segments for Previous 1 improved visualization. 3 Next Target Ablation Needles Verify Placements Accept and Ablate Assess Ablation Move the centerline to the center of the lesion. Scroll Ungo Distance Fit to 2. Rede Line Segment Full Text Windowi .., Export Image Favorite Tools 2 IMAn.a. FRM n.a. 3. Select the Contour Target icon in Workflow 2 IMA ~160 SP R72.0 RT-Neuroachse 3,00 Qr40 Anatomy & Targets × SP F978.0 RT-Neuroachse 3,00 Qr40 60612021 11:09:26 AM Structures Needles 5/26/2021 Tools. 11:09:26 AM o Name Auto+POI_Abdomen Targets & Margins Series 5cm 4. A new target will be generated in Target & Target1 W 300 C 40 Margins, and the Mini toolbar for manual R Workflow Tasks Favorite Tools 2 IMAn.a. FRMin a contouring will open. X SP A243.1 RT-Neuroachse 3,00 Or 5/26/2021 Scroll Rotate Synch 30 Ref. Open Apps Quick 11:09:26 AM Point Gulce • 3D selection is required as all operations Anatomy & Targets ROI Auto Parallel Snapshot PrintTosh Export Contour Ranges are performed on a volume basis. 2D 3D Hide Lines Spi Label Layout Views 2, 0 0 Draw Nudge Faffect Smart In one of the orientations (axial, sagittal or + Freehand Contour Structures Interpol .. • coronal), click and drag the mouse pointer to draw a contour. • Repeat this step in a second segment (axial, sagittal or coronal). 11 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Targets SIEMENS Healthineers Manual – 3D Segmentation (2/2)  Manual - Segmentation 3D Nudge Contour SIEMENS . Patient4, Ablation X Healthinee 01.01.1963 M Patient4^UIKER 1. Use Nudge Contour to refine existing contours. myAblation Guide Q X Workflow Tasks Series myAblation Guide Previous 2. 3 5 Next Add Seudy Choose your desired target from the Target & Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation Margin list. Contour Scroll Undo Race Distance Fit to Line Segment Favorite Tools A H 27 IMA n.a. FRM n.a. 3. Activate Nudge Contour via the mini toolbar. 27 IMA ~10 SP R66,1 Anatomy & Targets SP F1282,3 Oberbauch arteriell 5,00 Br40 A2 Structures Needles Oberbauch arteriell 5,00 Br40 A2 2.00 Br60 THIN 07 4. Position the cursor over the contour and Name StructureSet_1 A 1cm Series modify it by moving the circle along the lines. 590 95 portalveridis 5.00 8. • Adjustments are volumetric and applicable Workflow Tasks H Oberbauch Favorite Tools 27 IMA n.a. FRM n.a. Portalvenda 1.00 E across various orientations. SP A148,1 10cm Oberbauch arteriell 5,00 Br40 A2 Rotate Synich 30 Ref. Point The circle size can be adjusted by using the ? O • F R 1.00 BY40 AS THE Anatomy & Targets Open Apps Quick Distance ROI Circle 1cm Line W 590 A middle mouse wheel. C 95 590 Kai Snapshot Fimloon Export 95 • Alternatively, with dynamic mouse mode 18: 54 enabled, the circle's size varies with its proximity to the structure: smaller  near, larger  further away. 12 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Targets SIEMENS Healthineers Margin  Manual - Segmentation create Margin SIEMENS Patient4, Ablation × * 01.01.1963 M Patient4^UKER 1. Upon completing the segmentation of the target, a Healthineers . myAblation Guide X Workflow Tasks myAblation Guide 3D margin can be generated. 2. Click Margin on the upper menu. Previous Targets • Select the Original Structure from the dropdown menu. Margin ? X ntour Margin arget Favorite Tools • Set the margin parameters. Target Target1 11 • Click OK to confirm your changes. Margin Name Target1 Margin Anatomy & Targets Margin 5,0 mm 3. The new Margin is now visible in the Image segment Structures Needle o Name and listed in Targets & Margin. Targets & Margins Series o Target1 OK Cancel R Workflow Tasks Favorite Tools X Scroll Rotate Synch 3D Ref. Point 13 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Target SIEMENS Healthineers How to center my target in the image? 1. Manually scroll to the center of the SIEMENS x Healthineers. Patient4, Ablation * 01.01.1963 M Patient4^UKER lesion. myAblation Guide Q X Workflow Tasks myAblation Guide 1 5 Or Previous Next Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation Segment Contour Margin Undo Distance Fit to Full Text window Line Segment Favorite Tools 2. Double-click the left mouse button A 27 IMA n.a. FRM n.a. 27 IMA ~9 SP R84,8 Anatomy & Targets SP F1277,3 Oberbauch arteriell 5,00 Br40 A2> on the structure to center the line Oberbauch arteriell 5,00 Br40 A2 Structures Needles o Name within the selected structure. Targets & Margins StructureSet_1 A Series Target1 Target1 SL min W 590 C 95 R Workflow Tasks H 27 IMA n.a. FRM n.a. SP A104,9 10cm Oberbauch arteriell 5:00 Br40 A2 3D Ref. Point O IF R Anatomy & Targets Distance ROI Circle A Line SL min 2D 3D W 590 SL min C 95 W 590 Parallel Snapshot PrintTools Export Ranges C 95 Draw Nudge Reflect Freehand Contour Structures 14 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Target SIEMENS Healthineers Renaming or deleting of structures  Rename a structure SIEMENS . × Healthineers Patient4, Ablation 01.01.1963 M Patient4^UKER 1. Right-click on the structure and select myAblation Guide X Workflow Tasks myAblation Guide Rename. 2. Define the new name and press Enter to 1 Previous confirm the changes. Targets Segment Contour Target Target Favorite Tools  Delete a structure K 1. Right-click on the structure and choose 27 IMA ~9 Anatomy & Targets X SP F1277,3 Delete. Structures Needles Oberbauch arteriell 5,00 Br40 A2 2. Confirm deletion in the pop-up window by o Name Targets & Margins StructureSet 1 Series clicking OK. Target1 O Target1 3. The contour will be removed from the list. Rename Delete Lock Workflow Tasks  Change color Favorite Tools Click on the color selection in Targets & Margins to X * chose your desired color. Scroll Rotate Synch 3D Ref. Point ? O 15 Job Aid Effective Date: 21 Oct 2024 | QR700013946 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 16 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024