myAblation Guide Part 2: Needle (USA)

SIEMENS Healthineers myAblation Guide Part 2: Needle 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 – Ablation needle path planning SIEMENS Healthineers Needle placement (1/3)  Placing a needle myAblation Guide Workflow Tasks Once you have established the target with Previous 3 5 Next gets Ablation Needles Verify Placements Accept and Ablate Assess Ablation an added margin, click Next or on E Needle Along In-Plane Export Scroll Undo Redo Distance Fit to Full Text Windowi ... Export View Paths Line Segment Image TTTTTTTTTTT TTTTTTTTTTTTTTT Ablation Needles to proceed with needle H 30 IMA n.a. FRM n.a. 30 IMA ~10 SP R78,2 placement. Anatomy & Targets × SP F1282,3 Oberbauch portalvenös 5,00 Br40 A2 Structures Needles Oberbauch portalvenos 5,00 Br40 A2 O Name StructureSet_1 PR Target1 SL. min. Target1 Margin W 590 C 95 R 2 H Favorite Tools X 30 IMA n.a. FRM n.a. SP A104,8 10cm Oberbauch portalvenos 5,00 Br40 A2 Scroll EP Synch 3D Ref. Point F ? O. RA Open Apps Quick Distance ROI Circle Line SL min A Guide = W 590 SL min TO C 95 W 590 Parallel Snapshot PrintTools Export Ranges C 95 + 3 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Ablation needle path planning SIEMENS Healthineers Needle placement (2/3)  Placing a needle myAblation Guide Workflow Tasks 2 5 Next Double click on the target structure to center the image Previous 1 Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation Needle Fly Along In-Plane Export Scroll Undo Redo Distance Fit to on the target. il Text Windowi ... Export Line Segment V 27 IMA n.a. FRM n.a. 27 IMA ~9 SP R84,8 Anatomy & Targets SP F1277,3 Oberbauch arteriell 5,00 Br40 A2 Structures Needles Oberbauch arteriell 5,00 Br40 A2 1. Click on the target structure to set your end point. O Name Needle1 StructureSet_1 A Target1 SL min Target1 Margin W 590 The virtual ablation zone appears. Then move to C 95 R position your needle at the skin. H Favorite Tools 27 IMA n.a. FRM n.a. SP A104,9 2. With a second click, you will complete the virtual 10cm Oberbauch arteriell 5,00 Br40 A2 Scroll Rotate Synch 3D Ref. 0.82mr Point O. F ? R needle placement. Open Apps Quick Distance ROI Circle SL min A Guide Line FO W 590 SL min Diameter Length Throw C 95 W 590 Parallel Snapshot PrintTools Export Ranges IntelliBlate Liver 3,9 cm 3,9 cm 0,6 cm C 95 3. You may perform this virtual needle placement IntelliBlate Settings: 60W - 10min(v1) [based on Ex-Vivo Liver at 17º C] TTT multiple times across any plane. 4. To rename a needle, right-click and select Rename. 5. To remove a needle, right-click and choose Delete. Please note: It can be beneficial to first use the crosshairs to reorient the slices into the desired needle trajectory. 4 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Ablation needle path planning SIEMENS Healthineers Needle placement (3/3) Hint: You can plan a needle in any plane, including myAblation Guide Workflow Tasks 2 5 Next double oblique, without restriction to in-plane Previous 1 Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation Undo approaches. Needle Fly Along In-Plane Export Scroll Redo Distance Fit to il Text Windowi ... Export Line Segment 27 IMA n.a. FRM n.a. 27 IMA ~9 SP R84,8 Anatomy & Targets SP F1277,3 Oberbauch arteriell 5,00 Br40 A2 Oberbauch arteriell 5,00 Br40 A2 Structures Needles Treatment parameters are now presented as visual O Name StructureSet_1 A O . Needle1 Target1 SL min Target1 Margin W 590 graphics. This eliminates the need to memorize them and C 95 R provides instant visual confirmation of tumor coverage. H Favorite Tools 27 IMA n.a. FRM n.a. SP A104,9 10cm Oberbauch arteriell 5,00 Br40 A2 Scroll Rotate Synch 3D Ref. 0.82mr Point O. F R Open Apps Quick Distance ROI Circle Guide Line SL min A FO W 590 SL min Length C 95 W 590 Parallel Snapshot PrintTools Export Diameter Throw Ranges IntelliBlate Liver 3,9 cm 3,9 cm 0,6 cm C 95 TTTTTTTTTT IntelliBlate Settings: 60W - 10min(v1) [based on Ex-Vivo Liver at 17º C] 5 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Ablation needle path planning SIEMENS Healthineers Needle adjustment  Adjusting a needle myAblation Guide Q X Workflow Tasks X 2 In Anatomy & Targets, select the needle you Previous Next Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation wish to adjust. Double click with the left + Needle Fly Along In-Plane Export Scroll Undo Redo Distance Fit to View Paths Line Full Text Windowi ... Export Segment Image TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT mouse button to center it. A H 27 IMA n.a. FRM n.a. 27 IMA ~9 SP R84,8 Anatomy & Targets X SP F1277,3 Oberbauch arteriell 5,00 Br40 A2 Oberbauch arteriell 5,00 Br40 A2 Structures Needles o Name Three methods to adjust a needle: .. Needle1 StructureSet 1 A Target1 SL min Target1 Margin W 590 1. Position the mouse at the needle tip, C 95 until the cursor changes. Hold the left R H Favorite Tools 27 IMA n.a. FRM n.a. SP A104,9 mouse button to change the tip's Scroll Rotate vee 10cm Oberbauch arteriell 5,00 Br40 A2 Synch 3D Ref. Point gth 70.82mm location. O. F R Open Apps Quick Distance ROI Circle SL min A Guide Line W 590 SL min 2. Position the mouse at the needle's end. C 95 W 590 Parallel Snapshot PrintTools Export iameter Length Throw Ranges IntelliBlate Liver 3,9 cm 1 ) 3,9 cm 1) 0,6 cm 4) C 95 Hold the left mouse button to modify IntelliBlate Settings: 60W - 10min(v1) [based on Ex-Vivo Liver at 17º C] + the end's location. 3. Position the mouse along any part of the needle. Hold the left mouse button to adjust the entire needle's position. 6 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Ablation needle path planning SIEMENS Healthineers Needle adjustment – Virtual ablation zone  Virtual ablation zone myAblation Guide Q X Workflow Tasks X 2 Previous Next Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation The virtual ablation zone provides a graphical Needle Fly Along In-Plane + Export Scroll Undo Redo Distance Fit to Full Text Windowi ... Export View Paths Line Segment Image representation of treatment parameters, A H 27 IMA n.a. FRM n.a. 27 IMA ~9 SP R84,8 X SP F1277,3 Oberbauch arteriell 5,00 Br40 A2 typically memorized from a table, allowing for Anatomy & Targets Structures Oberbauch arteriell 5,00 Br40 A2 Needles o Name size adjustments to encompass the target o Needle 1 StructureSet 1 A Target1 SL min Target1 Margin W 590 area. The IntelliBlate microwave system's C 95 treatment parameters are seamlessly R I Favorite Tools 27 IMA n.a. FRM n.a. X SP A104,9 integrated into this feature. vee 10cm Oberbauch arteriell 5,00 Br40 A2 Scroll Rotate Synch 3D Ref. Point gth 70.82mm IF ? O. R Open Apps Quick Distance ROI Circle SL min A Guide Line W 590 SL min Length Throw C 95 W 590 Parallel Snapshot PrintTools Export iameter Ranges IntelliBlate Liver 3,9 cm 1 ) 3,9 cm 1) 0,6 cm 4) C 95 IntelliBlate Settings: 60W - 10min(v1) [based on Ex-Vivo Liver at 17º C] + 7 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Ablation needle path planning SIEMENS Healthineers Needle adjustment – IntelliBlate  Adjust Liver needle parameters • Select the needle within Anatomy & Targets for Diameter Length Throw x modification. IntelliBlate Liver v 3,9 cm 1 3,9 cm ( » 0,6 cm ( IntelliBlate Liver ngs: 60W - 10min(v1) [based on Ex-Vivo Liver at 17º C] IntelliBlate Kidney • Adjusting one parameter (Diameter, Length, or Custom Throw) will concurrently alter the other categories. • The adjustment is geometrical, altering the ablation zone from smallest to largest. • The appropriate settings for the IntelliBlate System are displayed below. 8 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Ablation needle path planning SIEMENS Healthineers Needle adjustment – Custom  Customize needle parameters Diameter Length Throw x Choose the needle from Anatomy & Targets for IntelliBlate Liver 3,9 cm ( > 3,9 cm ( » 0,6 cm4 adjustment. IntelliBlate Liver ings: 60W - 10min(v1) [based on Ex-Vivo Liver at 17º C] IntelliBlate Kidney Three parameter categories: Custom 1. Diameter: Alters the virtual ablation zone's size along the local x-axis. 2. Length: Modifies the virtual ablation zone's size along the local y-axis. 3. Throw: Shifts the virtual ablation zone's entire position without changing diameter or length. Reducing the value moves the zone toward the needle's end. Increasing it moves the zone toward the needle's tip. 9 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Ablation needle path planning SIEMENS Healthineers In-Plane View  In-Plane View myAblation Guide Workflow Tasks X Select the needle in Anatomy & Targets for Previous 5 Next Target Ablation Needles Verify Placements Accept and Ablate Assess Ablation modification. + Needle Fly Alor EVE In-Plane Export Scroll Undo Redo Distance Fit to Full Text Windowi ... Export View Paths Line Segment Image A TTTTTTTTT I 27 IMA n.a. FRM n.a. 27 IMA ~9 SP R9,9 Anatomy & Targets X SP F1277,3 Oberbauch arteriell 5,00 Br40 A2 1. Select In-Plane View from the upper Structures Needle Oberbauch arteriell 5,00 Br40 A2 O Name Needle1 StructureSet 1 PL menu bar. o Target1 SL min Target1 Margin W 590 2. The crosshair automatically centers on C 95 the needle in all planes. R NWMM H Favorite Tools × 27 IMA n.a. FRM n.a. SP A130,5 3. MPR lines are aligned with the needle's Needle 1 10cm Oberbauch arteriell 5,00 Br40 A2 Scroll Rotate Synch 3D Ref. Point Length: 70.82mm length. F RP Open Apps Quick Distance ROI Circle SL min Guide Line W 590 min 4. Bulls-Eye View Orientation: It orients C 95 590 .......................................................................................................................... Parallel Snapshot PrintTools Export Diameter Length Throw 95 X Ranges IntelliBlate Liver 3,9 cm < > 3,9 cm 0,6 cm 4 ) from the needle's flat end to the tip, IntelliBlate Settings: 60W - 10min(v1) [based on Ex-Vivo Liver at 17º C] + aiding in Fly Along navigation. 10 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Ablation needle path planning SIEMENS Healthineers Double-clicking vs. In-Plane View Double-clicking on needle: In-Plane View: • Automatically navigates to the Mid-Slice view • Aligns MPR lines with the needle's length. across all three planes. • Resets MPR lines to default. • Focuses on the center of the selected needle. • Displays the entire needle length in two • Feature does NOT reset MPR lines/Crosshair planes. remains the manually adjusted way. • Presents the axial view in a larger display area. • Initiates Bulls-Eye View, aligning from the needle's flat end to its sharp tip for Fly Along visualization. 11 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Ablation needle path planning SIEMENS Healthineers In-Plane View  Fly Along myAblation Guide Workflow Tasks X 5 Choose the needle from Anatomy & Targets Previous Next Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation to adjust. Needle Fly Along EVE In-Plane Export Scroll Undo Redo Distance Fit to Full Text Windowi ... Export View Paths Line Segment Image A I 27 IMA n.a. FRM n.a. 27 IMA ~9 SP R9,9 Anatomy & Targets X SP F1277,3 Oberbauch arteriell 5,00 Br40 A2 1. Select Fly Along from the upper menu. Structures Needle Oberbauch arteriell 5,00 Br40 A2 O Name o Needle1 StructureSet 1 PL 2. Bulls-Eye View activates. Target1 SL min Target1 Margin W 590 3. MPR lines move along the planned C 95 needle path. R H Favorite Tools × 27 IMA n.a. FRM n.a. SP A130,5 4. Displays tissue layers penetrated by the Needle 1 Rotate Synch 10cm Oberbauch arteriell 5,00 Br40 A2 Scroll 3D Ref. Length: 70.82mm Point needle tip. O. IF RP Open Apps Quick Distance ROI Circle SL min Guide Line W 590 min 5. Click Fly Along again to pause at any Parallel Snapshot PrintTools Export Diameter Length Throw X C 95 590 95 Ranges IntelliBlate Liver 3,9 cm < > 3,9 cm 0,6 cm 4 ) time; resuming restarts the animation. IntelliBlate Settings: 60W - 10min(v1) [based on Ex-Vivo Liver at 17º C] + VRT Hint: To enable the DRR mode, click on the Min IP Thin MIP icon. MPR DAR 12 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Ablation needle path planning SIEMENS Healthineers Export path of needle  Export the planned needle path to my Ablation Guide @ X Workflow Tasks X myNeedleGuide Previous Next Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation Confirm Needle path Export AF X Needle Fly Along In -Plane Source of Danger - Export of inaccurate 1. Select Export Paths. object planning and/or ambiguous object -- 27 IMA ~9 labelling. Anatomy & Targets X SP F1277,3 Consequence - Procedural delay. Oberbauch arteriell 5,00 Br40 A2 Countermeasures - Structures Needles - Review and confirm needle path O Name planning(s) before exporting. 2. A warning window will appear. Click O Needle1 StructureSet 1 - Use unique needle name and color in Ablation guide. Target1 - Be aware that needle objects can be SL min Target1 Margin exported only once and that there W 590 Confirm to continue or Cancel to stop is no automatic update of exported C 95 objects. the export. R Confirm Cancel Favorite Tools X Needle 1 10cm Oberbauch arteriell 5,00 Br40 A2 Rotate Synch 3D Ref. Length:70.82mm Point O. IF RP Open Apps Quick Distance ROI Circle SL min Guide Line = W 590 TO min Length C 95 590 Parallel Snapshot PrintTools Export Diameter Throw Ranges IntelliBlate Liver 3,9 cm 1) 3,9 cm 1 ) 0,6 cm <> 95 E ntelliBlate Settings: 60W - 10min(v1) [based on Ex-Vivo Liver at 17º C] + 13 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 14 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024