myAblation Guide Part 3: Verify Placement (USA)

SIEMENS Healthineers myAblation Guide Part 3: Verify Placement 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 – Verify Placement SIEMENS Healthineers New Series – Intro Adjust the treatment parameter SIEMENS .. x eers ... Healthineers Patient4, Ablation 01.01.1963 M Patient4^UKER (virtual ablation zone), which myAblation Guide @ X Workflow Tasks Series X myAblation Guide Previous Add Study Next represents treatment parameters, to Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation match the actual needle position and Fly Along inviate Structures Undo Distance Fit to Full Text Windowt ... Export Line Segment Image Favorite Tools A Abdomen 5,00 Br4. ensure tumor coverage. 5 IMA ~78 Anatomy & Targets X SP F1289,2 Oberbauch arteriell 1,00 Br40 A3 THN Structures Needles Name I WARNING I Oberbauch O StructureSet_1 Source of Danger - Automatic Rigid Registration performed upon dragging from Series portalveno: 5,00 B o Needle1 Navigator. Series R Consequences - Misregistration may lead to incorrect position of reflected contours 1cm intermeasure - Review is STRONGLY RECOMMENDED. (Hint: Upper left corner menu - 'Edit Registrati Oberbauch arterial 5.00 B(40 AZ (71 Drag the latest interventional scan from the Series Navigator to continue. SL min W 590 Workflow Tasks C 95 Favorite Tools portalvends 1,00 Scroll Rotate H H ? C 5 IMA n.a. FRM 5 IMA n.a. FRM ... Oberbauch arteriell 1,00 Br40 A3 THN Anatomy & Targets Open App: Quick Distance ROI Circle Guide Line A SL min R SL min 1.00 710 43 THE Parallel Snapshot PrintTools Export W 590 W 590 Ranges C 95 C 95 3 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Verify Placement SIEMENS Healthineers New Series  Loading a new series SIEMENS .. x eers ... Healthineers Patient4, Ablation 01.01.1963 M Patient4^UKER myAblation Guide @ X Workflow Tasks Series X myAblation Guide Previous 3 Next Add Study 1. Select an appropriate series in the Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation Series Navigator. Fly Along inviate Structures Undo Distance Fit to Full Text Windowt ... Export Line Segment Image Favorite Tools A Abdomen 5,00 Br4. 2. Drag the series with the right 5 IMA ~78 Anatomy & Targets X SP F1289,2 Oberbauch arteriell 1,00 Br40 A3 THN mouse button to the empty image Structures Needles Name I WARNING I Oberbauch StructureSet_1 Source of Danger - Automatic Rigid Registration performed upon dragging from Series portalvends 5,00 B. O o Needle1 Navigator. Series segment. R Consequences - Misregistration may lead to incorrect position of reflected contours 1cm intermeasure - Review is STRONGLY RECOMMENDED. (Hint: Upper left corner menu - 'Edit Registrati IF Oberbauch arterial 5.00 B(40 AZ [7] 3. Release the right mouse button Drag the latest interventional scan from the Series Navigator to continue. SL min W 590 Workflow Tasks C 95 and select Add. Favorite Tools 2 portalvenas 1,00 B. Scroll Rotate ? C 5 IMA n.a. FRM H 5 IMA n.a. FRM ... H Oberbauch arteriell 1,00 Br40 A3 THN Anatomy & Targets Open App: Quick Distance ROI Circle Guide Line Hint: A rigid registration is automatically A SL min R SL min Parallel Snapshot PrintTools Export W 590 W 590 Ranges C 95 C 95 applied in the background and can be edited if desired (see next slide). 4 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Verify Placement SIEMENS Healthineers Image registration – Rigid (1/5)  Perform the Rigid registration SIEMENS × Healthineers R Patient4, Ablation * 01.01.1963 M Patient4^UKER myAblation Guide Q X Workflow Tasks Series X myAblation Guide process Previous 1 5 Next Add Study Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation 1. Choose Auto Registration from the Fly Along Infine secure Scroll Undo Rado Distance Fit to Line Full Text Windowi ... Export Segment Image Favorite Tools JTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTFITTTTTTTTTTTTTTTTTFTTTTTTFTTTTTTTTSTTTTTTTTTTETTTTTTTTTTTTTTTTTTETTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTITIFITTE i-Sequence A Abdomen 5.00 Br4 interactive image text. 5 IMA ~78 8 IMA n.a. Anatomy & Targets SP F1289,2 SP F1288,3 X Oberbauch arteriell 1,00 Br40 A3 THN Oberbauch portalvenös 5,00 Br40 A2 To create a new registration, select Structures Needles 2. Auto Registration 1 O Name StructureSet_1 StructureSet_1 Needle Series plus in the Mini toolbar. R R 1cm E Needle 1 Needle 1 1cm eng F Length 80.01mm Length 80 0 1m Oberbauch arteriell F 5,00 Br40 A2 [7] 3. To edit an existing registration, SL min SL min W 590 2 3 W 590 Workflow Tasks C 95 C 95 select it from the drop-down list Favorite Tools X X Auto Registration + Oberbauch portalveno: 1,00 B Screw Rotate 3D Ref. Point with available registrations. To H H H. O 5 IMA n.a. FRM 5 IMA n.a. FRM 8 IMA n.a. 8 IMA n.a. Oberbauch arteriell 1,00 Br40 A3 THN Oberbauch portalvenos 5 00 Br40 A2 Oberbauch portalvenös 5,00 Br40 A2 Anatomy & Targets Open Apps: Quick Distance ROI Circle Guide Line rename the current registration, A SL min R SL min A SL min R SL min 1.00 - 40 X3 770 Parallel Snapshot PrintTools Export W 590 W 590 W 590 W 590 Ranges C 95 C 95 C 95 C 95 click once on the name in the + 15:08 drop-down list. 5 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Verify Placement SIEMENS Healthineers Image registration – Rigid (2/5)  Perform the Rigid registration process SIEMENS Patient4, Ablation × Healthineers ... ? 8 % * 01.01.1963 M Patient4^UKER myAblation Guide CX Workflow Tasks myAblation Guide 2 3 4 Click on Edit in the registration mini Previou 5 Next • Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation toolbar. Undo EYE Fly Along In-Plane Reflect Fit to Full Text Windowi ... View Structures Segment Favorite Tools Upon selection, the adjust registration A • 5 IMA ~78 | 8 IMA n.a. O 100 8 IMA n.a. SP F1289,2 | SP F1288,3 SP F1288,3 toolbar appears on the left. Anatomy & Targets X Oberbauch arteriell 1,00 Br40 A3 THN | Oberbauch portalvenos 5,00 Br40 A2 Oberbauch portalvenos 5,00 Br40 A2 Structures Needles Auto Registration_Copy1 O Name StructureSet_1 StructureSet_1 • In the upper part the registration Needle1 Series R R Needle 1 1cm E slider will be visible, here you can slide Needle1 1cm E F agth:80.01 Rigid Deformable F SL min SL min between the two images (fused 590 Workflow Tasks 95 W 590 Favorite Tools Align Restrict Register 49,00% C 95 X images). X . Translation Rotation Prevent Rotations Auto Registration_Copy1 3D Ref. Point H 5 IMA n.a. FRM 5 IMA n.a. FRM ... H H O. 8 IMA n.a. 8 IMA n.a. Oberbauch arteriell 1,00 Br40 A3 THN | Ob Oberbauch portalvenos 5 00 Br40 A2 Oberbauch portalvenös 5,00 Br40 A2 Anatomy & Targets Open Apps Quick Distance ROI Circle Guide Line Y A A SL min SL min W 590 W 590 R W 590 A SL min R SL min Parallel Snapshot PrintTools Export Ranges C 95 C 95 C 95 W 590 W 590 a 49,00% a 49,00% C 95 C 95 6 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Verify Placement SIEMENS Healthineers Image registration – Rigid (3/5) Change the image preset to enhance the visualization of a data set for improved differentiation. X 3 5 Next Hover your mouse cursor over the image segment Verify Placements Accept and Ablate Assess Ablation E and press the middle wheel. Adjust the contrast by KU E E Scroll Undo Redo Distance Fit to Full Text Windowi ... Export Line Segment Image moving up or down; alter the window by moving left A 8 IMA n.a. or right. SP F1288,3 A2 Oberbauch portalvenos 5,00 Br40 A2 Auto Registration_Copy1 StructureSet_1 R 1cm E Need! 1cm F Length:80 01mm F SL min 590 SL min 95 W 590 49,00% C 95 # Auto Registration_Copy1 + H 8 8 IMA n.a. Oberbauch portalvenos 5 00 Br40 A2 Oberbauch portalvenos 5,00 Br40 A2 SL min A W 590 A SL min R SL min C 95 W 590 W 590 a 49,00% C 95 C 95 7 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Verify Placement SIEMENS Healthineers Image registration – Rigid (4/5)  Perform the Rigid registration process Rigid Deformable 1 2 3 1. Activate Align Visually to manually adjust the angle and position of the fused images. Align Restrict Register Visually VOI Reset 2. Use the cursor to modify the fused images’ X Translation Rotation Prevent Rotations 4 Translation and Rotation based on your selection. 3. Restrict VOI registration based on the volume of interest in the customized box. Click Register to start a registration. 4. Select Prevent Rotation to disable the rotation during the registration process. 8 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Verify Placement SIEMENS Healthineers Image registration – Rigid (5/5)  Perform the Rigid registration process Rigid Deformable 5 6 5. Click Reset to revert to the default auto rigid registration or the last saved registration. Align Restrict Visually Register Reset VOI 6. Select Accept to complete and store the × Translation Rotation Prevent Rotations registration. 7 7. Choose Cancel to cancel the entire registration process. 9 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Verify Placement SIEMENS Healthineers Image registration – Deformable (1/2)  Perform the Deformable registration (elastic Rigid Deformable registration) 4 3 2 1 1. Select Deform Image to initiate automatic Show Restrict Set Deform Reset Deform VOI Markers Image registration. X 2. Use Set Markers to identify anatomical markers (for example vessels) on the images to be registered, especially if the results from auto deformable registration are unsatisfactory. 3. Restrict VOI registration based on the volume of interest in the customized box. Click Register to start the registration. 5. Choose Show Deform to display the results of the deformable registration using arrows. Color-coded arrows display the extent of deformation that has occurred. 10 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Verify Placement SIEMENS Healthineers Image registration – Deformable (2/2)  Perform the Deformable registration (elastic Rigid Deformable registration) 5 6 5. Press Reset to restore the default auto rigid Show Restrict Set Deform Reset Deform VOI Markers Image registration or retrieve the last saved registration. X 7 6. Click Accept to complete and store the registration. 7. Select Cancel to cancel the registration process entirely. 11 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Verify Placement SIEMENS Healthineers Reflect Structures  Reflect Structures myAblation Guide Workflow Tasks Previous 3 Next Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation Use Reflect Structures to visualize the virtually placed Fly Along In-Pla Reflect Undo Distance Section Full Text Windowi ... Export A A 27 IMA ~9 29 IMA ~61 needle in the additionally loaded image series. This Anatomy & Targets SP F1277,3 SP F1277,6 Oberbauch arteriell 5,00 Br40 A2 Oberbauch portalvenos 1,00 Br40 A3 THN Structures Needles Auto Registration_Copy1 feature is enabled automatically. O Name StructureSet_1 StructureSet_1 O Needle1 R R Needle 1 1cm E Needle 1 Length: 70.82mm F Length: 70.82mm SL min SL min W 590 W 590 C 95 C 95 Favorite Tools Synch 3D Ref. Point O .. H H ? 27 IMA n.a. FRM ... 29 IMA n.a. FRM ... H H 27 IMA n.a. FRM ... 29 IMA n.a. FRM ... Oberbauch arteriell 5,00 Br40 A2 Oberbauch portalvenos 1,00 Br40 A3 THN Oberbauch portalvenos 1,00 Br40 A3 THN Open Apps Quick Distance ROI Circle Guide Line PL SL min RP SL min PL SL min RP SL min Parallel Snapshot PrintTools Export W 590 590 W 590 W 590 Ranges C 95 95 C 95 C 95 + 12 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Verify Placement SIEMENS Healthineers In-Plane View  In-Plane View my Ablation Guide Ch X Workflow Tasks Choose the needle from Anatomy & Targets Previous 3 4 5 Next Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation to adjust. Fly Along = In-Plane Reflect Undo E Redo Distance Fit to Full Text Windowi ... Export View Structures Line Segment Image TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTT A A 27 IMA ~9 29 IMA ~61 Anatomy & Targets SP F1277,3 SP F1277,6 1. Select In-Plane View from the upper Oberbauch arteriell 5,00 Br40 A2 Oberbauch portalvenös 1,00 Br40 A3 THN Structures Needles Name Auto Registration_Copy1 O StructureSet_1 StructureSet_1 menu bar. O Needle 1 R R Needle 1 1cm E 1cm 2. The crosshair automatically centers on Length: 70.82mm F Needle 1 F SL min 70.82mm: Lerigth:70.8 SL min the needle in all planes. W 590 C 95 Diameter Length Throw V 590 95 Favorite Tools X IntelliBlate Liver 3,9 cm 3,9 cm 0,6 cm 1) 3. MPR lines are aligned with the needle's IntelliBlate Settings: 60W - 10min(v1) [based on Ex-Vivo Liver at 17º C] Rocare 30 Ret . H 27 IMA n.a. FRM ... H H H length. ? O 27 IMA n.a. FRM ... 29 IMA n.a. FRM ... 29 IMA n.a. FRM ... Oberbauch arteriell 5,00 Br40 A2 Oberbauch portalvenos 1,00 Br40 A3 THN Oberbauch portalvenos 1,00 Br40 A3 THN Open Apps Quick Guide Line PL SL min RP SL min PL SL min RP SL min 4. Bulls-Eye View Orientation: It orients Parallel Snapshot PrintTools Export W 590 W O 590 W 590 W 590 Ranges C 95 C 95 TO C 95 C 95 O from the needle's flat end to the tip, + aiding in Fly Along navigation. 13 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024 myAblation Guide – Verify Placement SIEMENS Healthineers Fly Along  Fly Along my Ablation Guide Ch X Workflow Tasks Choose the needle from Anatomy & Targets Previous 3 4 5 Next Targets Ablation Needles Verify Placements Accept and Ablate Assess Ablation to adjust. = Fly Along E In-Plane Reflect Undo Redo Distance Fit to Full Text Windowi ... Export View Structures Line Segment Image TTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTTE A A 27 IMA ~9 29 IMA ~61 Anatomy & Targets SP F1277,3 SP F1277,6 1. Select Fly Along from the upper menu. Oberbauch arteriell 5,00 Br40 A2 Oberbauch portalvenös 1,00 Br40 A3 THN Structures Needles Auto Registration_Copy1 O Name StructureSet_1 StructureSet_1 2. Bulls-Eye View activates. O Needle 1 R 3 R Needle 1 1cm 1cm 3. MPR lines move along the planned Length: 70.82mm IF Needle 1 F SL min needle path. 70.82mm: Lerigth:70.8 SL min W 590 590 C 95 Diameter Length Throw V 95 Favorite Tools X IntelliBlate Liver 3,9 cm 3,9 cm 0,6 cm 1) 4. Displays tissue layers penetrated by the IntelliBlate Settings: 60W - 10min(v1) [based on Ex-Vivo Liver at 17º C] Rocare 30 Ret . H H 27 IMA n.a. FRM ... 27 IMA n.a. FRM ... 29 IMA n.a. FRM ... H H needle tip. ? O 29 IMA n.a. FRM ... Oberbauch arteriell 5,00 Br40 A2 Oberbauch portalvenos 1,00 Br40 A3 THN Oberbauch portalvenos 1,00 Br40 A3 THN Open Apps Quick Guide Line PL SL min RP SL min PL SL min RP SL min O 5. Click Fly Along again to pause at any Parallel Snapshot PrintTools Export W 590 W 590 W 590 W 590 Ranges C 95 C 95 TO C 95 C 95 O time; resuming restarts the animation. + 14 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 15 Job Aid Effective Date: 21 Oct 2024 | QR700013946 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2024