NAEOTOM Alpha Photon-Counting CT Job Aid (VA40)

SIEMENS Healthineers NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) Template Effective Date: 27 May 2019 | HOOD05162003010284 Job Aid Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers Table of Contents Introduction to the NAEOTOM Alpha 3 Scan Modes on the NAEOTOM Alpha 6 SIEMENS Healthineers CARE keV on the NAEOTOM Alpha 11 Photon-Counting on the NAEOTOM Alpha in a Nutshell 13 NAEOTOM Alpha 2 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers Introduction to the NAEOTOM Alpha – 1 The NAEOTOM Alpha Launched in 2021, the NAEOTOM Alpha is the world’s first commercially available clinical whole-body photon-counting SIEMENS Healthineers CT scanner. Equipped with 2 Vectron tubes and 2 QuantaMax photon- NAEOTOM Alpha counting detectors, the NAEOTOM Alpha offers high-resolution spectral imaging, and the ability to always perform even the most challenging imaging examinations. 3 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers Introduction to the NAEOTOM Alpha – 2 The QuantaMax Detectors EID PCD 120 kV, 30 mAs The 0.2 mm pixel size of the QuantaMax detectors provides high-resolution imaging, without the use of detector septa or post-patient comb filters which would reduce dose efficiency. Photon-counting detector technology provides increased Contrast-to-Noise Ratio (CNR), as well as a complete elimination of electronic noise while allowing intrinsic spectral sensitivity in almost any scan, including high pitch turbo-flash spiral acquisitions. Comparison of image quality between energy integrating detector (EID) and Quantum technology counts and converts each single X-ray photon directly photon-counting detector (PCD) into signal without down-weighting of low energy photons. Courtesy of Mayo Clinic, Rochester, Minnesota, USA. Ongoing research. All data shown are acquired using non-commercial system(s). What this means: Improved image quality, and always reliable and reproducible quantitative CT results while saving radiation dose and contrast dose to patients. 4 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers Introduction to the NAEOTOM Alpha – 3 Clinical Potential Photon-counting technology has the potential to bring about the following benefits in multiple clinical fields, such as: Cardiology Pulmonology The potential to provide additional The potential to provide additional information for the evaluation of coronary information for the evaluation of interstitial artery disease and offer more detailed follow- lung disease and other pulmonary conditions, up information even in challenging situations, such as COVID-19 and CTEPH. such as revascularization assessment. Oncology Other The potential to detect and characterize The potential for future research applications, suspicious lesions and offer additional + such as studying the benefit of new contrast information for the evaluation of tumor media. treatment responses. 5 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers Scan Modes on the NAEOTOM Alpha General Concept The VA40 NAEOTOM Alpha scan mode concept follows the same philosophy as the other VA40 scanners in our Somaris X family. The selected scan mode will influence the scan protocol parameters, mainly kV, filters, and corresponding scan parameters. On the NAEOTOM Alpha, there are two new scan mode key words: • Quantumplus • Quantum These key words support the scan parameters relevant to spectral image acquisition and reconstruction, as well as spatial and temporal resolution. The main scan modes can be combined with different key words / features, e.g., Sn, Xcare, Flash, Highresultra, etc. On the next slides, we will introduce these scan modes to you. 6 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers Quantumplus Scan Mode Quantumplus The main and signature scan mode of the NAEOTOM Alpha for standard scans. SIEMENS Healthineers Quantumplus offers: • Full spectral capabilities – always MAZOTON Alphe • Full advanced Dual Energy reconstructions with the ability for standardized reading and quantifications • Consistent results for processing algorithms 7 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers Quantum and QuantumSn Scan Modes Quantum The scan mode for low tube voltages (e.g., 90 kV). SIEMENS Healthineers Quantum standard scans allow for monoenergetic spectral reconstructions and are optimized for scans with very low dose. Quantum scan modes are also found in all pediatric protocols. Our QuantumSn scans with tin filter allow for monoenergetic spectral reconstructions and are optimized for non-contrast scans. VWV O 8 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers Ultra High Resolution Scans Highresultra The Ultra High Resolution (Highresultra) scan mode gives access to high spatial resolution and allows for reconstructions with kernels up to Br98. Since the high resolution is achieved by the ultra fine pixels of the QuantaMax photon-counting detector, no dose is lost to a UHR comb. O 9 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers Dual Source Scanning Dual Source Dual Source indicates a scan with both X-ray tubes. This mode is used in Flash scans and for cardiac scanning. Using Dual Source scanning, a temporal resolution of 66 ms can be achieved for fast cardiac scanning. Now that Dual Source scanning can be combined with Quantumplus (see page 7), full spectral information and reconstructions can be utilized in Flash and cardiac scans. 10 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers CARE keV on the NAEOTOM Alpha – 1 What is CARE keV? • CARE technologies in our scanner portfolio provide dose and contrast efficiency, as well as image quality, with every scan. CARE keV • CARE keV is an adaptation of CARE kV specifically developed for photon-counting technology. In combination with CARE Dose 4D, both dose relevant parameters, tube current and tube voltage, are tailored to the individual patient, the system capabilities, and the clinical task. 11 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers CARE keV on the NAEOTOM Alpha – 2 Advantages of CARE keV • CARE keV takes the dose efficiency of monoenergetic reconstructions into account by automatically adjusting the appropriate kV and effective mAs settings. This optimizes the applied dose while maintaining the image quality, that is, the CNR (Contrast-to-Noise Ratio) at specific keV levels. • CARE keV provides consistent CNR levels across all scan modes, offering a holistic solution for photon-counting scanners. • CARE keV and CARE Dose 4D modulate the applied kV, mAs, and reconstruction keV to provide optimal dose efficiency and image quality with every scan. 12 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers Photon-Counting on the NAEOTOM Alpha in a Nutshell – 1 Unique benefits of the NAEOTOM Alpha SIEMENS Healthincery Consistent precision Elimination of electronic noise, improved CNR, and smaller detector pixels provide optimal image quality at lower doses – constantly in every scan. KAROTOM Alahe Intrinsic spectral sensitivity - Established Dual Energy applications available in all standard scans and in high pitch flash spiral examinations, so that powerful answers can be deduced from even the most challenging patients. Impressive details Because of the small pixel size, the NAEOTOM Alpha allows for high resolution scanning with no dose penalty, to enable visualization of fine details and structures. Intuitive operation Powered by myExam Companion and the GO technologies, users are supported and guided through the scan and reconstruction workflow. The easy-to-use interface provides consistent, reproducible results, regardless of patient condition or operator experience. 13 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 NAEOTOM Alpha Photon-Counting CT Job Aid (VA40) SIEMENS Healthineers Photon Counting on the NAEOTOM Alpha in a Nutshell – 2 Summary SIEMENS Healthincery ✓ The NAEOTOM Alpha is a new generation, Dual Source, whole-body, photon-counting CT scanner. ✓ The QuantaMax detectors enable precise and consistent scan results at low dose. Intrinsic KAROTOM Alahe spectral sensitivity makes a large range of clinical answers available across multiple clinical - disciplines, regardless of patient condition. ✓ The scan modes Quantumplus, Quantum, and Highresultra on the NAEOTOM Alpha control the scan and reconstruction parameters available for each acquisition. ✓ By combining Dual Source scanning with Quantumplus, full spectral information and reconstructions can be utilized in Flash and cardiac scans. ✓ CARE technologies such as CARE keV help to achieve appropriate dose and CNR with each scan. ✓ myExam Companion and the GO technologies are some of the powerful user-friendly workflow improvements also found on the NAEOTOM Alpha. 14 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 15 Effective Date: 30 Nov 2021 | HOOD05162003234821 Unrestricted © Siemens Healthineers, 2021