PET Rest and Stress Cardiac Postprocessing Job Aid

PET Rest/Stress Cardiac Postprocessing Biograph mMR VE11P Feb 2022 Due to susceptibility to motion in the thorax and heart, PET data needs to be aligned over the MRAC UMAP image (MRAC UMAP with PET NAC image from inline reconstruction). 1. From the browser, select MRAC Dixon UMAP and load in the 3D MPR card. 2. Choose the corresponding NAC data and select the 3D Fusion icon. 3. Place the crosshairs over the left ventricle. a. On the Axial, Cor, and Sag planes, find an image where you can see the heart in a horseshoe shape. b. Check all 3 planes after changing the registration for accuracy. Cor Tra 4. Within the 3D task card, select the Image tab. 5. Select Registration to move the PET data. You will be able to left click and drag as necessary. 6. Align the heart and lungs. 7. Select OK on the Fusion Registration pop-up window. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2022 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 04/06/2022 | HOOD05162003265072 Healthineers 8. Ensure the PET Cardiac is not in the lung field. Viewing Type |Orien .. Image -O Filming auto Setti ... Registration 3D 9. Under Applications, select the Retro Recon task card and drag the raw data into the queue. 3D Presets RetroRecon 10. Select the Preset tab on the right side of the screen to verify the correct raw data. 11. Select the correct names. 12. Start from the bottom up, first do AC Static then Gated (ensure to change the lines on the Histogram accordingly for every heart Rest/Stress), then MBF. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 04/06/2022 | HOOD05162003265072 Healthineers Page 2 of 4 13. Click the Start button to begin the reconstruction. This will save the reconstructions auto- matically. Be aware that it takes some time to reconstruct all the data and display in the browser/database. Gated Cardiac Load preset X Manage Adjust Presets histogram to Name Date OSORIO C-11 PIB [40 - 60 MIN](copy) 6/9/2021 the peak OSORIO C-11 PiB [50 - 70 MIN](copy) 6/9/2021 CMap OSORIO F-18 FBB [100-120MIN](copy) 6/9/2021 OSORIO F-18 FBB [90-110MIN](copy) 6/9/2021 ABAMONT^TRAC PETMRI CARDIAC DYN REST (MBF) 1/5/2022 Common | Filter Gating Dynamic | MoCo PETMDI CARDIAC DYN STRESS /MR 1/5/2022 Gating Scan Duration 72 PETMRI CARDIAC GATED REST 1/5/2022 PETMRI CARDIAC GATED STRESS 1/5/2022 Trigger Mode | Cardiac Delay 0 Tho_N-13 NH3 PETMRI CARDIAC REST AC 1/5/2022 Signal Source ECG Duration 720 PETMRI CARDIAC STRESS AC 1/5/2022 Skip After Bad Trigger 0 Sampling Gates 8 Upper Trigger Threshold 112 Base On Average Lower Trigger Threshold 93 +/- 11 %Ave mamaMama Load Cancel Help Gating Start Cancel Patient |Recon AC Waiting for scan instructions. -FL SAR-NM 1/5/2022 9:41:11 i S c | X Start Cancel Patient Recon AC iting for scan instructions. Stimu=FL SAR=NM 1/5/2022 10:09:35 AM 14. You should have a total of 6 retro reconstructions (datasets) within PET cardiac. Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 04/06/2022 | HOOD05162003265072 Healthineers Page 3 of 4 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's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. 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. Copyright © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters Local Contact Information Legal Manufacturer Siemens Healthcare GmbH Siemens Medical Solutions USA, Inc. Siemens Medical Solutions USA, Inc. Henkestr. 127 91052 Erlangen, Germany 40 Liberty Blvd. Molecular Imaging Phone: +49 9131 84-0 Malvern, PA, USA 19355-9998 2501 N. Barrington Road siemens-healthineers.com Telephone: +1-888-826-9702 Hoffman Estates, IL, USA 60192 siemens.com/healthcare Telephone: +1 847 304-7700 siemens.com/mi Unrestricted | Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 04/06/2022 | HOOD05162003265072 Healthineers Page 4 of 4