Processing a Cardiac Planar Gated Bloodpool Study (MUGA) Job Aid

Processing a Cardiac Planar Gated Bloodpool Study (MUGA) MI Essentials -- SPECT Description: The purpose of this document is to assist you in navigating the Planar Gated Bloodpool activity to calculate ejection fraction, display wall motion, and analyze cardiac volume curves. 1. Select the desired static or whole body series from the MI Apps Patient Browser and launch the MUGA processing workflow. 2. Select the Gated Bloodpool activity and select the Processing tab. 3. Select the button Determine LV Center. Settings| Processing sults Fitting Results Data Selector mnage & ROIs LAO-Gated [Results] 12/10/2015 % 17 100 Series Filter O Slot:2 230 % Counts slot 3.231K Counts slot4 231K Counts Duration : 26msec slot8 228K Counts lot7 228K Counts Gated Bloodpool 3 0 0 All Frames Zoom Ventricular ROI Background ROI Hard Copy 100 100 100 0 Fr.8 OK Picel Units 64x64 Frit OK Pixel Units 64X64 dit ROI Threshold : Complete Suspend Setup Determine LV center .. ROI Tool ... ROI Tool Effective Date: 08/21/2018 | HOOD05162002931930 SIEMENS siemens.com/healthineers Healthineers Job Aid | Processing Cardiac Planar Gated Bloodpool Effective Date: 08/21/2018 | HOOD05162002931930 4. The Ventricular ROI window will open. Click the center of the left ventricle. entricular ROI % 100 0 Cancel 5. ROIs will automatically be drawn around the left ventrical in all frames as well as a background. 6. If the ROIs need to be readjusted, select the ROI Tool button. 7. Determine the LV end diastolic frame. Select the Freehand ROI tool and draw a new ROI. Select OK. Ventricular ROI x Display Frames Select ROI ROIs : Ventricle ROI Color Fr:1 OK Pixel Units 64x64 OK Cancel 8. Select the ROI Tool button again and scroll to the LV end systolic frame. Select the Freehand ROI tool and draw a new ROI. Select OK. Ventricular ROI Display Frames Select ROI ROIs : 100 Ventricle ROI Color: Fr:12 OK Pixel Units 64x64 OK Cancel Siemens Healthineers Services Page 2 of 4 Job Aid | Processing Cardiac Planar Gated Bloodpool Effective Date: 08/21/2018 | HOOD05162002931930 9. If the background ROI is not in a satisfactory area, you can move or redraw it using the ROI Tool button. Background ROI % 100 0 Fr.12 0K Pixel Units 64x64 Edit ROI Threshold : ROI Tool . 10. Select the Results and Fitting Results tabs to view results. Settings Processing Results Fitting Results Settings Processing Results Fitting Results End Diastole End Systole Ejection Fraction Acquisition Summary Item Volume Curve Fitting Results Heart Rate [bpm] # of Useful Frames item Value Cuit curve Frame Time [msec] 10000 PER Harmonics 3 Beat Window [%] 5000 EDC [count] 10518 Framing Method PONT ESC [count] 4861 Total Beats O TES [msec] 240 Accepted Beats 1019 TPE [msec] 142 Rejected Beats -5000 PER(/SV) [%/sec] 737 8 Max. R.R Time [msec] -10000 TPE/T [96] 23.7 Min. R-R Time [msec] TPF [msec] 213 -15000 PFR(/SV) [%/sec] 506.3 Phase TPF/TF [%] 59.0 [dv/dt x10] : [count] Amplitude Stroke Volume Paradox -20000 1/2FF(/SV) [%] 23.6 0 50 100 150 200 250 300 350 400 450 500 550 600 Time Imseci Beats 1000 1600 EF Results olume Curve Valuest [count) Item Value 25000 EF [%) 53.9 ED 20349 20000 13 EDC[count] 19393 14 ED Area [pixel] 175 ESC [count) 10764 15000 8754 15 ES 9037 16 ES Area [pixel] 105 17 BGC(Ave.) [count] 57.0 10000 18 TES [msec] 250 5000 19 20 Count (count) EDIES Selection Mode 0 50 150 250 21 · Automatic Timeimsecl .SAL && SEEV/A 4869 22 23 10298 Manual 24 Siemens Healthineers Services Page 3 of 4 Job Aid | Processing Cardiac Planar Gated Bloodpool Effective Date: 08/21/2018 | HOOD05162002931930 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 (herein- after 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 2018 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018