Somaris 10 Reconstruction Job Aid

SIEMENS Healthineers Reconstruction Somaris 10 Effective Date 28 Oct 2024 | QR700014538 Unrestricted © Siemens Healthineers, 2024 Reconstruction SIEMENS Healthineers Table of contents Reconstruction Types 3 Inline Results 6 Parallel Ranges 11 2 2 Unrestricted © Siemens Healthineers, 2024 Reconstruction Types SIEMENS Healthineers Recon Type – SOM 10 Wording SOM 5/7 When to use Icon Fix Axial “On” Axial • System coordinates aligned axial slices • Series description Abdomen 5.0 B30f If thin-slices are required - down to 0.6 mm (e.g., for postprocessing) Recon job type o Axial . 3D • Recon range can not be rotated Recon region: Narrow Wide • Alpha algorithms available for FAST Planning available, but auto None no FAST 3D • Only squared matrix size Fix Axial “Off” 3D (Workstream 4D) • Patient-aligned slices in one orientation: axial, coronal, Series description Abdomen 5.0 MPR ax sagittal • Recon range can be rotated Recon job type . Axial . 3D • If whole body regions are reconstructed (e.g., using Alpha Recon axis axial Type MPR algorithms for FAST Planning in combination with FAST 3D auto squared and non-squared FAST 3D M Inline Results: N/A • Patient-aligned slices in 3 orient.’s: axial, coronal, sagittal Orientation Multi Recons • If at least 2 orientations are required • Faster and easier • FAST Planning and FAST 3D can be used • Fix-axial must be “Off” auto • Squared and non-squared Inline Results: N/A • Fix Axial On and Off (with squared and non-squared matrix) Impression Multi Recons (2) can be used Inline Results: • If either 2 or 3 different recons are required with different Impression Multi Recons (3) image impression settings, like Window, Kernel, iMAR, iBHC auto 3 Unrestricted © Siemens Healthineers, 2024 Reconstruction Types SIEMENS Healthineers Recon Type – SOM 10 Wording SOM 5/7 When to use Icon Inline Results: N/A • Patient-aligned slices in one orientation: axial, coronal, Parallel Ranges sagittal • Alpha algorithms for dedicated organs (e.g., Head Temporal Bone, Abdomen Aorta, Pelvis Hip Acetabulum Inline Results: N/A • Standard radial ranges with all filter types Radial Ranges • Alpha algorithms for dedicated organs (e.g., Abdomen Aorta, Pelvis Hip Acetabulum Inline Results: FAST Spine • Segmentation of the spinal canal Spine Ranges • Axial: separately aligned for each vertebra and labeled with the vertebra • Coronal and sagittal curved according to the spine Inline Results: N/A • For producing a reconstructed image series with Lung CAD automatically included Lung CAD results 4 Unrestricted © Siemens Healthineers, 2024 Reconstruction Types SIEMENS Healthineers Recon Type – SOM 10 Wording SOM 5/7 When to use Icon Inline Results: N/A • For producing a reconstructed image series with Parallel Rib Ranges automatically detected vessels and generated radial ranges auto Inline Results: N/A • For producing a reconstructed image series with Radial Rib Ranges automatically detected ribs and generated radial ranges auto Inline Results: N/A • For producing a reconstructed image series with Parallel Vascular Ranges automatically detected vessels and generated parallel ranges auto Inline Results: N/A • For producing a reconstructed image series with Radial Vascular Ranges automatically included vessels and generated radial ranges auto 5 Unrestricted © Siemens Healthineers, 2024 Inline Results SIEMENS Healthineers Inline Results Ready-to-read Results: Orientation Multi Recons 11 different inline results are None now available Recon Ranges Orientation Multi Recons Impression Multi Recons (2) Topogram Impression Multi Recons (3) Parallel Ranges Radial Ranges Spine Ranges Thorax Lung CAD There is no limitation for Parallel Rib Ranges the number of recons Radial Rib Ranges .... Parallel Vascular Ranges Radial Vascular Ranges 6 Unrestricted © Siemens Healthineers, 2024 Inline Results (Recon&GO) SIEMENS Healthineers Inline Results • Dedicated settings available in the Recon&GO parameter category Orientation Multi Recons • Availability of the standard parameters column depends on None the selected Recon&GO type (e.g., slice thickness and Orientation Multi Recons ............................................................................................. increment not available for rib ranges) Impression Multi Recons (2) Impression Multi Recons (3) • The content of the standard parameters depends on the Parallel Ranges selected Recon&GO type (e.g., filter types for radial ranges – Radial Ranges VRT / VRT Thin…) Spine Ranges • Lung CAD Som parameters are still available although they are not Parallel Rib Ranges applicable for the selected Recon&GO type (e.g., slice Radial Rib Ranges thickness for VRT) Parallel Vascular Ranges Radial Vascular Ranges Image Type Window Kernel SAFIRE SAFIRE Angle Strength iBHC iMAR Inline Results Organ Betwee ... VRT Preset Topogram Body Tr20 MPR Extremity Br60 On 3 Off Off Orientation Mul .. VRT Br40 On 3 Off Off Radial Ranges No Organ 10 Bone Fractures and Metal 7 Unrestricted © Siemens Healthineers, 2024 Inline Results – Multi Recons SIEMENS Healthineers Inline Results Scan/Recon Inline Results Image Image Orientation Order Kernel FAST 3D Slice Thickness [mm] Window Thorax 5.00 Br40 S3 ax Axial Feet to Head Orientation Multi Recons Thorax 5.00 Br40 S3 cor Orientation Multi Recons Coronal Front to Back Br40 On 5.00 Mediastinum auto Thorax 5.00 Br40 S3 sag Sagittal Left to Right None 3 recons: axial / coronal / sagittal with the same Window and slice thickness Orientation Multi Recons ................................................................ ....................................................................................... Scan/Recon Inline Results Image Image Slice Thickness Impression Multi Recons (2) Orientation Order Kernel Fix Axial FAST 3D [mm] Impression Multi Recons (3) Thorax 5.00 Br40 S3 ax Impression Multi Recons (2) Axial Feet to Head Br40 Thorax 5.00 Br40 S3 ax Br40 Off On 5.00 Parallel Ranges Axial auto Coronal Radial Ranges Sagittal Spine Ranges 2 axial recons with different Windows and Kernels Scan/Recon Inline Results Image Image Kernel Slice Thickness Lung CAD Orientation Order Fix Axial FAST 3D [mm] Parallel Rib Ranges Thorax 5.00 Br40 S3 ax Br40 Thorax 5.00 Br40 S3 ax Impression Multi Recons (3) Axial Feet to Head Br40 Off On 5.00 Radial Rib Ranges Thorax 5.00 Br40 S3 ax Axial Br40 Coronal Parallel Vascular Ranges Sagittal Radial Vascular Ranges 3 axial recons with different Windows and Kernels 8 Unrestricted © Siemens Healthineers, 2024 Inline Results (Recon&GO) SIEMENS Healthineers Inline Results Scan/Recon Inline Results Organ Viewing Direction High Resolution Thorax CTA 3:00 Br60 S3 axial Parallel Ranges Head Temporal Bone R Feet to Head Off Orientation Multi Recons None Scan/Recon Inline Results Image No. of Image Slice Thickness Orientation Order [mm] Kernel Angle Between Images Images [*] Orientation Multi Recons ............................................... 3.00 Impression Multi Recons (2) Thorax 3.00 Br60 S3 sagittal ... Radial Ranges Sagittal 19 Left to Right Br60 10 Axial Impression Multi Recons (3) Coronal Sagittal Parallel Ranges Radial Ranges Scan/Recon Inline Results Image No. of Image Slice Thickness Increment Orientation Images Order [mm] [mm] Kernel Spine Ranges Thorax 3.00 Br60 S3 sagittal ... Spine Ranges Sagittal 60 Left to Right 3.00 3.00 Br60 Lung CAD Axia Parallel Rib Ranges Coronal Sagittal Radial Rib Ranges Image Parallel Vascular Ranges Scan/Recon Inline Results Image Orientation Order Kernel Filtering of LungCAD Markers Radial Vascular Ranges Thorax 0.80 Br60 S3 Lung CAD Axial Feet to Head Br60 Show solid nodules only Show solid nodules only ................................... ............ Show solid and subsolid nodules 9 Unrestricted © Siemens Healthineers, 2024 Inline Results (Recon&GO) SIEMENS Healthineers Scan/Recon Inline Results Increment [mm] Kernel Window Matrix Size Start Position [mm] End Position [mm] Inline Results Thorax Br60 S3 Rib Parallel Rib Ranges 3.0 Br60 Bone 512 -30 30 auto Orientation Multi Recons None Scan/Recon Inline Results Kernel Window Matrix Size Angle Between Images [o] Start Angle [o] |End Angle [o] Orientation Multi Recons ........................................ Impression Multi Recons (2) Thorax Br60 S3 Rib Radial Rib Ranges Br60 Soft-Tissue 512 10 180 O Impression Multi Recons (3) auto Parallel Ranges Scan/Recon Inline Results Slice Thickness Increment Radial Ranges [mm] [mm] Kernel CPR Type Vessel Vessel Label Spine Ranges Lung CAD Thorax 3.00 Br60 S3 Parallel V ... Parallel Vascular Ranges 3.00 3.00 Br60 Curved Aorta (Auto) Parallel Rib Ranges auto Radial Rib Ranges Scan/Recon Inline Results Slice Thickness Kernel Angle Between [mm] Images [o] CPR Type Vessel Vessel Label Parallel Vascular Ranges Radial Vascular Ranges Thorax 3.00 Br60 S3 Radial Va ... Radial Vascular Ranges 3.00 Br60 10 Curved Aorta (Auto) auto 10 Unrestricted © Siemens Healthineers, 2024 Workstream 4D (Fix Axial “off”) vs. Parallel Ranges SIEMENS Healthineers Workstream 4D Inline Results Inline Results Parallel Ranges Orientation Multi Recons Orientation Multi Recons None None Orientation Multi Recons ............................................................................. ........................... Orientation Multi Recons ............................................................................... Impression Multi Recons (2) vs Impression Multi Recons (2) Impression Multi Recons (3) Impression Multi Recons (3) Parallel Ranges Parallel Ranges Radial Ranges Radial Ranges Spine Ranges Spine Ranges Lung CAD Lung CAD Parallel Rib Ranges Parallel Rib Ranges Radial Rib Ranges Radial Rib Ranges Parallel Vascular Ranges Parallel Vascular Ranges Radial Vascular Ranges Radial Vascular Ranges Fix Axial Image Type FAST Planning FAST Inline Inline Planni ... FAST 3D Results Results Image Type Parallel Ranges MPR Off MIP Thin Thorax - Lung Wide On None MPR MPR MIP Thin MIP Thin MinIP Thin 11 VRT Thin Unrestricted © Siemens Healthineers, 2024 Workstream 4D (Fix Axial “off”) vs. Parallel Ranges SIEMENS Healthineers Workstream 4D Options When to use Recon UI Provides graphical planning including rotation FAST Planning • Simple 3D ranges • Whole body regions (e.g., Thorax / Abdomen) FAST 3D Rotated according to the patient’s body angulation (not organ specific) MPR / MIP Using Filter Type MPR / MIP only 12 Unrestricted © Siemens Healthineers, 2024 Workstream 4D (Fix Axial “off”) vs. Parallel Ranges SIEMENS Healthineers Parallel Ranges Options Purpose When to use Recon UI N/A Only the input box can be planned / no angulation FAST Planning Defines the input box for the algorithm Always Organ (simple) Thorax / Abdomen / Pelvis corresponds It is better to use WS4D because it is faster / better to the FAST Planning range image quality, and you can define the box more precisely in the recon UI Organ (specific) Dedicated Organ presets include organ- Organ-specific reconstructions include angulation specific angulation (e.g., Orbita, Temporal Bone, Hip Acetabulum) FAST 3D N/A MPR MIP Thin N/A • Organ (simple): if VRT Thin or MinIP Thin is VRT Thin / required MinIP Thin • Organ (specific): if any filter type is required including Table Removal and Bone Removal for filter type MIP & VRT 13 Unrestricted © Siemens Healthineers, 2024