SOMATOM go. Platform VA40 Improvements Job Aid

SIEMENS Healthineers syngo CT VA40 Improvements Job Aid SOMATOM go. Platform Version 2021.11 Template Effective Date: 27 May 2019 | HOOD05162003010284 Effective Date: 08 Feb 2022| HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 syngo CT VA40 Improvements Job Aid SIEMENS Healthineers Table of Contents General CT workflow Exam/Recon improvements 3 SIEMENS Healthineers myExam Companion improvements 25 CARE Dose4D & CARE kV improvements 39 syngo CT VA40 Improvements Job Aid CT View&GO improvements SOMATOM go. Platform 50 Exam Designer improvements 62 Version 2021.11 Template Effective Date: 27 May 2019 | HOOD05162003010284 Effective Date: 08 Feb 2022| HOOD05162003244317 Scan protocols improvements 67 Unrestricted @ Siemens Healthineers, 2022 General syngo improvements 72 Cardiac CT improvements 75 Dual Energy improvement 83 2 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers SIEMENS Healthineers 11 Scan Recon Test ? M # * 8/8/1988 (32) M 123456 syngo CT VA40 Improvements 1.591 Test H SOMATOM X.cite Test AH Topogram 123456 123456 SOMATOM X.cite MAS *8/8/1988, M, 32Y syngo CT VA40A *8/8/1 988, M, 32Y syngo CT VA40A Recon Ranges HFS Brain 5/20/2021 5/20/2021 11:57:48.49 AM 11:58:41.53 AM Brain Job Aid 1 IMA1 TP1 -876.2 101 IMA 15 Topogram TOP 101 TP2-743:7 RTD 201 TP -750.0 LEN 132.5 GT -23 TP -814.0 Thorax auto Preconditions Topogram Brain A R CTDIvol (16 cm) 56.5 mGy SSDE (10.5 cm) 67.5 mGy Thorax DLP 837 mGy*cm 10cm General CT Workflow Eff. mAs 310 KV 120 Exposure Time KV 120 7.37 s KV Sn140 Eff. mAs 310 Brain Check image quality mA 55 L TI 1.0 TI 2.04 GT -23.0 SL 4.0/1 28x0.6 (z-sharp)/p0.55 Exam / Recon 512.0 0/0 W C 500 421.0 0/0 200 Simulator Filter Sn 50 Simulator auto Show QC X Scan Favorites General Scan Dose Timing Config Physio Scan Contrast Repeat Scan Start Auto Tasking Scan/Recon Memo Check&GO Check&GO Check&GO Image Type Orientation Orientation Scan Start Improvements Brain Manual MPR Sagittal Start Button Check myExam Compass Activate Brain scan TH Recon All GO Cancel L 25 7.85 B.3s 1.1s .85 12 6 6 O O O 5 3 Click to add footnote Effective Date: 08 Feb 2022 | HOOD05162003244317 second line Unrestricted © Siemens Healthineers, 2022 General syngo Improvements SIEMENS Healthineers New Tile on Home Screen – Restart Application • It only restarts the software – not the whole system • After doing some system configurations, it is better to use Restart Application • It is much faster than Restart System • Job View dialog is also shown for Restart Application, CH Restart the So aris Application Examination System Check Restart Lock same as for Shut Down • Restart System is still available Restart System Shut Down System Application Restart X If there are background recon jobs running, restarting the application may take longer than expected. Click Job View to display all active processes. Examinat Restart Application Job View Cancel Lock 4 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Larger Focus Scope of Range Box Test Routine scan ranges 123456 SOMATOM X.cite +8/8/1988, M. 32Y syngo CT VA40A • Larger focus scope for better recon box 5/1.0/2021. HFS 9:43:58.87 PM handling. 2 IMA 1 Test H SOMATOMX.cite TOP 101 123456 TP -750.0 +8/8/1988. M. 32Y syngo CT VA40A 5/1 0/2021 HFS • It is much easier to grab and position the 9:43:58 87 PM 2 IMA 1 TP1 -1.001.0 range! TOP 101 TP2 -1,011.0 TP -750.0 LEN 10.0 FOV 300x300 Bolus tracking/Test bolus range • Resizing handles have been removed. R • Larger focus scope for better recon box R handling. 30cm 10cm • Change applies for all scans which can not be resized KV Sn100 mA 55 A TI 3 32 512.0 0/0 350 KV Sn100 Simulator Filter Sn 50 NE mA 55 TI 3.32 512.0 0/0 350 Simulator Filter Sn 5 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Display of Repeated Scan Range on Timeline • When there are several ranges displayed in timeline, the eneral Scan Dose Timing Config Physio Scan Contrast - - repeated range will not be hidden any more. Scan Mode Decision Trees CARE Dose4D & CARE KV CARE KV IQ level CARE KV DLP optimized for CTDIvol [mGy] [mGy*cm] Pitch RoutineSpiralAdultAngioBody Full 70 Auto (Vascular) (32 cm) 1.14 35.2 1.50 • The timeline will be automatically adapted so that the repeated range (violet) will be visible and be displayed at Show Parameters the right end of the time line, because the focus jumps to Jelete 4 mills 4 ml/s Repeat there now. Open Edit Mode Create Image with Reference Lines You don’t need to press the arrow to scroll the timeline to 0.3s 1.1s 3.9s 3.95 • 10 18.1 6 the right side. 10 20 25 30 O 10 O eneral Scan Dose Timin Config Physio Scan ontrast - - - - Scan Mode Decision Trees CARE Dose4D CARE KV IQ level CART KV CTDIvol [mGy] DLP & CARE KV Opt mized for [mGy*cm] Pitch RoutineSpiralAdultAngioBody Full 70 Auto (Vascular) 32 cm) 1.14 35.2 1.50 4 ml/'s 4 ml/'s 1.1s 3.95 3.9s 3.9s 10 18.1 6 Repeated range 6 10 15 20 25 30 0 10 6 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Plan Scan Range on the First Topogram If an examination contains multiple topograms, SIEMENS Healthineers". 2 11 Test ? M # Recon 8/8/1988 (32) M 123456 to plan the next scan range on either of the CH 1.591 Test H Topogram 123456 SOMATOM X.cite topograms, the workflow becomes easier now in MAS *8/8/1 988, M, 32Y syngo CT VA40A Recon Ranges HFS Brain 5/20/2021 11:57:48.49 AM Topogram TP1 -876.2 syngo CT VA40. 1 IMA 1- - Topogram TOP 101 TP2 -743.7 LEN 4333 TP -750.0 LEN 132.5 GT -23 Thorax Preconditions V Brain 1. Select the topogram from the timeline on Brain auto which you would like to plan the range, this CTDIvol (16 cm) 56.5 mGy SSDE (10.5 cm) 67.5 mGy Topogram topogram will be displayed. DLP 837 mGy*cm Eff. mAs 310 KV 120 Exposure Time 7.37 s Thorax Check image quality 2. Select the scan range from the timeline, the 10cm selected topogram will be kept, the scan 3 Show QC Brain range will be displayed on this topogram Repeat Scan Start Auto Tasking auto image, as long as the patient position is not KV Sn140 moved during the whole examination. FAST mA 55 TI 2.04 512.0 0/0 500 planning will automatically adjust the range Simulator Filter Sn 50 nE position if a proper topogram is used. Check myExam Compass Activate Brain scan TH 1 2 Recon All GO Cancel 3. To manually adjust the scan range, you need 25 Topo1 7.8s Topo2 3.3s 4.1s 7.8s 6 to select the recon job. 10 5 10 10 O O O O O 7 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers “Scan Reference Lines” for Tilted Ranges are Removed • The software does not create Scan reference lines for 11 Recon Test 8/8/1988 (32) M 123456 ? M * Scan tilted ranges. min 1.591 Test H 123456 SOMATOM X.cite Test AH 123456 SOMATOM X.cite syngo CT VA40A syngo CT VA40A Recon Ranges MAS *8/8/1 988, M, 32Y 5/20/2021 HFS *8/8/1988, M, 32Y 5/20/2021 HFS 11:57:48.49 AM 11:58:41.53AM Brain • The parameter Scan Ref. Lines is no longer available for 1 IMA 1 TP1 -876.2 101 IMA 15 TOP 101 TP2 -743:7 TP -750.0 LEN 132.5 RTD 201 GT -23 TP -814.0 tilted ranges. auto Topogram A IR Thorax Ocm 10cm KV 120 KV Sn140 Eff. mAs 310 Brain mA 55 L TI 1.0 TI 2.04 GT -23.0 SL 4.0/1 28x0.6 (z-sharp)/p0.55 512.0 0/0 W 500 Simulator Filter Sn C 50 421.0 0/0 Simulator auto X Scan Favorites General Scan Dose Timing Config Physio Scan Contrast - - - Scan/Recon Memo Check&GO Check&GO Image Type Check&GO Orientation Scan Start Scan Ref Brain Manual MPR Sagittal Start Button -CH 25 7.85 3.3s 4.15 7.8s L 6 E E O 10 10 10 10 O O O 8 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Hint for Gantry Acceleration syngo CT VA30 Loading scan parameters ... Main console • After the topogram, there is a waiting time due to the gantry acceleration without any hint for the user. Confirm GO Cancel syngo CT VA40 L • New hint of Gantry accelerating is displayed below the control buttons during the waiting time on the main Gantry accelerating console. • This hint is also shown in Scan&GO. Scan&GO 3.3 s 6 s 3.9 s Topogram Thorax -1262.0 w Gantry accelerating Cancel GO 9 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Display of Parameters for Multi Recons in Job View Tab syngo CT VA30 Test CH 8/8/1988 (32) M 123456 ? H Ö Some parameter are not displayed for multi recon jobs in Pose Overview Job View • Series Description Requested P Recon Progress Order Auto Recon Auto View&GO Transfer Nodes Auto Transfer Auto Printing Local Application Workflow syr Job View. bring Premonitoring 10.00 Br36 Off Off Off None No Monitoring 10.00 Br36 Off Off Off None No CTA Thorax 5.00 Bv36 A3 sag Off PACS Off On CTA Thorax 5.00 Bv36 A3 cor On On SYNGOVIA On Off None syngo CT VA40 CTA Thorax 5.00 Bv36 A3 ax On PACS; SYNGOVIA Off On TA MOTOX 2.00 DIOU AD ax CTA Thorax 5.00 Br40 A3 ax On Off Off None No CTA Thorax 3.00 Bv36 A3 Radial Vascular On Off Off None No • All parameters (e.g. Transfer Nodes, Auto Printing) for multi recon jobs are now displayed and can be configured Cancel Prioritize for every single recon job. EN 10 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Remove Protection for Multiple Data in Manage Raw Data Dialog • In Manage Raw Data dialog, all actions are performed Manage Raw Data ? X depending on the selections in the check boxes. Delete Export Import • In syngo CT VA40, with multi selection you are able to remove protection of Reconstruction Pending for multiple Only raw data files that do not have protection may be deleted. Check the protection flag status. raw data files: Patient Study Description Range Description Modality Protection Flags Size 1. Check the checkbox at the left side of the data. Hart, Dick Abdomen [factory] (Ad Topogram CT Kemp, Angel Thorax [factory](Adult Topogram CT Mcconnell, Napoleon Thorax CTA [factory](A Topogram CT 2. Right mouse click, select Remove Protection. Mcconnell, Napoleon Thorax CTA [factory](A Premonitoring CT Mcleod, Carlo Thorax [factory](Adult Topogram CT Salas, Jayson Abdomen [factory](Ad Topogram CT Sullivan, Lana Abdomen Multi Phase Topogram CT V Sullivan, Lana Abdomen Multi Phase Non Contrast Liver CT Reconstruction Pending 1,7 1 Thorax [factory](Adult Thorax CT Brain [factory](Adult) Thorax CT Test, Brain [factor:14d .. (4) 2 CT Reconstruction Pending 3,2 Test, Thorax CTA [ Remove Protection CT Test, Brain [factory](Adult) Topogram CT Test, Thorax [factory](Adult Topogram CT Test, Brain [factory](Adult) Topogram CT Total Size: 5,001.34 MB Show all available rawdata files Delete Cance 11 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Absolute Start Delay for Repeated Range syngo CT VA30 10cm 10cm • The absolute start delay has been copied from previous scan. KV 70 Eff. mAs 95 KV Sn100 mA 55 A Quality ref. mAs 250 syngo CT VA40 TI 0.3 F 11 3.32 GT 0.0 350 SL 4.0/64x0.6/p1.5 51 2.0 0/0 421.0 0/0 125 Simulator Filter Sn Simulator DE • Repeated scan ranges now have the minimum absolute Show Parameters Delete start delay. In case the original scan range was not 3 ml/s Repeat -CH successful, for example, contrast media has been applied, Open Edit Mode Create Image with Reference Lines but no or very few contrast media was shown in the target image due to e.g. slower blood circulation of the patient, L 3.35 3.95 6 25 the user can repeat the last range, without adjusting the start delay and perform the repeated scan within a shortest time. 3 ml/s 3 ml/s Repeated range 3.9s 25 ------------- 11 10 15 20 25 30 35 5 10 O 12 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Sorting in Patient Instruction and Scan Mode Selection • Patient instruction languages are ordered according to • Basic scan modes are now sorted with respect to their the selected UI language. clinical relevance. Afrikaans Alemán Scan Mode Árabe Bengalí Birmano RoutineSpiralAdultHeadSnXcare Búlgaro liza RoutineSpiralAdultHead Cantonés RoutineSpiralAdultHeadHighres odo de ( Checo RoutineSpiralAdultHeadHighresplus Chino ...................................... Coreano RoutineSpiralAdultHeadSn nificExp Croata RoutineSpiralAdultHeadSnHighres Danés RoutineSpiralAdultHeadSnHighresplus Eslovaco RoutineSpiralAdultHeadXcare Español RoutineSpiralAdultHeadSnXcare Farsi Finlandés RoutineSequenceAdultHead Inglés RoutineSequenceAdultHeadHighres O Instrucción al paciente 6 Inspiración 5 10 O 13 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers CARE Contrast* – Flow User enters a flow value > maximal value SIEMENS . Healthineers Scan Recon Test * 8/8/1988 (32) M 123456 ? M # CH Topogram Test -H- - 123456 SOMATOM X.cite Recon Ranges Preconditions MAS *8/8/1988, M, 32Y syngo CT VA40A • Parameter Flow is displayed as invalid 5/13/2021 Contrast 2:52:42.27 PM Topogram (yellow background). 2 IMA 1 TP1 -1,043.2 TOP 101 TP2 - 762. Pressure Limit: 1,000 kPa LEN 280.7 TP -7500 Fluid Injector Required Thorax Contrast 500 ml 2 70 ml The according coupled measurement can’t Contrast protocol has been declined by • Saline 500 ml 2 40 ml the injector: Flow too high (Phase 1). R be loaded. Contrast protocol has been declined by the injector: Flow too high (Phase 1). FAST Planning • The examination workflow can only be FAST 3D Scan Parameter Check V KV Sn100 mA 55 A proceeded after a valid flow value is entered. Thorax TI 2.53 512.0 0/0 W 350 Simulator Filter Sn C 50 CTDIvol (32 cm) 1.49 mGy SSDE (11.4 cm) 3.64 mGy DLP 47.0 mGy*cm Contrast User enters a flow value < minimal value CH Eff. mAs 87 Scan/Recon Contrast Protocol CM Name lodine Concentration [mg/ml] Phase Type Flow Volume [ml] Duration CM Ratio KV 70 [ml/s] [s] [%] Exposure Time 1.81 S Thorax 300 Value is automatically adjusted to the Contrast Invalid contrast protocol Contrast 12.0 70 • 16 100 allowed minimal flow value of the connected injector. Invalid contrast protocol 12 ml/s 3 ml/s Confirm GO Cancel 2.5s 3.9s 6 25 10 15 O O EN 14 * CARE Contrast is an optional feature. If you are interested in this option, please contact your local Siemens Healthineers Effective Date: 08 Feb 2022 | HOOD05162003244317 sales representative to get more information on the feature and its requirements Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Additional FAST Planning Ranges > Dental > Cerebrum Spine > Orbita Head Trauma > Pelvis Sinuses Head Frontal > Vascular No Tilt Head Special ¥ CAP Inner Ear Dental Lung Apex to Iliac Crest No Tilt › Orbita Lung Apex to Ischium 5/1 3/2021 HFS 5/1 3/2021 5/1 3/2021 3:30:22.64 PM TP1 -919.5 3:36:51.03 PM TP1 -959.9 3:14:23.32 PM 4 IMA 1 TP2 -853.2 5 IMA 1 TP2 -758.4 3 IMA 1 FOV 344x408 TOP 301 TOP 201 TP-750.0 LEN 66.3 TOP 401 FOV 150x150 TP -750.0 - - LEN 201.5 FOV 200x200 TP -750.0 ..... A R R 10cm 10cm 10cm KV Sn140 KV Sn140 mA 55 mA 55 A KV Sn100 mA 55 A TI 2.04 TI 2.04 TI 3:32 15 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers FAST Planning Isocenter Detection A dedicated algorithm for head iso- SIEMENS Healthineers Scan Recon Test * 8/8/1988 (32) M 123456 ? M # center detection in combination with Brain [factory] (Adult) 18 1.591 Test H 123456 SOMATOM X.cite FAST Planning is now available in Recon Ranges MAS *8/8/1988, M, 32Y syngo CT VA40A 5/13/2021 HFS Topogram 7:49:32.88 PM Topogram TP1 -877.9 syngo CT VA40: Preconditions V 1 IMA 1- TOP 101 TP2 -745.4 Brain TP -750.0 LEN 132.5 FOV 200x200 GT -23 CTDIvol (16 cm) 56.5 mGy Brain • Algorithm will detect whether the SSDE (10.6 cm) 67.0 mGy DLP 837 mGy*cm Eff. mAS 310 auto head range defined by FAST KV 120 Exposure Time 7.37 S Planning is in the iso-center or Check image quality not. When loading the range, the Reconstruction Close user is prompted to press the 10cm Move button to adapt the patient table up or down. Sn140 • This algorithm is independent of the 3D camera. 512.0 SU FE Activate Brain scan Press MOVE >> to change table -CH height Confirm GO Cance Press MOVE > to change table height O 10 EN 16 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Copy / Paste Recon Volume Parameters for Inline Results • Copy / paste recon volume parameters is now possible between all recon types before scanning. Recon Ranges Topogram Thorax Show Parameters Delete Repeat Copy All Recon Parameters Copy Recon Volume Parameters Paste All Recon Parameters Paste Recon Volume Parameters Create Image with Reference Lines Send to CT View&GO Edit Result in CT View&GO 17 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Changing the Recon Job Order • Recon job order can now be modified using Cut / Copy / Paste in • Or via drag & drop. Protocol Parameters dialog. 8 Thorax Scan Recon Test 8/8/1988 (32) M 123456 CH Protocol Selection Protocol Parameters Buto Thorax [factory] Protocol Description -Indications: mass nodes, tuberculosi pulmonary nodule Scan Favorites General Scan Dose Timing Thorax Recon Favorites General Recon Recon&GO Image Impres Scan/Recon X Recon Scan/Recon Absolute Start Slice Thickness auto Delay [s] [mm] Topogram 6.0 Topogram 0.60 Tr20 cor Thorax 6.0 Thorax 5.00 Br40 A3 cor Cut Thorax 5.00 Br40 A3 ax 5.00 Copy Thorax 5.00 BI60 A3 sag Paste Thorax 5.00 B160 A3 cor Delete 5.00 Thorax 5.00 BI60 A3 ax Thorax 10.00 BI60 A3 cor Repeat 10.00 Thorax 1.00 B160 A3 Copy All Recon Parameters 1.00 Copy Recon Volume Parameters Paste All Recon Parameters Paste Recon Volume Parameters 18 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Recon&GO Preview for Radial Ranges Test Test • Recon&GO preview segment now displays a pictogram of 123456 123456 *8/8/1988, M, 32Y *8/8/1988, M, 32Y the resulting reference image. 5/1 3/2021 5/1 3/2021 8:57:20.15 PM 8:57:20.15 PM MPR 201 MPR 201 • Eye: viewing direction (Feet to Head). R A -O- • Arrow: image order (Counter Clockwise direction). Ocn 10cm A 420 4.20 SL 4.0 50 SL 4.0 Test 123456 I 8/8/1 988, M, 32Y 5/1 3/2021 8:57:20.15 PM MPR 201 R R Image Orientation Viewing Direction Image Order 10cm F A O Axial Feet to Head Counter Clockwise 42 SL 4.0 19 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Recon&GO Preview for Radial Ranges (Examples) O A A A R R o RO RO F F F F Image Orientation Viewing Direction Image Order Image Orientation Viewing Direction Image Order Image Orientation Viewing Direction Image Order Image Orientation Viewing Direction Image Order Coronal Front to Back Counter Clockwise Sagittal Left to Right Counter Clockwise Sagittal Right to Left Counter Clockwise Sagittal Right to Left Clockwise 20 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Inline Result Inner Ear Improve Inner Ear image quality by using smaller input FoV. Inner Ear 10cm When Parallel Range is used in the recon job, go to Inline A Inner Ear 0.80 Hr68 A3 cor L Options -> Organ -> select Head Temporal Bone L/R: W 3925 SL 4.0 C 670 670 SL 4.0 Tools Inline Results Parallel Ranges Test 123456 *8/8/1 988, M, 32Y MPR 5/1 3/2021 MIP Thin Set Fov Set Ref • 150 mm FoV is used in the Inner Ear factory protocol. Segment Segment 9:56:32.55 PM MPR 301 Planning Base Preview not available Topograms The algorithm separates both inner ears for input for selected • Inline Results type. Inner Ear 10cm recon and places the recon boxes according to the RT F ............................................................................... anatomy. W 3925 C Recon 670 Cancel .0 ........ . . . . .. . . . . . . . . . . . . . . . . . . . . . . ... . . . . .................................................... Inner Ear 10cm A Inner Ear 0.80 Hr68 A3 ax R 3925 30 SL 4.0 670 Tools Inline Results Parallel Ranges SL 4.0 Test 123456 *8/8/1 988, M, 32Y 5/1 3/2021 MPR MIP Thin Set FoV Set Ref Segment Segment 9:56:32.55 PM MPR 301 Planning Base Preview not available Topograms R for selected Inline Results type. Inner Ear 10cm RT F W 3925 SL 4.0 C Recon 670 Cancel ......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...................................... 21 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Mirroring of Reconstructed Images Test • A Mirroring parameter is now available for the users to be 123456 SOMATOM X.cite Test SOMATOM X. cite *8/8/1988, M, 32Y syngo CT VA40A 123456 syngo CT VA40A able to change the image orientation during reconstruction. 5/1 4/2021 HFS *8/8/1 988, M, 32Y 5/1 4/2021 HFS 1:29:49.67 PM 1:29:49.67 PM 9 IMA 49 7 IMA 49 SPI 201 SPI 201 TP -1,010.0 TP -1,010.0 • Fix Axial must be On. Mirroring parameter can be found in Recon Box tab card. R R • Below options for Mirroring are available: 1 3 • KV 90 Mirroring KV 90 Mirroring Eff. mAs 66 Eff. mAs 66 Quality ref. mAs 159 Quality ref. mAs 159 TI 0.3 TI 0.3 GT 0.0 GT 0.0 1. None SL 5.0/64x0.6/p1.2 SL 5.0/64x0.6/p1.2 344.0 4/0 None 344.0 4/0 Up/Down Simulator Simulator 2. Left/Right 3. Up/Down Test A 123456 SOMATOM X.cite Test syngo CT VA40A 123456 SOMATOM X.cite 4. Both *8/8/1988, M, 32Y *8/8/1 988, M, 32Y syngo CT VA40A 5/1 4/2021 HFS 5/1 4/2021 HFS 1:29:49.67 PM 1:29:49.67 PM 8 IMA 49 6 IMA 49 SPI 201 201 TP -1,010.0 TP -1,010.0 2 4 0cm KV 90 Mirroring KV 90 Mirroring Eff. mAs 66 Eff. mAs 66 Quality ref. mAs 159 Quality ref. mAs 159 TI 0.3 TI 0.3 GT 0.0 GT 0.0 SL 5.0/64x0.6/p1.2 SL 5.0/64x0.6/p1.2 344.0 4/0 Left/Right 344.0 4/0 Simulator Simulator Both 22 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Multi-Impression Recons with Different Iterative Recon1 Settings • The parameters for iterative reconstructions can now be set individually for each sub recon of a multi-impression recon. • You can switch on or off, or select different strength level for each sub recon. Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon - Scan/Recon Window@120kV FAST Window Kernel SAFIRE SAFIRE iBHC Strength iBHC Material iMAR iMAR Type CTA Thorax 5.00 Br36 55 Angio On Br36 On 5 On Bone Off CTA Thorax 5.00 Br48 53 Angio On Br48 On 3 Off On Pacemaker CTA Thorax 5.00 BI60 Angio On BI60 Off Off Off 23 Effective Date: 08 Feb 2022 | HOOD05162003244317 1Applicable for SOMATOM go.All, SOMATOM go.Top Unrestricted © Siemens Healthineers, 2022 General CT Workflow Exam / Recon Improvements SIEMENS Healthineers Select CARE kV1 min / max from Dropdown List • Min / Max values for CARE kV are SIEMENS. Healthineers 2 scan 11 Recon Test 123456 Exam Designer ? M * available now in a dropdown list Back to Exam Designer Scan Protocols showing all available voltage-filter- 1. Select Protocols 2. Modify Protocols 3. Confirm Changes combinations (i.e. 80, Sn100). Protoco Scan Favorites General Scan Dose Timing Config Physio Scan Contrast Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon Auto Tasking Inline Options Find/Replace Scan/Recon Dose CH Scan/Recon CARE Dose4D CARE V & CARE KV CARE KV IQ level CARE KV optimized for Grouping KV Quality ref. mAs Eff. mAs mA CARE KV min. CARE kV max. CTDIvol [mGy] DLP Dose Notification Dose Notification KV KV [mGy*cm] CTDIvol [mGy] DLP [mGy*cm] Shaped Fil Thorax [factory] (Adult) Topogram Sn 100 55 SPR (32 cm) 0.02 0.89 0.00 0.0 Standar Thorax Full 80 Non-Contrast Off Sn 100 538 354 Sn 100 Sn 150 (32 cm) 3.29 106 0.00 0.0 Standar Sn 100 Sn 110 Sn 120 Sn 130 Sn 140 Sn 150 Select Protocols Validate Scan Mode Confirm Changes EN 24 Effective Date: 08 Feb 2022 | HOOD05162003244317 1Applicable for SOMATOM go.All, SOMATOM go.Top Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo CT VA40 Improvements Job Aid myExam Companion Improvements 25 Click to add footnote Effective Date: 08 Feb 2022 | HOOD05162003244317 second line Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers New Selection Page in myExam Cockpit* • The selection page in myExam Cockpit has SIEMENS .: Healthineers ... Scan 12 Sweet, Tanisha codOf504-ed53-4 04-ed53-4173-8806-e62ee6c76fb0 Exam Designer ? M * now the same structure as in protocol. Back to Exam Designer myExam Cockpit 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees • Decision trees can be filtered by Types: Search Decision Trees: Enter name or description Filter By: Type all Show: > Factory Trees (45) Customer Trees (4) 1. All. Select all Add folder Filter By: Type Spine (4) all 2. Scan mode dependent tree: the trees Vascular C-Spine disc or bone [factory] um necessa ... T- and L-Spine disc or bone [factory] Vascular Cardiac Scan mode dependent tree n DE possibl Spine TwinSpiral DE possible [factory] that affect scan modes. ssible [facto ... General Spine TwinSpiral metal DE possible [ ... General tree bone [fact ... Templates Upper Extremities (0) Thorax contrast medium necessary [ ... 3. General tree: e.g. Recon trees and Memo Unsorted Decis ... Neck FoV [factory] - Copy Lung screening [factory] Pelvis (3) Neck FoV [factory] Thorax and Abdomen FoV [factory] Pelvis soft tissue or bone [factory] Lower Extremities (0) Neck contrast medium necessary [fa ... Thorax and Abdomen contrast medi ... Pelvis contrast medium necessary [f ... trees. Neck VNC TwinBeam DE possible [fa ... Thorax and Abdomen VNC TwinBea ... Pelvis TwinSpiral DE possible [factory] • The Information area gives you the nformation The selected Decision Tree is used in following Exam Protocols: -Thorax [factory] (Adult) information to which scan protocols the selected trees are linked. Reset Selection Delete Export for ewing Modify Tree Information The selected Decision Tree is used in following Exam Protocols: -Thorax [factory] (Adult) 26 Effective Date: 08 Feb 2022 | HOOD05162003244317 *Needs myExam Companion advanced license Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers New Selection Page in myExam Cockpit* • Decision tree folders are available. SIEMENS .. Healthineers Scan Recon Test 123456 Exam Designer CH ? M # Back to Exam Designer • You can add new folders. myExam Cockpit 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees Unsorted Decision Tree folder: Search Decision Trees: Enter name or description Filter By: Type all • Show: Factory Trees (45) Customer Trees (2) 1. When this system is updated to syngo CT Select all VA40, all customer trees from previous Add folder Head (3) Shoulder (0) Abdomen (5) Spine (4) version can be found in this folder. Vascular Brain contrast medium necessary [f ... Abdomen FoV [factory] C-Spine disc or bone [factory] Sinus sinusitis or soft tissue [factory] Thorax (8) Abdomen contrast medium necessa ... T- and L-Spine disc or bone [factory] Vascular Cardiac RTP Brain [factory] Abdomen VNC TwinBeam DE possibl Thorax multi [factory] Spine TwinSpiral DE possible [factory] Kidney TwinSpiral DE possible [facto ... 2. User needs to manually sort the trees Neck (3) Thorax breathhold and X-CARE [fact ... Spine TwinSpiral metal DE possible [ ... General Whole Body soft tissue or bone [fact ... Thorax FoV [factory] Templates Neck FoV [factory] Upper Extremities (0) into the anatomic regions or folder Thorax contrast medium necessary [ ... Neck contrast medium necessary [fa ... Lung screening [factory] Pelvis (3) Jnsorted Decis ... structure . Neck VNC TwinBeam DE possible [fa ... Thorax and Abdomen FoV [factory] Pelvis soft tissue or bone [factory] Lower Extremities (0) Thorax and Abdomen contrast medi ... Pelvis contrast medium necessary [f ... Thorax and Abdomen VNC TwinBea ... Pelvis TwinSpiral DE possible [factory] Information Reset Selection Delete Export for Viewing Modify Tree 27 Effective Date: 08 Feb 2022 | HOOD05162003244317 *Needs myExam Companion advanced license Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers New Delay Parameters • The below 3 delay parameters are now available to be configured and set by myExam Companion. CHI Scan Favorites General Scan Dose Timing Config Scan/Recon Pitch Rot. Time [s] Exam Time [s] Patient Instruction Post Instruction Delay [s] Absolute Start Delay [s] 1. Absolute Start Delay. CTA Thorax 1.50 0.30 4.03 Inspiration 0 20.0 2. Post Bolus Delay : This parameter is only available when the range is coupled with 4 ml/s 4 ml/s -CH Bolus Tracking. It belongs to the diagnostic scan range now. 1 3.3s L Absolute Start Delay (20s) 4s 3. Post Instruction Delay (new in syngo CT VA40). 6 20 10 10 15 Info Text 20 25 O O Scan Mode CARE Dose4D & CARE KV eneral Scan Dose Timing Config Physio Scan Contrast - - CARE KV optimized for ot. Time [s] Exam Time [s] Patient Instruction Post Instruction Delay [s] Post Bolus Delay (BT) [s] Injector Coupling 0.30 3.91 Inspiration 10 20 Contrast Protocol Absolute Start Delay Post Bolus Delay (BT) 4 ml/s Post Instruction Delay 3 Post Instruction El Delay 10.3s 5.85 + Add Parameter 3.9s 10 Post Bolus Delay (20s) 5.8 o 2 10 20 25 30 35 40 28 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers Dose Notification Parameters • Dose Notification DLP and Dose Notification CTDIvol are Scan Strategies Decision Tree now available to be configured and set by myExam Companion. Sinus sinusitis or soft tissue [factory] • Dose Notification values can be set for each scan strategies individually. low dose standard dose + Add Strategy Info Level None None • Use case: set different Dose Notifications for screening and non-screening scan strategies. Info Text Scan Mode RoutineSpiralAdultHeadSnXcare RoutineSpiralAdultHeadXcare CARE Dose4D & CARE KV Full Ful CARE KV optimized for Bone/Calcium Non-Contrast CARE KV IQ level 50 100 Dose Notification DLP 0.0 0.0 Dose Notification CTDIvol 0.00 0.00 + Add Parameter Decision Tree Filter RoutineHeadAdult 29 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers New Tree: Info Template (Memo Tree) • A memo for the scan ranges can be configured via myExam Compass using the Info Template decision tree. • The memo content should be entered in the Info Text. • 2 different Info Levels can be selected for the memo. 1. Info Level = Information 2. Info Level = Important Information The message will be displayed in the myExam Compass window. The message will automatically appear before loading the range, an Accept icon needs to be clicked to proceed with the examination workflow. 1 Info template 1 (Memo tree) 2 Info template 2 (Memo tree) O Check myExam Compass template 1 template 2 Activate Thorax scan Info Level Information Info Level Important Information Confirm GO Cancel Info Text Info Level "Information" is set for this memo Info Text Info Level "Important Information" is set for this memo myExam Compass myExam Compass Information Information Info Level "Information" is set for this memo Info Level "Important Information" is set for this memo Accept 30 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers New Tree: Brain Contrast Medium Necessary myExam Compass Questions Would you like to apply contrast medium? yes no Brain contrast medium necessary [factory] wo CM W CM Info Level None None Info Text Scan Mode RoutineSpiralAdultHead RoutineSpiralAdultHead Injector Coupling Off On Contrast Protocol Brain [factory] Absolute Start Delay 2.0 180.0 31 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers New Tree: Lung Screening myExam Compass Patient Characteristics Gender Female Questions Is your focus on lung cancer screening with low dose or high resolution lung cancer screening high resolution Lung screening [factory] low dose wo X-CARE low dose w X-CARE high resolution wo X-CARE II high resolution w X-CARE Info Level None None None None Info Text Scan Mode RoutineSpiralAdultThoraxSn| RoutineSpiralAdultThoraxSnXcare RoutineSpiralAdultThorax RoutineSpiralAdultThoraxSnXcare CARE Dose4D & CARE KV Full Full Full Full CARE KV IQ level 15 15 100 100 Pitch 0.80 0.60 0.80 0.60 32 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers New Tree: Thorax Multi myExam Compass Patient Characteristics Gender Female Questions What is the breathhold capability of the patient? above 5 s below 5 s Would you like to apply contrast medium? yes no Thorax multi [factory] WO CM wo X-CARE Breathhold >5 s? ? above 5 s below 5 s Wo CM wo X-CARE wo CM fast acquisition wo X-CARE Contrast medium? Contrast medium? - yes no yes no W CM wo X-CARE wo CM wo X-CARE w CM fast acquisition wo X-CARE wo CM fast acquisition wo X-CARE Gender Gender Male Female Other Male Female Other W CM wo X-CARE W CM w X-CARE w CM w X-CARE wo CM wo X-CARE wo CM w X-CARE WO CM w X-CARE 33 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers Workflow Improvements and Remark* • When you build up new decision tree, you can freely switch between 2. Modify Decision Trees 3. Confirm Decision Trees Scan Strategies and Decision Tree tabs, a save in between is not required anymore. Scan Strategies Decision Tree Brain contrast medium necessary [factory] Wo CM Y Contrast medium? yes no w CM WO CM • If you edit a tree which is already linked to a protocol, to see the SIEMENS changes in the protocol you need to close the Exam Designer and open Healthineers LAS SDK] 0 Scan Recon Exam Designer it again. Message will be displayed to inform the user when you Back to Exam Designer myExam Co confirm save decision trees. 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees Save Name Save Changes X ? You need to close Exam Designer and reopen it for the changes to take effect in the linked protocols. OK 34 Effective Date: 08 Feb 2022 | HOOD05162003244317 *Needs myExam Companion advanced license Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers Strategy Review in Protocol • It is possible in syngo CT VA40 to validate the selected SIEMENS Test Healthineers Exam Designer Strategy Review 123456 scan strategies directly in Scan Protocol in Exam Designer: CH Back to Exam De Scan Protocols 1. Select cols 3. Confirm Changes 1. Switch on Strategy Review parameter. Off Prot On General Scan Dose Timing Config Physio Scan Contrast 2. Select between scan strategies under Scan Strategies Recon Favormy Recon&GO Image Impression Recon Box Physio Recon Auto Tasking Inline Options parameter. Find/Replace Scan/Recon Scan Favorites x Scan/Recon Strategy Review Decision Trees Scan Strategies Scan Mode CARE KV DLP Absolute Start 3. Check the adapted scan parameters according to the optimized for [mGy*cm] Pitch Delay [s] Thorax [factory] (Adult) selected scan strategies. 1 Topogram Scanplanning TopoAdultSn 0.89 6.0 Thorax Thorax multi [factory] Morax multi [factory].wo CM wo X-CARE RoutineSpiralAdultThorax Non-Contrast 203 1.20 6.0 Thorax multi [factory] 2 wo CM wo X-CARE • This setting does not change the default strategy. With wo CM w X-CARE wo CM fast acquisition wo X-CARE w CM wo X-CARE confirm changes, the strategy is switched back to the w CM w X-CARE w CM fast acquisition wo X-CARE default. Thorax On Thorax multi [factory] Thorax multi [factory].wo CM w X-CARE tineSpiralAdultThoraxXcare Non-Contrast 192 0.60 25.0 Thorax multi [factory] prax multi [factory].wo CM fast acquisition w. RoutineSpiralAdultThorax 3 Thorax On 204 1.50 6.0 Thorax On Thorax multi [ factory] Thorax multi [factory].w CM wo X-CARE RoutineSpiralAdultThorax Soft Tissue with C ... 203 1.20 25.0 Thorax On Thorax multi [factory] Thorax multi [factory].w CM w X-CARE RoutineSpiralAdultThoraxXcare Soft Tissue with C ... 192 0.60 25.0 Thorax On Thorax multi [factory] multi [factory].w CM fast acquisitio RoutineSpiralAdultThorax Soft Tissue with C ... 204 1.50 25.0 35 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers Table Test Run* • The Table Test Run is part of all decision trees on myExam Compass SIEMENS Scan&GO after the topogram. Healthineers Patient registered Questions Would you like to apply contrast medium? yes Th myExam Compass X • Additionally, a dedicated new decision tree Test Information Breathing Instruction Practice Run can be added to each scan range to show an Due to a high table speed a test run is recorremended Instruction Language English Important information to the user to perform a Audio table test run. Visuals Patient Characteristics • An important information is displayed in myExam Gender Compass on the console and Scan&GO. Male • The Test Run can be triggered via Scan&GO when L 3.35 Questions the user is close to the patient: What is the breathhold Answer capability of the patient? Please Select Audio 1. The travel range is the scan range including Visuals pre- and post-run. Questions 2. For an auto-range, the maximum length Would you like to apply Answer Test Table Movement contrast medium? Please Select including all ranges with the maximum pre- Start Test Run and post-run is used. Information Due to a high table speed a test run is recommended. -757.0 GO 36 *Optional feature. If you are interested in this option, please contact your local Siemens Healthineers Effective Date: 08 Feb 2022 | HOOD05162003244317 sales representative to get more information on the feature and its requirements. Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers Table Test Run* • If a 3D camera is connected, the Test Run can be also SIEMENS triggered from the 3D camera step on the tablet. In this Healthineers development case the detected topogram range is used as Test Thorax [factory] (Adult) Head First - Prone Run range . C Table Movement In Topogram Length [mm] • The button shall be always enabled on the 3D camera 618 screen and can be performed as much as wanted by the Audio Control user. Instruction Language Bengali Audio Visuals Test Table Movement Start Test Run Live Image is off -1299.0 Back GO 37 *Optional feature. If you are interested in this option, please contact your local Siemens Healthineers Effective Date: 08 Feb 2022 | HOOD05162003244317 sales representative to get more information on the feature and its requirements. Unrestricted © Siemens Healthineers, 2022 myExam Companion Improvements SIEMENS Healthineers Teamplay • Since syngo CT VA40, teamplay will display Clinical Decision Trees and Contrast protocols. 38 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Test 123456 SOMATOM X. cite *8/8/1988, M, 32Y CURRENT 5/23/2021 9:30 PM syngo CT VA40 Improvements STUDY 5/23/2021 Patient Protocol [501] Ward: Physician: Operator: Job Aid 501 IMA 1 Total mAs: 5655 Total DLP: 449 Scan IQ Level kV eff. CTDIvol* DLP SSDE Dw MAS mGy mGycm mGy cm Patient Position FFS Topogram 101 Sn100 55 m 0.02 L CARE Dose4D & Thorax 201 80 90 61 4.13 L 104 10.0 11.5 Kidney Stones 301 L 80 54 301 H 145 Sn150 97 6.87 L 139 17.3 10.6 Premonitoring CARE kV Improvements 401 25 100 9 0.52 L 1 1.23 12.5 Contrast Monitoring 504 25 100 9 2.07 L 12.5 105 2 4.92 CTA Brain 601 70 196 10.1 S 132 10.4 13.6 i-Spiral Thorax 701 70 84 2.46 L 61 5.98 801 11.5 i-Sequence Thorax 120 36 2.41 L 5.64 12.5 lodine Medium Type Conc. Volume Flow CM Ratio mg/ml ml ml/'s Contrast 300 Zoom 1.89 80 4.0 100 % 512*512 Saline 0 40 4.0 0 % W 50 CT_SOM PROT C 200 *: L = 32cm; S = 16cm 39 Click to add footnote Effective Date: 08 Feb 2022 | HOOD05162003244317 second line Unrestricted © Siemens Healthineers, 2022 CARE Dose4D & CARE kV improvements SIEMENS Healthineers CARE kV IQ level1 • Because of the increased bore size (geometry difference), go.Sim / go.Open Pro scanners require 30% higher mA values than go.All / Scan/Recon HD Dose syngo CT VA40 go.Top for the same CTDI and the same image quality Scan/Recon CARE Dose4D CARE KV CARE KV CARE KV Quality & CARE KV IQ level optimized for Grouping KV ref. mAs When transfer protocols between systems with geometry difference: Brain [factory] (Adult) • Topogram Sn 140 Brain Off 120 1. In syngo CT VA30: Automatic adaptation of Q. ref. mAs @ 120 kV Thorax [factory] (Adult) to compensate for geometry differences, UI displays adapted mAs Topogram Sn 100 values only (i.e. different mAs values on different scanners) Thorax Full 80 Non-Contrast Off 120 72 Abdomen [factory] (Ad ... 2. In syngo CT VA40: UI displays the new geometry independent value Topogram Sn 100 CARE kV IQ level. The same numeric value and comparable dose / Abdomen Full 145 Non-Contrast Off 120 131 image quality are applied on all scanners syngo CT VA40 Abdomen [factory] Scanner CARE/FAST kV Quality ref.mAs IQ level X.cite 145 131 go.Now 145 92 40 Effective Date: 08 Feb 2022 | HOOD05162003244317 1: applicable for SOMATOM go.All, go.Top Unrestricted © Siemens Healthineers, 2022 CARE Dose4D & CARE kV Improvements SIEMENS Healthineers CARE kV IQ Level1 • syngo CT VA40 shows different value in CARE kV IQ level and Quality • syngo CT VA30 shows same value in CARE kV Quality ref. mAs @120kV ref. mAs. and Quality ref. mAs. Scan/Recon Dose Scan/Recon CH Dose Scan/Recon CARE Dose4D CARE KV CARE KV CARE KV Quality CARE Eff. & CARE KV IQ level Grouping KV CARE Dose4D CARE KV CARE KV Quality Quality optimized for ref. mAS Eff. mAS mA KV Scan/Recon & CARE KV kV Gr ... optimized for ref. mAs @120 kV KV ref. mAs mAS mA Brain [factory] (Adult) actory] (Adult) Topogram Sn 140 55 Topogram Sn 140 55 Brain Off 120 310 Brain Off 120 310 Thorax [factory] (Adult) Thorax [factory] (Adult) Topogram Sn 100 55 Topogram Sn 100 55 Thorax Full 80 Non-Contrast Off 120 72 72 Thorax Full Off Soft Tissue wi .. 70 120 70 Abdomen [factory] (Ad ... Abdomen [factory] (Adult) Topogram 55 Topogram Sn 100 Sn 100 55 Abdomen Full Off Soft Tissue wi .. 129 120 129 Abdomen Full 145 Non-Contrast Off 120 131 131 L-Spine [factory] (Adult) L-Spine [factory] (Adult) Topogram Sn 140 55 Topogram Sn 140 55 L-Spine Full Off Non-Contrast 257 120 257 L-Spine Full 285 Non-Contrast Off 120 257 257 Coronary CTA [factory] (. Coronary CTA [factory] ( ... Topogram Sn 100 55 Topogram Sn 100 55 Calcium Scoring Full Off Bone/Calcium 17 120 17 Calcium Scoring Full 19 Auto (Bone/C ... Off 120 17 17 Premonitoring Manual kV Soft Tissue wi. 23 100 31 Premonitoring Manual kV 25 Soft Tissue wi ... 100 30 30 Monitoring Manual kV Soft Tissue wi. 23 100 31 Monitoring Manual KV 25 Soft Tissue wi ... 30 30 CTA Coronary Full Off Vascular 58 100 62 100 CTA Coronary Full 64 Auto (Vascular) Off 100 62 62 41 Effective Date: 08 Feb 2022 | HOOD05162003244317 1Applicable for SOMATOM go.All, SOMATOM go.Top Unrestricted © Siemens Healthineers, 2022 CARE Dose4D & CARE kV Improvements SIEMENS Healthineers FAST kV1 • Since syngo CT VA20 Scan/Recon HD. Dose Scan/Recon CARE Dose4D FAST KV IQ level FAST KV KV 1. FAST kV adapts Quality ref. mAs values on the selected optimized for kV so that image quality is maintained at every kV level. Abdomen [factory] (Adult) Topogram 110 Abdomen On 145 Non-Contrast 130 2. Similar as Manual kV mode under CARE kV setting. Kidney DE Stones [factory] (Adult) Topogram 110 Kidney Stones On 145 Auto (Non-Contrast) • In syngo CT VA40 1. Improve the usability and fleet management, by additionally displaying FAST kV IQ level and FAST kV optimized for. 42 Effective Date: 08 Feb 2022 | HOOD05162003244317 1Applicable for SOMATOM go.All, SOMATOM go.Top Unrestricted © Siemens Healthineers, 2022 CARE Dose4D & CARE kV Improvements SIEMENS Healthineers CARE / FAST kV Optimized for: Auto Mode • Use information from contrast injection timeline and Basic Scan Mode (BSM) to automatically select appropriate CARE kV optimized for1 or Scan Favorites General Scan Dose Timing Config Physio Scan CH 1 - - Scan/Recon CARE Dose4D CARE KV IQ level CARE KV CARE KV FAST kV optimized for2 & CARE KV optimized for Grouping KV Eff. mAS setting. CTDIvol [mGy] SSDE [mG CTA Abdomen Full 15 Auto (Vascular) Off 100 15 (32 cm) 0.81 (10.9 cm) Auto (Vascular) • Contrast flag positive Non-Contrast Bone/Calcium Vascular BSM → Vascular Soft Tissue with Contrast Else → Soft Tissue with contrast. Vascular CH 4 ml/s 4 ml/s • Contrast flag negative 0.3s L 3.3s 0.9s 4.5s Extremity / Shoulder / Cardio / Sn except Thorax → Bone 16 10 17.9 O 10 10 15 20 25 Else → Non-Contrast. • In the brackets after Auto, the current system selection is always displayed. 43 1Applicable for SOMATOM go.All, SOMATOM go.Top Effective Date: 08 Feb 2022 | HOOD05162003244317 2Applicable for SOMATOM go.Now and SOMATOM go.Up Unrestricted © Siemens Healthineers, 2022 CARE Dose4D & CARE kV Improvements SIEMENS Healthineers Size Specific Dose Estimate (SSDE) Why SSDE? IEC Webstore International Electrotechnical Commission Since CTDI is measured using 16cm and 32cm phantom for head and body HOME SIGN IN HELP CARTO region. It is not adapted to the patient size. IEC 62985:2019 CTDI is rather a quantity to measure the scanner output, but does not show Methods for calculating size specific dose estimates (SSDE) for computed tomography the dose the patient is receiving. TC 62/SC 62B | Additional information Systematic Errors of CTDIvol and DLP Abstract PREVIEW IEC 62985:2019 applies to • Systematic underestimation caused by limited integration length. - CT SCANNERS that are able to display and report CTDIVOL in accordance with IEC 60601-2-44, and - RADIATION dose index monitoring software (RDIMS) Systematic overestimation of local dose in short scan ranges. for the purpose of calculating, displaying and recording the SIZE SPECIFIC DOSE • ESTIMATE (SSDE) and its associated components. Specifically, this document provides standardized methods and requirements for calculating, displaying, or recording of SSDE, SSDE(z), WATER EQUIVALENT • Systemtic over-/underestimation depending on patient size. DIAMETER (Dw), and Dw(z), where z represents a specific longitudinal position of the scanned object . This document provides a method of determining a reference WATER EQUIVALENT DIAMETER, DW,REF(Z), using CT scans of two cylindrical water PHANTOMS and one or more anthropomorphic PHANTOM(S), which conform to the specifications defined in this document. The method of calculating the WATER EQUIVALENT DIAMETER that is implemented by the MANUFACTURER, DW.IMP(Z), is tested and validated against Dw,REF(z) using the TEST OBJECTS and methods defined within this document. This document also describes the methods for calculating SSDE and Dw, which represent the average values of SSDE(z) and Dw(z) over the RECONSTRUCTION LENGTH. 44 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CARE Dose4D & CARE kV Improvements SIEMENS Healthineers Size Specific Dose Estimate (SSDE) SSDE now defined in IEC 62985 (published 09/2019) will become mandatory for display and report • The SIZE SPECIFIC DOSE ESTIMATE (SSDE) is an estimate of the average ABSORBED DOSE to the scan volume that takes into account the ATTENUATION of the anatomy being scanned (using the WATER EQUIVALENT DIAMETER DW) and the RADIATION OUTPUT of the CT SCANNER (using CTDIVOL). • SSDE is intended to provide a dose estimate for PATIENTs of all sizes. SSDE, which is given in units of mGy, is especially important for small pediatric PATIENTS since the corresponding applied level of RADIATION (CTDIVOL, also given in units of mGy) does not adequately indicate the absorbed RADIATION DOSE. • SSDE is calculated using a SSDE CONVERSION FACTOR AT LONGITUDINAL POSITION Z (ƒ) and the CTDIVOL AT LONGITUDINAL POSITION Z, CTDIVOL(z), where ƒ is a function of the WATER EQUIVALENT DIAMETER AT LONGITUDINAL POSITION Z, DW(z), and the size of the CTDI PHANTOM used to report CTDIVOL. ƒ is given in normative Annex A. • Absorbed radiation dose is a dose quantity which is the measure of the energy deposited in matter by ionizing radiation per unit mass [1 Gy = 1 J/kg]. 45 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CARE Dose4D & CARE kV Improvements SIEMENS Healthineers Size Specific Dose Estimate (SSDE) Definition: 𝐒𝐒𝐃𝐄 𝐳 ) ( 0) 𝐟 𝐃𝐖 𝐳 ( ) = 𝐂𝐓𝐃𝐈𝐯𝐨𝐥 𝐳 ⋅ 3 32 cm CTDI phantom - - 16 cm CTDI phantom With 𝑓 𝐷𝑊(𝑧) = 𝑎 ∙ 𝑒 ( ( ) (−𝑏∙𝐷𝑊 𝑧 ) • factors a and b are provided by IEC. 3 2 , f (D. • 𝐷𝑊 = Water equivalent diameter 1 IEC defined image based gold standard. O 𝐷𝑊,𝑅𝐸𝐹 = 2 ∙ σ𝑥,𝑦 (- )- 𝐶𝑇(𝑥,𝑦,𝑧) 𝐴𝑝𝑖𝑥𝑒𝑙 20 + 1 40 O ∙ 1000 Dw [cm] 𝜋 • Vendor-specific implementation 𝐷𝑊,𝐼𝑀𝑃: 1. Pre scan: Topogram based. 2. Post scan: RTD based patient positioning correction. 3. Required consistency with gold standard ±10%. DW,REF 46 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CARE Dose4D & CARE kV Improvements SIEMENS Healthineers Size Specific Dose Estimate (SSDE) Dw correction steps Other impacts of a correct Dw calculation • Fan beam geometry of topogram acquisition. • Extrapolation if topogram does not cover entire scan length. • CT Table subtraction. • Table tops, positioning devices are used. • Post scan patient position update. • Head holder correction depends on organ characteristic (wrong if head scan on table). • Different kV value or Sn filter for the topo scans, iBHC for head scans. 47 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CARE Dose4D & CARE kV Improvements SIEMENS Healthineers Size Specific Dose Estimate (SSDE) • Dose Overview tab card shows pre- and post- scan dose value of all the dose parameters. • After scan, the patient position will be detected and used to correct the dose calculation, that is why the post values can be different from the pre values. 5 13 Test Exam Designer ? M Scan Recon CH * 8/8/1988 (32) M 123456 Dose Overview Job View Range Scan CTDIVol SSDE DW DLP Diameter Pre Post Notify at Pre Post Pre Post Pre Post Notify at [cm] [mGy] [mGy] [mGy] [mGy] [mGy] [cm] cm] [mGy*cm] [mGy*cm] [mGy*cm] Topogram 100 32 0.02 0.02 0.00 0.89 0.89 0.0 Thorax 200 32 2.38 4.13 0.00 5.79 10.0 11.5 11.5 70.4 104 0.0 Kidney Stones 300 32 4.33 6.87 0.00 10.9 17.3 10.6 10.6 106 139 0.0 Premonitoring 400 32 0.30 0.52 0.00 0.70 1.2 12.5 12.5 0.30 0.52 0.0 Monitoring 500 32 9.01 2.07 0.00 21.1 4.92 12.5 12.5 9.01 2.07 0.0 CTA Brain 600 16 8.24 10.1 0.00 8.47 10.4 13.6 13.6 127 132 0.0 i-Spiral Thorax 700 32 1.09 2.46 0.00 2.66 5.98 11.5 11.5 32.4 61.0 0.0 i-Sequence Thorax 801 32 2.41 2.41 0.00 5.64 5.64 12.5 12.5 9.24 9.24 0.0 i-Sequence Thorax 900 32 2.41 0.00 5.64 12.5 9.24 0.0 Accumulated (Study) 21.12 461.0 Dose Alert Threshold 1,000.00 0.0 48 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CARE Dose4D & CARE kV Improvements SIEMENS Healthineers Size Specific Dose Estimate (SSDE) SSDE value displayed in examination card SSDE value (post) displayed in Patient Protocol SIEMENS SDK 2 san Healthineers an Recon Test Exam Designer CHI * 08/08/1988 (32) F 123456 ? max Thorax CTA [factory] ( ... 189 Test 123456 SOMATOM X.cite UNGS CT VA40A Recon Ra Test mAs *08/08/1988, F. 32Y 123456 SOMATOM X.cite 05/25/2021- - 8/8/1988, M, 32Y SIEMENS. 10:24:37.36 PM 1 IMA 1 HIP1-764 Premonitoring CURRENT 5/23/2021 9:30 PM Healthineers .. TOP 101 LEN 2749 TP -750.0 STUDY 5/23/2021 Monitoring Patient Protocol [501] Ward: Preconditions Monitoring Physician: Operator: CTA Thorax 501 IMA 1 CTDIvol (32 cm) 1.14 mGy Total mAs: 5655 Total DLP: 449 SSDE (11.5 cm) 2.77 mGy CTA Thorax Scan IQ Level kV eff. CTDIvol* DLP SSDE Dw DLP 35.2 mGy*cm MAS mGy mGycm mGy cm Eff. mAS 22 KV 100 Patient Position FFS ure Time 1.78 s Topogram Sn100 55 mA 0.02 L eck image quality 4 82100 A 101 Thorax 201 80 90 61 4.13L 10.0 301 L 54 11 350 Filter Sn Kidney Stones 80 50 nE Close 301 H Sn150 97 6.87 L 17.3 Premonitoring 145 401 25 100 0.52 L 1.23 10. 9 12 Scan Favorites General Scan Dose Timing Config Physio Scan Contrast CTDIV Contrast Scan/Recon CARE Dose4D CARE KV IQ CARE KV CARE Eff. DLP Dose Notification Dose N & CARE KV level optimized for KV G ... MAS SSDE [mGy] [mGy*cm] CTDIvol [mGy] DLP [ m Monitoring 504 25 100 2.07 L 4.92 12 CTA Brain 601 105 70 196 10.1 S 10.4 13 CTA Thorax Full 70 Auto (Vascular) Off 100 22 (32 cm) 1.14 (11.5 cm) 2.77 35.2 0.00 i-Spiral Thorax 701 80 70 84 2.46 L 5.98 11 i-Sequence Thorax 801 1 20 36 2.41 L 5.64 12 lodine Activate Premonitoring scan Medium Type Conc. Volume Flow CM Rati TH 4 mlls 4 mil ml ml/s Confirm GO Cancel Zoom 1.89 Contrast 300 80 40 100 512*512 50 3.3s 0.3s 1.15 3.95 Activate Wi O 40 CT_SOM PROT Saline 0 % 200 L Go to Settings 10 18.1 or- 10 : L = 32cm; S = 16cm 49 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers SIEMENS . O PEP_CTAThoAbd_Xcite202 X Healthineers .. * 3/10/2021 F PEP_CTAThoAbd_Xcite ... ? syngo CT VA40 Improvements CT View&GO X Series CT View&GO PEP_CTAThoAbd_Xcite 202 PEP_CTAThoAbd_Xcite 202 PEP_CTAThoAbd_Xcite 202 SOMATOM X.cite syngo CT VA30A PEP_CTAThoAbd_Xcite 202 SOMATOM X.cite Stack 3x2 Stack 3x3 Stack 1x1 *3/10/2021, F, 9M *3/10/2021, F, 9M syngo CT VA30A Send an Job Aid CURRENT CURRENT 10/11/2019 10/11/2019 Stack 4x4 Follow Up MPR VRT [7] 1. 2 [7] 1, 2 Current 7 IMA ~269 7 IMAn.a. FRM n.a. 8:20:05.89 PM 8:20:05.89 PM CT, 10/11/2019 SP H1766.0 SP A175.0 Unknown study description Stack 2x2 MPR MIP MPR Favorite Tools Compare R MPR Head MPR VRT costomiz ... epc SL 0.7 10cm Tool Gallery X VRT Range[3] [1030] CT View&GO [1030] Region Anatomy Clip Box Clip Plane Spine/Rib Neuro DSA A Punch Growing Visualizer Label KV 80 W 700 80 Series free Folate Table Edit Bones Removal Results CT View&GO Improvements [1018] [1018] Favorite Tools X Print & Export PEP_CTAThoAbd_Xcite 202 cite 202 ROI Auto Distance PEP_CTAThoAbd_Xcite 202 SOMATOM X.cite *3/10/2021, F, 9M Snapshot Save as Export cite 202 syngo CT VA30A Contour CURRENT 10/11/2019 MPR cor 2mm Range Printing [7] Postprocessing [1001] [1001] Parallel Ranges Snapshot 7 IMAn.a. FRM n.a. 3D 3D 8:20:05.89 PM SP R2.0 Show in Endosco. Osteo Define Trauma Sim&GO O 3D View Vessels Tools Show in Export 30 Image Image R Manip VRT Flip pine SL 10cm SL full Label L A KY 80 KV 80 88 50 Click to add footnote Effective Date: 08 Feb 2022 | HOOD05162003244317 second line Unrestricted © Siemens Healthineers, 2022 CT View&GO Improvements SIEMENS Healthineers Flipping Images (Horizontal / Vertical) • You can optimize the image presentation by flipping the SIEMENS PEP_CTAThoAbd_Xcite202 X displayed images horizontally or vertically. Healthineers ... : 3/10/2021 F PEP_CTAThoAbd_Xcite ... CT View&GO ................................................................... X Zoom/Pan A A CT View&GO Windowing CURRENT In a segment, choose Flip Horizontal from the top left 10/11/2019 R 1. Stack 3x2 Stack 3x3 Stack 1x1 Rotate 8:20:05.89 PM corner menu to flip the images left or right. 1001 IMA 0 SP H1766.0 Scroll Stack 4x4 Follow Up MPR VRT ----- 2TP Il Movie A 2. Or choose Flip Vertical from the top left corner menu Stack 2x2 MPR MIP MPR 3D Reference Point Favorite Tools ----- Compare Ranges R to flip the images up or down. R SI 1.0 Head Save as Series 10cm • To reverse the flip, execute the same function a second Fit to Segment Flip Vertical H time. a Flip Horizontal Distance between Images: 20 mm 1474 Slice Thickness: 2.0 mm 379 Series ---- Flip Vertical • The Flipping tool is also available in the Tool Gallery. Tool Gallery Image Visualization R Fit to Fit to Acq. Hide Hide Lines Custom Lock Ref. 3D Re Flip Show Segment Size Graphics Text Lines Point Vertical essel 51 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CT View&GO Improvements SIEMENS Healthineers Spine / Rib Labeling Tool SIEMENS X • You can use Spine/Rib Labeling Healthineers O PEP_CTAThoAbd_Xcite202 * 3/10/2021 F PEP_CTAThoAbd_Xcite ... ? tool out side of Ranges layout CT View&GO X Series X now: CT View&GO ......... CURRENT Stack 3x2 Stack 3x3 Stack 1x1 T3 CURRENT Add Study Send and 10/11/2019 10/11/2019 8:20:05.89 PM D3 8:20:05.89 PM 1. Start Spine / Rib Labeling. 7 IMA n.a. FRM n.a. 7 IMA n.a. FRM n. a. Stack 4x4 Follow Up MPR VRT SP R1.7 Current L4 CT, 10/11/2019 R4 Unknown study description Stack 2x2 MPR MIP Favorite Tools MPR 2. Start Rib Algorithm. Compare R5 L5 Head R6 L6 Range[3] [1030] 110301 Rib Auto-Labeling calculation ... AF X L7 R Series Results CT View&GO ? Auto rib labeling calculation may take some A R [1018] [1018] time. You may continue working while it x R8 L8 Favorite Tools MPR MP runs. Hit ok to continue. SL 0.7 T11 SL 0.7 Distance ROI Circle Parallel Line Ranges 3D Printing O T12 10cm MPR cor 2mm Range R9 L9 [1001] [1001] Radial Snapshot Show in 10cm OK Cancel Ranges 3D Print Export Custon 1 L1 Image Image Text R10 Flip Vertic Spin Spine/Rib Label L2 2 700 Caution: Automatic anatomy Caution: Automatic anatomy 80 labels not aanfirmad labels not confirmed. O. + + 8:43 PM 52 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CT View&GO Improvements SIEMENS Healthineers Layout Configuration • Layout management is included in CT View&GO in syngo SIEMENS .. Healthineers O PEP_CTAThoAbd Xcite202 X 3/10/2021 F PEP_CTAThoAbd Xcite ... CT VA40. CT View&GO Series X CT View&GO HH CURRENT Stack 3x2 Stack 3x3 Stack 1x1 10/11/2019 10/11/2019 Add Study Send and 8:20:05.89 PM 8:20:05.89 PM 7 IMA ~269 7 IMAn.a. FRM n • It is possible to define new layouts, to save the viewing SP H1766.0 2 SP A175.0 Stack 4x4 Follow Up MPR VRT Current CT, 10/11/2019 properties of the layout including: reformatting type, Unknown study description Stack 2x2 MPR MIP MPR Favorite Tools Compare Layout Gallery .................... thickness, view orientation and ColorLUT preset: 1 Layout operations 2 x Head MPR VRT MPR SL 0.7 Save Save VRT Range[3] [1030] layout layout as Here you can open Layout Gallery. Public Layouts A 1. HH 700 Series MPR VRT Stack 3x2 Stack 2x2 Stack 1x1 Stack 2x1 Stack 3x3 Stack 4x3 Stack 4x4 Stack 5x5 Stripe 3x2 Stripe 4x3 costomiz ... [1018] [1018] ....................... Use one of the 3D layouts listed below to create or Favorite Tools X 2. Stripe 5x4 Follow Up Follow Up Follow Up MPR VRT MPR MIP MPR Head Spine Lung CURRENT 2TP 2TP 4x2 Runof 2TP 4x3 Distance ROI Circle Parallel 10/11/2019 save your own layout: HHH Line Ranges 8:20:05.89 PM 3D 7 IMAn.a. FRM n.a. Vessel MPR. cor 2mm Range Printing [1001] [1001] Radial Snapshot Show in ~ 8 Ranges 3D Siemens Layouts Print MPR VRT Image Image Text Stack 3x2 Stack 2x2 Stack 1x1 Stack 2x1 Stack 3x3 Stack 4x3 Stack 4x4 Stack 5x5 Stripe 3x2 Stripe 4x3 Stripe 5x4 R ----- MPR MPR MIP Flip Spine 2.7 Vertical Spine/Rib Follow Up Follow Up Follow Up | MPR VRT MPR MIP MPR Spine Lung 2TP 2TP 4x2 2TP 4x3 Compare Head MPR Compare A Head 700 88 Runoff 8:55 PM Spine Lung 53 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CT View&GO Improvements SIEMENS Healthineers Layout Synch / Synch Config Tools × • Synchronization functions allow you to group different SIEMENS . Healthineers Test . 8/8/1988 M 123456 segments and operate them in a synchronized way with CT View&GO Series SOMATOM X. cite Test CT View&GO CURRENT BOMATOM X cite Test syngo CT VAA4CA CURRENT CURRENT BOMATOM X.cite Test synDo CT VA40A syngo CT VA40A CURRENT defined viewing properties. 5/18/2021 5/18/2021 5/18/2021 5/18/2021 Stack 3x2 Stack 4x4 Follow Up 2TP Thorax 2.00 Br40 A3 ax [21] Thorax 2 00 Gr40A3 ax [21] Thorax 2 00 Br40 A3 ax [23] Add Study Send an 21 IMAn.a. FRM n a 21 IMAna. FRMna 23 IMAn.a. FRM n.a. 2, 4 Thorax 2.00 Br40 A3 ax (23) 23 IMAn.a. FRMna 10:04:51.75 PM 10:04 5175PM 10:04:51.75 PM 10:04:51.75 PM MAR VRT MPR MIP SP A105.D SPLI.2 SP A105 D SP L1.2 Current CT. 5/15/2021 Synchronization functions work only within 3D layouts: MPR • 5 5 5cm Thorax [factory](Adult) Favorite Tools KV 90 KV 90 1727 498 1. Click Synch icon, use Ctrl key to multiselect the 2, 3 Test SOMATOM X. cite Test segments. BOMA 123456 BOMATOM X.cite syngo CT VA40A 123456 "8/8/1988, M, 32Y "8/8M1988, M, 32Y syngo CT VA40A Series CURRENT IRRENT 5/18/2021 8/2021 Thorax 2.00 Br40 A3 ax [21] orax 2.00 Br40 A3 ax [23] Favorite Tools X 21 IMA-69 IMA -69 10:04:51.75 PM :04:51.75 PM 2. Click Synch Config to open the Synchronizations SP F978.6 SP F979.1 ROI Auto Distance Contour Line Printing dialog. Thorax 5:00 8r40 A3 Parallel Snapshot Ranges Radial Ranges 3D EP Show In Print Export SL Insage Image 3. Select the viewing properties you would like to Vertical Spine Ranges synchronize. F] *** KV 90 3303 1727 F659 KV 90 498 4. Click OK or Apply. Tool Gallery 3 Synchronizations 5. The group numbers will be displayed in the image Basic Interactions 1 2 Display Type Navigation segment. LUT Slice Thickness Zoom Zoom/Pan Scroll Rotate Movie Visual Windowing Synch Synch Alignmer Config Home Position 4 OK Apply Cancel 54 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CT View&GO Improvements SIEMENS Healthineers Defining Automatic ROI Contours • ROI Auto Contour replaces the ROI Polygon SIEMENS Healthineers ' O PEP_CTAThoAbd_Xcite202 X * 3/10/2021 F PEP_CTAThoAbd_Xcite ... ? @ from syngo CT VA30. CT View&GO X A A 1 Distance Line Series X PEP_CTA ROL Circle PEP_ CT View&GO ROI Properties ? X ER PEP_CTATH PEP .cite Stack 3x2 Stack 3x3 Stack 1x1 *3/10/2021, F. - 3/1 0/1 40A Add Study Send an The ROI Auto Contour tool allows you to define CURRENT ROI Circle FFS URR • 10/11/2019 0/11/ MPR cor 2mm Ra ROI Freehand Result Display the following evaluations: Stack 4x4 Follow Up MPR VRT Current contours automatically with an edge detection STP 8:20:05.89 PM :20:0 MPR 400 ROI Auto Contour IPR T Min/Max CT, 10/11/2019 1001 IMA O 0181 algorithm. SP H1805.0 SP H1766.0 SP H1 Mean/SD Unknown study description Stack 2x2 MPR MIP MPR Favorite Tools Compare R R Text T Area (cm2) 2D SL 1.0 Head MPR VRT 10cm Sum costomiz ... Number of Pixels 1. The tool behavior can be activated in the 2 0cm VRT Range[3] nhancements: F +C LOSOLI [OEOL) ROI Properties window. KV 80 KV - Distance between Images 20m Slice Thickness: 20 mm Automatic Contour in Polygonal RO 700 500 Series M 786x512 M 512 HUP OK Cancel Results CT View&GO [1018] ... 2. If you deactivate the automatic contour Favorite Tools X A PEP_CTAThoAbd_Xcite202 drawing, you can draw polygonal ROIs PEP_CTAThoAbd_Xcite 202 SOMATOM X.cite ROI Auto Distance *3/10/2021, F, 9M Contour Line CURRENT Printing instead. ROI Circle STUDY 10/11/2019 MPR cor 2mm Range [1001] [10. VRT Range[3] [1030] ROI Freehand ROI Auto Contour 1030 IMA O SHOW ITI 3D Image Please drag data from Series Navigator. Please drag data from Series Navigator. [7] [7] Text Flip 10cm Is Books in mages. 10.0 . AC 400 98 786 + 9:49 PM 55 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CT View&GO Improvements SIEMENS Healthineers Interactive Image Text (Slice Thickness, Spacing, Filter Type) • With interactive image text you can easily adapt values. Interactive image text is displayed as blue- PEP_CTAThoAbd_Xcite 202 green image text. PEP_CTAThoAbd_Xcite202 SOMATOM X cite *3/10/2021, F.9M syngo CT VA30A CURRENT You can interact with interactive image text in 10/11/2019 • [7] different ways: PEP CTAThoAbd_Xcite 202 8:20:05.89 PM PEP_CTAThoAbd_Xcite202 SOM SP A161.3 1. Click to switch between predefined values (e.g. *3/10/2021, F. 9M sync CURRENT 2D → MPR → MIP → VRT). 10/11/2019 R 1 [7] MIP 2 2. Drag to increase or decrease the value. 8:20:05.89 PM SL 12.5 SP A161.3 SPC 11.6 10cm 3. Double-click to enter values with the keyboard. R 3 VRT SI 33 KV 80 700 +C 80 A KV 80 56 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CT View&GO Improvements SIEMENS Healthineers Printing: Top Access Bar Rearrangement 1. Icon and Name change: Drag & Drop icon is replaced by Rearrange Images icon in syngo CT VA40. Function and Printing syngo CT VA30 behavior is same as before. 1 2 2. Combine Text and Arrow” into one position. Select the T function by dropdown list. Zoom/Pan Drag & Text Arrow Drop 3. Add Keep Every N-th Image to Top access bar. Printing syngo CT VA40 3 T Zoom/Pan | Rearrange Text Keep Images Every N -... T 5/9 images on last Text K Arrow 57 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CT View&GO Improvements SIEMENS Healthineers Printing: 2 New Indicators 1. A green dot will be displayed on the Printing SIEMENS .. PEP_CTAThoAbd_Xcite202 X Healthineers. O 3/10/2021 F PEP_CTAThoAbd_Xcite ... ? card, indicating that there are images in film CT View&GO Printing 0 X Series X sheet for printing. After user clicks Print, CT View&GO PEP_CTAThoAbd_Xcite 202 PEP_CTAThoAbd_Xcite 202 T 2 Printer PRINTER Copies 1 SOMATOM X.cite Stack 3x2 Stack 3x3 Stack 1x1 *3/10/2021, F, 9M this indicator will disappear. Zoom/Pan Rearrange Layout Print Save syngo CT VA30A Add Study Send and CURRENT Text Images Ever Archive 10/11/2019 Paper Size Inch 8x10 Number of Print-o ... 0 Gallery Image Stack 4x4 Follow Up MPR VRT [7] 6/9 images on last page Invert Background 1, 2 Current 7. IMA ~269 8:20:05.89 PM CT, 10/11/2019 SP H1766.0 2. New info display above the sheet preview: Unknown study description Stack 2x2 MPR MIP _ MPR Favorite Tools -R N/M images on the last page. Meaning 6 Head MPR VRT MPR costomiz. SL SPC 10cm images are left in the last page with a RT Range [3] [1030] [1030] 9-segment layout. A KV 80 F E 700 Series aution Results CT View&GO 1 [1018] [10181 e Tools X PEP_CTAThoAbd_Xcite 202 PEP_CTAThoAbd_Xcite 202 SOMATOM X cite ROI Auto Distance Syngo CT VA30A Contour *3/10/2021, F, 9M Line CURRENT Printing 10/11/2019 MPR cor 2mm Range [7] [1001] [1001] Parallel Radial Snapshot Ranges Ranges 7 IMAn.a. FRM n.a. 8:20:05.89 PM F SP R2.0 Print Export Image Full Te Flip Spine MPR SL 0.7 Vertical Ranges SPC 0.7 10cm O Label A KV 80 +C Caution: Au IF F + abels not 58 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CT View&GO Improvements SIEMENS Healthineers Printing: Invert Background • All image background will be inverted after Printing Printing user activates the Invert Background T Printer ER PRINTER Copies 1 2 Printer PRINTER Copies 1 4 Zoom/Pan Rearrange Text Keep Print checkbox. Images Every N -. Paper Size Inch 8x10 Number of Print-o ... 0 Save Zoom/Pan Rearrange Keep Layout Print Image Images Paper Size Inch 8x10 Number of Print-o ... 0 Gallery Image 9/9 images on last page Invert Background 9/9 images on last page Invert Background PEP_CTAThpAb Xcil PEP_CTATheAbg_Xcit ., H PEP CTATHAN X4Y A12 PEP CTATIONLA XETA12 STUDY 10/11/2012 STUDY 10/11/2013 ............................................................. 59 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CT View&GO Improvements SIEMENS Healthineers Printing: Print Image Order Changes Approach via UI Approach via Shortcut Print Result "Print Image/Stack" Via CT View&GO → Tools Gallery "E/A" keyboard shortcut from CT View&GO segment Same to stack image order Print Stack "Print Series" Via CT View&GO → Series Navigator Export Series n.a. Print Series Merge Drag & Drop by mouse operation Via CT View&GO → Series Navigator n.a. "Print" button Via Patient Browser [Ctr] + [P] keyboard shortcut from Patient Browser Same to recon image order Print "View as Read-Only with → Print" Via Patient Browser n.a. “Auto Printing” Auto Printing Via CT scanner Recon Parameter n.a. → Auto Tasking On 60 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 CT View&GO Improvements SIEMENS Healthineers Printing: Print Floating Window via Patient Browser • Since syngo CT VA40, via Patient Browser, SIEMENS . Healthineers O Print will be opened as a floating window. It Patient Browser is NOT a Print workflow tab anymore. PEP_CTAThoAbd_Xcite202 ? X Local Data Printer PRINTER Copies 1 - Below functions are removed from print T Text Print View&G Zoom/Pan Rearrange Keep Print Open Open with DICOM Import Expor • Layout Printing Images Every N -. Inch 8x10 Gallery Properties Q/R Paper Size Number of Print-outs: floating window open via Patient Browser: Results (2 results, 9:25:59 PM) 1/9 images on last page Invert Background Patient Modality Stud PEP CTAThoAbd Xcite *3/10/2021, F 1. Save Image / Save Sheet icon. PEP_CTAThoAbd_ Xcite202 CT, SEG 10/1 W&GO VRT Range[3] Segmentations CT View&GO PEP Monitoring_Xcite 2. Auto-Save Printed Sheets in Printing *3/10/2021, F PEP_Monitoring_Xcite202 Properties. • These functions are still available in print floating window when it is opened via CT View&GO. 4 269 Search successfully completed 61 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers SIEMENS Test Healthineers Scan Recon Exam Designer 123456 syngo CT VA40 Improvements x Back to Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Job Aid Search Protocols: Enter protocol name or description. Filter by: Patient Type all Contrast Protocol all Protocol Type all Show: Factory Protocols (144) Customer Protocols (0) Decision Tree all Technique all Adult Child Head (9) Thorax (7) Head (5) Abdomen (3) Exam Designer Brain [factory] Thorax [factory] Brain [factory] Abdomen [factory] Brain Multi Phase [factory] Thorax Dynamic [factory] Brain Multi Phase [factory] Abdomen Multi Phase [factory] + Add folder + Add folder Brain DE Hemorrhage Post Int ... Thorax and Abdomen [factory] Inner Ear [factory] Whole Body [factory] Brain Perfusion [factory] Thorax and Abdomen DE Virt ... Sinus [factory] Improvements Trauma Traum Brain Perfusion Prolonged [fa ... Thorax and Abdomen Multi P ... Orbit [factory] Pelvis (2) Inner Ear [factory] Lung Screening [factory] Pelvis [factory] RTP RTP Sinus [factory] Lung Low Dose [factory] Neck (1) Orbit [factory] Hip [factory] Neck [factory] specials Specials Dental [factory] Abdomen(7) Spine (2) Abdomen [factory] Intervention Baby Neck (2) Shoulder (1) C-Spine [factory] Abdomen Multi Phase [factory] Neck [factory] Shoulder [factory] Abdomen DE Virtual Non Con ... T- or L-Spine [factory] New Folder Intervention Neck DE Virtual Non Contrast ... Liver Perfusion [factory] Kidney DE Stones [factory] Thorax (2) Shoulder (1) Colon Low Dose [factory] Thorax [factory] Shoulder [factory] Whole Body [factory] Thorax and Abdomen [factory] Reset Selection Hide Delete Export Import Modify Protocols 62 Click to add footnote Effective Date: 08 Feb 2022 | HOOD05162003244317 second line Unrestricted © Siemens Healthineers, 2022 Exam Designer Improvements SIEMENS Healthineers Selection Page - Filter Area SIEMENS .. • New filter area on selection page to support finding Healthineers Scan Recon Test Exam Designer ? M * 123456 protocols. Back to Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes • All available filter options based on licenses: Search Protocols: Enter protocol name or description Filter by: Patient Type all Contrast Protocol all Protocol Type all Show: Factory Protocols (144) Customer Protocols (0) Decision Tree all Technique all 1. Patient type (all/Adult/Child). Adult Child Head (9) Thorax (7) Head (5) Abdomen (3) Brain [factory] Thorax [factory] Brain [factory] Abdomen [factory] 2. Decision Tree (all/Not linked/Linked with). Brain Multi Phase [factory] Thorax Dynamic [factory] Brain Multi Phase [factory] Abdomen Multi Phase [factory] + Add folder + Add folder Brain DE Hemorrhage Post Int ... Thorax and Abdomen [factory] Inner Ear [factory] Whole Body [factory] Brain Perfusion [factory] Thorax and Abdomen DE Virt ... Sinus [factory] Trauma Traum Brain Perfusion Prolonged [fa ... Thorax and Abdomen Multi P ... Orbit [factory] Pelvis (2) Contrast protocol (all/Not linked/Linked with). Inner Ear [factory] Lung Screening [factory] 3. RTP RTP Sinus [factory] Lung Low Dose [factory] Neck (1) Pelvis [factory] Orbit [factory] Hip [factory] Dental [factory] Neck [factory] pecials Specials Abdomen (7) Spine (2) Abdomen [factory] 4. Technique (Non-spectral/Spectral/HighRes). Intervention Baby Neck (2) Shoulder (1) C-Spine [factory] Abdomen Multi Phase [factory] Neck [factory] Shoulder [factory] T- or L-Spine [factory] Abdomen DE Virtual Non Con ... New Folder Intervention Neck DE Virtual Non Contrast ... Liver Perfusion [factory] Kidney DE Stones [factory] Thorax (2) 5. Protocol Type (all/Clinical/Research). Shoulder (1) Colon Low Dose [factory] Thorax [factory] Shoulder [factory] Whole Body [factory] Thorax and Abdomen [factory] • With Reset Selection button, you can switch all the Reset Selection Hide Delete Export Import Modify Protocols selected filters to the defaults. Filter by: Patient Type all Contrast Protocol all Protocol Type all Reset Selection Decision Tree all Technique all 63 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 Exam Designer Improvements SIEMENS Healthineers Selection Page - Filter Area • The Decision Tree and Contrast Protocol filters allow you to filter Decision Tree Not linked Technique all protocols linked with specific decision trees or contrast protocols. all Not linked Linked with Select all • Multiple selection is possible. Brain contrast medium necessary [factory] Abdome Sinus sinusitis or soft tissue [factory] Neck contrast medium necessary [factory] Phase [factory] Abdol Neck VNC TwinBeam DE possible [factory] morrhage Post Int ... Liver I Side [factory] ion [factory] Colon Thorax multi [factory] ion Prolonged [fa ... Thorax breathhold and X-CARE [factory Contrast Protocol Linked with Protocol Type all Technique all Not linked Linked with Select all Brain [factory] Child Brain Perfusion [factory] CTA [factory] Head (0) vNeck [factory] Thorax [factory] ities (0) Neck (0) Abdor en [factory] Liver Perfusion [factory] 64 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 Exam Designer Improvements SIEMENS Healthineers Selection Page – Protocol Icon Changes • Factory icons are removed . Adult syngo CT VA30 syngo CT VA40 Adult • Scan&GO icons are removed. Head (9) Head (9) • New icon: Scan&GO Unapproved. Brain [factory] Brain [factory] Brain Multi Phase [factory] Brain Multi Phase [factory] Brain DE Hemorrhage Post Int ... Brain DE Hemorrhage Post Int ... Brain Perfusion [factory] Brain Perfusion [factory] Brain Perfusion Prolonged [fac ... Brain Perfusion Prolonged [fa ... Inner Ear [factory] Inner Ear [ factory] Sinus [factory] Sinus [factory] Orbit [factory] Orbit [factory] Dental [factory] Dental [factory] 65 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 Exam Designer Improvements SIEMENS Healthineers Scan Protocol Export for Viewing Always with All Parameters • Always all parameters (including recon RT FAST Folder Name Protocol Name Range Name |Recon Name Hidden |Scan&GO Protocol Description Patient Organ Patient Target Scan Mode Accessible Scan Modes Strategy| Decision Tilt Acquisition| Protocol|Approved Characteristic Region Topo Review Trees Scan Strategies [*] [mm] parameters) of all selected Marking Type Region protocols are exported for Factory Protocols viewing. Head Brain [factory] Adult) no yes None Topogram Adult Head Head ScanplanningTopoAdultSn ScanplanningTopoAdultSn Off 3× 0.60 Topogram 0.60 Tr20 sag -Indications: stroke, hemorrhage, cerebral atrophy, hydrocephalus, inflammation, wo CM RoutineSpiralAdultHead; Brain -Scan modes: RoutineSpiralAdultHead RoutineSpiralAdultHeadHighres; contrast Brain contrast Brain -Decision Tree: Brain contrast medium Adult Brain Head RoutineSpiralAdultHead RoutineSpiralAdultHeadXcare; 128 x 0.60 F€ Off medium medium necessary 10 necessary [factory] RoutineSequenceAdultHead; (z-sharp) JH necessary [factory].wo CM RoutineSequenceAdultHeadHighres [factory] Brain 5.00 Hr40 A2 For Archiving Brain 5.00 Hr60 A2 For Viewing Brain Multi Phase [factory] no yes None Export Import (Adult) 66 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Scan/Recon HD. Scan Favorites x syngo CT VA40 Improvements Scan/Recon Scan Mode Pitch Acquisition [mm] Rot. Time Decision Trees CARE KV DLP Absolute Start [s] optimized for [mGy*cm] Delay [s] Brain [factory] (Adult) Job Aid Topogram Scanplanning TopoAdultSn 6 x 0.60 4.23 2.0 Brain RoutineSpiralAdultHead 0.60 128 x 0.60 (z-sharp) 1.00 Brain contrast medium ... 770 2.0 Brain Perfusion [factory ... Topogram Scanplanning TopoAdultSn 6 x 0.60 4.23 7.0 Non Contrast Brain RoutineSpiralAdultHead 0.55 128 x 0.60 (z-sharp) 1.00 760 2.0 Perfusion Brain DynamicSpiralAdultHead 0.50 64 x 0.60 0.30 Soft Tissue with C ... 1868 2.0 Scan Protocols Premonitoring 1 x 10.00 0.30 Soft Tissue with C ... 1.00 2.0 Monitoring 1 × 10.00 0.30 Soft Tissue with C ... 29.9 10.0 CTA Brain and Neck RoutineSpiralAdultAngio ... 1.20 64 x 0.60 0.30 Auto (Vascular) 301 Thorax [factory] (Adult) Topogram Scanplanning TopoAdultSn 6 × 0.60 0.89 6.0 Thorax RoutineSpiralAdultThorax .20 64 x 0.60 0.30 Thorax multi [factory] Non-Contrast 203 6.0 Abdomen [factory] (Ad ... Topogram Scanplanning TopoAdultSn 6 x 0.60 0.89 6.0 Abdomen RoutineSpiralAdultAbdo ... 0.80 128 x 0.60 (z-sharp) 0.50 Abdomen contrast medi ... Non-Contrast 356 6.0 L-Spine [factory] (Adult) Topogram ScanplanningTopoAdultSn 6 × 0.60 3.64 2.0 I -Snine RoutineSniralAdultSnine 178 v 0 60 (7-charn) 1 00 T- and I -Snine dicr or ho Non-Contract 295 67 Click to add footnote Effective Date: 08 Feb 2022 | HOOD05162003244317 second line Unrestricted © Siemens Healthineers, 2022 Scan Protocols SIEMENS Healthineers kV Improvements • CARE kV1 : Scan/Recon CARE Dose4D & CARE KV CARE KV IQ level CARE KV optimized for 1. New parameter for scan protocols and Brain Perfusion [factory] (Adult) decision trees: CARE kV IQ level. Topogram Non Contrast Brain Off Perfusion Brain Full 78 oft Tissue with Contrast Premonitoring Manual kV 25 loft Tissue with Contrast Monitoring Manual kV 25 loft Tissue with Contrast CTA Brain and Neck Full 145 Auto (Vascular) • FAST kV2 Scan/Recon CARE Dose4D FAST KV IQ level FAST KV optimized for 1. New parameter for scan protocols and decision trees: FAST kV IQ level and FAST Brain Perfusion [factory] (Adult) kV optimized for. Topogram Non Contrast Brain Off Perfusion Brain On 78 Soft Tissue with Contrast Premonitoring On 25 Soft Tissue with Contrast Monitoring On 25 Soft Tissue with Contrast CTA Brain and Neck On 145 Auto (Vascular) 68 1Applicable for SOMATOM go.All, SOMATOM go.Top Effective Date: 08 Feb 2022 | HOOD05162003244317 2Applicable for SOMATOM go.Now and SOMATOM go.Up Unrestricted © Siemens Healthineers, 2022 Scan Protocols SIEMENS Healthineers Lung Screening • New scan protocol with a new decision tree. Scan/Recon Scan Favorites Different strategies: Scan/Recon Decision Trees Strategy Scan Strategies Scan Mode CARE Dose4D CARE KV Review & CARE KV IQ level KV Lung Screening [factory] (Adult) 1. Low dose. Topogram Off ScanplanningTopoAdultSn Sn 100 Topogram 0.60 Tr20 cor Lung Lung screening [factory] On Lung screening [factory].low dose wo X-CAF RoutineSpiralAdultThoraxSn Full 15 Sn 100 Lung 5.00 Br40 A3 cor Lung screening [factory] 2. High resolution. Lung 5.00 Br40 A3 ax low dose wo X-CARE Lung 5.00 BI60 A3 sag low dose w X-CARE Lung 5.00 B160 A3 cor high resolution wo X-CARE Lung 5.00 BI60 A3 ax high resolution w X-CARE Lung 2.00 BI64 A3 sag Lung 2.00 BI64 A3 cor Lung 2.00 BI64 A3 ax Lung 10.00 BI60 A3 cor Lung 1.00 B160 A3 Scan/Recon Scan Favorites Scan/Recon Decision Trees Strategy Scan Strategies Scan Mode CARE Dose4D CARE KV Review & CARE KV IQ level KV Lung Screening [factory] (Adult) Topogram Off Scanplanning TopoAdultSn Sn 100 Topogram 0.60 Tr20 cor Lung Lung screening [factory] On Lung screening [factory].high resolution wo RoutineSpiralAdultThorax Full 100 120 Lung 5.00 Br40 A3 cor Lung screening [factory] Lung 5.00 Br40 A3 ax low dose wo X-CARE Lung 5.00 BI60 A3 sag low dose w X-CARE Lung 5.00 BI60 A3 cor high resolution wo X-CARE Lung 5.00 BI60 A3 ax high resoNition w X-CARE Lung 2.00 BI64 A3 sag Lung 2.00 B164 A3 cor Lung 2.00 BI64 A3 ax Lung 10.00 B160 A3 cor Lung 1.00 BI60 A3 69 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 Scan Protocols SIEMENS Healthineers Scan Mode Name Improvement • Key word Multienergy- is deleted, because it Scan/Recon was redundant when Twinspiral or Twinbeam is in the scan mode name. Scan/Recon Scan Mode Acce Kidney DE Stones [factory] (Ad ... Topogram Scanplanning TopoAdultSn Scanp Kidney Stones RoutineSpiralAdultAbdomenTwinspiral (ma: Routines RoutineSpiralAdultAbdomen RoutineSpiralAdultAbdomenTwinspiral (max. 100 cm) RoutineSpiralAdultAbdomenTwinbeam RoutineSpiralAdultAbdomenSn Kidney DE Stones [facto ... Topogram Scanplanning TopoAdultSn Kidney Stones Multienergy SpiralAdultAbdomen Twinspiral (max. 100 cm) Multienergy SpiralAdultAbdomenTwinbeam Multienergy SpiralAdultAbdomen Twinspiral (max. 100 cm) Routine SpiralAdultAbdomen RoutineSpiralAdultAbdomenSn 70 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 Scan Protocols SIEMENS Healthineers High Resolution in Radial Ranges • Set High Resolution (1024 matrix size) in long CPR radial ranges. Scan/Recon Inline Results Type Vessel Vessel Angle High Label Betwe ... ++Resolution Extremity CTA [factory] (Adult) Topogram Premonitoring Monitoring CTA Extremity CTA Extremity 5.00 Bv36 A3 sag CTA Extremity 5.00 Bv36 A3 cor None CTA Extremity 5.00 Bv36 A3 ax CTA Extremity 3.00 Bv36 A3 R ... Radial Vascular Ranges Curved Runoff R Runoff R 10 On CTA Extremity 3.00 Bv36 A3 R ... Radial Vascular Ranges Curved Runoff L Runoff L 10 On 71 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo CT VA40 Improvements Job Aid SIEMENS Healthineers ... Go syngo CT General syngo Improvements Copyright @ Siemens Healthcare GmbH 2021. All rights reserved. 72 Click to add footnote Effective Date: 08 Feb 2022 | HOOD05162003244317 second line Unrestricted © Siemens Healthineers, 2022 General syngo Improvements SIEMENS Healthineers Patient Browser • Copy Series: To avoid multiple recons which are needed in case of Multi Study Exam Series Open View as Read-Only (Grouping procedures) it is possible to copy those series as needed in Patient Protocol Dose Report CTA Coronal Open with View as Read-Only with all studies. It is necessary if radiologists need this dedicated series in Load into myNeedle Guide multiple studies. Set Delete Protection state Set Archive state Correct Cut Copy CCT ax KN 0.6/0.4 Copied from CCT ax Paste WT 1/0.4 Delete Del • Addition tool tip at the archived flag which shows the archive nodes Patient Browser which were addressed. It saves time for the technologist during Local Data + checking, whether the data was correctly sent to the archive or not. Search by Name, ID, Date, Description and Modality (Ctrl+F) More Filters Results (19 results, 10:42:55 PM) Series Patient Modality Study Date and Ti ... Study Descripti ... Exported Study Archived + Test *8/8/1988, M 123456 CT, SR 5/23/2021 9:10:49 Thorax [factor ... CT Raw data CT, SR 5/23/2021 9:02:14. Thorax [factor. T CT, SR 5/20/2021 11:54:1. Brain [factory] .. EC To be archived T CT, SR 5/15/2021 8:57:14 ... Thorax [factor. CT, SR 5/15/2021 4:52:12 ... Thorax [factor ... 73 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 General syngo Improvements SIEMENS Healthineers Raw Data Storage New selection of Enable / Disable raw data auto SIEMENS SSDE value (post) displayed in Patient Protocol O x Healthineers .. 5 14 Service, Local Exam Designer deletion in Raw Data Storage configuration. Scan Recon SIEMENS .. Healthineers MS-CT-APPSX02 / syadmin Free (Restricted Remote Access) M- Diagnose Installation &# Technical Configuration Quality Assurance + Clinical Configuration Site Information Raw Data Storage Remote Service Use the following settings to automatically delete raw data Licensing when required User and Role Administration Disable raw data auto deletion . Enable raw data auto deletion DICOM Nodes Trigger point for deletion DICOM Data Handling If raw data storage reaches % Archiving and Deletion If raw data disk space is limited to the data of patients Raw Data Storage Raw data to be deleted (only unprotected raw data) Exclude from Archive Only raw data older than day(s) and 0 hours Autorouting Job Settings Media Compression Author | Department 74 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Xcite_30_test A syngo CT VA40 Improvements Job Aid Cardiac CT R Improvements Courtesy of University Hospital Erlangen, Erlangen, Germany 75 Click to add footnote Effective Date: 08 Feb 2022 | HOOD05162003244317 second line Unrestricted © Siemens Healthineers, 2022 Cardiac CT Improvements SIEMENS Healthineers Protocol Selection SOMATOM go.All / SOMATOM go.Top + Add folder + Add folder • Protocol structure not changed in the transition between VA30 to VA40. • The relevant folders for ECG scans are Vascular Cardiac or Vascular Thorax. Trauma Trauma Specials Specials Research Baby 76 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 Cardiac CT Improvements SIEMENS Healthineers Protocol Selection (e.g. Adult) Protocol: Coronary Calcium Scoring [factory] • Coronary Calcium Scoring [factory]. -Indications: identification, quantification of Topogram calcified lesions in the coronary arteries, wo CM -Scan modes: CardiacSequenceAdult Calcium Scoring -Decision Tree: Coronary Calcium Scoring HR variability [factory] • Coronary CTA [factory]. Protocol: Coronary CTA [factory] -Indications: identification, quantification of Topogram calcified lesions in the coronary arteries, wo CM; stenosis of the coronary arteries, w CM • Coronary CTA Function [factory]. Calcium Scoring -Scan modes: CardiacSequenceAdult, PremonitoringSequenceAdult2d, Premonitoring MonitoringSequenceAdult2d, Monitoring CardiacSpiralAdultAngio -Decision Tree: Coronary Calcium Scoring HR CTA Coronary Coronary Calcium HeartFlow [factory]. variability [factory], Coronary CTA HR variability • and HR [factory] -Contrast Protocol: Coronary CTA [factory] Protocol: Coronary CTA Function [factory] • TAVI [factory]. -Indications: identification, quantification of Topogram calcified lesions in the coronary arteries, wo CM; stenosis of the coronary arteries, w CM Calcium Scoring -Scan modes: Cardia SequenceAdult, PremonitoringSequenceAdult2d, Premonitoring MonitoringSequenceAdult2d, Monitoring CardiacSpiralAdultAngio -Decision Tree: Coronary Calcium Scoring HR CTA Coronary variability [factory], Coronary CTA HR variability and HR [factory] -Contrast Protocol: Coronary CTA [factory] Protocol: Coronary CTA HeartFlow [factory] -Indications: identification, quantification of Topogram calcified lesions in the coronary arteries, wo CM; stenosis of the coronary arteries, w CM Calcium Scoring -Scan modes: CardiacSequenceAdult, PremonitoringSequenceAdult2d, Premonitoring MonitoringSequenceAdult2d, CardiacSpiralAdultAngio Monitoring -Decision Tree: Coronary Calcium Scoring HR CTA Coronary variability [factory], Coronary CTA HR variability and HR [factory]; Coronary CTA image quality and calcium [factory] -Contrast Protocol: Coronary CTA [factory] Protocol: TAVI [factory] -Indications: TAVI/TAVR, the evaluation of the access route (peripheral, transapical, subclavian, Topogram transaortic), aortic root and aortic annulus Test Bolus dimensions, as well as aortic valve structure and calcification, w CM Valve -Scan modes: TestbolusSequenceAdult2d, TAVI Planning CardiacSpiralAdultAngio, RoutineSpiralAdultAngioBodyFast -Contrast Protocol: CTA [factory] 77 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 Cardiac CT Improvements SIEMENS Healthineers Protocol Selection (e.g. Adult) – ECG Trigger • Thorax Coronary CTA [factory] Protocol: Thorax Coronary CTA [factory] -Indications: chest pain, triple rule out, vascular Topogram anomalies, aneurysms, dissection, ruptures of the thoracic aorta, pulmonary embolism, stenosis of Premonitoring the coronary arteries, w CM Monitoring 1. The dose in the heart area is 100% and the dose cranial -Scan modes: PremonitoringSequenceAdult2d, MonitoringSequenceAdult2d, CardiacSpiralAdultAngioFlexdose CTA Thorax Coronary and caudal of the heart is 50%. -Decision Tree: Thorax Coronary CTA HR variability and HR [factory] -Contrast Protocol: Coronary CTA [factory] Test H 123456 SOMATOM X.cite MAS +8/8/1988, M, 32Y syngo CT VA40A 5/24/2021 HFS 9:28:46.56 PM 2 IMA 1 TOP 101 ECG trigger TP -750.0 R L 10cm ........ KV Sn100 mA 55 A TI 2.17 512.0 0/0 350 Simulator Filter Sn 50 -................................................................................................................................................................................................... 78 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 Cardiac CT Improvements SIEMENS Healthineers Cardiac Flex Sequence Scan Repetition Flex Sequence Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon Scan/Recon Recon Type Recon Recon True Temporal Flex ECG Phase(s) Phase Unit Stack Resolution [ms] Recon The system automatically selects the repeated acquisition CTA Coronary 5.00 Bv36 A3 BestDiast long a ... • CTA Coronary 5.00 Bv36 A3 BestDiast short ... BestPhase (diastolic) 75 % Off 150 On for the reconstruction as default (Flex ECG Recon = on). CTA Coronary 5.00 Bv36 A3 BestDiast four c ... The first acquisition can be selected for the 60 60 60 60 60 60 60 60 60 60 60 60 • reconstruction by switching Flex ECG Recon to off. Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon Scan/Recon Recon Type Recon Recon True Temporal Phase Unit Flex ECG Phase(s) Stack Resolution [ms] Recon Flex ECG Recon CTA Coronary 5.00 Bv36 A3 BestDiast long a ... CTA Coronary 5.00 Bv36 A3 BestDiast short ... BestPhase (diastolic) 75 Off 150 Off CTA Coronary 5.00 Bv36 A3 BestDiast four c ... 60 60 60 60 60 60 60 60 60 60 60 60 On 79 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 Cardiac CT Improvements SIEMENS Healthineers Cardiac Scan Dose Settings SIEMENS ... • Cardiac scanning follows the general VA40 CARE changes. Healthineers Scan Recon Test * 8/8/1988 (32) M 123456 Exam Designer ? H Test H Test Coronary CTA [factory ... im H 123456 SOMATOM Xch 123456 SOMATOM X cite MAS +8/8/1988, M, 32Y syngo CT VA40A Syngo CI VALUA Recon Ranges 5/24/2021 .. HFS *8/8/1 988, M, 32Y • Quality.ref.mAs@120kV is transformed into CARE kV IQ myExam Compass 5/24/2021 9:28:46.56 PM Monitoring TP1 -855.2 9:32:50.47 PM Topogram 2 IMA 1 103 IMA 17 TOP 101 TP2 -993.2 RTD 502 Level. TP -750.0 LEN 138.0 TP -921.3 Calcium Scoring Premonitoring R R CTA Coronary Monitoring 10cm KV 70 • Ex-Factory default values are: Preconditions Eff. MAS 64 Quality ref. mAs 128 .CTA Coronary mA 55 A TI 0.29 GT 0.0 SL 4.0/1 28x0.6 (z-sharp) CTDIvol (32 cm) 2.94 mGy W Filter Sn C 350 421.0 0/0 990 Simulator Simulator 345 nE SSDE (12.1 cm) 7.93 mGy Calcium Scoring: 20 DLP 40.6 mGy*cm Eff. mAS 57 Scan Favorites neral Scan Dose Timing Config Physio Scan Contras KV 70 Scan/Recon CARE Dose4D & CARE KV CARE KV IQ level CARE KV CARE KV Exposure Time 1.40 s optimized for Grouping KV Eff. MAS CTDIvol [mGy] DLP Dose Notification Dose Notification [mGy*cm] CTDIvol [mGy] DLP [mGy*cm] Shaped Filter Coronary CTA: 64 Reconstruction CTA Coronary Full 64 Auto (Vascular) Off 70 57 (32 cm) 2.94 40.6 0.00 0.0 Narrow Close 60 60 60 120 40 60 60 60 60 60 60 120 40 60 66 bpm Min: 40 Max: 120 Start reconstructions Switch to Close 6 ml's 6 ml's Recon Next Cancel L 2.2s 6.2s 0.3s 3.1s 7.4s CARE KV IQ level 10 10 24.1 10 15 10 15 25 EN 64 80 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 Cardiac CT Improvements SIEMENS Healthineers ECG Documentation • Displays ECG as embedded color image as secondary capture. Works on standard DICOM viewers / PACS. HRx-ray (bpm): Avg 79 Min 77 Max 81 HRx-ray (bpm): Avg 79 Min 77 Max 81 Channel: 3 Strength: 5 of 5 Channel: 3 Strength: 5 of 5 Scan Phase: 70% - 80% Scan Phase: 70% - 80% Recon Phase: 0% - 95% Recon Phase: BestSyst 41% Very similar to the ECG display in the Exam UI. Created 79 80 79 79 79 80 79 79 79 • -269.7 -269.7 with every reconstruction series (e.g.: an orientation 343.3 343.3 multi 3 will end up with 3 identical ECG DICOM images, 80 78 80 79 79 81 Lili 30 79 79 because the system treats them as individual series if the -343.3 343.3 4169 16.9 recon job is started). 78 80 78 79 80 78 80 78 -416.9 -416.9 -490.5 • The only exception is multiphase reconstruction, where -490.5 e.g. 10 image series from 0% to 90% creates only 1 DICOM ECG documentation series. HRx-ray (bpm): Avg 82 Min 68 Max 92 HRx-ray (bpm): Avg 82 Min 68 Max 92 Channel: 3 Strength: 5 of 5 Channel: 3 Strength: 5 of 5 Scan Phase: 70% - 80% Scan Phase: 70% - 80% • It can be correlated to the image. Because on the left side Recon Phase: BestDiast 90% Recon Phase: BestDiast 90% of each ECG trace row, the data z-position provided as min 68 90 68 92 87 88 69 90 88 -283.3 and max value covering a z-range. -420.5 69 88 90 68 90 90 68 90 90 87 70 -420.5 79 80 -525.4 -269.7 68 90 88 69 90 -343.3 -220.8 -283.3 81 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 Cardiac CT Improvements SIEMENS Healthineers ECG Documentation • Does include header information: HRx-ray (bpm): Avg 79 Min 77 Max 81 1. Heart Rate (bpm) during the scan ( x-ray on !) Channel: 3 Strength: 5 of 5 1) Average Scan Phase: 70% - 80% Recon Phase: 0% - 95% 2) Minimum HR 3) Maximum HR Series 2. Signal strength 3. Scan and recon information (%) / (ms) CT Raw data Topogram 0.60 Tr20 cor CTA Coronary 5.00 .. CTA Coronary 5.00 .. CTA Coronary 5.00. ECG CTA Coronary. ECG CTA Coronary .. ECG CTA Coronary .. Patient Protocol • ECG documentation can be disabled globally in the configuration. Dose Report Examination Report - Diagnose Installation &# Technical Configuration Quality Assurance # Clinical Configuration Examination Configuration Cardiac Configuration Dose Acquisition Cardiac ECG Synthetic Sync Spiral Respiratory ECG Documentation Image ECG documentation per reconstruction 82 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers syngo CT VA40 Improvements Job Aid O Dual Energy Improvements 83 Click to add footnote Effective Date: 08 Feb 2022 | HOOD05162003244317 second line Unrestricted © Siemens Healthineers, 2022 Dual Energy Improvements SIEMENS Healthineers Advanced Visualization DE Results stored as Multi-Energy CT Images (Supplement 188 format): • Better display of DE results if supported by viewer. • L/H/C images are always conventional CT images. • Disable Multi-Energy CT format if PACS can’t handle it. Configuration Panel Client Settings Advanced Visualization Display And Behavior Export myNeedle Guide DE Inline Results Application Classes Global Configuration Spectral Post Processing (SPP) lodine Image Output Create lodine Concentration Images (100ug/cm3) Create lodine Enhancement Maps (HU) for Interactive Spectral Imaging and scanner generated classes: Liver VNC, Virtual Unenhanced, Lung PBV, Brain Hemorrhage Dual Energy Output Use Multi Energy CT DICOM Extension to store Dual Energy results 84 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022 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 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 85 Effective Date: 08 Feb 2022 | HOOD05162003244317 Unrestricted © Siemens Healthineers, 2022