SPECTsyngo VA30 CT Improvements

SIEMENS Healthineers SIEMENS Healthineers 1 . SPECTsyngo VA30 SYMBIA Prospecta CT Improvements Template Effective Date: 26 Mar 2025 | QR700020784 1 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 VA30 CT Improvements SIEMENS Healthineers General Scan & Recon 3 SIEMENS. Healthineers Miscellaneous 20 1 . MI View&GO 25 SYMBIA Pro-specta Exam Protocols 35 myExam Compass 39 Cardiac – ZeeFree 48 Template Effective Date: 26 Mar 2025 | QR700020784 2 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 SIEMENS Healthineers General Scan & Recon Template Effective Date: 26 Mar 2025 | QR700020784 3 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Show Actual & Intended start delay Intended Start Delay/Actual Start Delay Absolute Start Delay: • The Intended Start Delay is the customer defined (desired) value. Actual | Intended [s] • The actual Start Delay is the system calculated value. • Only the Intended Start Delay can be edited. 5.3 | 5 • Not available for Post Instruction Delay. Template Effective Date: 26 Mar 2025 | QR700020784 4 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Absolute Start Delay – Change scan time • The Absolute Start Delay of succeeding ranges 4 mlis within an Auto Range shall not be affected when the Absolute Start Delay or the scan time of a proceeding range in the Auto Range is changed. 15 8.25 38 8:25 10 17.1 The only reason to shift the Absolute Start Delay O 20 • of succeeding ranges is to ensure that the minimal required Start Delay is kept. • The Absolute Start Delay of the second scan (e.g. 74 s) is not changing, even changing the scan time 2 m/ of the first scan (e.g. from 8.2 s to 9.9 s). 9.95 36 8.25 10 17.1 74 O 20 75 EN Template Effective Date: 26 Mar 2025 | QR700020784 5 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Absolute Start Delay – Delete Breath hold commands Absolute Start Delay – Delete Breath Hold Scan Favorites General Scan Dose Timing Conta Physio Scan Contrast ScanRecco Pitch Rct. Exam Time Instruction Post Instruction Post Bolus The Absolute Start Delay shall also not be Time (s) Patient instruction Command Delay [s] Delay (11) [s] • affected when deleting one or more Breath Arterial Phase Abdomen 0.80 0.50 9.87 Inspiration Before Scan: After S. Hold commands. • The Absolute Start Delay of the second scan ACH (e.g. 74 s) is not changing, even deleting the Breath hold commands. L 0.5% 29 10 24 O Scan Favorites General Scan Dase Timing Config Physio Scan Contrast Scan/Recon Pitch Rot. Exam Time Instruction Post Instruction Absolute Start Delay: Actual | Time is] Ist Patient Instruction Command Delay [s] Intended [s] Venous Phase Abdomen 0.80 0.50 8.21 Inspiration 74.0174 10.53 9.95 36 10 24 10 Template Effective Date: 26 Mar 2025 | QR700020784 6 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Absolute Start Delay – Bolus Tracking Absolute Start Delay – Bolus Tracking Scan Favorites General Scan Dose Timing Config Physio Scan Contrast - CH Scanifecon Pitch Pot. Exam Time Time [s] Patient Instruction Instruction Post Instruction Absolute Start Delay: Actual | In case of Bolus Tracking, the absolute Start Command Delay [s] Intended [s] Delay of the succeeding ranges will be changed, Venous Phase Abdomen 0.80 0.50 8.21 Inspiration After Scan 74.0174 according to the scan time of the Monitoring range. 4 ml L 0.55 15 9.95 36 8.25 10 24 10 O 10.5% 11.65 9.95 43 27-6 O O Template Effective Date: 26 Mar 2025 | QR700020784 7 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Breath-hold Languages and Comments SIEMENS Healthineers Support of ten new languages and one new command. New languages: Instruction Language • Albanian Audio Control • Kabyle Albanian • Tashelhit Command Patient Instruction • Tamazight Stop breathing • Armenian • Kurdish • Bosnian New breath hold command: • Catalan “Stop breathing now!” – “Start breathing again.” • Tamil • Ukrainian Template Effective Date: 26 Mar 2025 | QR700020784 8 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Breath hold – Advanced Breath hold settings User Interface: Automatic patient instruction Delete both Delete before scan The automatic patient instruction (API) enables the synchronization between the spoken instructions (breathing commands) and scanning. Delete after scan 4.2s Nowadays, every patient instruction consists of two parts: Text A before scanning and Text B after scanning. 3.9 0 10 Example: Exam Designer: Before scanning: "Breathe in - stop breathing!" After scanning: "Continue breathing!" Instruction Command Before Scan; After Scan Before Scan After Scan Before Scan: After Scan Template Effective Date: 26 Mar 2025 | QR700020784 9 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Breath hold – Advanced Breath hold settings It shall be possible to: • Connect API Text A and API Text B independently to each scan range in the timeline and parameter panels. 7.75 Delete both .7s Delete before scan • The API configuration in the Admin portal does not change 3 for recording still Text A and B must recorded. Delete after scan 10 20 25 30 – O • To delete Text A & B independent via context menu “Delete”. • When dragging a command from the Timeline edit mode, a pair is always initially dropped. • Apply to all behavior: Changes only the text of the ranges, not the selection state of A and B. • The timeline only shows the applied “loudspeakers”. • Each scan range can have different commands for A and B (e.g., scan range 1 Inspiration A, scan range 2 Expiration B). Template Effective Date: 26 Mar 2025 | QR700020784 10 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Breath hold – Advanced Breath hold settings If an auto range has been canceled: • Play the next available Text B which is defined for this measurement. If no Text B is defined, play nothing. 7.75 7.75 • 3 2 5 10 10 O O 7.75 7.7s 3 2 0 10 0 10 Template Effective Date: 26 Mar 2025 | QR700020784 11 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Dose notification SIEMENS Healthineers Dose notification – Pre-configuration Diagnosis Installation º Technical Configuration Quality Assurance + Clinical Configuration Examination Configuration Dose Configuration In the Admin Portal, you can preconfigure a Dose Modulation Report Alert Notification diagnostic reason available for the next Cardiac patient. Respiratory Image Table Diagnostic Reason Patient obese patient Dose Notification × General large patient Audio contrast Dose values exceed their configured notification values. Reference Slice New Entry Notification Value Applied Value Diagnostic Reason obese patient Edit Delete Thorax large patient Edit Delete CTDIvol 5.00 (32 cm) 5.80 mGy contrast Edit Delete New Entry Diagnostic Reason Obese Patient Diagnostic Reason Large Patient obese patient Confirm Cancel large patient Template Effective Date: 26 Mar 2025 | QR700020784 12 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 mA Average SIEMENS Healthineers New parameter mA average Add the tube current indication (in mA) according to IEC 60601-2-44 mA average (Amendment 2). A new parameter is required on the Dose tab. It displays the calculated 146.3 average mA value before scanning and updates it to the applied average mA value after scanning. • Label on the user interface: mA – for dual Energy mA (L/H) • Visibility: Always visible, but read-only mA average 349/352 Template Effective Date: 26 Mar 2025 | QR700020784 13 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 MIP Thin slice thickness SIEMENS Healthineers MIP Thin slice thickness General Recon MIP-thin slice thickness > 10mm for 3D Slice Thickness Incre reconstructions The maximum possible slice thickness for the image type MIP Thin is [mm] [mm] now 40 mm. 5.00 5. 1.50 General Recon Recon&GO Image Impre ... 2.00 - 3.00 Image Type Window@120kV FAST Window Kernel 4.00 5.00 6.00 MIP Thin Base Orbita On Hr40 7.00 8.00 10.00 15.00 20.00 25.00 30.00 40.00 Template Effective Date: 26 Mar 2025 | QR700020784 14 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Multi Impression Reconstruction SIEMENS Healthineers before VB10 VB10 Multi impression reconstruction Recon Ranges Recon Ranges Topogram • Multi impression recon should be shown immediately Topogram after recon is ready. • Before VA30, a multi-impression recon was displayed Thorax Thorax only after all recons in that recon job were reconstructed. • In VA30 for multi-impression recons, the image series of an individual recon is available as soon as the individual recon is finished. Recon anges Reco Rang s Topogran Topog Thora Thorax Template Effective Date: 26 Mar 2025 | QR700020784 15 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 iMAR for bone kernels (optional) SIEMENS Healthineers iMAR It is possible to enable iMAR with bone kernels up to 56. iMAR iMAR Type Restricting FAST IRS computers to avoid side effects on the system performance: On Pacemaker • IRSi-2c or • IRSi-2d Only for SOMATOM go. systems. Template Effective Date: 26 Mar 2025 | QR700020784 16 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Mirroring for SPP SIEMENS Healthineers Spectral Post Processing Recon Favorites General Recon Recon&Go Image Impression | • The parameter mirroring is now also Scan/Recon Spectral enabled for Inline Results SPP. Recon Inline Results Multi Recons Venous Phase Abdomen 1.50 Qr40 03 None SPP None pression Recon Box Physio Recon Auto Tasking Inline Options FAST Planning Matrix Matrix Center X Center Y Width Size [mm] [mm] Mirroring HD FOV Wide 512 Square 0.00 0.00 None None Leftillight Up/Down Both Template Effective Date: 26 Mar 2025 | QR700020784 17 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Body Part Examined & Target Region SIEMENS Healthineers Body Part Examined & Target Region Dose Timing Image Impression | Recon Box The parameters Target region & Body Part tic Target Region S ure Body Part Transfer Auto CT Examined Nodes View ... Examined have a new structure and entries according to DICOM Standard-Version 2-22e. Chest - Routine Chest Off Circle of Willis Circle of Willis Off Internal Auditory Canal Internal Auditory Canal Mustold Bork Mastold Bone Orbita Orbita Sinus Sinus Maxilla Maxilla Mandible Mandible › Neck/Shoulder › Neck/Shoulder Thorax Thorax Thorax Thorax Template Effective Date: 26 Mar 2025 | QR700020784 18 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Sort Raw Data According to Date & Time SIEMENS Healthineers Manage Raw Data dialog: Manage Raw Data X • Is enlarged. Delete Export Import • Offers the possibility to sort the files Target location has sufficient space. according to raw data creation Date & Time on Delete and Export tab. Patient Study Description Range Description Date and Time Target H:\SiteData\ExportRawData Patient #2, Brain [factory](Adult) Topogram 06/10/2025 4:30:56 PM Patient #2, Brain [factory](Adult) Non-Contrast Brain 06/10/2025 4:33:06 PM Browse Properties: Data Minimization Profile | Reduced Privacy Pseudonym RawMinimized Total Size: 1,491.81 MB Template Effective Date: 26 Mar 2025 | QR700020784 19 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 SIEMENS Healthineers Miscellaneous Template Effective Date: 26 Mar 2025 | QR700020784 20 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Exam Designer SIEMENS Healthineers Clinical decision trees Back to Exam Designer myExam Cockpit 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees The system will reflect a change in a Modify Decision Trees clinical decision tree directly in the Scan Strategies Decision Tree protocol. Brain contrast medium necessary [factory] wo CM W CM + Add Strategy None After clicking Confirm Changes, if Info Level None Info Text already linked to the protocol, it is Scan Mode RoutineSpiralAdultHead RoutineSpiralAdultHead Injector Coupling Off On no longer necessary to close the Contrast Protocol Brain [factory] Absolute Start Delay 2.0 180.0 Exam Designer. + Add Parameter Decision Tree Filter RoutineHeadNoSnAdult Edit Trees Select Decision Trees Confirm Changes Template Effective Date: 26 Mar 2025 | QR700020784 21 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Scheduler SIEMENS Healthineers ci-cio-som2 / syadmin Fron (Fasiricted Romole Access) A Diagnosis installation 3ª Technical Configuration Quality Assurance Clinical Configuration Physician information P Examination Configuration Scheduler Data Preprocessing Indication of Prior Studies Patient Browser Display an indicalor in the Scheduler when prior sluchos are available The information will be kept for: Scheduler Selection of Procedures Local Dala w Auinmatically seks the mad mincedure when current procedure is removed from the list Prier Study Seauch • Performing Physician Automatically fill physician information w Koop valls trom previous wegenrouen es detauli for Performing Physician, Requesting Physician, and Operator DICOM Data Handing • Requesting Physician Licensing Visitala Atribuisa Panfiniralian SIEMENS Layout Marsagement Patie Heolthingers Scheduler • Operator User and Role Administration Patients Medical Information Exam Information Admining Diagnock Alert: Alerts Test CL Institutin Wright ming Finden Hubert Maturing Finidan Openitor Pilar Soutien Template Effective Date: 26 Mar 2025 | QR700020784 22 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Extended Search SIEMENS Healthineers Extended Patient Search 4ª Technical Configuration -14ª Clinical Configuration Patient Browser No limitation of 200 patients in worklist anymore: Patient Browser Selection of Procedures Scheduler w Automaticaly select the next procedure when current procedure is removed from the list • Go to Clinical Configuration > Patient Automatically fill physician information Browser > Scheduler > Search Functionality. Keep values trom previous registration as default for Performing Physician, Requesting Physician, and Operator Check the Extend single search the default Search Functionality • w Extend single search to search the default RIS node RIS node box. Search by Patient ID Patient ID Visible Atl Patient Name ration Accession No Search by: Medical Information Attributes Last Name Admiring Diagnosis First Name Ward • Patient ID Middle Name Fieki Strength - Title • Patient Name Suffix y Other Patient Names • Accession No Alerts Attributes Institution Attributes Medical Alerts institution Name Allergies Insitution Address Pregnancy Status Performing Ptrysician Save Template Effective Date: 26 Mar 2025 | QR700020784 23 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 System check SIEMENS Healthineers While running a system check such as Checkup, a Checkup progress bar shows the status of the ongoing Direct Laser Check Close procedure. After a successful system check, the system displays a green checkmark together with a text, indicating which system check it performed. Function Unconfirmed FRU Replace Check @ Checkup @ system Check started. Function 'Unconfirmed FRU Replace Check @ Checkup @ System Check' completed. Function 'System Config Check @ Checkup @ System Check' started. Function System Config Check @ Checkup @ System Check completed. Repeat GO Cancel Function 'RAC Runout Test @ Checkup @ System Check started. Please close the door Press START & Press START Feed = 0 130 kV, 0 mA, 60 s, 64x0.6 mm (A) Checkup succeeded. Template Effective Date: 26 Mar 2025 | QR700020784 24 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 SIEMENS Healthineers MI View&GO Template Effective Date: 26 Mar 2025 | QR700020784 25 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Alpha Blending SIEMENS Healthineers MPR/MPR Properties Slice Thickness Siemens AG Forchheim Ref: MIGPM2 Sensation 16 Slice Spacing · Minimum of slice thickness mm te: This valve must not be latger In previous software versions, the mixing nickness ratio MPR/MPR was only accessible via the Mixing Ratio left upper corner menu. CT. 1 CT 2 100% 100% Since VB10 this functionality is easily also OK Cancel accessible via a mini tool bar. 10cm F @ 51 % W 2000 300 W 400 Masmodytom 2 51 % Masmozytom 2 .. Template Effective Date: 26 Mar 2025 | QR700020784 26 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Alpha Blending SIEMENS Healthineers Alpha blending toolbar icon Series Kne OMATON "1202/2019, F. 5JY Mingo CT VAIDA Knee CMATOM GO UP FFS 12002/2019. 11/20/2019 11/20/2019 As soon as the two datasets are 11:20/2019 Jaelha Ote 1:50 8:00 83 Justo De 1.50 5-60 83 HPDN3475583 714347553 11/20/2019 fused, the alpha blending toolbar 21A41 11:27:22 07 AM ICT. Para e Jaeino fontinat. 57 H12029 GP 11 204 4 icon is appearing as a mini toolbar. R R 30. FL 1 53210 Tipda 20 BL 1-5/32H1 7/00 5 Bem V 130 F W130 Quality ref. mis 70 W 1500 Quality ref. mas to 405 490 SOMATOM go UD Kinge SOMATOM DO UP +12002/2019, F, 63Y "12/02/2010 F 63Y CT VASOA 11/20/2019 | 11/20/2019 11/20/2019 FFS 11:20/2019 Joelho Dis 1,50 Bir6o 83 as | Joelho Cto 1,50 Topogram HPON3475583 11:26 55 30 AM 11/20/2019F 11/20/2013 112 19 451 MPFEFUSION 10cm KV 110 MA LA 02.04 GT00 - AC 200 40 Template Effective Date: 26 Mar 2025 | QR700020784 27 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Alpha Blending SIEMENS Healthineers With this toolbar, the percentage of Knee BOMATOM go Up blending can be selected. 11/20/2019 FF3 "1202/2018, 7.63Y 11/20/2019 FFR 11/20/2018 11212015 Joelha Dt2 1,50 B:60 8:3 2 Joe TiD Day 1.50 9:40 HPBIN3475508 11:27 22 87 AM In this example, it is 50% of Br40 series. 144 40 EPH1204 4cm KV 130 F 30 EE MAR 20 Duility ref MAR 70 W 1400 Quality ref. MAS TE 400 Knee SOMITOM pa Up "1202/2019. F. 63Y BOMATON 20 UF Knee 1202/2019. E. 63Y Nings CT VA20A 11/20/2019 | 11/20/2019 11/20/2019 FFA Dopograma 0.70 7120 ti Joelho Dto 1,50 ... 50 % Joelho Dto 1,50 ... 1PON3475500 11 26 55. 30 AM 11.00/2019/ 11/20/2019 19 AM SP1 A160 9 WAR FUSION 10cm MA 16 [A] F1 2.04 1409 GT00 Joelho Dia 1.50 50 % Joelho De0 1. Template Effective Date: 26 Mar 2025 | QR700020784 28 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Auto-Contour Button for VOI Freehand SIEMENS Healthineers Select VOI Freehand from the Upper Right Distance Line Corner menu. 11/20/2019 ROI Circle O 11/20/2019 11:27:19.73AM Pixel Lens 2IMA-41 SP H1 202.9 Arrow Marker IT Angle ‹ Text T MPR EL VOI Freehand VOI Sphere VOI Freehand. Evaluate Template Effective Date: 26 Mar 2025 | QR700020784 29 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Auto-Contour Button for VOI Freehand SIEMENS Healthineers The system automatically activates the Auto-Contour mode. 11/20/2019 11/20/2019 11:27:19.73 AM 2 IMA -41 SP H12029 auto Auto Auto Contour Create VOI Undo Redo Start New Contour MPR 0.3 sem 1500 450 COMOLA Crease Vor Start New Template Effective Date: 26 Mar 2025 | QR700020784 30 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Auto-Contour Button for VOI Freehand SIEMENS Healthineers Defining a contour with Auto-Contour mode: • Contour line automatically adapts to existing edges in the image. Click 3 Workflow: • Click on positions where the solid contour is correct. Click 1 Click 2 Can undo Duart Now Template Effective Date: 26 Mar 2025 | QR700020784 31 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Auto-Contour Button for VOI Freehand SIEMENS Healthineers Finalize the contour by double-clicking. Double click to finalize Contour Crewie vor Unda Start Now Contour Result Contour Undo Centaur Contour, Creste VOI Start New Template Effective Date: 26 Mar 2025 | QR700020784 32 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Re-size / Full-size of Printing sheet SIEMENS Healthineers Re-Size button You can now adapt the size of the SIEMENS Healthineers hinting Printing window dynamically or set it CT ViewAGO 5. T Printer Coples Series to full size. 11/20/2019 Paper Size Letter umbet of Print-cutst 3r9 images on fast page IlInvert Background Limitation: You can resize the window, but the layout remains unchanged (still a lot of empty space). x E Favorite Tools O Kate 11/20/2019 | 11/20/2019 30 MPRFUSION 12:00 AM Template Effective Date: 26 Mar 2025 | QR700020784 33 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Stroke Layout SIEMENS Healthineers Visualization of all relevant results in a comprehensive overview for the diagnosis of a suspected stroke in MI View&GO application. Template Effective Date: 26 Mar 2025 | QR700020784 34 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 SIEMENS Healthineers Exam Protocols Template Effective Date: 26 Mar 2025 | QR700020784 35 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Exam Protocols SIEMENS Healthineers Thorax (9) Pelvis (3) Symbia Pro.specta Q3 Thorax multi [factory] Pelvis soft tissue or bone [factory] • New rotation time 0.5 s available*, but not set in Thorax breathhold and X-CARE [fact ... Pelvis contrast medium necessary [f ... default protocols and only available for Thorax for CT Thorax Fov [factory] Pelvis DE possible [factory] only scanners and all scans for SPECT/CT scans. Thorax contrast medium necessary [ ... Symbia Pro.specta X3 RTP Breast [factory] Spine (4) New Brain and Neck CTA Multi Range protocol as an Thorax and Abdomen FoV [factory] • Thorax and Abdomen contrast medi ... C-Spine disc or bone [factory] alternative to the Brain Perfusion protocol. • New rotation time 0.5 s available*, but not default and Lung screening [factory] T and L Spine disc or bone [factory] only available for Thorax for CT only scanners and all Lung Low Dose breathhold and X-C ... Spine DE possible [factory] scans for SPECT/CT scans. Spine metal DE possible [factory] Abdomen (4) Symbia Pro.specta Q3, X3, and X7 Upper Extremities (0) • Rename decision trees from Twinbeam/Twinspiral DE Abdomen FoV [factory] to DE. Abdomen contrast medium necessa. Kidney DE possible [factory] Lower Extremities (0) Whole Rody soft tissue or hone [fact ... *optional Template Effective Date: 26 Mar 2025 | QR700020784 36 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Exam Protocols SIEMENS Healthineers General changes: • New combined exam protocol Neck, Thorax and Abdomen. Scan Favorites General Scan Dose - Scan/Recon Scan Mode Neck, Thorax and Abdomen RoutineSpiralAdultAbdomenFlexdoseQuantumplus 5.4s 5.95 5.3 5.3 DO 10 O O Template Effective Date: 26 Mar 2025 | QR700020784 37 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Exam Protocols SIEMENS Healthineers General changes with new features: Recon Favorites General Recon • New scan mode Inner ear for better MPRs. Reco - • New Target Region and Body Part Exams entries. Scan/Recon Slice Thickness Increment [mm] • MIP thin slice thickness up to 40 mm. [mm] • Inline Results – parallel ranges slice thickness up to 60 mm with an increment of up to 200 mm. CTA Brain and Neck 60.00 Br40 Q3 ax 60.00 200.00 • New patient instruction Stop breathing. -H A Template Effective Date: 26 Mar 2025 | QR700020784 38 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 SIEMENS Healthineers myExam Compass Template Effective Date: 26 Mar 2025 | QR700020784 39 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 myExam Compass SIEMENS Healthineers The decision trees used by myExam Compass are enhanced with new default decision trees. • Any kind of scan range can be added or removed by using clinical decision trees. Protocols are dynamically adapted accordingly, based on clinical indications or patient characteristics. Template Effective Date: 26 Mar 2025 | QR700020784 40 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Add and remove scan ranges SIEMENS Healthineers Range active/inactive (1) You can now add or remove scan ranges via the myExam Compass. For example, Cardio: If you attribute Age as Young Adult or Adult, the system will perform the examination without Calcium Scoring. Coronary CTA [facto ... += myExam Compass myExam Compass Patient Characteristics Topogram Premonitoring Age Young Adult Adult Senior Monitoring ICTA Coronary Heart Rate Variabilily Regular Unstable Arrhythmic Reconstruction Close Heart Rate Low Moderale High 5 mlis & mlle -ICH O L 3.3s 0.3s 0.8s 4.7s 9.9 10 21.5 0 10 15 O 0 10 20 Template Effective Date: 26 Mar 2025 | QR700020784 41 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Add and remove scan ranges SIEMENS Healthineers Range active / inactive (2) You can now add or remove scan ranges via the myExam Compass. For example, Cardio: If the attribute Age is Senior, the system will perform the examination with Calcium Scoring. Coronary CTA [facto ... myExam Compass myFxam Compass Patient Characteristics Topagram Calcium Scoring Age Young Adult Adult Senior .Premonitoring .Monitoring Heart Rate Variability Regular Unstable Arrhythmic CTA Coronary Reconstruction Heart Rate Close Low Muderale High mils p ml's L 3.3s 8.2 0.35 0.85 4.25 9.9 9.9 21.5 0 10 20 15 20 25 Template Effective Date: 26 Mar 2025 | QR700020784 42 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Add and remove scan ranges SIEMENS Healthineers Range active / inactive (3) To be able to do so, the clinical decision tree has an additional entry: Scan Range. You can set the Scan Range to Active or Inactive. Scan Strategies Decision Tree Coronary Calcium Scoring HR variability age [factory] standard end systolic arrhythmia inactive + Add Strategy Info Level None None None Info Text Scan Mode CardiacSequenceAdult CardiacSequenceAdult Phase Start 75 350 Phase End 75 350 Phase Unit % ms Scan Range Active Active Inactive + Add Parameter Template Effective Date: 26 Mar 2025 | QR700020784 43 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Add and remove scan ranges SIEMENS Healthineers Range active / inactive (4) The decision tree is configured as follows: • For young adults and adults, Calcium Scoring is set to inactive. • For seniors, Calcium Scoring is activated. Scan Strategies Decision Tree Coronary Calcium Scoring HR variability age [factory] standard Age Young Adult Adult Senior inactive inactive standard Heart Rate Variability Regular Unstable Arrhythmic standard standard Y end systolic arrhythmia Template Effective Date: 26 Mar 2025 | QR700020784 44 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Add and remove bolus tracking SIEMENS Healthineers Bolus tracking (1) You can now add or remove bolus tracking via the myExam Compass. For example, Abdomen: First, you must decide if the scan is performed with or without contrast media. If you select without contrast, no additional entry in the timeline will be added. myExam Compass Questions Would you like to scan with or without contrast medium? without contrast with contrast -TH LO L 3.3s 6.5s 5.3 5.3 10 O 10 O Template Effective Date: 26 Mar 2025 | QR700020784 45 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Add and remove bolus tracking SIEMENS Healthineers Bolus tracking (2) If you select with contrast, additional bolus tracking, including the contrast protocol, will be added. myExam Compass Questions Would you like to scan with or without contrast medium? without contrast with contrast 4 ml/s 4 ml/s -TH LO L 3.3s 0.5s 1s 6.5s 5.3 10 17.1 5 10 O O 10 15 20 25 30 O Template Effective Date: 26 Mar 2025 | QR700020784 46 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Add and remove bolus tracking SIEMENS Healthineers Bolus tracking (3) You can set the entry Bolus Tracking either to Inactive or to Active in the dedicated scan strategy. Bolus tracking is only active when selecting with contrast and the myExam Compass. Scan Strategies Decision Tree Scan Strategies Decision Tree Abdomen contrast medium necessary [factory] WO CM w CM + Add Strategy Abdomen contrast medium necessary [factory] Info Level None None Info Text wo CM Scan Mode RoutineSpiralAdultAbdomen RoutineSpiralAdultAbdomen With/without CM? CARE Dose4D & CARE KV Full Full CARE kV optimized for Non-Contrast Soft Tissue with Contrast without contrast with contrast Injector Coupling Off On WO CM W CM Y Contrast Protocol Abdomen [factory] Intended Post Bolus delay 0.0 75.0 Bolus Tracking Inactive Active + Add Parameter Template Effective Date: 26 Mar 2025 | QR700020784 47 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 SIEMENS Healthineers Cardiac - ZeeFree Template Effective Date: 26 Mar 2025 | QR700020784 48 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 ZeeFree SIEMENS Healthineers Software reconstruction feature which allows the reconstruction of ECG-gated spiral or ECG-triggered sequence data with improved border alignment of stacks originating from separate cardiac cycles. This is an optional feature only available on Symbia Pro.specta X7 systems. Standard True Stack ZeeFree Template Effective Date: 26 Mar 2025 | QR700020784 49 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 ZeeFree SIEMENS Healthineers ZeeFree This is based on a non- The algorithm rigid registration step tries to enabled by the available minimize the overlapping image difference between neighboring between the cardiac cycles. stack overlaps. The complex algorithm ensures everything aligns la + 01 Template Effective Date: 26 Mar 2025 | QR700020784 50 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 ZeeFree SIEMENS Healthineers What you have What you want Real-world challenge ZeeFree with patient breathing Template Effective Date: 26 Mar 2025 | QR700020784 51 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 ZeeFree SIEMENS Healthineers Workflow Recon&GO Image Impression Recon Box Physio Recon Auto Tasking Inline Options - - - Recon Type Recon Recor StackRecori Temporal Flex ECG ZeeFree can be selected via the Recon Parameters > Physio Phase(s) Phase Unit Resolution [ms] Recon Recon Tab > StackRecon dropdown. Single Phase 75 Standard Standard TrueStock Zonface StackRecon dropdown offers three options: 50 50 50 50 50 50 50 1. Standard ¥ 50 bpm Min: 50 Max: 50 2. TrueStack 3. ZeeFree With ZeeFree ON: • HD FoV is not possible • iMAR is not possible • Kernel > 60 is not possible Template Effective Date: 26 Mar 2025 | QR700020784 52 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Comparison between different recons SIEMENS Healthineers Standard vs. TrueStack vs. ZeeFree Standard (blended) TrueStack ZeeFree Blurry at the edges of stacks Each stack shown full and Aligned optimally to demonstrate leading to less clinical confidence. anatomy is repeated 20% in each the morphology as intended. Works Especially when the stack arises at stack. But can still make independently from the number of a point of stenosis. diagnosis but reading more stacks or detector width. cumbersome. Template Effective Date: 26 Mar 2025 | QR700020784 53 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 SIEMENS Healthineers Please note that this 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 Healthineers Headquarters Siemens Healthineers AG Siemensstr. 3 91301 Forchheim, Germany Phone: +49 9191 180 siemens-healthineers.com Template Effective Date: 26 Mar 2025 | QR700020784 54 Job Aid Effective Date: 23 Sep 2025| QR700029113 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025