Structure Template creation (USA)

Structure Template creation Disclaimer Please keep in mind that the user interface may differ slightly from what is shown in this Job Aid. The actual usage of the tool may differ slightly on the different host systems, for example on syngo.via, Syngo Carbon Space, syngo.via View&GO, AI-Rad Companion or on the scanner. How- ever, the intended purpose of the tool is the same. The tool functionality defined in this Job Aid is applicable to any of the Siemens Healthineers products in which you find this tool. syngo.via AI-Rad Y Companion Scanner Syngo Carbon syngo.via Space View&GO SIEMENS Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 Master Template Effective Date: 21 Apr 2023 | HILS 2224 Healthineers Job Aid Effective Date: 31 Oct 2023 | QR700002185 Job Aid | Structure Template creation Effective Date: 31 Oct 2023 | QR700002185 MM RT Image Suite The MM RT Image Suite is a multimodality workplace for image postprocessing (for example, Or- gans-at-Risk contouring). This document introduces the available AI-structures for autocontouring and guides you through the workflows for creating a AI-based structure template. New autocontourable organs, for example, for the Head & Neck Lymph nodes and Axilla Lymph nodes are available in the current version. Please note: • The new organs are based on a new License. • This Job Aid reflects software version VB80 and above. Lymph node regions Head & Neck 1 • Level Ia: Submental triangle Breast & Lung1 • Level Ib Submandibular triangle (L/R) • Level II: Upper jugular nodes (L/R) LN Axilla Level I (L/R) • • Level III: Middle jugular nodes (L/R) LN Axilla Level II (L/R) • Level IVa: Lower jugular group (L/R) LN Axilla Level III (L/R) • • LN Internal Mammary • Level IVb: Medial supraclavicular group (L/R) • (L/R) • Level V: Posterior triangle group (L/R) Level Vc: Lateral supraclavicular group (L/R) LN Supraclavicular • • (L/R) • Level VIa: Anterior jugular nodes • Level VIb: Prelaryngeal, pretracheal, and paratracheal nodes • Level VIIa: Retropharyngeal nodes (L/R) • Level VIIb: Retro-styloid nodes (L/R) • Level VIII: Parotid group (L/R) Pelvic area • Level IX: Bucco-facial group (L/R) LN Common Iliac • • Level Xa: Retroauricular and subauricular nodes (L/R) (L/R) • Level Xb: Occipital nodes (L/R) LN Internal Iliac • (L/R) LN External Iliac • (L/R) LN Obturator (L/R) • • LN Presacral 1 Optional. This refers to the Autocontouring functionality in syngo.via RT Image Suite. It is not applicable to AI-Rad Companion Organs RT. Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 2 of 9 Job Aid | Structure Template creation Effective Date: 31 Oct 2023 | QR700002185 Cardiac structures have been updated from model-based segmentation to deep learning. Contrast media is no longer needed. Body parts Abdomen Head & Neck • Stomach1 Brain Breast & Lung Liver • • Brainstem • Female breasts Spleen • • Eye globe (L/R) Kidneys (L/R) • • Lens (L/R) (L/R) • • Optic nerve (L/R) Lung (L/R) Pancreas1 • Lung lobes Abdominopelvic cavity • • • Optic chiasm • • (RI, RM, RS, LI, Duodenum1 Cochlea (L/R)1 LS) Bowel (small/large) 1 • • Parotid gland (L/R) • • Trachea1 Submandibular gland • Proximal bron- • (L/R) chial tree1 Oral cavity • Chest wall (L/R)1 Pelvic area • Mandible • • Whole heart Lips • Atrium (L/R)1 Bladder • • Larynx (L/R) • Ventricle (L/R) Multi-site Prostate • • 1 • Lymph nodes1 Ventricle Left Penile bulb1 • • Glottis Endocardium Body contours • Rectum • • Supraglottic larynx Spinal cord Sigmoid1 • • • • LAD1 Pharyngeal Constric- Proximal femur (L/R) • • • Aorta Spinal canal1 • tor Muscle Inferior Seminal vesicles • • • V. Cava Esophagus (inf./mid./sup.)1 • Skeleton LN Common Iliac (L/R) • Brachial plexus (L/R) (inf/sup)1 • • • Thyroid1 Pulmonary LN Internal Iliac (L/R) • • artery1 LN External Iliac (L/R) LN Obturator (L/R) • Individual ribs • • (24 ribs) LN Presacral • • Sternum Uterus1 1 Optional. This refers to the Autocontouring functionality in syngo.via RT Image Suite. It is not applicable to AI-Rad Companion Organs RT. Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 3 of 9 Job Aid | Structure Template creation Effective Date: 31 Oct 2023 | QR700002185 Autocontouring models are trained according to the following guidelines: • Head&Neck Organs at Risk: International consensus, Brouwer et al., 2015, • • Head&Neck Lymph nodes: International consensus, Gregoire et al., 2014, • • Thoracic Organs at Risk: RTOG guideline, Kong et al., 2011, • • Abdomen Organs at Risk: CT Anatomy for Radiotherapy, 2nd edition, Pete Bridge, and David J Tipper, M&K Publishing • Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 4 of 9 Job Aid | Structure Template creation Effective Date: 31 Oct 2023 | QR700002185 Creating a DirectORGANS Structure Template → Creating an OrgansRT Structure Template Step 1: Go to the Configuration Panel (1). Click on the Advanced Visualization tab (2), select Contour- ing Configuration (3), then select Add Template (4) to create a new structure template. SIEMENS. Healthineers D: # Configuration Panel 2 1 Client Settings Advanced Visualization Display And Behavior Export OpenApps Reporting CT Dual Energy Configuration Contouring Configuration Structure Configuration Organ Database w RT Structure Template Configuration 4 Show All Search Delete Merge Creare Rate Template Template Last Modified User Name emarks Favorites Auto Coding Scheme Code Name Contou Type Scheme Version Value Code Meaning Head and Neck Thorax Cardiac Abdome Pelvis Limb Body Other OK Apply Cancel 1:41 PM Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 5 of 9 Job Aid | Structure Template creation Effective Date: 31 Oct 2023 | QR700002185 Step 2: Rename the template (1) and add organs to the template by using the search function (2). SIEMENS .. Healthineers Configuration Panel Client Settings Advanced Visualization Display And Behavior Export OpenApps Reporting CT Dual Energy Configuration Contouring Configuration Structure Configuration Organ Database 2 RT Structure Template Configuration 1 Show All Search lung emplate Name Lung Remarks Name Favorites Auto Type Schang Schem Version Code Value Code Meaning Organs Auto Tasking Name Type Thorax Lung Left Available AVOIDAN FMA 7310 Left lung Lung Lobe Left Lowe Available AVOIDAN FMA 3.2 7371 Lower lobe of left lun, Lung Lobe Left Uppe Available AVOIDAN FMA 3.2 7370 Upper lobe of left lun Lung Lobe Right Lov Available AVOIDAN FMA 3.2 7337 Lower lobe of right lu Lung Lobe Right Mid Available AVOIDAN FMA 7383 Middle lobe of lung Lung Lobe Right Up Available AVOIDAN FMA 7333 Upper lobe of right lu Lung Right Available AVOIDAN FMA 3.2 7309 Right lung Lungs NA AVOIDAN FMA 3.2 68877 Pair of lungs OK Cancel OK Apply Cancel 1:41 PM Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 6 of 9 Job Aid | Structure Template creation Effective Date: 31 Oct 2023 | QR700002185 Step 3: Select organs (1) and move them to the structure template by using the arrow (2). SIEMENS . Healthineers .. Configuration Panel Client Settings Advanced Visualization Display And Behavior Export OpenApps Reporting CT Dual Energy Configuration Contouring Configuration Structure Configuration Organ Database RT Structure Template Configuration Show All Search lung Template Name Lung Remarks 1.0 Name Favorites Type Coding Schema Scheme Version Code Code Meaning Organs Auto Tasking Name Type Lung Left Available AVOIDAN Y FMA 3.2 7310 Left lung Tulrg Love LElt LowE tower Tobe' Lung Lobe Left Uppe Available AVOIDAN FMA 7370 Upper lobe of left lun Lung Lobe Right Lov 1 Available AVOIDAN FMA 7337 Lower lobe of right lu Lung Lobe Right Mic Available AVOIDAN FMA 7383 Middle lobe of lung Lung Lobe Right Ups Available AVOIDAN FMA 7333 Upper lobe of right lu Lung Right Available AVOIDAN FMA 7309 Right lung Lungs NA AVOIDAN FMA 68877 Pair of lungs 2 OK Cancel OK Apply Cancel 1:41 PM Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 7 of 9 Job Aid | Structure Template creation Effective Date: 31 Oct 2023 | QR700002185 Step 4: Repeat the previous step until you added all the organs to the template, then click OK (1). As soon as you added all organs to the template, click Apply (2). Click OK (3) to be able to assign the template in MM RT Image Suite. SIEMENS Healthineers .. .. Configuration Panel Client Settings Advanced Visualization Display And Behavior Export OpenApps Reporting CT Dual Energy Configuration Contouring Configuration Structure Configuration Organ Database Structure Template Configuration Show All Search lung Template Name Lu Remarks 1.0 Name Favorites Auto Type Coding Scheme Contour Version Value Code Meaning Organs Auto Tasking Name Thorax AVOIDANCE Lung Left Available AVOIDAN FMA 7310 Left lung Lung Right VOIDANCE Lung Lobe Left Lowe Available AVOIDAN FMA 7371 Lower lobe of left lun: Lung Lobe Left Uppe Available AVOIDAN FMA 7370 Upper lobe of left lun Lung Lobe Right Low Available AVOIDAN FMA 7337 Lower lobe of right lu Lung Lobe Right Mid AVOIDAN FMA 7383 Middle lobe of lung Available AVOIDAN FMA Lung Right Available AVOIDAN FMA 7309 Right lung Lungs NA AVOIDAN EMA 68877 Pair of lungs 1 OK Cancel 3 2 OK Apply Cancel 1:41 PM Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 8 of 9 Job Aid | Structure Template creation Effective Date: 31 Oct 2023 | QR700002185 Please note this learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or In- structions 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 Opera- tor 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 infor- mation 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 “Functional- ity”) 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 fic- tional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Siemens Healthineers HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com Unrestricted | Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2024 SIEMENS Master Template Effective Date 21 Apr 2023 | HILS 2224 Healthineers Page 9 of 9