Symbia Pro.specta SmartSimulator Exercise Workbook

SIEMENS Healthineers SmartSimulator Workbook MI SPECT Symbia Pro.specta VA20 smartsimulator.siemens-healthineers.com/ SIEMENS Healthineers SYMBLA Prospecte Unrestricted | Published by © Siemens Healthineers AG, 2025 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 Table of contents Foreword ......................................................... 3 Disclaimer ........................................................ 4 Logging into MI SmartSimulator........................ 5 Display Menus .................................................. 7 Display ConTobo............................................... 8 Display Simulator = Body Image ........................ 9 Perform Motion Home...................................... 9 Register a Patient and choose a protocol......... 10 Perform a Gastric Emptying Static Acquisition and Close Patient............................................ 12 Resume previously started Gastric Emptying exam and acquire delay static......................... 14 Process Gastric Emptying Exam using MI View&GO ....................................................... 15 Create Fused ranges in MI View&GO............... 18 Create Layout Snapshot in MI View&GO......... 19 Process MGUA in MI View&GO........................ 21 Process Create a Fast (10 minute) 2 Bed Lu-177 xSPECT Quant SPECT CT Protocol .................... 23 Create a Theranostic Energy Window Set ........ 27 Unrestricted | Published by © Siemens Healthineers AG, 2025 2 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 Foreword Dear participant, Welcome to the SmartSimulator workbook. This workbook guides you through your lab sessions with Symbia Pro.specta VA20A in the SmartSimulator. Good luck and we hope you enjoy your SmartSimulator time! Unrestricted | Published by © Siemens Healthineers AG, 2025 3 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 Disclaimer 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 be regarded as a substitute for 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 these Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the latest 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 AG 2025 Siemens Healthineers Headquarters Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com Unrestricted | Published by © Siemens Healthineers AG, 2025 4 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 Logging into MI SmartSimulator Log on to the MI SmartSimulator by navigating to the login webpage: https://smartsimulator.siemens- healthineers.com/#/ Once logged in, go to My Subscriptions, and select View Details. SIEMENS Healthineers SmartSimulator Home My Subscriptions Contact Us All Subscriptions (S) $169982 Subscription ID $169982 Start Date 26 September 2023 Owner : pralhad.joshi@siemen .. Total Hours : 171 Hours Available : 70 hr 28 min No of Users : 25 Storage 25 GB Valid Until 25 September 2024 Subscription Active View Details Select the simulator you want to use and choose Launch. MI SPECT_Symbia Pro.specta VA20 Launch Unrestricted | Published by © Siemens Healthineers AG, 2025 5 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 After you enter the simulator for the first time, you may need to wait a few minutes until the software is fully booted up and ready. Then select Connect. C Refresh State Start Datetime Action running 12:57 PM, 20 Jun 2024 × Connect The simulator will launch into a new window. You are now ready to begin. Unrestricted | Published by © Siemens Healthineers AG, 2025 6 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 Display Menus You are now in the MI SPECT_Symbia Pro.specta user interface. Healthineers CHI Examination System Check Restart Lock 1 There are two Display Menus available to define some settings on the simulator. Both menus can be hidden at the lower left edge of the window. Click to minimize the already open menu. There are two Display Tabs available: (1) System Check (2) myExam Cockpit You can hover the mouse over the blue or orange tabs to display their names and description, then click to launch. Please Note: Be aware that both menus exist only on the simulator software and not on a real SPECT/CT scanner. ® Please Note: Only minimize the menus by clicking the – button. Do not close the window by clicking X. It cannot be reopened without restarting a new simulator. Unrestricted | Published by © Siemens Healthineers AG, 2025 7 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 Display ConTobo The Display ConTobo menu contains some tools for your hands-on session: • RunSomaris INIT: restarts the simulator software in the event of a problem. This takes about 3 minutes for the restart to complete. • Add New Patients: Automatically creates 5 new patients in the Scheduler for examinations. KIOSK Mode (restart r RunSomaris INIT RunSomaris KILL Start Syngo Services Start SimulatorUI Reset Simulator Add New Patients Create New Patients syngo.LogViewer disable Autologon on LCM Process Monitor TaskManager procexp Explorer Admin SyngoShell MedUser SyngoShell Admin Cmd Admin Powershell SpisXProtocolBrowser Exam Designer Expert Exam Designer License file CSM Viewer Notepad++ PAINT Monitor-configtool Move To00 syngo.ResourceMonit Enable SD-Card-Read Disable SD-Card-Read Enable Pending Mock Disable Pending Mock Import test protocols Delete imported test Automatic scan and m Run WDS Installer Enable Ranorex Logor Disable Ranorex Logo Logfile Navigator Enable DeviceGuard Disable DeviceGuard Patient Marking Sim Start Scan&Go Unrestricted | Published by © Siemens Healthineers AG, 2025 8 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 Display Simulator = Body Image You will not need this menu to navigate through the simulator. Do not exit out of the window. . Gantry and IRS simulator (ver. 2.2.9.2) en P318 (SOMATOM go.Up/ LP2) with Denali_Type_1 X Test Imag Stale Activated Test Image Body Image A Ughtmarker: off Rotation time 0 Phantom Image NO Laser. Image Start ( Length ]: @ ( 9999 9) Cardio Config [ ] Fake Images Respiratory Config X-Offset Inuard Y-Offset Immt 0 2-Ofset Imnd Error Configuration Gantry Configuration Gantry Positioning Gantry Status Gantry Lighting General Systom State SciState Standby Injector Configuration Modality SciModalityMi ApiTextState SciAPITextOff IRS Parameter Table State SciTable StateOk SimCom Configuration Room State SciSigRoomUnknown Power Save State SciPo SaveNoRestriction Timing Configuration ActHoriPos [em] -710000 Trace Config ActTiltPos [1/1000" ActVertPee Bmn] 1800 ZeroHoriPos TebePosition [1/1000') 27000 Horizontal Increment [on] 1000 Horizontal Offset [um) GantryCoverOpen Simulator Controls E Reset Apply GantryRotating false SCI message list: Y SCI message content: RoomDoorOpen false SET_SHARES_CC_CMD Clear List CtrlServiceActive false SET_SHARES_CC_DONE Auto Scroll HoriRunningFlag false SET_SHARES_CC_CMD SET_SHARES_CC_DONE Format TutRunningflag false SET_SHARES_CC_CMD VertRunningFleg false SET_SHARES_CC_DONE O XmiTree SET_SHARES_CC_CMD ZeroKeyLocked false SET_SHARES_CC_DONE SET_SHARES_CC_CMD Log File ICT mode active false SET_SHARES_CC_DONE ... IntercomEnabled false Perform Motion Home On the Siemens Healthineers Symbia Pro.specta SPECT/CT system, performing Motion Home is typically part of the gantry and detector positioning process to return the system to its default or 'home' position after a scan or maintenance. This ensures the detectors and the patient table are correctly aligned and ready for the next procedure. Unrestricted | Published by © Siemens Healthineers AG, 2025 9 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 1. From the Home screen, click on the gear icon at the top right of the screen, and open Gantry Display. Configuration Panel Administration Portal Administration Portal [EN) Clinical Configuration Checkup MI System Check Daly CA Calibration ketume Byngo Remote Assist Scieen recorde Sevesog Remote Service Exam Designer Create Screenshot Fast Contact File Browser Gantry Diaplay What is New Load Service Pack Exam Designer License file 2. Click on the settings icon then click Start. 3. Click Confirm button to perform a Motion Home. Gantry Display No patient registered Settings Table Height Presets Scantwin Set to Default Set to 222.1 489.0 Set to Low Set to 222.1 External ECG Of Plan&GO Motion Home Start Tc-99m 99 Touch Pad Test 5:17 AM 10/25/2925 Start LEHR 362 362 0 4. Close Gantry Display. Register a Patient and choose a protocol Registering the patient and selecting the appropriate protocol ensures that the acquisition parameters, workflow steps, Unrestricted | Published by © Siemens Healthineers AG, 2025 10 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 and documentation for the study are correctly configured before imaging begins. On the Symbia Pro.specta, this process links the patient’s demographic information with the proper imaging protocol so the system can automatically load the correct settings, camera positions, timing, and processing instructions specific to the exam being performed. 1. From the Home Screen, click on the Examination Tile. O CH Examination System Check Restart Lock 2. Click on the Register Patient button near the top right of the screen to manually register a patient. 0 + Exam Emergency Register Delete Patient Patent Procedura 3. Fill out the Patient Registration page with all the required fields. • Last Name • Patient ID • Date of Birth • Weight Medical Information Exam Information Requested hocedure Alerts Unrestricted | Published by © Siemens Healthineers AG, 2025 11 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 4. Click the orange Exam button on the Patient Registration page (bottom right) to proceed to the Protocol Selection Page. 5. Click on the NM Basic Folder and find the Gastric Emptying Statics [Factory] protocol. 6. Double-click the protocol to open it. You can also use the search box to find the protocol by typing Gastric in the search field. Browse Protocols W CT Protoen's " NM Protecsls Physiological Signal Gastric Emorying Staties Etsorry! Search gastric 60 Min Delay 120 Min Delay Adick 180 Min Delay 240 Min Delay Double-Click to open KM Dual lactape NAT NEMA protocol Add Meplace Perform a Gastric Emptying Static Acquisition and Close Patient Choosing the right protocol and following the proper acquisition steps is an important step in successful patient scanning. In this example, we look at how to properly perform a Static Gastric Emptying exam. These steps ensure that the gastric emptying static study is acquired safely, accurately, and according to standardized imaging guidelines. Entering the dose information, starting the acquisition, and properly closing the patient exam all contribute to consistent data quality and complete documentation. Unrestricted | Published by © Siemens Healthineers AG, 2025 12 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 1. Use the Gastric Emptying Statics [Factory] protocol just opened, click Dose on the Taskflow Control area and enter the dose information. Gastric Emptying Stati ... ¡ Preconditions V Immediate Patient Position Feet First - Supine (FF. Stop Condition Time time 60 Patient State Immediate Detector 1 Anterior Projection Detector 2 Posterior Projection Patient Anatomy STOMACH Dose Isotope Tc-99m Pharmaceutical Sulfur Colloid Injection Date 10/13/2025 Injection Time 05:27 PM Dose 0.00 mCi 2. Click the Go button, and then click the Start button to acquire the image. Start Scan Press Go to load the scan Confirm Start Cancel Confirm GO Cancel Press START @ 3. Once the image has been acquired, click Close (at the bottom of the Taskflow Control Area). 60 Min Delay . 120 Min Delay - 180 Min Delay 240 Min Delay Reconstruction Close 4. Click the orange Close button in the Execution Control section. Close patient Confirm Close Cancel Unrestricted | Published by © Siemens Healthineers AG, 2025 13 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 Resume previously started Gastric Emptying exam and acquire delay static Sometimes the technologist needs to scan multiple patients sequentially, making it necessary to suspend a protocol and resume later. Resuming a previously started gastric emptying study allows the technologist to continue the exam at the appropriate delay time without creating a new study or losing the continuity of the original workflow. These steps ensure that the delayed static image is properly linked to the initial acquisition, and that the exam follows standardized timing and documentation requirements. 1. Open the Patient Browser by clicking the Patient Browser icon near the top left of the screen. SIEMENS 0 Healthineers O Scan Recon Scheduler Search by Name, ID, DoB, Description, Procedure Date, Acc No. and Modality (Ctrl+F) Q Patients (0 result(s), 3:33:55 PM) Scheduled, Today Patient Procedure Date and Time 2. Right click on the study you want to resume and select Resume Examination. This will load the patient back into the Patient Registration page. O Patient Browser . 2025.10.13-1656:53-051-trauma ,4. - ----- Instances .... ------ Unrestricted | Published by © Siemens Healthineers AG, 2025 14 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 3. Click the orange Exam button in the bottom right corner of the registration page. This will re-load the exam so that you can continue acquiring delay images. 2025.10.13-16:56:53-DST-Tra ... Medical Information Exam Information Last kon: 2025.10.13-16:36:53-0 .. Atreating Bugses Alerts Requested Procedure Medical Alerte Alleges ID 5073019109034178 Conments Ses Ofve Hacht weight 111 b . Mandatory information 4. Acquire the 60-minute static by clicking the Go button, and then the Start button. Press Go to load the scan Start Scan Confirm GO Cancel Confirm Start Cancel Press START ® 5. After acquiring the delay image, click Close (at the bottom of the Taskflow Control Area). Click the orange Close button in the Execution Control section. 60 Min Delay 120 Min Delay . 180 Min Delay . 240 Min Delay Close patient Reconstruction Close Confirm Close Cancel Process Gastric Emptying Exam using MI View&GO Processing a gastric emptying study in MI View&GO ensures that the acquired images are correctly analyzed, quantified, and prepared for clinical interpretation. These Unrestricted | Published by © Siemens Healthineers AG, 2025 15 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 steps guide the technologist through standardized processing workflows so that the study is evaluated consistently and according to best-practice protocols. 1. Navigate to the Patient Browser and find the patient named: Gastric_STATIC_NORMAL_01- SYM_S 2. Double-click the patient to load the study MI View&GO. Patient Browser Q Series Galbledder_02_D.n_SYM_S_, GBET + MUGA, 3_VIEW GASTRIC STATIC_NORMAL_01_SYM_5 Ml Neuro DATSCAN medium_1 _Ml_Neuro_DaTSCAN_low_1 MINente_DaTSCAN_high_1 _Ml Neuro FOG_1 MLNeuro_Amyloid_JI_1 Mi Neuro_Amrykid_AD_1 3. Click on MI Organ Processing and select the Gastric category. 4. Single click the Gastric Static Proc workflow to begin processing. SIEMENS Healthineers 9º Sok 0 0 Scan Recon MI View&GO > Cardiac Display Cholecystic MI View&GO Gastric Stripe Dynami Gastric Static Proc Functional Fused Axial 3x ... Axial 3x ... Volu >>Parathyroid Pulmonary Favorite Tools Fused 2x3 Cardiac AC Card + Movie Renal Thyroid MI Organ Process ... Display Select a category, then an Processing Activities icon from the Template Browser to start organ Blank processing. To place a workflow template in this Ad-Hoc Processing Series area, right click on an icon and select Favorite Template. All 5. On the Gastrointestinal Processing activity, click on the button labeled ROI Tool. Unrestricted | Published by © Siemens Healthineers AG, 2025 16 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 6. Click on the ROI labeled Stomach, then click on the Freehand ROI tool from the toolbar and re-draw the Stomach ROI. ROI Create ROI Using Composite Image 100 0 Fr.1 56K Pixel Units 128x 128 Edit ROI Threshold 25 ROI Tool. Composite Frame Range First Frame: 1 Last Frame: 4 7. Click on the ROI labeled Background, and click on the Freehand ROI tool from the toolbar and re-draw the Background ROI. Display Frames 1x1 1:2 2x1 @ 212 Select ROI RCh 3Backgrond 77 ROI Color Edit ROI Background reshole OK Cancel 8. Once you are satisfied with your ROIs, click the OK button. 9. Once processing is complete, review the Flexible Display pages and click Complete to create the Results page. File Fiable Deplay Wow Template Workflow Activices Help Series Operator Name: HOLY NAME MEDICAL CENTENIAG Bkgd Correction 99m Technetium Decay Correction On Time Off % Empty % Retention Geometric Mean 90m Technetium Fit Off 0 mins 0 % 100 % 57 mins 86 % 34 % 118 mins 93 % 7 % Parameter 99m Technetium 179 mins 99 % Percent Empty 100 % 267 mins 100 % Percent Retention 0 % Begin T(O) End (T empty) 0 mins 267 mins T 1/2 43 mins TO > T 1/2 43 mins St Time: 13922 945 Series Date: 07/16/2012 Radiopharmaceutical 1 18 6 MBa (0 50 mC) Suhr Colloid GASTRIC EMPTYING 4Fut [Camposite] 10/13/ Emptying Curves Unrestricted | Published by © Siemens Healthineers AG, 2025 17 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 10. Click Save and Pause to close MI View&GO. MI View&GO X Cardiac Display Time Cholecystic MI View&GO Gastric WB - Duel Plenar Volum Intensity Gatod Stripa Gastric Gastric Dynami -.. Static Proc Functional Fused Axial 3x .. Axial 3x ... Volum Strip .. Parathyroid Pulmonary Favorite Tools Fused 233 Cardiac AC Cardiac - Movie NAC Renal Thyroid - MI Organ Process ... Display Select a category, then an Processing Activities icon from the Template Browser to start organ Blank processing. To place a workflow template in this >>Ad-Hoc Processing Series area, right click on an icon and select Favorite Template. All Create Fused ranges in MI View&GO Creating fused SPECT/CT ranges allows the system to generate new datasets in multiple anatomical planes (axial, sagittal, and coronal) that combine the functional information from SPECT with the anatomical detail of CT. This enhances interpretation, improves localization, and provides a more complete clinical assessment. 1. Navigate to the Patient Browser and find the patient named: xSPECT Bone Spine, Intevo 16. 2. Double-click the patient to load the study MI View&GO. Patient Browser Q More Fiters Results (44 results, 8:20:11 PM) Series Modality Shutty Dwo and Ti .- Study Descripti .. Exported Sturdy Archivos Pro.specta_Raw, Parathyroid_X3 01/74/2500 F Tc99m Sestamib . Pro.specta, Renal_W Diuretic_X3 .M T: 99m MAGS , SPECT_CT 1-123 2, INTEVO 6 xSPECT Bone Spine, INTEVO 16 Instances +00001/1931. M CT, NM, PET 01/14/2016 2173 ... someScan SPECT_CT BONE FLOW, INTEVO 2 "09/20/1969. F Difuse_Cellulitis_Poss_Osteo . Lung_1_Perfusion_Ventilation_Evo 01/01/1 000 1 TE:99m MÃA . Technegas Cardiac_1 Normal_Evo "01.01/1940. U Te-99m Miei Gallbladder_02_Dyn_SYM_S_, GBEF Choletec . MUGA, 3_VIEW *1205/1971 F Unrestricted | Published by © Siemens Healthineers AG, 2025 18 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 3. Change the layout to Fused Axial 3x2 + Movie and click on the Fused Axial image. 4. Click the AutoFast Ranges tool to create Fused Axial, Fused Sagittal, and Fused Coronal ranges. The new datasets will appear in the series section in MI View&GO. 5. =Click Save and Pause to close MI View &GO. Mi Vias SGD Series 3SPCCT Dene Spaw, HTEVO 16 XBFECT Bone Spine, INTEVO 16 "0301/1931, M. B4Y S,meia freno CURAFATI CURAFNT STUDY 3814 :26 56 CURRENT | CURRENT Favorhe Tools STUDY 04/14/2016 Bon:Rarina 30 B31: (5] | Bons Tomo (0SDG RECON - AC Encarced] .>> Cuter: AO1 A1 | Current.AQ1:F1 # 20100520 04'14/2018 / 04/14/2016 . MI Organ Pacocasing 3:26:25 PM| 256:17 PM SIMA-133 | 1000 M6 -348 Series 1SPCCT Deas Spine, INTCVO 15 Byreis mata CURRENT | CURRENT Farearibe Tools T MOR FUSION O. 10cm ACE Create Layout Snapshot in MI View&GO Creating layout snapshots allows the technologist to generate a consolidated, formatted view of selected images that can be stored, shared, and reviewed as part of the patient’s final dataset. This is especially useful when presenting Dynamic and Static images together in a standardized, easily interpretable format. 1. Navigate to the Patient Browser and find the patient named: SPECT_CT Bone Flow, Intevo 2. Patient Browser Q Lpre Filters Results (44 resaltó, 8:36.09 PMO) Series Patent Chaty Date and Ti. Study Deam phi .. Study Auchand + Pro.specta_Raw, Parathyroid_X3 "DJ/B4/2000, F TePam Settamibs · Pro.specta, Renal_W Diuretic_X3 SPECT_CT 1-123 2, INTEVO 6 xSPECT Bone Spine, INTEVO 16 Instances spine CE. NM. PE Bone Scan SPECT_CT BONE FLOW, INTEVO 2 Dfre Celute Ina Gura CT. NN 10/10/2014 834454 -. Bone Scan · Lung_1_Perfusion_Ventilation_Evo TC POT MAA + Tacnagas . Cardiac_1_Normal_Evo #03471/1940 M To-Dom Miti Gallbladder_02_Dyn_5YM_5_, GBE Cholesec . MUGA, 3_VIEW Unrestricted | Published by © Siemens Healthineers AG, 2025 19 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 2. Double-click the patient to load the study MI View&GO. 3. Use the Automatic Layout tool to display only the Dynamic and Static images by clicking the Select Groups icon. Favorite Tools T Ares Contr ... Windowi .. O Full Text Distance ROI Circle Line Automatic Layout X D V.UV CHILD VOI Spher Automatic Layout Refresh Select Dynamic Static Recon Automatic Hide Lines Layout Groups Hepistrat ... 10/10/2014 4. Select any image segment to make the Snapshot tool active. 5. Make Layout Snapshot by clicking the Snapshot tool. *Note: You will first have to click the down arrow on the tools icon to toggle between Snapshot or Layout Snapshot. If the tool icon reads Snapshot, it will create a snapshot of only the selected segment. If it reads Layout Snapshot, it will create a snapshot of the entire layout. • Once a Snapshot has been created, it will appear as a dataset in the Series section in MI View&GO (Snapshot has datasets that will also be in the Patient Browser once you click Save and Pause.) MI View&GO Palesthbese EPECT_CT PONE FLOWPAINTEM 2- SPECT_ET BONEFLOV 15/10/201 4 SPECT_CTRONE FLOW, INTEVD) 2 SPECT_CT BONE FLOW, INTEVO 2 SETI 14.G CETS 0.00 Citr 14.5 CFES 14.4 CIts LTPOSTFRETRT_INNGDIKTE RT ANT FRET LT_DIFONTE D.00 Crite 0.00 Crts 14-5 Cms D.CO Cme 0.00 Crts Favorhe Tools . Mi Digan Proots ... 14.0 Cita T 144D Cres T 14.0 Cmta 4.09 Cats 5.06 frits 14.0 Crta . Automatic Layout 0.08 Cuts 0.00 Crts T 216.D Crts 14.6 Cats 0.00 Crts 14.5 Cms D.CO Cre 14.0 CEES LTPOSTFEETRT 0.00 Crta RTANTFEET LT 5 0.00 Crita 0.00 Crts Favorite Tools S X Swrils 437Karts --- SPECT_CT DONE FLOW, NTCVD 2 SPECT_CT DONC FLOW, INTEVO 2 Findings Diflaw_Cells fa_Houx_Calvo R *11201983, 1, 45Y 14.0 Cits 0.00 Cits 14.5 très 14.0 Crt> T 14.0 Cms 14.C Crts LTLATFESTRT NED_Dote Chid r 0.08 Cats 0.00 Crts 14.750014 10: 4/2014 41 22 PM 1.4: 26PM 14.0 Uits 5.00 Cree 14.4 Cats 14.5 Cmts 14.0 Crts 0.00 Cite 0.00 Cats D.CO Corte 4.00 Crts Snapshot fen Lay out Snapshot T 14.0 Ctts 14.D Cris 14.0 Crts T 14.0 Cmts 14.0 Crts LTLATFESTIT NED 214.0 Cels : 0.00 Cute NT LAT FELTLINED T AV.D CHIS 5 0.00 Carte + 156: 0.00 Cite 0.00 Crts Unrestricted | Published by © Siemens Healthineers AG, 2025 20 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 Process MUGA in MI View&GO Processing a MUGA (Multigated Acquisition) scan in MI View&GO ensures accurate cardiac function assessment by applying standardized workflows and generating quantitative results needed for clinical decision-making. These steps guide the technologist through essential processing actions that produce reliable measurements of ventricular function. 1. Navigate to the Patient Browser and find the patient named: MUGA,3_VIEW. 2. Double-click the patient to load the study MI View&GO. Patient Browser Q More Fibers Results (43 results, 2:54:21 PM) Series MUGA, 3_VIEW *12/05/1973, F 06/09/2014 10:122. MUGA . GASTRIC_STATIC_NORMAL_01_SYM_5 *02/28/1976. F Tc99m SC MI_Neuro DaTSCAN medium_1 MLNeuro_DaTSCAN_medium_1 Instances MI_Neuro DaTSCAN low_1 *01/14/1948. M Mi_Neum DATSCAN_low_1 _MI_Neuro_DaTSCAN_high_1 MI_Keuto_DITSCAN_high_t _MI_Neuro_FDG_1 *01/01/1929, F _MI_Neuro_Amyloid_HC_1 _MI_Neuro_Amyloid_AD_1 .M MI_NeuID_Am/loid_AD_1 . SYMBIA CARDIAC, NM CT GATD STRESS *0>/10/1955, M 456528 3. Click on MI Organ Processing and select the cardiac category. 4. Single click the Planar Gated Bloodpool Proc workflow to begin processing. SIEMENS Healthineers SDK Scan Recon O MI View&GO X Cardiac MI View&GO Display Time First Pass First Pass First Pass Planar LV Proc LV RV Proc RV Proc Gated Bl .. WB - Dual Planar Volume Intensity Gatod Stripe Cholecystic Planar Gated Bloodpool Proc Gastric Functional Fused Volume Axial 3x. Axial 3x ... Strip ... Parathyroid Pulmonary Favorite Tools Fused 2x3 Cardiac AC Cardiac - Movie NAC Renal Thyroid . MI Organ Process ... Display Select a category, then an Processing Activities icon from the Template Browser to start organ Blank processing. To place a workflow template in this Ad-Hoc Processing Series area, right click on an icon and select Favorite Template. All Unrestricted | Published by © Siemens Healthineers AG, 2025 21 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 5. On the Gated Bloodpool activity, click on the button labeled, Determine LV Center on the bottom File Gated Bloodpool View Template Workflow Activities Help Settings Processing Results Fitting Results Data Selector Image & ROIs LAO-Gated [Results] 10/14/2025 Gated Bloodpoo 1HO Sol2 492k Courts Duration somees Siok 3 480K Courts Dutacon 50m366 Sict 4 4Bak Cours Slot 5 485K Counts Flexible Doplay Duration someos Duration 50msec Slot 6 484K Cours Sioc 7 484K Courts Dutacon somaes Hard Copy DE Al Frames Zoom Ventricular ROI Background ROI Fr1 494K Poes Unts 64164 Fr.5 487K Pical Units 64x64 Edit ROI Threshold Complet Setup Determine LV center ... ROI Tool- ROI Tool left of the screen. 6. In the image that pops up, single click in the center of the left ventricle and re-draw the Background ROI by clicking the Background ROI tool (if needed). Ventricular ROI X Background ROI 100 100 0 Fr.7 486K Pixel Units 64x64 Edit ROI Threshold 0 Cancel ROI Tool ... 7. Once processing is complete, review Flexible Display pages and click Complete to create the Results page. 8. Click Save and Pause to close MI View& GO. Unrestricted | Published by © Siemens Healthineers AG, 2025 22 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 Create a Fast (10 minute) 2 Bed Lu-177 xSPECT Quant SPECT CT Protocol Creating a customized fast acquisition protocol for Lu-177 therapy or theranostic imaging allows the technologist and clinical team to optimize workflow efficiency, patient comfort, and quantitative accuracy. Adjusting parameters within a factory protocol enables you to tailor the scan to your department’s needs while maintaining compliance with quantitative imaging requirements. The following steps describe how the technologist can modify and existing Lu-177 protocol to scan in a shorter amount of time while still maintaining image quality and reliability. 1. From the Home Screen, click on the Examination Tile. Examination System Check Restart Lock 2. Click on the Register Patient button near the top right of the screen to manually register a patient. Exam Emergency Register Delete Fatlant Patent Procedura Unrestricted | Published by © Siemens Healthineers AG, 2025 23 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 3. Fill out the Patient Registration page with all the required fields. Click the orange Exam button on the Patient Registration page (bottom right) to proceed to the Protocol Selection Page. • Last Name • Patient ID • Date of Birth • Weight Medical Information Exam Information Last Name Admitting Diagnosis First Name Requested Procedure Title Description Alerts Sumix Accession No Middle Name Modical Alerts ID * Patient ID Comments Date of Birth MMddlyyyy Allergies Age Year(s) Sex . weight U.S. ISafety relevant information needs to be validated and confirmed . Mandatory information Save Cancel Delete Local Data Prior Studies 4. Click on the NM Basic Folder and find the Wholebody CT-SPECT {factory} protocol. Double-click the protocol to open it. Protocol Selection Protocol Parameters Browse Protocols CT Protocols = NM Protocols Physiological Signal Requested Procedure ECG Demo Protocol: SZ 180 SPECT [factory] Search Indications: Tomo -Scan modes: 52180Tomo Child Protocol: Thyroid Uptake Syringe Statics [factory] Protocol Indications -Scan modos: StaticPlanar, StaticPanar, StaticPlanar Pre ange Static 24 HR Thyroid Anteric Protocol: Wholebody CT-SPECT [factory] indications: Scan modes: RoutineSpiraAdultAbdomenSn, Topogram Wholebody 180Tomo CT AC WE Tomo Protocol: Wholebody SPECT [factory] NM Dual isotope Indications: -Scan modes: Wholebody 180Tomo WB Tomo NM NEMA protocol Protocol: Wholebody Planar [factory] -indications: Scan modes: WholebodyPlanar wholebody Planar Add Replace Unrestricted | Published by © Siemens Healthineers AG, 2025 24 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 5. Once the protocol is open, navigate to the Tomo portion of the exam on the timeline, and double-click the bar on the timeline to open the Scan Parameters. 6. On the General Scan tab, change time per view to 10 seconds. 7. Change Isotope to Lu-177 (This is the Siemens Healthineers Factory Energy Window Set, which is a 1 Peak window with upper and lower scatter). 8. Change Collimator to MELP. The default in this protocol is a 2-bed position acquisition, but it can be changed as needed on the General Scan tab (1-5 beds). Wholebody CT-SPECT ... Recon Ranges Tapocrien Langh 1.004 wt Turno 5.24 m2* 13 110 Fordestruction Oost Scan Frvorites General Scan Gantry Settings Timing Config Physio Scan Contrast Concision unit hetspe 1 Mation Ponert Vate Number Number of Patient of beds Parent Type Target Ragion Contrusts De isy 2 WHOLEBOOK contin patient poskfor OK 10.95 20:37m 1217 9. On the General Settings tab, change Number of views to 32. Scan Favorites General Scan/ Gantry Setti ... Dose Timing Config Physio Scan Contrast Scan/Recor Detector Detector Detector Degrees of Numb Rotation Configuration Settings Start Angle Rotation er 0 ... Direction WB Tomo 100 Both Ci 10. On the Dose tab, the Pharmaceutical will be set to Dotatate. Conna CH Scan Favorites General Scan | Gantry Setti ... Dose Timing 1 Physio Scan Contras Scan/Recon Pharmaceutical 1 Interventional Drug WE Tomo DOTATATE None Unrestricted | Published by © Siemens Healthineers AG, 2025 25 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 11. Adjust the Tomo Recon Parameters by double-clicking the AC Recon Tomo Delay Lu-177 Recon Box. This will open the Reconstruction Parameters for the AC Tomo. Recon Ranges Topogram CT AC auto WB Tomo auto auto 12. On the General Recon tab, change the Basic Recon Mode from Wholebody to Theranostic and change the Recon Method to xSPECT-EM. You also need to change the Recon Method on the NoAC Recon Tomo Delay Lu-177. Recon Favbel ... General Recen Rexcon&GO Image Impre ... Recon Box Physio Recon | Auto Tasking | Inline Options Scan/Recon Basic Recon Scaner Attenuation Correction Zone Preset Intra-Recon Match CT Slices Image Ord Sho Thickness Inkrement No. of Mode Method Imml Commer Correction Motion C ... Images On (2-1) CT AC 3.00 Qr4053 On Hand to Feet 3.00 13. On the Image Impression tab, turn Quant Recon on. This will automatically change the Image Type to PET. Recon Favori ... / | General Recon Recon&GO mage Impre ... Recon Box | Physio Recon | Auto Tasking | Inline Options Scanthecon Energy Qua Window Set Recon Paramet. Fater Image Ty Standard 14. Save the protocol by clicking on the protocol name near the top right of your screen and select Save As. SIEMENS Healthineers Wholebody CT-SPECT ... im Save Save as Topogram . CT AC .WB Tomo Reconstruction Close Unrestricted | Published by © Siemens Healthineers AG, 2025 26 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 15. Rename the protocol and click Save. There is now a Fast Lu-177 SPECT/CT protocol stored. Save in_| Adult / NM Basic Protocol Name Wholebody CT-SPECT [factory] Save Cancel Create a Theranostic Energy Window Set Building new energy window sets allows the technologist to configure the SPECT/CT system to properly detect, separate, and quantify radionuclides used in modern theranostic imaging; especially isotopes with multiple photopeaks, such as Lu-177, Ac-225 and Pb-212. These custom windows ensure optimal image quality, accurate quantification, and regulatory- compliant dose documentation. By creating new energy windows, it enables the scanner to correctly interpret radionuclide emissions and support advanced therapy imaging windows. 1. From the Home Screen, click on the gear icon located on the top right of the monitor and select Clinical Configuration. SIEMENS Healthineers ? 8 Checksp V Sphr Cock 5yno Fenone Arist Lam Deaigre What it New CH Loat Service Pack Examination System Check Restart Lock (1) Unrestricted | Published by © Siemens Healthineers AG, 2025 27 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 2. Select MI Clinical Configuration > Energy Window Sets. 3. Locate the isotope drop down menu at the top, and then select New. SIEMENS Megatherium / meduser Free (Restricted Remote Access) Healthineers PM Diagnosis Installation "º Technical Configuration Quality Assurance ª Clinical Configuration MI Clinical Configuration Energy Window Sets Quality Assurance Configuration Isotope Show All Dose Activity Am-241 Preset Ba-133 A Created By Modified Date Energy Window Sets Tc99m Siemer Cu-67 Siemens 01/01/2018 View MI Series Description Co57_Siemens Ga-67 Siemens 01/01/2018 View MI Export Configuration Gd-153 Gd153_Siemen Ho-166 Siemen 01/01/2018 View MI Scan End Configuration TI201_Siemens 1-123 Siemens 01/01/2018 View Examination Configuration 1-125 Data Preprocessing Lu177_Siement 1.131 Siemens 01/01/2018 View In-111 Patient Browser 1123_Siemens Siemens 01/01/2018 View Kr-81m Prior Study Search 1131_Siemens Kr-85 Siemens 01/01/2018 View Reading Se75_Siemens Lu-177 Siemen 01/01/2018 View P-32 DICOM Data Handling Ga67_Siemens Ra 223 Siemens 01/01/2018 View Licensing In111_Siemens Rb 81 Siemens 01/01/2018 View Layout Management Re-186 Xe133_Siemen Se.75 Siemens 01/01/2018 View User and Role Administration Kr81m_Siemen| Sm-153 Siemens 01/01/2018 View Expert-i Sn-113 Ba133_Siemen Sr-89 Siemen 01/01/2018 View Al Logging Sn113_Siemen 11-201 Siemens 01/01/2018 View Am241_Siemer Xe-127 Siemens 01/01/2018 View Xe-133 Add Energy W Y 90 Yb-169 New Spectrum 4. A new Isotope window will open. Fill out isotope information (This example will be for a 2-peak Lu-177 Energy Window Set). You will have to click the Add Window button to add the 2nd Photopeak. After all information is entered, click Save. (Pb-212: 10:64 Hours, 239 keV and 79 keV) (Lu-177: 6.7 days, 208 keV and 113 keV) (Ac-225: 10 days, 444 keV, 217 keV, 78 keV) New Isotope X * Isotope Lu-177 2-peak DICOM Code Lu-177 2-peak * Half-life 6.70 Days Bremsstrahlung ID Type Width% Center (keV) Photopeak 15.00 208.000 2 Photopeak 15.00 113.000 Delete Add Window Save Cancel Unrestricted | Published by © Siemens Healthineers AG, 2025 28 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 5. When the box closes, click on Add Energy Window Set. This will allow for adding multiple energies and Scatter Windows. SIEMENS. Healthineers Megatherium / meduser Free (Res - Diagnosis Installation Technical Configu MI Clinical Configuration Energy Window Sets Quality Assurance Configuration Isotope Lu-177 2-peak Dose Activity Preset Energy Window Sets Add Energy Window Set MI Series Description MI Export Configuration MI Scan End Configuration 6. When Create Preset dialog box opens, add Preset Name (it can be the same as the name of the Isotope you just created), then click the Add Window button to add the 2nd Photopeak. Keep clicking the Add Window button if you want to add Upper and/or Lower Scatter Windows. Create Preset × Isotope Lu-177 2-peak Preset Name Lu-177 2-peak ID Type Parent Width% Offset% Center (keV) 1 Photopeak 15.00 0.00 208 Photopeak 15.00 0.00 113 Delete 3 LowerScatter 15.00 Delete UpperScatter 15.00 Delete Add Window Save Cancel 7. Click the Save button to save the Preset. Unrestricted | Published by © Siemens Healthineers AG, 2025 29 SmartSimulator Workbook | MI SPECT Symbia Pro.specta™ VA20 8. Click on the Dose Activity tab on the left side of the screen. 9. Type in a Pharmaceutical name in the text box and click Add (every isotope created on system must be associated with a pharmaceutical). 10. Next, put a checkmark by the Isotope(s) you want to associate the Pharmaceutical with (in this case, check the box for Lu-177 2-peak), then click Save. You can now add new Pharmaceutical/Isotope to protocols (restart of the system is required before the isotope can be chosen in a protocol). Screenshot is displayed on next page. SIEMENS Healthineers Megatherium / meduser Free (Restricted Remote Access) - Diagnosis Installation 4º Technical Configuration Quality Assurance Clinical Con MI Clinical Configuration Dose Activity Quality Assurance Configuration Dose Activity Unit Configuration Dose Activity Energy Window Sets mCi MI Series Description MI Export Configuration Pharmaceuticals MI Scan End Configuration Pharmaceuticals Pharmaceutical Associated Isotopes Examination Configuration Human Immunoglobulin Lutathera Kr-81m Data Preprocessing Hydroxymethylene diphosphonate HMDP Add Kr-85 loflupane LU-177 Patient Browser Labeled Carbon Remove Lu-177 2-peak Prior Study Search Large colloids P-32 Reading Lutathera Ra-223 Mebrofenin Rb-81 DICOM Data Handling Medronate Re-186 Licensing Mercaptoacetyl triglycine MAG3 Se-75 Oxidronate Layout Management Sm-153 Pentetate Sn-113 User and Role Administration Expert-i Al Logging Save Cancel Unrestricted | Published by © Siemens Healthineers AG, 2025 Workbook Effective Date: 22 Dec 2025 | 30 QR700032947