syngo Application Software VD20 - syngo Needle Guidance Job Aid

SIEMENS Healthineers syngo Needle Guidance syngo Application Software VD20 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Table of Contents Introduction 3 Workflow Overview 4 Start Needle Guidance 5 Define Path – Define and Plan One or More Needle Paths 6 Define Path – Delete a Needle 7 Define Path – In-Plane View 8 Define Path – Ortho View 9 Define Path – Auto Flight 10 Define Path – Save Bookmark/Save Bookmark As 11 Define Path – Save Bookmark for C-arm Orientation 13 Progress Needle 14 Progress Needle – Overlay 16 User Configuration 17 2 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Introduction Needle_Guidance_OR Q H Cliniques Universitaires S Needle_Guidance_OR Q Cliniques Universitaires S. The syngo Needle Guidance application allows you to plan the paths of 6.14 AXIOM-Artis VD10D 130718 6.14 AXIOM-Artis Brainlab 17 Nat Fill HU N. Brainlab 17 Nat Fill HUN VD10D 130718 *1/1/1952 FFP 1/1/1952 FFP XA 2/6/2014 needles or other puncture or drilling instruments in the 3D volume. The 9:36:01 AM 9:36:01 AM planned paths can be displayed on the live image to provide guidance for insertion procedures. PR 108.58 mm 08. 58 mm One or more needle/puncture paths can be planned. 19.72 mm 10 cm 10 cm R P SL 2.0 MPR Thick W 1288 MPR Thick 1288 RAO 76/ 0 485 RAO 166 / 0 485 -................................ Needle_Guidance_OR Q Cliniques Universitaires S. Needle_Guidance_OR Q. APL Cliniques Universitaires S 6.14 AXIOM-Artis 6.14 AXIOM-Artis Brainlab 17 Nat Fill HU N. *1/1/1952 VD10D 130718 Brainlab 17 Nat Fill HU N. FFP *1/1/1952 VD10D 130718 FFP XA XA 2/6/2014 2/6/2014 9:36:01 AM 9:36:01 AM 8 mm IN4 R PLF 76:33 mm +08158 mm N3 99.72 mm 10 cm N2 .22mm 108.9 9 F Plan> SL 2.0 MPR Thick 1288 485 RAO 115 / CRAN 1 ,979 0 / CAUD 90 1093 3 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Workflow Overview Load 3D Start Needle Progress Volume Guidance Define Path Needle Load 3D volume. Start Needle Define and verify Automatic Guidance needle paths. calculation of the application from the necessary system syngo 4D application. positions. Overlaying the needle paths to live X-ray images. 4 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Start Needle Guidance Patient Applications Reconstruction Show Mode View Orientation Tools Measure Volumes Options Help Needle Guidance_OR Q Cliniques Universitaires S. Needle_Guidance_OR Q Cliniques Universitaires S 1) After you loaded and displayed a newly acquired 3D 6.14 AXIOM-Artis 6.14 AXIOM-Artis Viewing Brainlab 17 Nat Fill HU N ... ^1/1/1952 VD10D 130718 Brainlab 17 Nat Fill HU N .. VD10D 130718 Needle_Guidance_OR Q FFP ^1/1/1952 FFP XA XA 2/6/201 4 2/6/201 4 volume or a 3D planning volume in the 4D task card, click 9:36:01 AM 9:36:01 AM 1 Review and Processing Select syngo 4D application… icon. Select syngo 4D application 3 X Select the 4D application you want to work with 2) Select the Needle Guidance workflow. 3) Click OK. Aneurysm Analysis Aortic Valve Guidance Cong. Heart Disease Guidance 10 cm CTO Guidance TrueFusion After you start the Needle Guidance, the Define Path EP Planning SL 2.0 MPR Thick 1288 SL 2.0 Embolization Guidance workflow step is automatically selected. LAO .91. 1.0 1485 MPR Thick LAO 1.1.0 EVAR Guidance Needle_Guidance_OR Q Cliniques Universitaires S. Needle_Guidance_OR Q Cliniques 2 Needle Guidance 6.14 AXIOM-Artis 6.14 Brainlab 17 Nat Fill HU N. VD10D 130718 Brainlab 17 Nat Fill HU N. ^1/1/1952 FFP ^1/1/1952 Spine Guidance XA XA 2/6/201 4 2/6/201 4 . Stenosis Analysis 9:36:01 AM 9:36:01 AM 3 OK Cancel Volume Opacity 1.00 Image Tools |Meas. |X-Ray R Segmentation 3D Tools 10 cm 10 cm F Ranges SL 2.0 MPR Thick 1288 0 / CAUD 90 C 485 VRT 294 0/0 5 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Define Path - Define and Plan One or More Needle Paths Needle_Guidance_OR Q Cliniques Universitaires S. Needle_Guidance_OR Q. HAR Cliniques Universitaires S ... 6.14 AXIOM-Artis 6.14 Brainlab 17 Nat Fill HU N. VD10D 130718 Brainlab 17 Nat Fill HU N VDAXIOMFANG Needle_Guidance_OR Q You can scroll through the MPR slices and/or adjust the orientation of the *1/1/1952 FFP '1/1/1952 XA XA Needle_Guidance_OR Q 2/6/2014 2/6/2014 9:36:01 AM 9:36:01 AM MPR slices. To make path planning easier, you can window the MPR images Review and Processing Needle Guidance Define Path and change the MPR slice thickness. Add Needle needle path PL In order to plan and add needle: LA 120.39 mm 120.39 mm ection 2 + 1) In case of fused volume loaded, you can adjust the blending from the 10 cm Visualization bar. (If you load only one volume, please skip this step.) R Plan 2) Click the Add Needle icon. SL 2.0 MPR Thick SL 2.0 MPR Thick X RAO 99 / 0 FEET LAO 171 / CRAN 12 Needle Guidance OR Q Cliniques Universitaires S. Needle_Guidance_OR Q. HAR Cliniques Universitaires S ... 3) In an MPR or in the VRT view, click the target point and the entry LArtis Brainlab 17 Nat Fill HU N. 718 6.14 Target Point 3 Brainlab 17 Nat Fill HU N. VD1op M-Artis FFF *1/1/1952 2/6/2014 XA 1 9:36.01 AM 2/6/2014 point. (For that case, these points have been marked as an example. 9:36:01 AM Progress Needle Target and entry point locations can be adjusted as needed.) -O Volume Opacity Image | Tools |Meas ... | X-Ray • The target point is marked by an arrow. (In the Bull`s Eye View, it is LA Slice Thickness (mm) 2.0 indicated by a circle.) 5cm • The entry point is marked by a line. (In the Bull`s Eye View, it is N1 10 cm 120.39 mm Entry Point F IP indicated by a cross.) MPR Thick 1318 LAO 171 / CRAN 12 916 If you want to add more needles, please click the Add Needle icon and then repeat the steps above. 6 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Define Path – Delete a Needle Needle_Guidance_OR Q Cliniques Universitaires S. Needle_Guidance_OR Q ... HAR Cliniques Universitaires S ... 6.14 6.14 Brainlab 17 Nat Fill HU N. AXIOM-Artis VD10D 130718 Brainlab 17 Nat Fill HU N .. VD10D 130718 Needle_Guidance_OR Q Object List ? X *1/1/1952 FFP *1/1/1952 XA XA Needle_Guidance_OR Q 2/6/2014 2/6/2014 Show Object Color Live 4D 9:36:01 AM 9:36:01 AM 3D Objects To delete a needle, you can either… Review and Processing V Needle Guidance Needle Define Path Check needle path. N1 Option: Create a new needle path. Rename 1) Mark the needle in the image Display in Current Layout 2 Group segment. Press the right mouse Select Delete Object button and select Delete Object 10 cm + Live in the context. SL 2.0 MPR Thick 217 SL 2.0 RAO 99 / 0 MPR Thick LAO 171 / CRAN 12 Close Help -or- Needle_Guidance OR Q. Cliniques Universitaires S. Needle_Guidance_OR Q. HAR Cliniques Universitaires Brainlab 17 Nat Fill HU N ... 6.14 AXIOM-Artis *1/1/1952 Brainlab 17 Nat Fill HU N 6.14 AXIOM-Arti VD10D 130718 VD10D 130718 FFP *1/1/1952 XA 2) Click … (Object List) and open 2/6/2014 2/6/2014 9:36:01 AM 9:36:01 AM Progress Needle object list. Press the right mouse Context Menu -O- Volume Opacity Image Tools Meas X-Ray button on the selected needle 1 Display in Current Layout Slice Thickness (mm) 2.0 Group and select Delete Object. Object List Delete Object F UP 1131 UD 78 217 VRT 916 LAO 171 / CRAN 12 AE 7 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Define Path – In-Plane View dance_OR Q ... Cliniques Universitaires S ... ance_OR Q .. HAR Cliniques Universitaires S ... b) Nat Fill HU N ... VD10D 130228 a) at Fill HUN .. VD10D 13071 Needle_Guidance_OR Q 1) Select the In-Plane View. Needle_Guidance_OR Q 2/0/2014 9:36:01 AM All the MPR and VRT segments are automatically aligned to the Review and Processing Needle Guidance X Define Path defined path. Check needle path. Option: Create a new needle path PL LA a) The upper right image segment shows an MPR view, that contains 39 mm Selection + N1 the target point in direction of the planned path. 10 cm b) The upper left image segment shows MPR view, that contains the IP SL 2.0 MPR Thick 1131 LAO 170 / CAUD 78 C 217 VRT LAO 171 / CRAN 12 8 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Define Path – Ortho View Needle_Guidance_OR Q Cliniques Universitaires S ... AXIOM-Artis Needle_Guidance_OR Q Cliniques Universitaires S ... 6.14 Select the Ortho View. Brainlab 17 Nat Fill HU N. VD10D 130718 6.14 VD100 130718 Needle_Guidance_OR Q : *1/1/1952 FFP Brainlab 17 Nat Fill HU N *1/1/1952 XA XA Needle_Guidance_OR Q 2/6/2014 2/6/2014 All MPR image segments contain the target point. 9:36:01 AM 9:36:01 AM Review and Processing Needle Guidance X Define Path 113.73.Ein 113.73 mm Check needle path. Option: Create a new needle path Selection + N1 10 cm Ortho View L SL 2.0 MPR Thick 196 SL 2.0 MPR Thick 1196 LAO 91 / 0 LAO 1 / 0 239 Needle_Guidance OR Q Cliniques Universitaires S. Needle_Guidance_OR Q ... H Cliniques Universitaires S ... 6.14 AXIOM-Artis 6.14 Brainlab 17 Nat Fill HU N .. VD10D 130718 Brainlab 17 Nat Fill HU N .. VD10D 130718 ^1/1/1952 FFP *1/1/1952 XA XA 2/6/2014 2/6/2014 9:36:01 AM 9:36:01 AM Progress Needle -O N1 Volume Opacity 1 00 113.73 mm Image | Tools |Meas. X-Ray R Automap 10 cm 0 cm F N1 113.73 mm SL 2.0 MPR Thick 1196 VRT 1283 0 / CAUD 90 239 0/0 880 AE 9 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Define Path – Auto Flight Needle_Guidance_OR Q Cliniques Un 2 Needle_Guidance_OR Q. HAR Cliniques Universitaires S ... 6.14 AXIOM-Artis Brainlab 17 Nat Fill HU N. VD10D 130718 Needle_Guidance_OR Q *1/1/1952 Brainlab 17 Nat Fill HU N 6.14 1) To start, select the Auto Flight icon. *1/1/1952 XA Needle_Guidance_OR Q 2/6/2014 XA 2/6/2014 9:36:01 AM 9:36:01 AM 2) You can watch the flight along the needle Review and Processing Review and Processing Needle Guidance Define Path Needle Guidance Define Path path in the upper right MPR segment. Check needle path. Option: Create a new needle path. Check needle path. Option: Create a new needle path PL LA 3) You can stop the flight by clicking again the Selection + N1 Selection + N1 ... Auto Flight icon. Auto Flight 10 cm You can correct the target and/or entry point by dragging and dropping. SL 2.0 SL 2.0 MPR Thick 1 RAO 112/0 MPR Thick 239 X 3 LAO 158 / CRAN 16 Needle_Guidance_OR Q Cliniques Universitaires S Needle_Guidance_OR Q. HAR Cliniques Universitaires S. 4) To restart the flight, click the Auto Flight 6.14 AXIOM-Artis 6.14 AXIOM-Artis Brainlab 17 Nat Fill HU.N .. VD10D 130718 *1/1/1952 Brainlab 17 Nat Fill HU N. FFP *1/1/1952 VD10D 130718 FFP 2/5/2014. XA 2/6/2014 icon again. 9:36:01 AM Progress Needle Progress Needle Volume Opacity 00 Image | Tools |Meas ... |X-Ray LA Automap 13.73 mm 10 cm 10 cm IP Plan SL 2.0 MPR Thick 1196 LAO 158 / CAUD 74 LAO 158 / CRAN 16 1283 1880 10 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Define Path – Save Bookmark/Save Bookmark As Needle_Guidance_OR Q Cliniques Universitaires S. Needle_Guidance_OR Q Cliniques Universitaires S. 6.14 AXIOM-Artis 6.14 AXIOM-Artis Brainlab 17 Nat Fill HU N. VD10D 130718 Brainlab 17 Nat Fill HU N VD10D 130718 Needle_Guidance_OR Q *1/1/1952 FFP "1/1/1952 FFP Save bookmark: XA 2/6/2014 XA Needle_Guidance_OR Q 2/6/2014 9:36:01 AM 9:36:01 AM 1 If you want to save a visualization bookmark when you are working on Review and Processing and Processing Needle Guidance Lance Define Path your workflow: eedle path. Check needle path. Create a new needle path LA Option: Create a new needle path. PL 1) Display the volume in the way you require. Click the Bookmark 120.3 election 2/6/2014 BrainlabNeuro Left N1 segment in the Application Control window. 10 cm 5/18/2020 2) Click the Save Bookmark icon. IR SL 2.0 SL 2.0 Delete Bookmark A study bookmark containing the visualization settings is stored. It MPR Thick MPR Thick RAO 99 / 0 LAO 171 / CRAN 12 3 Rename Needle Guidance OR Q ... Universitaires S. Needle_Guidance_OR Q. HAR 10:13:27 AM is named automatically by a consecutive number and the current Brainlab 17 Nat Fill HU N .. AXIOM-Artis RAO 22 / CAU ... VD10D 130718 Brainlab 17 Nat Fill HU N 6.14 FFP *1/1/1952 2/6/2014 XA 2/6/2014 9:36:01 AM date. Jess Needle 10:09:59 AM 3) To change the name of the bookmark, press the right mouse Progress Needle Volume Opacity Tage | Tools |Meas ... | X-Ray button and select Rename. LA Slice Thickness (mm) 2.0 10 cm 120.39 mm F IP SL 2.0 2 MPR Thick W 1131 1318 LAO 170 / CAUD 78 C 217 VRT LAO 171 / CRAN 12 916 11 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Define Path – Save Bookmark/Save Bookmark As Needle_Guidance_OR Q Cliniques Universitaires S. Needle_Guidance_OR Q Cliniques Universitaires S. 6.14 AXIOM-Artis 6.14 AXIOM-Artis Brainlab 17 Nat Fill HU N. VD10D 130718 Brainlab 17 Nat Fill HU N VD10D 130718 Needle_Guidance_OR Q *1/1/1952 FFP "1/1/1952 FFP XA XA Needle_Guidance_OR Q Save bookmark as: 2/6/2014 2/6/2014 9:36:01 AM 9:36:01 AM 1 1) Display the volume in the way you require. Click the Bookmark Review and Processing Needle Guidance Define Path segment in the Application Control window. Check needle path. Option: Create a new needle path PL LA 120.39 mm 2) Press the right mouse button to Save Bookmark icon. Then enter a 120.3 Selection + N1 name for the study bookmark. 3) Press Close to save. IR Save bookmark as. ? X SL 2.0 SL 2.0 MPR Thick MPR Thick RAO 99 / 0 LAO 171 / CRAN 12 Name: Needle 1 Needle Guidance OR Q ... Universitaires S. Needle_Guidance_OR Q. Brainlab 17 Nat Fill HU N .. AXIOM-Artis VD10D 130718 6.14 Brainlab 17 Nat Fill FFP *1/1/1952 3 XA Close Help 2/6/2014 2/6/2014 9:36:01 AM Progress Needle -O Volume Opacity Image | Tools |Meas ... | X-Ray LA Slice Thickness (mm) 2.0 10 cm 120.39 mm F IP SL 2.0 W 1131 1318 2 MPR Thick LAO 170 / CAUD 78 C 217 VRT LAO 171 / CRAN 12 916 12 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Define Path – Save Bookmark for C-arm Orientation Needle_Guidance_OR Q Cliniques Universitaires S. Needle_Guidance_OR Q HAR Cliniques Universitaires S. 6.14 AXIOM-Artis VD10D 130718 6.14 AXIOM-Artis Brainlab 17 Nat Fill HU N. VD10D 130718 Needle_Guidance_OR Q *1/1/1952 Brainlab 17 Nat Fill HU N. FFP '1/1/1952 FFP XA XA Needle_Guidance_OR Q 1) Rotate the volume in the way you require. 2/6/2014 2/6/201 4 9:36:01 AM 9:36:01 AM Review and Processing Click the Bookmark segment in the Review and Processing Needle Guidance Needle Guidance Define Path 1 Define Path Application Control window. Check needle path. Option: Create a new needle path Check needle path. Option: Create a new needle path PL LA 2) 120.39 mr Click the Save C-arm orientation icon. 120 Selection +1 N1 2/6/2014 BrainlabNeuro Left 10 cm 5/18/2020 A study bookmark containing the orientation IR SL 2.0 SL 2.0 2 1217 is stored. It is named automatically by the MPR Thick MPR Thick RAO 99 / 0 LAO 171 / CRAN 12 Needle Guidance OR Q ... Cliniques Universitaires S. Needle_Guidance_OR Q. AXIOM-Artis HAR Cliniques Universitaires 2 RAO 22 / CAU ... 10:13:27 AM AXIOM-Artis angulation angles. ainlab 17 Nat Fill HU N. VD10D 130718 6.14 Brainlab 17 Nat Fill HU N VD10D 130718 FFP *1/1/1952 XA 2/6/2014 9:36:01 AM Progress Needle 10:09:59 AM -O- Volume Opacity Tools Meas X-Ray Progress Needle Image LA 2 10 cm 120.39 mm F Live Live SL 2.0 MPR Thick 1318 LAO 170 / CAUD 78 VRT LAO 171 / CRAN 12 916 13 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Progress Needle Patient Applications Reconstruction Show Mode View Orientation Tools Measure Volumes Options Help Needle_Guidance_OR Q ... HAR Cliniques Universitaires S. Please make sure that the needle is positioned correctly before 6.14 AXIOM-Artis Needle_Guidance_OR Q : Brainlab 17 Nat Fill HU N ... VD10D 130718 Needle_Guidance_OR Q : 1/1/1952 going through Progress Needle step. * FFP XA Review and Processing 2/6/2014 1) When you are satisfied with the needle path and want to start Needle Guidance X 9:36:01 AM Dafina Dath 1 Progress Needle needle insertion, select the Progress Needle workflow step. This step can only be performed for the exam patient 2) If more than one needle has been defined, select the needle 2 Selection N1 of interest from the Needle list. LA N1 113.73 mm When you select the Progress Needle workflow step, the Live registration will be prompted automatically, if required. Please perform 2D/3D or 3D/3D registration to the examination patient. Volume Opacity 1.00 10 cm mage | Tools Meas X-Ray LP Automap VRT 1280 LAO 158 / CRAN 16 C M 936 14 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Progress Needle Patient Applications Reconstruction Show Mode View Orientation Tools Measure Volumes Options Help Needle_Guidance_OR Q ... HAR Cliniques Universitaires S. 6.14 AXIOM-Artis Needle_Guidance_OR Q : On the Progress Needle workflow step: Brainlab 17 Nat Fill HU N ... VD10D 130718 Needle_Guidance_OR Q : * 1/1/1952 To perform and monitor the planned needle procedure, three FFP XA Review and Processing 2/6/2014 x necessary system positions are calculated automatically based on Needle Guidance 9:36:01 AM Define Path Progress Needle This step can only be performed for your planned needles: the exam patient a) Bull`s Eye View: This view is used to determine the skin entry Selection N1 point and to align the needle. a) b) • In this system position, the C-arm is angulated in the same direction as the active needle path. LA N1 113.73 mm • The patient table has to be adjusted, so that the central X-ray beam is aligned with the active needle path. Live b) Progression View 1 and Progression View 2 provide two lateral -@- Volume Opacity 1.00 10 cm mage | Tools Meas X-Ray views to the planned needle path by taking system restrictions into consideration. LP Automap • These two system positions are computed automatically, and they are used for monitoring the needle progression. VRT 1280 LAO 158 / CRAN 16 C M 936 15 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers Progress Needle - Overlay Patient Applications Reconstruction Show Mode View Orientation Tools Measure Volumes Options Help Needle_Guidance_OR Q ... HAR Cliniques Universitaires S. 6.14 AXIOM-Artis Needle_Guidance_OR Q : Brainlab 17 Nat Fill HU N ... VD10D 130718 Needle_Guidance_OR Q : * 1/1/1952 FFP XA Review and Processing 2/6/2014 Needle Guidance x 9:36:01 AM Define Path Progress Needle This step can only be performed for the exam patient Overlaying 3D objects on the live image Selection N1 Live Overlaying the live image to a 3D volume LA N1 113.73 mm Registration of volumes -O Volume Opacity 1.00 10 cm mage | Tools Meas X-Ray LP Automap VRT 1280 LAO 158 / CRAN 16 C M 936 16 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers User Configuration Options Help # syngoXWP - Configuration Panel Maintenan File The system allows you to do some configuration about your clinical workflow. End Sessionad 1 In order to configure the features for the Needle Guidance, please follow the steps Configuration ... Service 2 below: 4D Recon- Ortho Wizard 3D TO struction JET 1) Click the Options > Configuration menu on the main screen. 4D Configuration Under Configuration Panel, select 4D. General Workflows Measure 2) Select Workflow 3 3) From the Workflows tab, select Needle Guidance from the drop-down menu. Needle Guidance 4) To show/hide Name/Length, select/deselect the check mark boxes. Show Name 4 5) To change the Line Width, click the arrow to open drop-down menu and Show Length small Line Width 5 select. Automatically Switch On Laser Automatic Update to In-Plane View . Target First as Needle Direction 6 . Entry First as Needle Direction Radiological View Orientation · Interventional View Orientation OK Cancel 7 17 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 syngo Needle Guidance SIEMENS Healthineers User Configuration Options Help # syngoXWP - Configuration Panel 6) To configure the other options at that part: Maintenan End Sessionad 1 File • Automatically Switch On Laser: Select the check mark box to switch on the Configuration ... Service 2 laser automatically, when Bull’s Eye View is reached, and the table is 4D Recon- Ortho Wizard 3D TO struction JET positioned correctly. 4D Configuration • General Workflows Measure Automatic Update to In-Plane View: Select the check mark box to activate Select Workflow the In-Plane View automatically, when you add needle. Needle Guidance 3 Target First/Entry First as Needle Direction: Click the target point or the • Show Name 4 entry point to configure which point is set first. Show Length small Line Width 5 Radiological View Orientation/Interventional View Orientation: You can • Automatically Switch On Laser configure the orientation according to the interventional or radiological Automatic Update to In-Plane View view. . Target First as Needle Direction 6 • Interventional View Orientation: Registered patient position of the . Entry First as Needle Direction Radiological View Orientation examination patient · Interventional View Orientation • Radiological View Orientation: Standard radiological orientation 7) To confirm the changes, click OK. Not to confirm the changes, click Cancel. OK Cancel 7 18 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021 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 2021 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 19 Effective Date: 30 Sep 2021 | HOOD05162003219899 Unrestricted © Siemens Healthineers, 2021