Syngo Carbon - Postprocessing Tools Job Aid

SIEMENS Healthineers Syngo Carbon – Postprocessing Tools Job Aid Template Effective Date: 10 Aug 2021| HILS 2223 Job AidEffective Date 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 Postprocessing Tools – SIEMENS Healthineers Table of Contents Time Curve - Overview 3 Time Curve - Tools 4 Lung CAD 5 Lesion Quantification Tool 6 Carbon CT Lung Change Tool 7 CT Lung Assistant/ Similar Patient Search (SPS) 11 MR GRT - Subtraction 12 MR GRT - Composer/ Combine Tool 15 MR GRT – ADC & b-value 20 2 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 Postprocessing Tools – SIEMENS Healthineers Time Curve - Overview You can use the postprocessing tools to evaluate dynamic CT AH MR_LayoutTestData TC1 Super Hospital Mean (%) Normal Time: 0 sec Mean: 190.72 Ratio: 0 % or MR data sets to show signal changes over time. The TestDataID Ref.: Referring, Dr. O *6/2/1972, F, 26Y MAGNETOM Harmony CURRENT output of such an evaluation is a time curve that plots the STUDY 12/21/1998 function/cine_tr56_1-slice-14 intensity of the contrast media over a certain time period. 12/21/1998 12:42:16 PM 14 IMA 103 FRM 1 2 You start the Time Curve evaluation by using the default 3 RFA Time Curve tools. 6.0 Min / Max: 19.00 /303.00 -4 Mean/SD: 190.72 /57.46 Area: 29.14 cm2 Sum: 296194.00 10cm .5 Select the segment with the data that you want to 1553 Pixels 1. .6 evaluate. Zoom 3.36 256 256 W 621 C 275 2. Click in the Tool Gallery. AC 1 Tra>Sag(37)>Cor(-22) -7- -0.5 -0.4 -0.3 -0.2 -0.1 0.1 0.2 0.4 Time Offset: 0 sec 0.3 Normal Time (sec) 0.5 3. Draw a Time ROI in the image segment. no image comments O 4. The layout switches to time curve layout. The circle is visible on the defined position in all phases of the dynamic series. If necessary, scroll through the phases and adjust the size and position of the ROI. 5. The result segment displays a graph that depicts the signal changes of the selected area over time. 3 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 Postprocessing Tools – SIEMENS Healthineers Time Curve Tools O SIEMENS 01/01/1927 M FFO 198 X LU - 1 X • Time ROI: Measures the signal intensity for a selected Healthineers 01101/2000. Polytrauma ... Hanging Protocol MM 1TP ... region of interest. ........................................................................... Series Findings FO_198 LMU, Institut für Klinische Radi FO_198 #FO_198 Ref: IBGNOT-NRAL #FO_198 Ref: IBONOT.NRAL Series X syngo.via.VB40 Series *1/1/1927, M, 92Y SOMATOM Force *1/1/1927. M. 92Y 1/31/2019 1/31/2019 STUDY 1/31/2019 STUDY 1/31/2019 31/01/2019 11:24 Topogram 0.6 Tr20-1 Head NC Aspect Score Result-2 CT, Head NCT VCT VPCT Stroke ASP ... 35.9 # PLA4567011810169 # PLA4567011810169 9 X 11:26:09 AM 11:25:02AM L 367 TC-Pixel Lens: Enables you to highlight specific voxels R 33.8 X Findings • SL 5.0 M3 38 6 M4 345 A E Topogiam 0.6 MS 33.4 X Score Beach-2 (21 357 within the image. $12-312 AC 3 AC 2 Automatic Result Score Reum 2 01 ASPECT Score Explanation (Example Case) FO_198 Ref.: IBGNOT-NRAL FO_198 LMU, Insstut für klinische #FO_198 #FO_198 RetepanATOM Force *1/1/1927, M, 92Y syngo.via.VB40A *1/1/1927. M. 92Y • TC-Freehand ROI: Enables you to draw freehand ROIs. 1/31/2019 1/31/2019 STUDY 1/31/2019 STUDY 1/31/2019 Head NC Aspect Score R Head non contrast Hr38-3 # PLA4567011810169 # PLA4567011810169 11:25:08 AM SL 0.0 • TC-Snaps X / Bold surroundings: Region with lower HU values compared F to other hemisphere Zoom 0.88 WM: Only white matter may be affected 512.512 Zoo-0,88 120 40 Boldface text: Region that is visible in the current image (left.C. IC. INS. L. M1-M3 / Right M4-M6) 512#768 AC 2 Tra Head_XC Bone non contrast-9 [9] Automatic Result X CARE Please note: There are additional tools with extended functionality designed to support technicians and physicians in qualitative and quantitative measurements and in the analysis of clinical data, for example the CT Vessel Extension. 4 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 Postprocessing Tools – SIEMENS Healthineers Lung CAD tool The Lung CAD tool detects lung nodules and performs an A automatic 3D segmentation, displaying results like the volume and RECIST diameter for each detected nodule. The automatic segmentation is done by using the CAD marker position as a click position. Using the same tool as used in the CT Lesion segmentation you can then perform segmentation. CAD1 You can correct the segmentation before or after the CAD marker has been accepted. m 0.32 mm 0.84 mm B HU L 1/8 5 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 Postprocessing Tools – SIEMENS Healthineers Lesion Quantification Tool The Lesion Quantification tool enables you to perform diameter A measurements and to create segmentation objects of suspect lesions in lung parenchyma with one click. With the measurement results, for example, you can determine changes in the anatomical structure in the follow-up evaluations. You can use this tool if you do not have the Lung CAD tool, or if the Lung CAD tool has failed to automatically detect/segment a nodule. [1] Nodule Measur ... Diameter: 15.45 mm Max. Orth. Diam: 12.04 mm Mean Diameter: 13.74 mm nativ Perform lesion quantification X-CARE Volume: 1.21 ml Average HU: 6.25 HU 1. Click on in the Tool Gallery. The mouse cursor changes its shape. 2. Select the required lesion. A segmentation object is then created. The evaluation results of the measured diameter and the size of the volume are displayed next to the measurement. A finding is automatically created. 6 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 Postprocessing Tools – SIEMENS Healthineers CT Lung Change Tool The CT Lung Change tool provides an easy comparison of ? O E E current and prior CT Thorax scans. It displays density changes OpenApps Quick Distance ROI Circle Parallel Print mage Export Full Text Hide Lines Synch Spine/Rib Reset CT Lung LungCAD Pulmonary MR Lesion CT Lung Define Guide Line Ranges Image Label Layout Assistant Density Neurology Quantific ... Change Vesspe Isolate Coronary Heart Tree to lung tissue in CT images based on HU differences across A different timepoints 1. Select the displayed series that you want to use as the CT Lung Change ? X basis for comparison. You usually use the current series as Compare following Series the base series. 06-Oct-14 -Lung 1.0 17Of 3 LCAD [3] 10-Jun-14 -Poumon 1.0 170f 3 [3] Start 2. In the Tool Gallery, click Show/ Evaluate Restrict to Lung Hide Change or – – Changes Since 10-Jun-14 -Poumon 1.0 17of 3 [3] 1. Press the Alt + Space keys. The CT Lung Change dialog box opens. 2. The base series is displayed by default. An appropriate prior series can be selected. 3. From the list, select the required prior series and click Start. 7 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 Postprocessing Tools – SIEMENS Healthineers CT Lung Change Tool The color overlay is displayed on all orientations: A • The orange represents areas with increased density (HU) • The blue represents areas with decreased density (HU) Please note: The color overlay is only displayed for image types MPR or MIP Thin. Changes Since 10-Jun-14 -Poumon 1.0 17of 3 [3] 8 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 Postprocessing Tools – SIEMENS Healthineers CT Lung Change Tool Options on the CT Lung Change dialog: CT Lung Change ? X • Select the Priors Compare following Series • Show/Hide Evaluate Change: have a closer look at the density 2017-09-29 -Thorax nativ 1.0 B70f [4] • changes in the image segment. 2017-07-18 -Thorax nativ 1.0 B70f [4] • Restrict to Lung: restricts the color overlay to the lung. Restricted area is shown with a yellow contour. Start Showl Evaluate V Restrict to Lung Hide Change 9 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 Postprocessing Tools – SIEMENS Healthineers CT Lung Change Tool Additional information Favorite Tools Scroll Rotate + How is a lesion growth depicted by this tool? A • If a lung nodule has grown between the two scans, the air surrounding the nodule is replaced by the nodule. This leads CT Lung Change ? > Compare following Series to an increased HU in the region surrounding the nodule 06-Oct-14 -Lung 1.0 17of 3 LCAD [3] R 10-Jun-14-Poumon 1.0 170f 3 [3] Density: that is depicted with an orange rim. Increased Start Decreased Restrict to Lung • Similarly, if a nodule has decreased in size, a blue rim will surround the nodule. Changes Since • This tool does not provide any quantifications, but only a 10-Jun-14 -Poumon 1.0 1707 3 [3] visual analysis. Series Current Prior 01 Prior 02 06-Oct-14 19-Aug-14 10-Jun-14 To obtain quantifications on nodules the user can use the CI CT • CT pdf Thorax^Thorax SIV Thorax^Thorax SIV Thorax Thorax Ab (Adulte) (Adulte) doPelv SIV (Adulte) Lung CAD or Lesion Quantification tool. 110001 110051 110001 11008 had Stway 10 • Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 Postprocessing Tools – SIEMENS Healthineers CT Lung Assistant / Similar Patient Search (SPS) The CT Lung Assistant or Similar Patient Search Web Service CT Lung Assistant - Doe, John (01-Jan-00) = X SIEMENS .... Healthineers Similar Patient Search Web Service A Q ? (SPS) is a cloud-based service intended to provide Recent disease in SPS database: COVID-19 supplementary information to a radiologist reading Chest Pulmonary Alveolar Proteinosis CT images. It enables you to search for similar disease patterns in lung tissue and delineate the region of interest. Pneumocystis Jirovecii Pneumonia (PJP) SPS Web Service is designed to show reference cases, Interstitial Pneumonia and Atypical Pneumonia previously diagnosed and enriched by textbook disease information, in response to a query given in the form of a region of interest on the medical image (CT chest) Cryptogenic Organising Pneumonia (COP) delineating a diseased pattern of interest performed by a healthcare professional (radiologist). 0 Caution: The displayed reference cases are suggestions. The final diagnosis shall only be made based on your clinical knowledge. Please note: You need to have an internet connection on the Syngo Carbon client to be able to use this feature. 11 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 MR General Radiology Tools (GRT) – SIEMENS Healthineers Subtraction Create Subtraction Datagroup The Subtraction tool can be useful in contrast enhanced dynamic acquisitions, 1 2 where the contrast enhancement is better visualized after subtraction. Settings MR Subtraction Settings Config. Minuend 3 1 (1) Name of the currently used Settings Swap Remove 2 (2) Icon to open the Subtraction Settings dialog box Subtrahend 4 3 (3) Minuend phases or series Use Constant 0 + Remove 4 (4) Subtrahend phase or series 5 5 (5) Use Constant value 6 6 (6) Result Series Name: You can change the default name. Result Series Name OK Cancel 12 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 MR General Radiology Tools (GRT) – SIEMENS Healthineers Subtraction Tool Gallery 1. Select the required segments for subtraction while keeping the Ctrl key pressed. Punch Clip Box Clip Plane Anatomy Spine/Rib Region Visualizer Label Growing or – – Select the segment that contains the 4D data set. Postprocessing 2. From the lower-right corner menu, select Open Tool Gallery > TC- TimeCurve TC-Circle Define Snapshot Vessels Subtraction. MR Calculation 3. The Create Subtraction Datagroup dialog box is displayed. By + X default, the oldest series is displayed as Subtrahend and the Subtracti ... | Addition Multiplic ... Division Arithmetic ADC & b- Mean value newer series are displayed as Minuend. 2 13 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 MR General Radiology Tools (GRT) – SIEMENS Healthineers Subtraction Create Subtraction Datagroup ? X 5. From the Settings list, select a setting. 5 Settings MR Subtraction Settings Config 6. To adapt the Minuend/Subtrahend, drag the Subtrahend to the Minuend Minuend area. or – – Click to exchange the whole list of subtrahend and minuends series. 6 Swap emove The Swap icon is available only if the 2D series is selected for subtraction Subtrahend t1 tse sag.latest 7 (subtrahend selection is shown as a list in a text box). The Swap icon is not available if the 4D series is selected for subtraction (subtrahend selection Use Constant is displayed as a drop-down list). Remove To remove a series from the list, select the series and click . - 8 7 7. . 8. Enter the constant value. The constant value is helpful, for example, if the Result Series Name Results Sub_t1 tse sag subtraction result displays a very bright image. In this case, you can enter a constant value that is additionally subtracted to get a result image that 9 displays more contrast. OK Cancel 9. Click OK to start subtraction and to save the results. 14 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 MR General Radiology Tools (GRT) – SIEMENS Healthineers Composer/Combine Tool What is Composing and Combining? MR Composer will stitch the multiple images into a single large image. The MR Composer will support the following algorithm types: Spine, Angio, MIP & MR adaptive. After the composing, you can interactively re-adjust the composed result by using the manual adjustment tools. You can use Combining to combine axial images to form a single series by removing overlapped image positions. 15 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 MR General Radiology Tools (GRT) – SIEMENS Healthineers Composer/Combine Tool If configured, the following functions are available in the MR composer toolbox MR Tools: Tool Gallery Windowi Reset • New Compose: to compose images, to compose all images Windowi. in one series (for sagittal or coronal images) 3D Editing Punch Clip Box Clip Plane Anatomy Spine/Rib Region Auto Remove Visualizer Label Growing Views Table • New Combine: to combine images, to combine all images in one series (for axial images) Postprocessing LV O TC- TimeCurve TE-Circle Define Snapshot Vessels MR Calculation X Subtracti ... Addition Multiplic ... Division Arithmetic ADC & b- 2D ImageFil .. Mean value Distorti ... Smooth MR-Tools Composel combine 16 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 MR General Radiology Tools (GRT) – SIEMENS Healthineers Composer/Combine Tool Compose all images in one series: Tool Gallery 1. Select the series to be composed. Windowi Reset Select Compose/Combine in the Tool Gallery. Windowi. 3D Editing Please note: All images to be composed in MR Punch Clip Box Clip Plane Anatomy Spine/Rib Region Auto Remove Visualizer Label Growing Views Table Composer should have the same frame of reference. Postprocessing LV O TC- TimeCurve TE-Circle Define Snapshot Vessels MR Calculation X Subtracti ... Addition Multiplic ... Division Arithmetic ADC & b- 2D ImageFil .. Mean value Distorti ... Smooth MR-Tools Composel combine 17 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 MR General Radiology Tools (GRT) – SIEMENS Healthineers Composer/Combine Tool Create New Composition ? X 2. In the Create New Composition window select the series that you want to compose. Selected Series Available Series 1_f13d_cor_post_Sub.latest 1_f13d_cor_pre.latest Il_f13d_cor_post_Sub.latest Il_f13d_cor_pre.latest IlI fl3d_cor_post_Sub.latest IlI_f13d_cor_pre.latest 3. From the list, select an algorithm: I_f13d_cor_post.latest Il f13d_cor_post.latest • Spine Algorithm: Based on bone structure, for composing spine images • Angio Algorithm: Based on vessel structure, to obtain an overview of the vessels • MIP Algorithm: Optimized for composing MIP images • Adaptive Algorithm: Based on elastic matching, to correct B0-induced inhomogeneities in image areas Composing Algorithm Angio algorithm beyond the magnetic homogeneity volume Name Of Composed Series 4. Enter a name for the composed series and confirm with OK to start composing. OK Cancel 18 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 MR General Radiology Tools (GRT) – SIEMENS Healthineers Composer/Combine Tool Combine all images in one series (for axial images): MR Calculation + X 1. Select the series to be combined. Select Subtracti ... Addition Multiplic ... Division Compose/Combine in the Tool Gallery. MR-Tools Composel Combine 2. Click on the Composer tab in the lower part of the window. Select New Combine. iv New New Confirm Compose Combine Result auto Blend/Cut Normalize Manual Mode Adjust Composer X 19 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 MR General Radiology Tools (GRT) – SIEMENS Healthineers Composer/Combine Tool Create New Combining ? X 3. The Create New Combining window opens. All series available for the current study and a Selected Series Available Series preview area are displayed. t2_tse_tra_p3_384.latest ep2d_diff_b50_400_800_tra_p2_TRACEW.latest.B. ep2d_diff_b50_400_800_tra_p2_ADC.latest t1_tse_tra_3mm.latest 4. Select the series that you want to combine. 5. Enter a name for the combined series and confirm with OK to start combining. The window is then closed and the result series is displayed in the corresponding segments. The combined series is not saved until you confirm the series. Name Of Combined Series OK Cancel 20 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 MR General Radiology Tools (GRT) – SIEMENS Healthineers ADC & b-value ADC & b-value ? X ADC Map Calculation You can use diffusion-weighted imaging to evaluate body lesions by Input Series V ep2d_diff_prostate_wip displaying the motion of molecules. The apparent diffusion coefficient VB-Value_01_0 VB-Value_02_100 (ADC) is used to determine the mobility of the molecules in certain tissue VB-Value_03_800 types. While normal tissue shows high signal loss, areas with restricted molecular motion, such as high-density tumor tissue, show less signal loss and result in bright areas in the diffusion-weighted images. Threshold 10 + Remove ADC maps are calculated from diffusion-weighted images and require Result Series Name measurements with various diffusion weightings (b-values). The higher the Computed b-value images b-value, the stronger the diffusion weighting. M Enable Computed b-value b-value 1400 M Auto Preview 1. Select a segment with the ADC map. If necessary, drag an ADC map Scaling from the Series Navigator into a segment. Result Series Name 2. From the lower-right corner menu, select Analysis Tools > ADC & b- value. The ADC & b-value dialog box is displayed. OK Preview Cance 21 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 MR General Radiology Tools (GRT) – SIEMENS Healthineers ADC & b-value ADC & b-value ? X 3. Deselect the b-values that are not required for the calculation. ADC Map Calculation 4. If required, select a Threshold to optimize the results of the ADC map and the b- Input Series ep2d_diff_prostate_wip value. The range for threshold value adjustment is between 0 and 1000. The default M B-Value_01_0 M. B-Value_02_100 value is 10. M B-Value_03_800 5. Enter the Result Series Name. 6. In the Computed b-value images area, select the Enable Computed b-value check Remove box. Threshold 10 + Result Series Name 7. Move the b-value slider or enter the b-value in the text field and enter the Result Computed b-value images Series Name. The range for b-value adjustment is between 0 and 10,000. By default, M Enable Computed b-value the value is 1400. The name of the result series also contains the new b-value. b-value 1400 M Auto Preview 8. If necessary, adjust the Scaling factor (1-1000) to enhance the pixel intensity value of Scaling high value results. Result Series Name 9. Click Preview to start the calculation and to check the quality of the results. 10. Click OK to start the calculation and to save the results. OK Preview Cancel 22 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. © Siemens Healthcare GmbH 2022 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 23 Effective Date: 23 NOV 2022 | HOOD05162003299913 Unrestricted © Siemens Healthineers, 2022