syngo CT VB10 General Scan and Recon Improvements Job Aid

SIEMENS Healthineers syngo CT VB10 General Scan and Recon Improvements Job Aid Template Effective Date: 10 Aug 2021 | HILS 2223 Job Aid Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Table of contents SIEMENS Healthineers Show Actual and Intended Start Delay 3 Absolute Start Delay 4 Breath hold – Languages and commands 7 Advanced breath hold settings 8 Dose notification 12 mA average 13 Complete tilt workflow 14 MIP Thin slice thickness 17 Multi-impression reconstruction 18 iMAR for bone kernels (SOMATOM go. systems) 19 Mirroring for SPP (optional) 20 Body Part Examined and Target Region 21 Sort raw data according to date and time 22 FAST 3D Camera (optional) 23 2 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Show Actual and Intended Start Delay SIEMENS Healthineers Intended Start Delay / Actual Start Delay Absolute Start Delay: • The Intended start delay is the customer-defined Actual | Intended [s] (wished) value. • The Actual start delay is the value that the system 5.3 |5 calculates. • You can only edit the Intended start delay. • Not available for Post Instruction Delay. 3 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Absolute Start Delay – Change scan time SIEMENS Healthineers Absolute Start Delay – Change scan time 2 mlls 1 mês 3 miix The Absolute Start Delay of succeeding ranges within an auto range shall not be 15 8.25 38 8.25 affected. No matter if you or the system 10 17.1 74 10 15 20 70 75 80 O change the delay or scan time of the EN proceeding range. The only reason to shift the Absolute Start Delay of succeeding ranges is that you decide to adapt the minimal required start delay. 2 mills 4 mlis 3 mlis The Absolute Start Delay of the second scan 15 | 9.95 36 8.25 (for example, 74 s) does not change, even if 10 17.1 74 10 20 75 80 O the scan time of the first scan changes (for EN example, from 8.2 s to 9.9 s). 4 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Absolute Start Delay – Delete breath hold commands SIEMENS Healthineers Absolute Start Delay – Delete breath hold Scan Favorites General Scan Dose Timing Config Physio Scan Contrast Scan/Recon Pitch Rot. Exam Time Post Instruction Post Bolus Time [s] [s] Patient Instruction Instruction Command Delay [s] Delay (B1) [5] The Absolute Start Delay is not affected Arterial Phase Abdomen 0.80 0.50 9.87 Inspiration Before Scan; After S ... 0 EL when you delete one or more breath hold commands. ACH 2 mlhs L 10.55 15 | 9.95 29 10 24 o O 10 20 25 30 70 The Absolute Start Delay of the second Scan Favorites General Scan Dose Timing Config Physio Scan Contrast CH Scan/Recon Pitch Rot. Exam Time Patient Instruction Instruction Post Instruction Absolute Start Delay: Actual | scan (for example, 74 s) does not change, Time [s] [s] Command Delay [s] Intended [s] even if you delete the breath hold Venous Phase Abdomen 0.80 0.50 8.21 Inspiration After Scan 0 74.0 | 74 commands. -CH 2 mls 4 mlls 3mis L 0.55 1s 9.95 36 8.2 10 24 10 10 20 25 O O 5 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Absolute Start Delay – Bolus tracking SIEMENS Healthineers Absolute Start Delay – Bolus tracking Scan Favorites General Scan Dose Timing Config Physio Scan Contrast - Scan/Recon Pitch Rot. Exam Time Time [s] [s] Patient Instruction Instruction Post Instruction Absolute Start Delay: Actual | Command Delay [s] Intended [s] For bolus tracking, the system changes the Venous Phase Abdomen 0.80 0.50 8.21 Inspiration After 5can 0 74.0| 74 Absolute Start Delay of the succeeding ranges according to the scan time of the monitoring range. 4 mills ....... 10.55 15 2 |9.95 36 8.25 10 24 10 10 20 25 80 O O ACH 2 min 4 miz 10.55 11.65 9.95 43 8.25 10 27.6 O 10 15 20 25 85 6 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Breath hold – Languages and commands SIEMENS Healthineers New languages / New breath hold command Audio Control Instruction Language New languages: Albanian Command Patient Instruction • Albanian Stop breathing • Kabyle • Tashelhit • Tamazight • Armenian New breath hold command: • Kurdish Bosnian “Stop breathing now!” - “Start breathing again.” • • Catalan • Tamil • Ukrainian 7 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Breath hold – Advanced breath hold settings SIEMENS Healthineers Automatic patient instruction User Interface: Delete both The automatic patient instruction (API) enables the synchronization between the spoken instructions (breathing commands) and scanning. Delete before scan Delete after scan Nowadays, every patient instruction consists of two parts: Text A 4.2s before scanning and Text B after scanning. 3.9 0 10 Example: Exam Designer: Before scanning: "Breathe in - stop breathing!" Instruction Command After scanning: "Continue breathing!" Before Scan; After Scan Before Scan After Scan Before Scan: After Scan ................ 8 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Breath hold – Advanced breath hold settings SIEMENS Healthineers Advanced breath hold settings • Independently connect API Text A and API Text B to each Delete both .75 scan range in the timeline and parameter panels. 7.75 3 Delete before scan Delete after scan 0 15 10 20 25 30 • The API configuration in the Admin Portal does not change – you must still record Text A and B. • Delete Text A and B independently via the context menu item Delete. • When you drag a command from the timeline editing mode, you always drop a pair first. • Apply to all behavior: Changes only the text of the ranges, not the selection state of A and B. • The timeline only shows the used loudspeakers. • Each scan range can have different commands for A and B (for example, scan range 1 inspiration A, scan range 2 expiration B). 9 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Breath hold – Advanced breath hold settings SIEMENS Healthineers Advanced breath hold settings If an auto range has been cancelled: 7.7s 7.7s Play the next available Text B, which you defined for this 3 2 • measurement. 0 5 10 5 10 O • If you did not define a Text B, then play nothing. 7.75 7.7s 3 2 0 5 10 10 O 10 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Breath hold – Advanced breath hold settings SIEMENS Healthineers SIEMENS Gibbs. Antonio x Healthineers A 09/07/1992 Advanced breath hold settings – Tablet Thorax [factory] (Adult) / Head First - Supine El. mAs AV The breath hold command is also visible on the tablet. 69 120 Exposure Time Ist CIDivol [mGy) SSDE (IGY) 2.19 (32cm)5.82 (12.0cm) 14.3 180 COMATOM X che 5.3 s 3.9 5 3.9 5 Thorax Thorax ky 5n100 A DU Garten 3.3 $ 5.3 3.95 3.95 3.9 % Topogram Thorax Thorax Thorax * - 1412.0 Back GO 11 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Dose notification SIEMENS Healthineers Dose notification – Pre-configuration Diagnosis Installation º Technical Configuration Quality Assurance + Clinical Configuration Examination Configuration Dose Configuration In the Admin Portal, you can preconfigure Dose Modulation Report Alert Notification a diagnostic reason available for the next Cardiac Respiratory patient. Image Table Diagnostic Reason Patient obese patient Dose Notification × General large patient Audio contrast Dose values exceed their configured notification values. Reference Slice New Entry Notification Value Applied Value Diagnostic Reason obese patient Edit Delete Thorax large patient Edit Delete CTDIval 5.00 (32 cm) 5.80 mGy contrast Edit Delete New Entry Diagnostic Reason Obese Patient Diagnostic Reason Large Patient obese patient Confirm Cancel large patient 12 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 mA average SIEMENS Healthineers New parameter mA average mA average Add the tube current indication (in mA) according to IEC 60601-2-44 (Amendment 2). 146.3 A new parameter is required on the Dose tab. It displays the calculated average mA value before scanning and updates it to the applied average mA value after scanning. Label on the user interface: mA – for Dual Energy mA (L/H) mA average • Visibility: Always visible, but read-only 349/352 • 13 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Complete tilt workflow SIEMENS Healthineers Complete tilt workflow SIEMENS ... Healthineers Scan Recon TEST CH * 11/01/2001 (22) 22222 Brain [factory] (Adult) ¿ 1.391 TEST H 22222 SOMATOM X.ceed MAS *11/01/2001, 22Y syngo CT VB10A myExam Compass 11/01/2023 HFS The topogram now displays the scan range. 7:52:45.55 PM Topogram TOP 101 TP1 -874.4 1 IMA 1 TP2 -741.6 Preconditions TP -750.0 LEN 132.8 GT -21 Non-Contrast Brain CTDIvol (16 cm) 48.4 mGy TEST SOMATOM X.ceed SSDE (9.1 cm) 61.7 mGy 22222 syngo CT VB10A DLP 721 mGy*cm *11/01/2001, 22Y Eff. mAs 266 11/01/2023 HFS KV 120 7:52:45.55 PM Exposure Time 7.46 s TOP 101 TP1 -874.4 TP2 -741.6 Check image quality 1 IMA 1 TP -750.0 LEN 132.8 GT -21 Reconstruction Close KV Sn1 40 mA 55 TI 2.04 550.72 0/0 500 Filter Sn NE Scan Favorites General Scan Dose iming Config CH Physio Scan A Contrast - Scan/Recon Memo Check&GO Check&GO Check&GO Image Type Orientation Scan Start Scan Ref. Lines 10cm Non-Contrast Brain Manual MPR Sagittal START key On Dose Timing Config - KV Sn140 mA 55 Check&GO Scan Start Scan Ref. Lines TI 2.04 550.72 0/0 So Simulator Filter Sn None START key On 14 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Complete tilt workflow SIEMENS Healthineers Complete tilt workflow Different recon algorithms cause variations in the boxes on the topogram depending on the recon type. For example: • Fix axial • Multi-orientation auto auto 15 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Complete tilt workflow SIEMENS Healthineers SIEMENS Healthineers Complete tilt workflow – Tablet Brain [factory] (Adult) / Head First - Supine Fif. mas Expature Time [s] S5DE [may! DLP [mGy"cm] 310 KV 120 You can tilt the range on the tablet (Scan&GO) with a single 7.44 (16cm)56.5 (9.2cmn)71.7 836 finger gesture. SOMATON X CE MOS CT VO 15A ...... KV 5n 140 me4 55 112.04 Simulator 25 7.9 $ Topogram Brak = - 1006.0 Press MOVE GO 16 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 MIP Thin slice thickness SIEMENS Healthineers MIP Thin slice thickness General Recon MIP-thin slice thickness > 10mm for 3D Slice Thickness Incre reconstructions The maximum possible slice thickness for the image type MIP Thin is [mm] [mm] now 40mm. 5.00 5. 1.50 General Recon Recon&GO Image Impre ... 2.00 - - 3.00 Image Type Window@120kV FAST Window Kernel 4.00 5.00 6.00 MIP Thin Base Orbita On Hr40 7.00 8.00 10.00 15.00 20.00 25.00 30.00 40.00 17 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Multi-impression reconstruction SIEMENS Healthineers Before VB10 VB10 Multi-impression reconstruction Recon Ranges Recon Ranges Topogram Topogram The system now shows multi-impression recon immediately after the recon is ready. Thorax Thorax Before VB10, the system only displayed multi- impression recon after reconstructing all recons in one recon job. In VB10, for multi-impression recons, the image series of an individual recon is available as soon Reco Ranges Reco Rang as the system finished the individual recon. Topogr Topog Thora Thorax 18 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 iMAR for bone kernels (optional) SIEMENS Healthineers iMAR iMAR iMAR Type It is possible to enable iMAR with bone kernels up to 56. Restricting FAST IRS computers to avoid side effects on the On Pacemaker system performance: • IRSi-2c or • IRSi-2d Only for SOMATOM go. systems. 19 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Mirroring for SPP (optional) SIEMENS Healthineers Spectral Post-Processing (SPP) Recon Favorites General Recon Recon&GO Image Impression | Now you can enable the parameter Scan/Recon Spectral Recon Inline Results Multi Recons Mirroring for the Inline Result SPP. Venous Phase Abdomen 1.50 Qr40 03 None SPP None pression Recon Box Physio Recon Auto Tasking Inline Options - FAST Planning Matrix Center X Center Y width Size Matrix [mm] [mm] Mirroring HD FOV Wide 512 Square 0.00 0.00 None None Left/Right Up/Down Bath 20 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Body Part Examined and Target Region SIEMENS Healthineers Body Part Examined and Target Region Dose Timing Image Impression Recon Box stic Target Region S ure Body Part Transfer Auto CT The parameters Target Region and Body Examined Nodes View ... Part Examined now follow a new structure and have entries as per DICOM Chest Routine Chest Standard Version 2022e. Circle of Willis Circle of Willis Off Internal Auditory Canal Internal Auditory Canal Mastoid Bork Mastoid Bone Orbita Orbita Sinus Sinus Maxilla Maxilla Mandible Mandible › Neck/Shoulder › Neck/Shoulder Thorax Thorax Thorax Thorax 21 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Sort raw data according to date and time SIEMENS Healthineers Enhancements of the Manage Raw Manage Raw Data ? X Data dialog: Delete Export Import The dialog box is now enlarged. 1 Raw data files of the selected patients are selected for deletion. Patient Study Description Range Description Date and Time Modality Protection Flags Size It is now possible to sort the files by Collins, Maxwell TAVI [factory](Adult) CTA Thorax Coronary 6/8/2022 2:27:36 PM CT AP Application Active, Reconstruction Pending 10,4 Collins, Maxwell TAVI [factory] (Adult) Monitoring 6/8/2022 2:27:36 PM CI Application Active, Reconstruction Pending 7.6 Collins, Maxwell TAVI [factory](Adult) Premonitoring 6/8/2022 2:26:30 PM CI Application Active, Reconstruction Pending creation date and time of the raw data Collins, Maxwell TAVI [factory](Adult) TA 6/8/2022 1:58:41 PM CT Application Active, Reconstruction Pending 20,1 Collins, Maxwell TAVI [factory](Adult) Monitoring 6/8/2022 1:58:41 PM CT Application Active, Reconstruction Pending 4.8 on the Delete and Export tabs. Collins, Maxwell TAVI [factory](Adult) Premonitoring 6/8/2022 1:57:03 PM CT Application Active, Reconstruction Pending Collins, Maxwell TAVI [factory](Adult) Topogram 6/8/2022 1:55:26 PM CT Application Active, Reconstruction Pending 17,3 Pad, Britt (Adult) CountingClassicRange 6/8/2022 3:36:29 AM CT 6.3 Pad, Britt (Adult) CountingRange 6/8/2022 3:35:28 AM CT Reconstruction Pending 16,8 Pad, Britt (Adult) CountingRange 6/8/2022 3:33:56 AM CT Reconstruction Pending 16,8 Pad. Britt (Adult) CountingRange 6/8/2022 3:32:53 AM CT Reconstruction Pending 16,8 Pad, Britt (Adult) CountingRange 6/8/2022 3:31:20 AM CT 16,8 Pad, Britt (Adult) CountingRange 6/8/2022 3:30:21 AM CT 16,8 Pad, Britt (Adult) CountingRange 6/8/2022 3:28:54 AM CT 16,8 Pad, Britt (Adult) CountingRange 6/8/2022 3:27:19 AM CT 16,8 Pad, Britt (Adult) CountingRange 6/8/2022 3:25:58 AM CT 16,8 Total Size: 1.124,549.55 MB Show all available rawdata files Delete Cancel 22 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 FAST 3D Camera (optional) SIEMENS Healthineers FAST 3D Camera • FAST Topo for multiple topograms • FAST Topo for Neck Thorax Abdomen • Save FAST 3D Camera image • Gantry-integrated FAST 3D Camera and Ceiling-mounted FAST 3D Camera* SIEMENS Healthineers 23 Effective Date: 01 Dec 2023 | QR700001716 *Not available with SOMATOM go.Now. Unrestricted © Siemens Healthineers AG, 2023 FAST 3D Camera – FAST Topo for protocols with SIEMENS Healthineers multiple topograms FAST 3D Camera workflow example – Two topograms FAST 3D Camera Select GO FAST 3D Camera detects detects first topogram After the scan but before Scan&GO switches to second topogram the second topogram, move the FAST 3D Camera the table out to reposition screen for the second the patient ----- topogram - ---- ---- - SM1- Koje 24 SM1- Koje 24 O O Confirm patient position Confirm OK Cancel 2s 7.15 5.9s 0.3s 0.95 10 X 24 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 FAST 3D Camera – FAST Topo Region: Neck Thorax Abdomen SIEMENS Healthineers FAST 3D Camera General Scan Dose SIEMENS Healthineers Tester001 6/27/1977 developmer Target Reg ... FAST Topo Region Neck [factory] (Adult) Head First - Supine A new FAST Topo Region is now available: C Table Movement Neck C ... In Neck Thorax Abdomen • Neck Thorax Abdomen None Topogram Length [mm] 256 Head Neck Audio Control Neck Instruction Language Neck Thorax V English Neck Thorax Abdomen Audio Visuals Shoulder Thorax Test Table Movement Cardiac Start Test Run + Vascular O Stable Position Camera output: = - 750.0 RT Press MOVE » Back GO 25 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 FAST 3D Camera – Save FAST 3D Camera image SIEMENS Healthineers FAST 3D Camera image Table Pabent Patient Protocol v Examination Report General You can save the FAST 3D Camera image by Auto Transfer of Selected Documentation y Auto Complete MPPS Reference Slice activating Save FAST 3D camera image in Patient Setup Save FAST 30 camera image Configuration > Patient in the Clinical Transfer FAST 3D camera image to None > Patient Browser Configuration workspace of the Admin Poor Study Search Portal. Patient Browser Local fluta More Filters The system saves the image as a DICOM Results [ muts, 5:07:14 PM0) Series Patient Name Date of Birth Patient ID Modality Study Date a ... Study Test001 1/11/1983 2023.01.11-0 CI. 9 1/11/2023 4: Thorax ! object in the local database. Test001 1/11/1983 2023.01.11-0 1/11/2023 10. Brain (fao Test001 1/11/198 2023.01.110 CT 1/1 1/20239 Brain fat Instances 26 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 FAST 3D Camera – Save FAST 3D Camera image SIEMENS Healthineers FAST 3D Camera image CT View&GO Series CT View&GO EF Stack 4:4 Follow Up test002 Add Stut 2023.02.06-10:10:01-STD-1.3.12.2.1107.5.99.3 NAEOTOM Alpha Saved image with scan range .2/6/1973, 50Y 2/6/2023 MPR VRT: MPR MIP MPR Compare 2/6/2023 CT, Abdomen [factory] (Ad ... in CT View&GO: FAST 3D Camera Favorite Tools 701 IMA 2 TAST 10 Camera 12011 Series + Favorite Tools X Printing Distance line SD Snapshot Export Zoom 0.83 CT_SOM 3DCAM 1280.720 9:14 PM 27 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 SIEMENS Healthineers 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 Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. © Siemens Healthineers AG 2023 Siemens Healthineers Headquarters Siemens Healthineers AG Siemensstr. 3 91301 Forchheim, Germany Telephone: +49 9191 18-0 siemens-healthineers.com 28 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023