syngo CT VB10 Miscellaneous Improvements Job Aid

SIEMENS Healthineers syngo CT VB10 Miscellaneous 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 myExam Satellite* 3 myExam Satellite* 3 Exam Designer 8 Exam Designer 8 Scheduler 9 Scheduler 9 Extended search 10 Extended search 10 System check11 System check 11 Software upgrade12 Software upgrade 12 CT ViewGO improvements25 CT View&GO improvements 25 Exam protocols37 Exam protocols 37 Contrast protocols44 Contrast protocols 44 Good to know45 Good to know 45 2 Effective Date: 01 Dec 2023 | QR700001716 * optional Unrestricted © Siemens Healthineers AG, 2023 myExam Satellite* SIEMENS Healthineers The myExam Satellite is an option that allows you to perform reconstructions and other post-processing Console from a second console. There is no need to block the scanner. Recon tab: • Supports all functionalities when raw data is available myExam Satellite • Has the same look and feel as the AWP Console Create additional recons: • Different image impression • Inline results • ECG editing • etc. 3 Effective Date: 01 Dec 2023 | QR700001716 * optional Unrestricted © Siemens Healthineers AG, 2023 myExam Satellite* SIEMENS Healthineers Patient data selection directly from the SIEMENS Healthineers ... ? # # Patient Browser. Patient Browser Local Data Search by Name, ID, Date, Description and Modality (Ctrl+F) More Filters View&GO Print Open Open with DICOM Import Export Correct Delete Recon O Reconstruction functionality: Results (1 results, 12:25:58 PM) Series Patient Modality Study Date and Ti ... | Study Descripti ... Exported Study Archived ( + Brain *04/24/1924, • Select patient data 12 CT, SR 04/24/2023 11:28 .... Brain [factory] ... T Raw data opogram 0.60 Tr20 sag Non-Contrast Brain 5.00 Hr40 Q2 ax Non-Contrast Brain 5 00 Hr40 Q2 sag Non-Contrast Brain Non-Contrast Brain Non-Contrast Brain Non-Contrast Brain 5.00 Hroo Q2 cor Patien Dose Report Open Ctrl+O 5.00 Hr40 Q2 cor 5.00 Hroo Q2 ax 3.00 Hroo Q2 sag @ Open with View as Read-Only with Batch Open • Right-click > select Recon Assign Workflow ation Report Search Patient with DICOM Q/R Add to Demo List Remove from Demo List Press CTRL + Alt + R Set Mark state • Set Delete Protection state Set Archive state ances Remove Correction state Correct • Select Recon icon in the upper Cut Paste Delete right corner menu Del Ctrl+Alt+R 4 Effective Date: 01 Dec 2023 | QR700001716 * optional Unrestricted © Siemens Healthineers AG, 2023 myExam Satellite* SIEMENS Healthineers Reconstruction functionality SIEMENS. Healthineers .... recon, remote * 02/06/1979 (44) M 2023.02.06-09:55:5 .. ? # 2 is the same as at the Thorax [factory] (A ... recon, remote HRP recon, remote HRP 2023.02.06-09:55:55-STD-1.3.12.2.1107.5.99.3 2023.02.06-09:55:55-STD-1.3.12.2.1107.5.99.3 Recon Ranges *02/06/1979, M, 44Y *02/06/1979, M, 44Y Acquisition Workplace Topogram 02/06/2023 02/06/2023 10:07:16.81 AM 10:07:16,81 AM Topogram MPR 201 MPR 201 Thorax (AWP) Console. Reconstruction Close Thorax RPF ARF auto ‘ auto auto auto 10cm 10cm L 40 400 SL 4.0 SL 4.0 recon, remote ARF recon, remote HRP 2023.02.06-09:55:55-STD-1.3.12.2.1107.5.99.3 2023.02.06-09:55:55-STD-1.3.12.2.1107.5.09.3 *02/06/1979, M, 44Y 902/06/1 979, M. 44Y 02/06/2023 02/06/2023 10:07:16.81 AM 10:07:16.81 AM MPR 201 201 Tools MPR MIP Thin Set Fov Set Refi Segment Segment Planning Base IRPF RPF Topogram Start reconstructions Switch to Close Thorax Recon 10cm All Next Cancel RT F SL 4.0 40 40 Recon Cance SL 5.0 EN 5:53 PM 5 Effective Date: 01 Dec 2023 | QR700001716 * optional Unrestricted © Siemens Healthineers AG, 2023 myExam Satellite* SIEMENS Healthineers Recons at myExam Satellite Opening application not possible × The system locks the study once a recon job is in the queue or in the recon process at the “second“ console. The study is locked in the Recon Job View at workplace CT-CTC-SOMX02. Increase the scheduling priority of the study or cancel all currently running recon jobs of the study. For example, if a recon job is in the queue on the myExam Satellite, the system cannot process the dataset at the AWP console. OK The Recon Queue in the global Job View is only available on the AWP. The user interface (UI) language at the console and for myExam Satellite need to be the same. 6 Effective Date: 01 Dec 2023 | QR700001716 * optional Unrestricted © Siemens Healthineers AG, 2023 myExam Satellite* SIEMENS Healthineers Export of Patient Category Back to Exam Designer Examination Configuration Questions Patient Categories Patient Categories Patient Characteristics Patient Questions Open the Exam Designer Age (Years) Weight (kg) Side? • Save As X Select Patient Categories Search ScanProtocolListing Which recon do you want to perform? • > This PC > TempFiles (l:) > ProtocolManagement > ScanProtocolListing VC Obese Organize New folder Answer 1: both Select Export for Viewing This PC Name Date modified Size • Type n2) Answer 2: right 3D Objects No items match your search. Desktop Answer 3: left Documents everely decreased Downloads Metal implant? Music • A Save As window pops Pictures ppm) Do you see any metal implants on the topogram? Videos TempFiles (I:) up, allowing you to select a ProtocolManar Arrhythmic Answer 1: yes ExportedScar Answer 2: no ScanProtocol target folder and change SeanProtocol Brain metal implant? File name: Questions ExportedForViewing 2023 04_17_10_37 21 the file name. Save as type: Exported Folder (folder) < < Do you see any metal implants on the topogram? ~ Hide Folders Save Cancel Answer 1: Neuro Coils Answer 2: Dental Fillings Answer 3: no Thorax metal implant? + Add Patient Question Cancel Export for Viewing Save 7 Effective Date: 01 Dec 2023 | QR700001716 * optional Unrestricted © Siemens Healthineers AG, 2023 Exam Designer SIEMENS Healthineers Clinical decision trees Back to Exam Designer myExam Cockpit 1. Select Decision Trees 2. Modify Decision Trees 3. Confirm Decision Trees The system will reflect a change Modify Decision Trees Scan Strategies Decision Tree in a clinical decision tree directly in the protocol. Brain contrast medium necessary [factory] wo CM W CM + Add Strategy Info Level None None Info Text After clicking Confirm Changes, Scan Mode RoutineSpiralAdultHead RoutineSpiralAdultHead Injector Coupling Off On if already linked to the protocol, Contrast Protocol Brain [factory] Absolute Start Delay 2.0 180.0 it is no longer necessary to close + Add Parameter the Exam Designer. Decision Tree Filter RoutineHeadNoSnAdult Edit Trees Select Decision Trees Confirm Changes 8 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Scheduler SIEMENS Healthineers Physician information SIEMENS Healthineers ct-ctc-somx02 / syadmin Free (Restricted Remote Access) Diagnosis Installation º Technical Configuration Quality Assurance Clinical Configuration >Examination Configuration Scheduler The system keeps the >Data Preprocessing Indication of Prior Studies Patient Browser Display an indicator in the Scheduler when prior studies are available information for the following Scheduler Selection of Procedures Local Data roles: Automatically select the next procedure when current procedure is removed from the list Prior Study Search Automatically fill physician information Reading Top vertice Ironprevious ley su ction es cciauntior rerforming Physician, Requesting Physician, and Operator DICOM Data Handling SIEMENS 6 1 Performing Physician Licensing Visib Healthineers ISDK O ? = = Scan Recon • Layout Management + Scheduler Patie • Requesting Physician User and Role Administration Patient Registration Exam Emergency Register Delete Patient Patient Procedu y Fi Search by Name, ID, DoB, Description, Procedure Date, Acc No. and Modality (Ctrl+F) Q Expert-i • Operator Y Mi Patients (2 result(s), 9:32:39 AM) Medical Information Exam Information Scheduled, Today S Patient Y Procedure Date and Time Last Name ... Admitting Diagnosis First Name Requested Procedure Alerts Title Description 03/03/2023 , 08:33 Suffix Alerts Accession No M Test Middle Name Medical Alerts ID AI *03/03/1924 12 * Patient ID Comments 03/03/2023, 08:31 Date of Birth MM/dd/yyy. ] MM/ddlyyyy Allergies Age Year(s) Sex Se Height ft nstitution Weight lb U.S. Performing Physician Hubert ... Referring Physician Requesting Physician Keller ... Operator ... | Safety relevant information needs to be validated and confirmed Mandatory information Save Cancel Delete Local Data Prior Studies Exam 9 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Extended search SIEMENS Healthineers Extended patient search º Technical Configuration Clinical Configuration Patient Browser Patient Browser Selection of Procedures Patient Search is no longer limited to 200 Scheduler Automatically select the next procedure when current procedure is removed from the list patients in a worklist. Automatically fill physician information Keep values from previous registration as default for Performing Physician, Requesting Physician, and Operator Search Functionality Go to Configuration > Clinical Configuration > Extend single search to search the default RIS node Search by Patient ID Patient Browser > Scheduler > Search Patient ID Visible Atl Patient Name ration Functionality Accession No Medical Information Attributes v Last Name Admitting Diagnosis First Name v Ward Tick “Extend single search to search the default Middle Name Field Strength v Title RIS node“. Suffix Other Patient Names Alerts Attributes Institution Attributes Medical Alerts Institution Name Search by: v Allergies Institution Address Pregnancy Status Performing Physician • Patient ID Save • Patient Name • Accession No 10 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 System check SIEMENS Healthineers While running a system check such as Checkup Direct Laser Check Checkup, a progress bar shows the status Close of the ongoing procedure. After a successful system check, the system displays a green checkmark together with a text, indicating which system check it performed. Function Unconfirmed FRU Replace Check @ Checkup @ system Check started. Function 'Unconfirmed FRU Replace Check @ Checkup @ System Check' completed. Function 'System Config Check @ Checkup @ System Check' started. Function System Config Check @ Checkup @ System Check completed. Repeat GO Cancel Function 'RAC Runout Test @ Checkup @ System Check started. Please close the door Press START & Press START Feed = 0 130 kV, 0 mA, 60 s, 64x0.6 mm (A) Checkup succeeded. 11 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers Since VB10, you can perform remote updating on most of the systems without the involvement of Siemens Healthineers engineers. Here are the steps of the Configuration Panel remote update process: Administration Portal Administration Portal [EN] During the software installation, a timeline indicates the status of the process. Clinical Configuration Checkup Resume 1 2 3 4 5 6 7 Daily QA Introduction Raw Data Conversion Scanner Installation Secondary Workplace Tablet Password Reset Follow up Calibration syngo Remote Assist The number of steps differs on different scanners. Screen recorder SaveLog Remote Service Exam Designer Create Screenshot Fast Contact File Browser Load Update Pack Direct Laser Check myNeedle Laser Check 12 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers Introduction 6 8 19 Introduction Important Raw Data Deletion Scanner myExam Satellite Tablet Password Reset Important Installation You can open and download an Information Installation Information Complete overview PDF. Software Update Somaris VB10A The new version is ready for installation. It provides new features and improves performance. As a clinical user, you can install this update. - The installation cannot be canceled and the CT scanner cannot be used even in case of an emergency. This PDF contains an overview i - If a Dose Alert password has been set, it will be deleted during the update. To ensure patient safety in case of a Dose Alert, you need to set a new Dose Alert password immediately after the update has completed. of the new features for the Before starting the installation, please ensure: new software version, as well Attach the tablet to the gantry as the training information. - Fully charge the remote control and attach it to the gantry - Allow sufficient time to install the update. The estimated duration is displayed later in the Scanner Installation step. Later Next por Click here to find out What's new = The Latest software version ... always available for you Dear Customer, -------------------- ------ - SIEMENS Healthineers 13 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers Important Information 2 3 4 5 16 8 9 Introduction Important Raw Data Deletion Scanner myExam Satellite Tablet Password Reset Important Installation You must confirm that you Information Installation Information Complete have read and understood the information. Then click Confirm (or Postpone Update). I have read and understood the Important Information. Postpone Update Confirm 14 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers Raw Data Deletion 1 2 3 4 5 16 7 8 9 Introduction Important Raw Data Deletion Scanner myExam Satellite Tablet Password Reset Important Installation You must activate the box Information Installation Information Complete “I accept that all raw data Raw Data Deletion files will be deleted during We found raw data files on your system that are incompatible with the new version. These files will be deleted during the update. You can postpone the update and the update”. export the raw data files to an external device. I accept that all raw data files will be deleted during the update Then you must reconfirm the information and click Confirm Postpone Update Confirm (or Postpone Update). This step only appears on a NAEOTOM Alpha. 15 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers Scanner Installation (1) 1 4 16 8 9 W Introduction Important Raw Data Deletion Scanner myExam Satellite Tablet Password Reset Important Installation In step 4, the scanner is ready Information Installation Information Complete for installation. Start Update Installation Once started, the installation cannot be interrupted and no changes are possible. You cannot work on the system while the installation is in progress. You can postpone the update The system will automatically restart multiple times during the installation. or wait for the countdown. L timated Duration Raw Data Delete all raw data. RAW Later 10 16 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers Scanner Installation (2) 1 2 3 4 15 6 18 9 Introduction Important Raw Data Deletion Scanner myExam Satellite Tablet Password Reset Important Installation Information Installation Information Complete During the installation you must not turn off the system! Do not turn off the system! The status bar shows the progress in % and the estimated remaining time. The system will automatically restart multiple times during the installation. 80% Approximately 1 minute remaining ... The system will automatically restart multiple times during the installation. 17 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers myExam Satellite 2 5 6 18 9 W Introduction Important Raw Data Deletion Scanner myExam Satellite Tablet Password Reset Important Installation If there is a myExam Satellite Information Installation Information Complete attached to the system, you Update myExam Satellite console have to involve a Siemens Go to the myExam Satellite console, restart it, and follow the instructions to start the update then click Next on this screen. After you start the update process, click Next. Healthineers service engineer You do not need to wait until the update is complete. for the system update. Next 18 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers Tablet 2 5 6 8 9 W Introduction Important Raw Data Deletion Scanner myExam Satellite Tablet Password Reset Important Installation You must update tablets Information Installation Information Complete separately according to the Update Tablets instructions. You need to update each tablet. For Windows Tablets (Lenovo or HP) 1. Press and hold the power button (top right) for 4 seconds then slide to shut down. Wait until the screen turns black. 2. Press and hold the power button for 2 seconds. 3. Log into your account. 4. Tap OK to start the software installation. The tablet will automatically reboot and start the CT Scan&GO app. You have successfully updated the tablet! For Apple iPads 1. iPads with a Home button: Press and hold the power button (top right) for 4 seconds then slide to shut down. iPads with no Home button: Press and hold the power and volume down buttons simultaneously for 4 seconds then slide to shut down. 2. Wait until the screen turns black then press and hold the power button for 2 seconds. 3. Log into your account. 4. Tap Settings -> General -> Software Update and, if a new iOS update is available, tap Download and Install. 5. Wait until the iOS update is installed. The tablet will automatically reboot. 6. Tap CT Scan&GO VB10A then tap Connect. If not installed, tap CT Scan&GO VB10A in the SHS Store, tap Install, close the SHS Store, and wait for the CT Scan&GO VB10A icon to be displayed on the screen. Congratulations, you have successfully updated the tablet! Next 19 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers Password Reset 2 5 6 8 9 W Introduction Important Raw Data Deletion Scanner myExam Satellite Tablet Password Reset Important Installation The Password Reset step is Information Installation Information Complete only necessary if users have Temporary Password created their own accounts Due to the software update, all clinical user passwords need to be reset. Please set a temporary password to log into the system for the first time. Take a note of the temporary password. The temporary and passwords. password will be valid for all clinical users and needs to be changed after the first login. Make sure to inform all clinical users. The following accounts will be affected: My fake user The password must comply Temporary Password O with the security regulations Temporary Password Confirm Temporary Password O .... o shown in the image on the The password must: Confirm Temporary Password right. .... O Not contain a username X Contain at least one uppercase letter: A-Z The password must: After installation, every user X Contain at least one lowercase letter: a-z Not contain a username has to use the temporary X Contain at least one digit: 0-9 Contain at least one uppercase letter: A-Z × password to log in for the first Contain at least one symbol: 1$#% Contain at least one lowercase letter: a-z Next time. The system will require Contain at least one digit: 0-9 a new password, which you Contain at least one symbol: 1$#% can create after login. 20 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers Important Information 2 3 4 5 6 7 9 CO Introduction Important Raw Data Deletion Scanner myExam Satellite Tablet Password Reset Important Installation If there is important Information Installation Information Complete information, it appears here after the installation. Confirm 21 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers Installation Complete 2 3 4 5 6 8 9 Introduction Important Raw Data Deletion Scanner myExam Satellite Tablet Password Reset Important Installation You should run a checkup at Information Installation Information Complete the end of the installation Installation Complete process. To complete the installation process, you now need to run the Checkup procedure. You will be able to use the CT scanner immediately after the Checkup procedure is finished. If a Dose Alert password was previously set, it has been deleted. To ensure patient safety in case of a Dose Alert, please set a new Dose Alert user password immediately. Checkup 22 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers Finalize Software – Rollback 1 2 3 4 x 5 Introduction Important Information Raw Data Deletion Scanner Installation Rollback If the software installation Rollback Error failed, the system will automatically roll the system Name Message State Help back to the previous version. Please do not abort the Rollback process. Abort Rollback 23 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Software upgrade SIEMENS Healthineers Finalize Software – Confirmation Somaris Software Update Status Report Instructions To finalize the software upgrade, Information As we are not connected to your system, scan the following QR code to inform us of 1. Download a QR code scanner app. follow the steps in the user the installation status. You will receive a 6-digit pin. Enter this pin in the 'Enter the 6- Most iPhones and some android phones do not need a specific digit pin here' field below then click Confirm Installation Status. app, you can use the phone's camera. interface. 2. Point your phone's camera at the QR code. 3. Your phone recognizes the QR code and displays a notification. Tap the notification to open the website associated with the QR code. A 6-digit pin is displayed. Scan the QR code and enter the 6- If you currently do not have internet connection, scan the QR code and reload the page when internet connection is reestablished. digit PIN code provided in the 4. In the 'Enter the 6-digit pin here' field below, enter the 6- lower part of the screen. X digit pin. Help Then confirm the installation status. Scan QR code Enter the 6-digit pin here: Confirm Installation Status Not Now 24 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT View&GO improvements SIEMENS Healthineers Improvements in Somaris 10 / VB10 The following features are now integrated: • Alpha Blending toolbar to fuse MPRs • Auto-Contour button in Freehand VOI • Enable Re-Size / Full-Size of the printing sheet The same improvements are also valid for syngo.via VB80. 25 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT View&GO improvements – Alpha Blending toolbar SIEMENS Healthineers to fuse MPRs Alpha Blending MPR/MPR Properties A ? X Slice Thickness Siemens AG Forchheim Ref.: MIGPM2 1.0 mm Sensation 16 In older software versions, the Mixing Slice Spacing Ratio MPR/MPR was only accessible Minimum 100 % of slice thickness via the upper left corner menu. 1.0 mm Note: This value must not be larger than the slice thickness. As of VB10, this functionality is also Mixing Ratio accessible via a mini toolbar. CT_1 CT_2 100% 49% 51% 100% OK Cancel 10cm 51 % W 2000 C W 400 300 C 40 Plasmozytom 2 .... 51 % Plasmozytom 2 .... 26 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT View&GO improvements – Alpha Blending toolbar SIEMENS Healthineers to fuse MPRs Alpha Blending Series X Knee Knee Knee SOMATOM go.Up SOMATOM go.Up EF "1 2/02/2019, F, 63Y syngo CT VA30A Knee 12/02/2019, F. 63Y syngo CT VA.30A 11/20/2019 FFS FFS Add Study Send and 11/20/2019 Archive 11/20/2019 11/20/2019 For example, in knee imaging: Joelho Dto 1,50 Br60 83 ax Joelho Dto 1.50 Br40 83 ax 11/20/2019 #HPBN3475588 # HPBN3475588 11:24 AM 11:27:22.95 AM 11:27:22.87 AM ! CT, Perna e Joelho Rotina( ... 2 IMA 41 4 IMA 40 SP H1202.9 SP H1204.4 R R Fuse a Br40 and Br80 dataset. 2D 2D SL 1.5/32x0.7/p0.8 SL 1.5/32 0.7/0.8 ITopograma 0.70 5cm Tr20 cor [3] 5cm KV 130 F KV 130 FI ET. MAS 80 En. mAs BO Quality ref. MAs 70 W 1500 Quality ref mAs 70 400 Br60r$300 :00404:0HhAALTabA C 450 Br40'S300 :00604:0Hhaa 40 Joelho Dto 1.50 8160 53 ax [2] Knee SOMATOM go.Up Knee Knee Knee SOMATOM go.Up 12/02/2019, F, 63Y syngo CT VA30A FFS 2/2019, F. 63Y syngo CT VA30A 11/20/2019 /20/2019 FFS 11/20/2019 11/20/2019 B240 3 ax (4) Joelho Dto 1,50 Br60 83 ax Topograma 0,70 Tr20 cor #HPBN3475588 # HPBN3475588 11:27:22.69 AM 11:26:55,38 AM 2 IMA 38 1 IMA 1 SP H1207.4 SP A100.0 R R Patient Protocol [501] 2D SL SL 1.5/32x0.7/p0.8 Insert Before 10cm 5cm Replace F KV 110 kV 130 mA 15 A Eff. mAs 80 Fuse (MPR/PR) TI 2.04 Quality ref. mAs 70 W 1500 BT 0.0 512 350 Br60193n0.:00404:0HhAAL1 abA 450 Tr2019.no.:00000:0Ht.AS1 abA 50 27 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT View&GO improvements – Alpha Blending toolbar SIEMENS Healthineers to fuse MPRs Alpha Blending toolbar icon Series Knee Knee SOMATOM go.Up Knee SOMMATOM go.Up 12/02/2019, F, 63Y syngo CT VA3DA Knee syngo CT VA.30A Add Study Send and 11/20/2019 FFS 712/02/2019, F. 63Y 11/20/2019 FFS Archive 11/20/2019 11/20/2019 As soon as the two datasets Joelho Dto 1,50 Br60 83 ax Joelho Dto 1.50 Br40 83 ax 11/20/2019 # HPBN3475588 # HPBN3475588 11:24 AM 11:27:22.95 AM 11:27:22.87 AM ! CT, Perna e Joelho Rotina( ... are fused, the Alpha 2 IMA. 41 IMA 40 SP H1 202.9 SP H1204.4 Blending toolbar icon R R 2D SL 1.5/32x0,7/p0 8 20 SL 1.5/32x0.7/p0.8 appears as a mini toolbar. Topograma 0.70 5cm Tr20 cor [3] kV 130 F KV 130 F ET. MAS BO En. mAs 80 Quality ref. MAs 70 WY 1500 Quality ref. mAs 70 W 400 Br60r$300 :00404:0HhAALTabA 450 Br40'S3no.:00604:DHh 40 Joelho Dro 1.50 5160 53 ax [2] Knee Knee Knee SOMATOM go Up Knee SOMATOM go.Up *12/02/2019, F, 63Y #12/02/2019, F. 63Y syngo CT VA30A 11/20/2019 | 11/20/2019 11/20/2019 FFS 11/20/2019 IHr40 53 ax [4] Joelho Dto 1,50 Br60 S3 ax | Joelho Dto 1.50 Br40 83 ax Topograma 0,70 Tr20 cor # HPBN3475588 #HPBN3475588 11:26:55.38 AM 11/20/2019 | 11/20/2019 1 IMA 1 11:27:19AM | 11:27:19AM SP A100.0 R R Patient Protocol [501] MPR FUSION 1cm SL SL min SPC 0.3 KV 110 mA15 A 50 % TI 2.04 W 1500 W GT0 0 400 512 W 350 AC 200 450 C 40 Tr2018.no.:00000:0HLAS1 abA 28 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT View&GO improvements – Alpha Blending toolbar SIEMENS Healthineers to fuse MPRs Alpha Blending toolbar A Knee Knee SOMATOM go.Up Knee Knee SOMATOM go.Up 12/02/2019, F, 63Y syngo CT VA30A 12/02/2019, F. 63Y syngo CT VA.30A 11/20/2019 FFS 11/20/2019 FFS 11/20/2019 11/20/2019 With this toolbar, you can select Joelho Dto 1,50 Br60 83 ax Joelho Dio 1.50 Br40 83 ax * HPBN3475588 # HPBN3475588 11:27:22.95AM 11:27.22.87 AM 2 IMA 41 4 IMA 40 the percentage of blending. SP H1202.9 SP H1204.4 R R 2D SL 1.5/32x0.7/00.8 20 SL 1.5/32x0.7/p0.8 In this example, it is set to 50 % of 5cm 5cm kV 130 F kV 130 the Br40 series. E ET. MAS 80 En. mAs 80 Quality ref. MAS 70 W 1500 Quality ref. mAs 70 100 Br60rs3n0 :00404:0HhAABTabA C 450 Br4018300.:00604:0Hh&MFap 40 Knee Knee Knee SOMATOM go Up Knee SOMATOM go.Up *12/02/2019, F, 63Y 12/02/2019, F. 63Y syngo CT VA30A 11/20/2019 | 11/20/2019 11/20/2019 FFS 11/20/2019 Joelho Dto 1,50 Br60 S3 ax | Joelho Dto 1,50 Bt40 83 8x Topograma 0,70 Tr20 cor # HPBN3475588 HPBN3475588 11:26:55.38 AM 11/20/2019 | 11/20/2019 1 IMA 1 Joelho Dto 1,50 ... 50 % Joelho Dto 1,50 ... 11:27:19 AM | 11:27:19 AM SP A100.0 R R MPR FUSION 1cm SL SL min SPC 0.3 10 cm F KV 110 mA 15 A 50 % 1 2.04 W 1500 GT 0.0 400 AC 200 512 W 350 450 40 Tr2019.n0 :00000:0Ht.AS1 abA 50 Joelho Dto 1,50 ... 50 % Joelho Dto 1,50 29 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT View&GO improvements – Alpha Blending toolbar SIEMENS Healthineers to fuse MPRs Alpha Blending toolbar A Knee Knee SOMATOM go.Up Knee syngo CT VA30A Knee SOMATOM go.Up 12/02/2019, F. 63Y 712/02/2019, F. 63Y syngo CT VA.30A 11/20/2019 FFS 11/20/2019 FFS 11/20/2019 11/20/2019 With this toolbar, you can select Joelho Dto 1,50 Br60 83 ax Joelho Dio 1,50 Br40 83 ax * HPBN3475588 # HPON3475588 11:27:22.95 AM 11:27:22.87 AM 2 IMA 41 4 IMA 40 the percentage of blending. SP H1202.9 SP H1204.4 R R 2D SL 1.5/32x0.7/p0.8 2D SL 1.5/32x0.7/p0.8 In this example, it is set to 100 % 5cm 5cm KV 130 F kV 130 of the Br40 series. F ET. MAS 80 En. mAs 80 Quality ref. MAS 70 W 1500 Quality ref. MAS 70 400 Br6Of83n0 :00404:0HhAALTabA 450 Br40'S3n0:00604:0Hhaa 40 A Knee Knee Knee SOMATOM go.Up Knee SOMATOM go.Up *12/02/2019, F. 63Y *12/02/2019, F. 63Y syngo CT VA30A 11/20/2019 | 11/20/2019 11/20/2019 FFS 11/20/2019 Joelho Dto 1,50 Br60 83 ax | Joelho Dto 1,50 9:40 63 Ex Topograma 0,70 Tr20 cor HPBN3475588 # HPBN3475588 11:26:55,38 AM Joelho Dto 1,50 ... 100 % Joelho Dto 1,50 ... 11/20/2019| 11/20/2019 1 IMA 1 11:27:19 AM | 11:27:19AM SP A100.0 R R MPR FUSION 1cm SL 18 min BPC 0.3 10cm F KV 110 mA15 A @ 100 % 1 2.04 500 W GT 0.0 512 350 AC 200 :50 Tr2019.no.:00000:0Ht.AS1 abA 50 Joelho Dto 1,50 ... 100 % Joelho Dto 1,50 ... 30 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT View&GO improvements – Auto-Contour button SIEMENS Healthineers for VOI Freehand Auto-Contour button for VOI Freehand Distance Line 11/20/2019 ROI Circle O 11/20/2019 Select VOI Freehand from the upper right 11:27:19.73 AM Pixel Lens 2 IMA ~41 SP H1 202.9 corner menu. Arrow Marker Angle R MPR Text T SL 0.3 VOI Freehand VOI Sphere VOI Freehand. Evaluate 31 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT View&GO improvements – Auto-Contour button SIEMENS Healthineers for VOI Freehand Auto-Contour button for VOI Freehand 11/20/2019 11/20/2019 The system automatically activates the Auto- 11:27:19.73 AM 2 IMA ~41 Contour mode. SP H1202.9 auto R Auto Auto Contour Create VOI Undo Redo KU Start New Contour MPR SL .3 5cm F 1500 450 AUTO Contour Creato VOI Unde Start Now Conton 32 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT View&GO improvements – Auto-Contour button SIEMENS Healthineers for VOI Freehand Defining a contour with Auto-Contour mode The contour line automatically adapts to existing edges in the image. Workflow Click 3 Click positions where the solid contour is Click 1 Click 2 correct. Auto Contour undo 2 Start Now Contour Create Vor Und Sort Now Contour 33 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT View&GO improvements – Auto-Contour button SIEMENS Healthineers for VOI Freehand Finalize the contour by double-clicking. A Double click to finalize Contour Create VOR Und Start New Contour Result Contour Auto Auto Furto Contour Creste VOI Undo Reda Start New Centzur 34 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT View&GO improvements – Enable Re-Size/Full-Size of SIEMENS Healthineers Printing sheet Re-Size / Full-Size of Printing sheet Re-Size button SIEMENS815 X Scan Recon Printing New in Somaris 10 / VB10: Healthineers 0 111 CT View&GO X T Printer Fax Copies Series X CT View&GO You can adapt the size of the Printing 11/20/2019 Zoom/Pan Rearrange Text Keep Layout Print Every N- Paper Size |Letter Number of Print-outs: 0 Save Gallery Stack 3x2 Stack 4x4 Follow Up 11/20/2019 Add Study Send and 11:27:22.95 AM Archive window dynamically or set it to full 2 IMA 41 3/9 images on last page Invert Background SP H1202.9 1 1/20/2019 MPR VRT MPR MIP 11:24 AM MPR Compare ! CT, Perna e Joelho Rotina( ... size. Favorite Tools R 20 1.5 Topograma 0,70 Tr20 cor [1] F 400 40 Joelho Dio 1.50 Series Favorite Tools O Knee Knee Distance ROI Circle Parallel Line Ranges 11/20/2019 | 11/20/2019 3D STUDY 11/20/2019 Printing O Joelho Dto 1,50 Br60 83 ax | Joelho Snapshot Record Show in 11/20/2019 | 11/20/2019 Movie 11:27:19AM | 11:27:19 AM 2 IMA -46 | 4 IMA -46 SP H1196.1 | SP H1196.1 Synch Synch Print Stack Config Patient Protocol 15011 MPR FUSION SL min SPC 0.3 A MPR FUSION G 50 + O EN 12:00 AM 35 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT View&GO improvements – Enable Re-Size/Full-Size SIEMENS Healthineers of Printing sheet Re-Size / Full-Size of Printing sheet Re-Size button Printing Limitation: 1 Printer Fax Copies Every 4. Layout Print Paper Size Letter Save Number of Print-outs: 0 Gallery You can resize the window, but the layout 3/9 images on last page Invert Background remains unchanged (still a lot of empty space). EN 12:01 AM 36 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Exam protocols SIEMENS Healthineers Exam protocols – overview • Scan protocols Healthineers • Contrast protocols • Decision trees SOMATOM Force • Good to know Please be aware that additional training is available for the NAEOTOM Alpha and the SOMATOM On.site. 37 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Exam protocols SIEMENS Healthineers System types O SIEMENS • SOMATOM go.Now, go.Up, go.All, go.Top Healthineers • SOMATOM X.cite, X.ceed SOMATOM Pro.Pulse • SOMATOM Pro.Pulse • NAEOTOM Alpha 38 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Exam protocols SIEMENS Healthineers SOMATOM go.Now Thorax (9) Pelvis (3) • New rotation time 0.5 s available*, but not set in Thorax multi ffactory] Pelvis soft tissue or bone [factory] default protocols Thorax breathhold and X-CARE [fact ... Pelvis contrast medium necessary [f .. Thorax FoV [factory] Pelvis DE possible [factory] SOMATOM go.Up Thorax contrast medium necessary [ ... RTP Breast [factory] Spine (4) New Brain and Neck CTA Multi Range protocol as an Thorax and Abdomen FoV [factory] • alternative to the Brain Perfusion protocol Thorax and Abdomen contrast medi ... C-Spine disc or bone [factory] T and L Spine disc or bone [factory] • New rotation time 0.5 s available*, but not default Lung screening [factory] Lung Low Dose breathhold and X-C ... Spine DE possible [factory] because it is intended for the Asian market only Spine metal DE possible [factory] SOMATOM go.Now, go.Up, go.All, go.Top, SOMATOM Abdomen (4) Upper Extremities (0) X.cite, X.ceed Abdomen FoV [factory] Abdomen contrast medium necessa .. • Rename decision trees from Twinbeam / Twinspiral DE Kidney DE possible [factory] Lower Extremities (0) to DE Whole Body soft tissue or hone [fact ... 39 * optional Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Exam protocols SIEMENS Healthineers NAEOTOM Alpha • New combined exam protocol Neck, Thorax, and Abdomen Scan Favorites General Scan Dose - CH Scan/Recon Scan Mode Neck, Thorax and Abdomen RoutineSpiralAdultAbdomenFlexdoseQuantumplus L 5.4s 5.9s 5.3 5.3 0 10 5 10 O 40 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Exam protocols SIEMENS Healthineers General changes with new features Recon Favorites General Recon Reco - • New scan mode Inner ear for better MPRs Slice Thickness Increment New Target Region and Body Part Exams Scan/Recon [mm] [mm] • entries • MIP thin slice thickness up to 40 mm CTA Brain and Neck 60.00 Br40 Q3 ax 60.00 200.00 • New Patient Instruction Stop breathing -CH A Inline Results - Parallel Ranges slice thickness up to 60 mm with an increment of up to 200 mm. 41 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Exam protocols SIEMENS Healthineers General changes with new Cardiac features* can Dose Timing Config Physio Scan - Organ Characteristic Target Region Scan Mode Decis • New scan mode Cardiac…Spiral…Elevated Cardio Heart CardiacDualsourceSequenceAdultAngioFlex This scan mode changes the pulsing plateau CardiacDualsourceSpiralAdultAngio from CardiacDualsourceSpiralAdultAngioBisegment CardiacDualsourceSpiralAdultAngioElevated 60 60 CardiacDualsourceSequenceAdultAngio 60 10 % to 25 % CardiacDualsourceSequenceAdultAngioFlex 60 60 60 60 9.2s 10.4s 9.9 2 • New Cardiac StackRecon 0 10 15 0 42 * optional Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Contrast protocols SIEMENS Healthineers General changes Scanner: Contrast protocols are sent to the injector • New Test Bolus protocol for all scanners Brain [factory] Brain Perfusion [factory] Neck [factory] Thorax [factory] Abdomen [factory] Liver Perfusion [factory] CTA [factory] Brain and Neck CTA [factory] Pulmonary Artery CTA [factory] Coronary CTA [factory] Coronary CTA Alt [factory] TAVI Multi Range [factory] TAVI Multi Range Alt [factory] Test Bolus [factory] 43 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Good to know SIEMENS Healthineers Import – Export Import Protocols • After the protocol import, please check all protocol Protocol Status Result parameters DE Dental [factory].Adult Exists already Not Started Orbit [factory].Adult Exists already Not Started Sinus [factory].Adult Exists already Not Started Inner Ear [factory].Adult Exists already Not Started • Check the scan modes and all other parameters Brain Perfusion Prolonged .. Exists already Not Started Brain DE Hemorrhage Post ... New Not Started Brain Perfusion [factory].A. Exists already Not Started Brain [factory].Adult Exists already Not Started Brain Multi Phase [factory] ... New Not Started Neck DE Virtual Non-Contr ... New Not Started Neck [factory].Adult Exists already Not Started Shoulder [factory].Adult Exists already Not Started Lung Low Dose [factory].A ... Exists already Not Started Lung Screening [factory].A ... Exists already Not Started Thorax and Abdomen Mult. Exists already Not Started Thorax and Abdomen DE V .. New Not Started Thorax and Abdomen [fact ... Exists already Not Started Thorax Dynamic [factory]. Exists already Not Started Thorax [factory].Adult Exists already Not Started Whole Body [factory].Adult Exists already Not Started Import Close Cancel 44 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Good to know SIEMENS Healthineers SOMATOM On.site (incl. Mobile Stroke Unit (MSU)) 28 ERS_GEN, IQ H 123412341 SOMATOM On.site MAS *06/07/1989, 33Y syngo CT VB10A 04/10/2020 HFS 11:28:46.14 AM • Faster pitch results in less scan range, for TOP 101 TP1 -83.7 1 IMA 1 TP2 130.7 TP 0.0 LEN 214.4 example • Pitch 1.5 - 7 s - 192 mm A • Pitch 0.8 - 13 s - 214 mm 10cm KV Sn120 m/ 3 TI 5.16 287.64 0/0 500 Simulator Filter Sn 50 Scan Favorites / General Scan Dose Timing Co - CH Scan/Recon Pitch Rot. Exam Time Patient Instruction Post Bolus Time [s] [s] Delay (BT) ... CTA Brain 0.80 1.00 13.26 None 7.6 | 0 45 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 46 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023