syngo CT VB10 myExam Companion Improvements Job Aid

SIEMENS Healthineers syngo CT VB10 myExam Companion 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 CT portfolio overview 3 Add and remove scan ranges 5 Add and remove bolus tracking 9 Contrast phases 12 Add and remove scan ranges for Multi-Phase 13 How to use 16 New decision trees 24 2 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 CT portfolio overview SIEMENS Healthineers myExam Companion FAST & CARE Dual Source E:: myNeedle Companion Counting Technology SomX NAEOTOM Alpha VB10 SomX SOMATOM SOMATOM Som7 SOMATOM VB10 Pro.Pulse Drive VB30 Force - - SOMATOM SOMATOM X.cite X.ceed SOMATOM SomX SOMATOM X. platform SOMATOM SOMATOM SOMATOM SOMATOM On.site VB10 go.Now go.Up go.All go.Top SomX SOMATOM go. platform SomX VB10 VB10 3 Effective Date: 22 Nov 2023 | QR700001716 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers, 2023 Unrestricted © Siemens Healthineers AG, 2023 Overview SIEMENS Healthineers myExam Companion uses the new possibilities offered by digitalization, turning data into built-in expertise. myExam Companion guides operators through various procedures, so they can interact easily and naturally with both patient and technology. It helps driving consistency, simplify patient interaction, improve staff satisfaction and throughput in the scanner operation with a guided usability concept. myExam Companion also means to perform advanced CT examinations quickly and smoothly, as if they were routine. It allows inexperienced users to find the optimal combination of parameters for individual patients and procedures. VB10 is now adding more default decision trees. It also includes the possibility of greater variety when creating customized solutions. 4 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Add and remove scan ranges SIEMENS Healthineers Range active / inactive (1) In VB10, you can now add or remove scan ranges via the myExam Compass. For example, Cardio: If the attribute Age is Young Adult or Adult, the system will perform the examination without Calcium Scoring. Coronary CTA [facto ... " myExam Compass myExam Compass O Patient Characteristics Topogram Premonitoring Age Young Adult m Adult Senior Monitoring CTA Coronary Heart Rate Variability Regular Unstable Arrhythmic Reconstruction Close Heart Rate LOW Moderate High O 6 ml/s 6 mlls -TH L 3.3s 0.3s 0.85 4.2s 9.9 10 21.5 10 15 O O 10 15 20 25 O 5 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Add and remove scan ranges SIEMENS Healthineers Range active / inactive (2) In VB10, you can now add or remove scan ranges via the myExam Compass. For example, Cardio: If the attribute Age is Senior, the system will perform the examination with Calcium Scoring. Coronary CTA [facto ... myExam Compass myExam Compass O Patient Characteristics Topogram Calcium Scoring Age Young Adult Adult Senior .Premonitoring Monitoring Heart Rate Variability Regular Unstable Arrhythmic .CTA Coronary Reconstruction Heart Rate Low Moderate High Close 6 ml/s 6 ml/s -TH L 3.3s 8.2s 0.3s 0.85 4.25 9.9 9.9 10 21.5 10 15 O 10 15 20 10 15 20 25 O O O 6 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Add and remove scan ranges SIEMENS Healthineers Range active / inactive (3) To be able to do so, the clinical decision tree has an additional entry: Scan Range. You can set the Scan Range to Active or Inactive. Scan Strategies Decision Tree Coronary Calcium Scoring HR variability age [factory] standard end systolic arrhythmia inactive + Add Strategy Info Level None None None Info Text Scan Mode CardiacSequenceAdult CardiacSequenceAdult Phase Start 75 350 El Phase End 75 350 Phase Unit % ms Scan Range Active Active Inactive El + Add Parameter 7 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Add and remove scan ranges SIEMENS Healthineers Range active / inactive (4) The decision tree is configured as follows: • For young adults and adults the Calcium Scoring is set to inactive. • For seniors the Calcium Scoring is activated. Scan Strategies Decision Tree Coronary Calcium Scoring HR variability age [factory] standard Age Young Adult Adult Senior inactive v inactive standard Heart Rate Variability Regular Unstable Arrhythmic standard standard end systolic arrhythmia 8 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Add and remove bolus tracking SIEMENS Healthineers Bolus tracking (1) In VB10, you can now add or remove bolus tracking via the myExam Compass. For example, Abdomen: First you have to decide if the scan is performed with or without contrast media. If you select without contrast, no additional entry in the timeline will be added. myExam Compass ® Questions Would you like to scan with or without contrast medium? without contrast with contrast TH L 3.3s 6.5s 5.3 5.3 0 10 O 10 9 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Add and remove bolus tracking SIEMENS Healthineers Bolus tracking (2) If you select with contrast, additional bolus tracking, including the contrast protocol, will be added. myExam Compass Questions Would you like to scan with or without contrast medium? without contrast with contrast TH 4 ml/s 4 ml/s L 3.3s 0.55 1s 6.5s 5.3 10 17.1 0 5 10 0 10 15 20 25 30 35 O 10 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Add and remove bolus tracking SIEMENS Healthineers Bolus tracking (3) You can set the entry Bolus Tracking either to Inactive or to Active in the dedicated scan strategy. Bolus tracking is only active when selecting with contrast in the myExam Compass. Scan Strategies Decision Tree Scan Strategies Decision Tree Abdomen contrast medium necessary [factory] WO CM w CM + Add Strategy Abdomen contrast medium necessary [factory] Info Level None None Info Text wo CM Scan Mode RoutineSpiralAdultAbdomen RoutineSpiralAdultAbdomen With/without CM? CARE Dose4D & CARE KV Full Full CARE kV optimized for Non-Contrast Soft Tissue with Contrast without contrast with contrast Injector Coupling Off On WO CM Y W CM Contrast Protocol Abdomen [factory] Intended Post Bolus delay 0.0 75.0 Bolus Tracking Inactive Active + Add Parameter 11 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Contrast phases SIEMENS Healthineers Contrast phases New contrast phase questions, answers, and General (20) Additional non-contrast range [fact. Additional arterial range [factory] decision trees for every contrast scan range are Side [factory] Additional venous range [factory] available for: Brain metal implant [factory] Additional late range [factory] Thorax metal implant [factory] RTP DE contrast medium [factory] Additional non-contrast range Abdomen metal implant [factory] RTP treatment range [factory] • Additional arterial range Spine metal implant [factory] • • Additional venous range Extremity metal implant [factory] • Additional late range Metal implant [factory] Fracture or bleeding [factory] Test Run [factory] Breathing instruction practice [facto ... Non-contrast range [factory] Contrast range [factory] Additional range [factory] Additional contrast range [factory] 12 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Add and remove scan ranges for Multi-Phase SIEMENS Healthineers Multi-Phase (1) In VB10, you can now add or remove any phase via the myExam Compass. For example, Abdomen Multi-Phase: If you select No, the system does not add any additional phase (for example, late phase). myExam Compass Questions Would you like to add a late phase? Yes No 4 ml/s 4 ml/s 4.9s 10.55 1 s 6.55 29 4.95 5.3 10 17.1 74 10 5 10 15 20 25 BO 35 70 75 80 O O 13 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Add and remove scan ranges for Multi-Phase SIEMENS Healthineers Multi-Phase (2) In VB10, you can now add or remove any phase via the myExam Compass. For example, Abdomen Multi-Phase: If you select Yes, the system adds an additional phase (for example, late phase). myExam Compass Questions Would you like to add a late phase? Yes No CH 4 mlis 4 ml/s 1s 6.5s 29 4.95 170 4.9s 10 17.1 74 180 10 20 30 35 70 75 80 175 180 185 O 14 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 Add and remove scan ranges for Multi-Phase SIEMENS Healthineers Multi-Phase (3) General (20) Additional non-contrast range [fact. Additional arterial range [factory] In VB10, you can use the Additional range [factory] Side [factory] Additional venous range [factory] decision tree to add or remove ranges. Brain metal implant [factory] Additional late range [factory] Thorax metal implant [factory] RTP DE contrast medium [factory] Abdomen metal implant [factory] RTP treatment range [factory] Questions Spine metal implant [factory] Would you like to add another range? yes no Extremity metal implant [factory] Metal implant [factory] Fracture or bleeding [factory] Test Run [factory] Breathing instruction practice [facto ... Non-contrast range [factory] Contrast range [factory] Additional range [factory] Additional contrast range [factory] 15 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 How to use SIEMENS Healthineers How to configure Thorax or Abdomen active inactive + Add Strategy Info Level None Information Info Text additional Info • You can add a Scan Range classification without Scan Range Active Inactive defining a Scan Mode. + Add Parameter Thorax active inactive + Add Strategy Info Level None Information Info Text additional information Scan Range Active Inactive • The Bolus Tracking, Test Bolus, and Intended Scan Mode RoutineSpiralAdultThorax Post-Bolus delay classifications need a Scan Bolus Tracking Test Bolus Mode entry. Range Name Tilt Table Direction CARE Dose4D & CARE KV Dose Notification DLP Dose Notification CTDIvol Pitch Rot. Time Patient Instruction 16 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 How to use SIEMENS Healthineers How to configure 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Protocol Scan Favorites General Scan Dose Timing CH Recon Favorites General Recon Recon&GO Image Impression Recon Box • The system marks scan ranges that are connected to an Find/Replace active or inactive classification with a green vertical line Scan/Recon Scan Favorites in the Exam Designer. Scan/Recon Scan Mode Decision Trees CARE Dose4D & CARE KV Brain [factory] (Adult) Topogram Scanplanning TopoAdultSn Non-Contrast Brain RoutineSpiralAdultHead Non-Contrast Range [factory] Off Venous Phase Brain RoutineSpiralAdultHead Contrast range [factory] Off General Scan Dose Timing • In the parameter list view, it only shows active scan Scan Favorites ranges. Recon Favorites General Recon Recon&GO Image Impression Scan/Recon Scan/Recon Do Scan Mode Topogram X Scanplanning TopoAdultSn Calcium Scoring CardiacFlashSpiralAdult CTA Coronary CardiacDualsourceSpiralAdultAngi 17 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 How to use SIEMENS Healthineers Range Name With the entry Range Name, you can customize the name of the scan range. You cannot rename an inactive scan range. active inactive + Add Strategy Info Level None None Info Text Scan Range Active Inactive Range Name Range Name 1 + Add Parameter 18 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 How to use SIEMENS Healthineers Decision tree building rules Decision Trees • The Scan Range parameter in the decision tree sets the S scan range to active or inactive. Non Contrast range [factory] • You can use one question to activate or deactivate active inactive several ranges (for example, Brain Perfusion). Info Level None None Info Text Scan Kange Active Inactive + Add Parameter 19 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 How to use SIEMENS Healthineers Color coding Abdomen Multi Phase [fac ... Protocol Description -Indications: masses, pancreas, gall bladder The parameter list view now shows the color coding from preconfigured the scan and recons. Scan Favorites General Scan Dose Timing CH Recon Favorites General Recon Recon&GO Image Impressic Scan/Recon Scan/Recon Decision Trees CARE & CA Topogram Premonitoring Ma Monitoring Ma Arterial Phase Abdomen Venous Phase Abdomen Late Phase Abdomen Additional range [factory] 20 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 How to use SIEMENS Healthineers 2. CT Scan&GO X Tablet (Scan&GO) SIEMENS × Healthineers EQ test, demo 09/21/1968 Coronary CTA [factory] (Adult) / Head First - Supine The color coding is also visible on the tablet. 60 I bpm Breathing Instruction Practice Instruction Language English Practice the breathing instructions with the patient. The heart rate will be measured. Audio Visual Patient Characteristics ars] 55 Adult 15 Heart ate Variability 15 Heart pte 1394.0 Back GO 21 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 How to use SIEMENS Healthineers Attributes and questions The system also shows attributes and questions for inactive ranges. myExam Compass Patient Characteristics Age Senior Heart Rate Variability Regular Unstable Arrhythmic HR Variability suitable for CaSc Flash Yes No Heart Rate Low Moderate High 6 ml/s 6 ml/s TH LO L 3.3s 8.25 0.3s 0.85 4.2s 9.9 9.9 10 21.5 10 15 O 10 15 20 O 10 20 25 O 22 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 How to use SIEMENS Healthineers Auto-opening myExam Compass myExam Compass Recon Ranges Questions Would you like to scan with or without contrest medium? Non Contrast Liver Do you see any metal implants on the topogram? Hip Implants The myExam Compass page always opens up emonitoring Would you like to add another range? automatically if the tree has unanswered questions: Monitoring tefal Phase Abdomen aus Phase Abdomen 1) For diagnostic scan ranges & topograms, where the clinical decision tree contains an inactive strategy, myExam Compass pops up before the first scan range (topogram). 1 3 2) For ranges with Bolus Tracking or Test Bolus, myExam Compass 13.3s 1 4.95 12.1 Author | Department pops up before the Pre-monitoring / Test Bolus range. 3) For diagnostic scan ranges & topograms, myExam Compass pops up before the scan range where the tree is connected. 23 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 New decision trees SIEMENS Healthineers Brain Brain [factory] Protocol Description -Indicatio inflamma There are two new default questions, answers, and decision trees to have three options: Scan Favorites General Scan Dose Only non-contrast range CH • Recon Favorites General Recon Recon&GO Imag • Additional contrast range • Both ranges Scan/Recon Scan/Recon Decision Trees myExam Compass Tonnoram Non-Contrast Brain Non-contrast range [fa Questions Venous Phase Brain Contrast range |factor Would you like to scan with or without contrast medium? without contrast with contrast both 24 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 New decision trees SIEMENS Healthineers Brain Perfusion (1) Scan/Recon There are two new default questions, answers, and Scan/Recon Decision Trees decision trees available to have four options: Topogram Non-Contrast Brain • Non-contrast . Perfusion Brain Brain Perfusion range [factory] • Brain Perfusion range Topogram Brain Perfusion Topo range [factory] Additional Brain Perfusion Topo range Premonitoring • • Brain Perfusion CTA range Monitoring CTA Brain and Neck Brain Perfusion CTA range [factory] Questions Do you see a brain hemorrhage? yes no Would you like to add an arterial phase/CTA? yes no 25 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023 New decision trees SIEMENS Healthineers Brain Perfusion (2) Brain Perfusion range [factory] inactive + Add Strategy Without the license for Perfusion_Basics: Info Level None Info Text • The scan mode switches to DynamicSequence. Scan Range Inactive Scan Mode • The Brain Perfusion range decision tree is changed, + Add Parameter too: The active strategy is deleted, and the scan range will be hidden in all cases. • Please deselect the decision tree in the scan range. 26 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 27 Effective Date: 01 Dec 2023 | QR700001716 Unrestricted © Siemens Healthineers AG, 2023