syngo CT VB10 Software Update Job Aid

SIEMENS Healthineers syngo CT VB10 Software Update Job Aid Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 syngo CT VB10 Update – SIEMENS Healthineers Table of Content Kernel 3 - Iterative Reconstruction 9 Iterative Metal Artefact (iMAR) 12 Intervention 14 Dual Energy 20 Ay Tin Filter 24 Cardiovascular News 29 -= Miscellaneous 32 SIEMENS .. .... 2 Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 SIEMENS Healthineers Kernel 3 Kernel Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Kernel SIEMENS Healthineers Concept The modular kernel concept, which was previously Kernel with modified naming introduced with the SOMATOM Force (VA 50) will be pattern available on Scanners receiving the VB10 update. Iterative reconstruction In contrast to the previous kernel concept, iterative (SAFIRE/ADMIRE)* reconstruction (ADMIRE/SAFIRE)*, iterative metal artifact reduction (iMAR)* and iterative beam hardening Iterative Metal correction (iBHC)* are no longer connected to the kernel Artifact Reduction (iMAR)* but can be separately applied to the reconstruction. Iterative Beam Hardening Corection (iBHC)* *Depends on system configuration 4 Kernel Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Kernel SIEMENS Healthineers Naming Pattern The modified kernel name will now consist of five positions: Modified pattern • One character specifying the kernel type: Br40f B (Body), H (Head), Q (Quantitative), U(UHR) scan mode • One character specifying the sub-kernel type: resolution index r (regular), f (fine noise), v (vascular), l (lung), c (crisp), p (pediatric) sub-kernel type kernel type • A two-digit number specifying the resolution • One character specifying the scan mode (not shown in clinical use) Old pattern B40s Please note: ^ ^ ML scan mode The old kernel pattern will be automatically transcribed into the modified one version index resolution index during the update processes. kernel marker 5 Kernel Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Kernel SIEMENS Healthineers Naming Pattern Kernel Type Sub-kernel Type Naming Kernel Properties and Usage Body (B) Regular (r) Br… Body kernels for regular imaging tasks (regular are all tasks which are not listed explicitly). FineNoise (f) Bf… Noise structure at the same resolution is more finely than with regular body kernels. Lung (l) Bl… Special lung kernels with strong edge enhancement (strong over- and undershoots at edges). Vascular (v) Bv… Body kernels for vascular imaging tasks (enhancement of vessels). Head (H) Regular (r) Hr… Head kernels for regular imaging tasks (regular are all tasks which are not listed explicitly). FineNoise (f) Hf… Noise structure at the same resolution is more finely than with regular head kernels. Crisp (c) Hc… Different noise texture than the corresponding regular head kernels.. Pediatric (p) Hp… Special head kernels for pediatric imaging (special cupping correction adjusted for pediatric imaging). Vascular (v) Hv… Head kernels for vascular imaging tasks (enhancement of vessels). Quantitative (Q) Regular (r) Qr… Quantitative kernels with no over- and undershoots. Are to be chosen for imaging tasks where the absolute HU value is of interest (dual energy, calcium scoring). UHR (U) Regular (r) Ur… Kernels for ultra high resolution scans. Typically scans with a high resolution comb in place. Body (b) Ub… Reconstructions of UHR scans with an Br like image impression Head (h) Uh… Reconstructions of UHR scans with an Hr like image impression Lung (l) Ul… Reconstructions of UHR scans with an Bl like image impression Quantitative (q) Uq… Reconstructions of UHR scans with an Qr like image impression Special Artificial120 Sa… Images with 120 kV HU values independent from the voltage used for scanning Electron Direct Density Sd… No HU values but electron densities(for RT planning) independent from the voltage used for scanning 6 Kernel Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 New Kernel SIEMENS Healthineers Head vascular (Hv) With VB10, we will be introducing optimized kernels for imaging contrast enhanced vessels in the head. It will offer: • Fine noise grains for smoother vessel wall appearance. • Optimized iterative reconstruction for vessel-like structures. • According to the modified naming pattern it will be called Hv (Head vascular). • The Hv kernel are set as default in the Siemens head angiogram scan protocols. 7 Kernel Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Additional Kernel SIEMENS Healthineers kV-Independent Calcium Scoring Kernel (Sa36) With VB10, we will be introducing a special Recon job 1 2 3 4 5 6 7 8 Series description DS_CaSc 3.0 Sa36 BestDiast kernel allowing for kV-independent Agatson Slice 3.0 mm Recon job type o Axial @ 3D Scoring. It is called Sa36. ADMIRE Recon region: Narrow Wide · Kernel Sa36 ... Cardiac - Heart This kernel uses a special look up table based FAST Window + Body Begin position -1534.0 mm 2: - Head correction in the raw data space to correct + Quantitative End position -1684.0 mm Special for different attenuation of calcium at HD B- Artificial120 different kV levels. 36 Image order Craniocaudal Body Increment 1.5 mm 2| Overview eDDensity Head No. of images 101 2 The kernel can be found in the Special folder Mirroring @ All Comments of the kernel dropdown menu of the Recon Extended CT s Tab (see figure). Routine Auto Tasking Trigger For more information please also refer to VB10 cardiac news. 8 Kernel Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 SIEMENS Healthineers Iterative Reconstruction 9 Iterative Reconstruction Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Iterative Reconstruction SIEMENS Healthineers Iterative reconstruction (ADMIRE / SAFIRE) is no Recon job 1 2 3 4 5 6 7 8 Series description Hip 5.0 Br59 3 longer controlled by the choice of the kernel (e.g. Slice 5.0 mm - Recon job type · Axial . 3D I,J,V…). ADMIRE Strength 3 . Recon region: Narrow Wide o Kernel Br59 ... ] None As part of the update process, these kernels will FAST / Window Pelvis Begin position -2171.5 mm 2| be automatically replaced/transcribed to the End position -2271.5 mm :| corresponding modified kernel pattern. HD FoV FoV 380 mm 2 Image order Craniocaudal In the Recon tab card, it is now possible to switch Center X 0 mm : Increment 5.0 mm 2 iterative reconstruction on and off independently Overview Center Y 0 mm No. of images 21 3 for each kernel by ticking the appropriate box Mirroring None Comments and adjusting the required strength (see figure). Extended CT scale Furthermore, SAFIRE/ADMIRE iPreview Routine Scan Recon Auto Tasking functionality will no longer be supported on all ADMIRE Strength VB10 systems. 3 10 Iterative Reconstruction Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Iterative Reconstruction SIEMENS Healthineers Iterative Beam Hardening Correction (iBHC) With VB10, iterative beam hardening correction (iBHC) Osteo_Test Plus4/95/59 Total mAs: O will be available for kernels up to a resolution index of 44. Reconjob 1 2 4: 5 8 Series description Non Contrast 5.0 Br36 3 iBHC configuration can be accessed via the button Slice 5.0 mm Advanced reconstruction options SAFIRE Strength next to the kernel selection dropdown. Kernel Br36 BHC Setting None Depending on the selected kernel, different selections FAST M Window Abdomen None Bone will be available via a dropdown menu: lodine • Iodine HD Foy FOV 300 mm Image order Craniocaudal Bone Center X 0 mm = Increment 5.0 mm • Overview Center Y 0 mm = No, of images 41 • Artificial 120 Mirroring None Comments Extended CT scale • Only for Artificial 120 kernel (Sa36) • eDDensity Routine Scan Recon Auto Tasking ar • Produces images with electron densities, not HU- values! • Only available for kernel Sd40 11 Iterative Reconstruction Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 SIEMENS Healthineers Iterative Metal Artefact Reduction (iMAR) Iterative Metal 12 Artefact Eff. Date: 06/25/2018 | HOOD05162002863496 Reduction (iMAR) Unrestricted © Siemens Healthcare GmbH, 2018 Iterative Metal Artefact Reduction (iMAR) SIEMENS Healthineers iMAR is now available on all scanners Recon job 1 2 3 4 5 6 8 Series description Hip 5.0 Br59 3 receiving the VB10 update, including the Slice 5.0 mm ] Advanced reconstruction options SOMATOM Force. ADMIRE Strength 3 = Kernel Br59 ... iBHC None Please note that iMAR is supported up to a FAST M Window Pelvis iMAR None None kernel resolution of 59 and reconstruction Neuro coils Dental fillings time may increase significantly with kernels HD FoV FoV 380 mm 2 Image order Spine implants above 40. Shoulder implants Center X 0 mm Pacemaker Overview Center Y 0 mm No Thoracic coils Hip implants iMAR can be added to a recon job by Mirroring None Comments Extremity implants selecting the appropriate option from the Extended CT scale dropdown in the advanced reconstruction Routine Scan Recon Auto Tasking option menu . Iterative Metal 13 Artefact Eff. Date: 06/25/2018 | HOOD05162002863496 Reduction (iMAR) Unrestricted © Siemens Healthcare GmbH, 2018 SIEMENS Healthineers Intervention 14 Intervention Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Changes to Intervention SIEMENS Healthineers Upgraded Intervention Module (IVM) With VB10, a redesigned interventional module (IVM) with will be available. For further information please refer to the Instruction of Use for your scanner system or contact your local support. - 1. -j 15 Intervention Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Changes to Intervention SIEMENS Healthineers Changes to Chronicle IV_Test 8009 i-Spiral AbdomenIntervention (Adult) 18.03.06-13:18:21-STC Total mAs: im Topogram CTDIvol(32cm): DLP Eff. mAs 468 CARE Dose4D Next 8.76 mGy 109.78 mGy*cm • Each new i –Spiral scan now creates a i-Spiral i-PrecisionView Off 100% Last 8.76 mGy 91.76 mGy*cm Acc. 41.30 mGy 432.62 mGy*cm separate chronicle entry (see figure). / i-Spiral KV 80 2 / i-Spiral Slice 5.0 mm Acq. 32 x 1.2 mm No. of images 29 Layout Three segments i-Spiral MPR Slice 5 mm 4 i-Sequence i-Spiral Scan direction Craniocaudal Kernel Br38 5 Scan start Start button Window -Abdomen i-Spiral • Changing scan parameters (e.g. kV or mAs) or 6 Table control -No Feed Key Images None Range Table: reconstruction parameters (e.g. kernel) will Begin End Position Height Movement -1183.0 2 100.0 2.5 mm - Cancel -1281.5 -1321.0 | create a new chronicle. Load Move Recon Routine Scan Recon Auto Tasking Intervention • Furthermore, a new chronicle will be automatically created after 20 scans. i-Fluoro • Changing scan parameters (e.g. kV or mAs) or reconstruction parameters (e.g. kernel) will create a new chronicle. 16 Intervention Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Changes to Intervention SIEMENS Healthineers Changes to Layouts • 2D and 3D layouts can be chosen independently from the intervention mode, if the license has been purchased. • Layouts will not change automatically between image acquisition except for i-Fluoro. With i-Fluoro, the layout will always switch to a preset with enough segments to display all acquired slices (e.g. switching from 3 to 6 displayed slices). Please note: If fewer slices are acquired in a subsequent scan, the layout will not switch back and some displayed segments of the layout will remain black. 17 Intervention Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Changes to Intervention SIEMENS Healthineers Dose Alert When the accumulated dose and the dose Dose Alert x value of the next scan will exceed a A dose alert value will be exceeded! predefined threshold, a dose alert pop-up The accumulated CTDIvol (341.93 mGy) will locally exceed the alert value (100 mGy for Adult). window will appear (see figure). To continue Hint: The currently used scan protocol can not be saved! the exam, the user name has to be provided (e.g. name of performing physician or User name (mandatory) Dose Alert technologist). Diagnostic reason Test In addition, a “Do not show again” checkbox Password has been added to allow undisturbed interventional workflow, even though Do not show again for the remaining examination. threshold has been exceeded. Load Cancel This checkbox will also be available for Dose Alerts in all other examinations and is unchecked by default. 18 Intervention Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Changes to Intervention SIEMENS Healthineers Dose Alert Threshold for Children Examination Configuration Default Dose Alert values for pediatric protocols Patient Dose Workflow Topogram Processing Contrast Display Options have been decreased to 500 mGy. CARE Dose4D configuration: mAs adaptation to patient size Dose notification CARE Profile M Organ characteristics Child Adult slim Adult obese Brain Average Average Average Exposed range M M Neck Average Average Average If necessary, values can be adjusted via: V Shoulder Average Average Average Dose Report Thorax Average Average Average Activate Dose Report M Auto transfer Abdomen Average Average Average Options à Configuration à Examination à Pelvis Average Average Average Additional transfer None Spine Average Average Average Osteo Average Average Average “Dose” Tab Dose Alert Head/Vascular Head Average Average Average Adult Child M Vascular Body Average Average Average Runoff Average Average Average CTDIvol 1000 mGy 1500 mGy Cardio Average Average Average DLP mGy*cm mGy*cm Respiratory Average Average Average OK Apply Default Settings Cancel Help 19 Intervention Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 SIEMENS Healthineers Number of quanta Dual Energy ......... ........ ...................... ........ .................. ......... ...................... ........................ DE with Tin Filter Photon energy 20 Dual Energy Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Dual Energy SIEMENS Healthineers FAST DE Results on Dual Source Scanners This information relates to the scanners SOMATOM Force, SOMATOM Drive and Recon job 1 2 3 4 5 6 Series description DE_Thorax 5.0 Br40 3 00 SOMATOM Definition Flash Slice 5.0 mm Recon job type o Axia 3D ADMIRE Strength 3 2| Recon region: Narrow @ Wide Kernel Br40 Thorax - Lung Fast DE results allows automated post-processing of reconstructed dual energy vvInuw Meula stinum Begin position -806.5 mm =] Series A+B+M DE Comp. 0.6 2 End position -506.5 mm2| images. A+B+M A+B FAST DE FoV 300 mm 2 Image order Craniocaudal Center X 0 mm 2 Increment 5.0 mm For the use of FAST DE results , “A+B+M” or “A+B” must be selected in the Series Overview Center Y 0 mm No. of images 61 Mirroring None Comments dropdown list of the the Recon tab (see figure 1). Extended CT scale Routine Scan Recon Auto Tasking Switch to the Auto Tasking sub task card and select the necessary FAST DE post- Recon job 1 2 3 4 5 6 7 8 Series description DE_Head 4.0 Hr40 3 processing option from the Auto post-processing drop down list (see figure 2) Auto recon Auto filming every =image Auto viewing No. of filmed images Auto postprocessing None O Resulting DE images can be configured to autosend to another DICOM node: None Options à Configuration àTransfer configuration Auto reference lines Auto Tasking DE series DE Mono 40keV DE Mono 50keV DE Mono 70keV Auto transfer None DE Mono 100keV Requested procedure Card DE Mono 120keV DE Mono 140keV If necessary, FAST DE results can be configured in: None DE Mono 190keV None Body part examined Head DE Mono <70keV Options à Configuration FAST DE Results DE Mono > 100keV DE lodine DE VNC DE lodine+VNC Routine Scan Recon Auto Tasking DE Opt. Contrast 21 Dual Energy Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Dual Energy SIEMENS Healthineers FAST DE Results on Twin Beam Dual Energy Scanners This information relates to the scanners SOMATOM Recon job 3 4 6 7 Series description TB_Abdomen 5.0 Br38 Slice Definition Edge, SOMATOM Definition AS+ and SOMATOM 5.0 mm - Recon job type o Axial 3D ADMIRE Recon region: Narrow . Wide . Edge Plus Kernel Br38 None FAST Window Abdomen Begin position -1213.0 mm Series L+H End position -1413.0 mm To enable FAST DE Results for Twin Beam DE protocols, two HD FOV FoV 300 mm = Image order Craniocaudal series need to be reconstructed: Center X 0 mm Increment 5.0 mm= Overview Center Y 0 mm No. of images 41 Mirroring None Comments On the Recon sub task card, select “L+H” series from the Extended CT scale • Routine Scan Recon Auto Tasking Series drop down list the for reconstruction (figure 1). Recon job 1 2 3 4 5 6 8 Series description TB_Abdomen 5.0 Br38 • Switch to the Auto Tasking sub task card and select the Auto recon Auto filming every =image Auto viewing necessary FAST DE post-processing option from the Auto No. of filmed images Auto postprocessing None O DE Mono 50keV postprocessing drop down list (see figure 2). Auto reference lines Auto Tasking DE series DE Mono 70keV DE Mono 100keV DE Mono 120keV DE Mono 140keV Auto transfer None Requested procedure Dual (DE Mono 190keV None DE Mono <70keV DE Mono > 100keV None Body part examined Abdo DE Mixed DE lodine = DE VNC DE lodine+VNC DE Opt. Contrast Routine Scan Recon Auto Tasking DE Rho/Z 22 Dual Energy Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Dual Energy SIEMENS Healthineers Rho/Z Rho/Z will now be available as a FAST DE result for Recon job 1 2 3 4 5 6 7 8 Series description #PP DE_Abdomen 1.5 Q30f 2 all scanners. Auto recon Auto filming every 1- image Auto viewing No. of filmed images Auto postprocessing None O On the Recon sub task card, select the “L+H” DE Mono 50kev Auto reference lines Auto Tasking DE series DE Mono 70keV DE Mono 100keV series for TBDE exams or the “A+B” or the DE Mono 120keV DE Mono 140keV “A+B+M” series for Dual Source DE exams from Auto transfer None Requested procedure Dual IDE Mono 190keV None DE Mono <70keV DE Mono > 100keV the Series drop down list for further None Body part examined Abdo DE lodine DE VNC reconstruction. DE lodine+VNC DE Opt. Contrast DE LunaPRV Routine Scan Recon Auto Tasking DE Rho/Z Switch to the Auto Tasking sub task card and select the “DE Rho/Z “ option from the Auto postprocessing drop down list (see figure). 23 Dual Energy Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 SIEMENS Healthineers Tin Filter X-ray Tube WAL Sn Detector 24 Tin Filter Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Tin Filter SIEMENS Healthineers General Information Tin Filtration has a significant benefit on the reduction of dose for non-contrast imaging, such as low dose lung cancer screening, paranasal sinus imaging, orthopedic scanning, imaging of kidney stones and skeletal surveys. x-ray Tube Through the additional Tin Filter, the X-ray spectrum is shaped in A Sn a way, where low photons are further removed (besides the conventional "wedge or bowtie" filter). The spectrum is further shaped to apply more mA from the powerful tubes for reduced Photons / a.u. dose and better beam hardening properties. By significantly Detector reducing the absorbed low kV spectrum, the dose of such scans is ....... lowered to a point where scans are reaching doses previously ......... seen only in general radiography, e.g. chest X-rays, hand and wrist 20 30 40 50 60 70 80 90 100 110 120 X-rays. ........ 100 kVp spectrum without any prefiltration Shaped by pre-filtration (routine Wedge or Bow Tie Filter, 100 kVp spectrum with prefiltration etc. with aluminum, copper, or similar) Sn100 kVp spectrum with unique, moveable Tin Filter Sn100 kVp spectrum with unique, moveable Tin Filter and high mA Further removal of low energy photons with Tin Filter Please note: Tin Filtration is used for non-contrast (without contrast media) imaging. 25 Tin Filter Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Tin Filter SIEMENS Healthineers General Protocol Changes SPS (Selective Photon Shield) protocols are renamed to _Sn protocols (e.g. SPS_Thorax -> Dual Energy Protocol . Replace Append Thorax_Sn) Cardiac TurboFlash Thorax Topogram . Cut Thorax XCARE ThoraxRoutine Keep DSXXL Thorax ThoraxHR ThoraxSeqHR to reference lines None TurboFlach L Ace LungLowDose Sn LUNqCAD ThorAbd XCARE ThorAbd ThoraxIntervention APILanguage German 26 Tin Filter Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Tin Filter SIEMENS Healthineers General Protocol Changes Tin Topograms (SN_Topos) Dual Energy SOMATOM Force: Protocol . Replace Append Cardiac • Tin Filter will be applied to all topograms by default. Topogram @ Cut Vascular · Keep For all other scanners with Tin Filter option: RT Auto reference lines None Tin-filtered topograms (Sn_Topos) for different body Speci • TurboFlash_Trauma Trauma TraumaThin regions can now be found in the Special folder of the PE PolyTrauma TurboFlash HeadTrauma ThoraxUHR Sn ige German Patient Model Dialog (see figure). NeuroVPCT_Stroke NeuroPCT NeuroPCTSeq • They can be added to a protocol in the known fashion. NeuroMultiPhase_VAngio NeuroMultiPhase_VAngio_long BodyVPCT :50:31-STD-Specials Po BodyPCT BodyPCTSeq STC Total mAs: 50 =| BodyMultiPhase_VAngio ExtrMultiPhase_VAngio Sn150 - HeartVPCT Sn Topos 27 Tin Filter Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Tin Filter SIEMENS Healthineers General Protocol Changes Voltage Selection CARE Dose4D M CARE KV Off Slice 5.0 mm - Acq. 128 x0.6 mm Pitch 1.2 3 Eff. mAs kV Direction Craniocaudal • There are two separated voltage lists for protocol 120 Organ characteristic: Thorax 70 80 CTDIvol (32cm): mGy DLP: 90 100 with and without tin filtration. 110 Scan time 3.08 120 Scan start Start button Rotation time 130 5 s . 140 Please note: Delay Language German API None Voltages with tin filtration are only available with Routine Scan Recon Auto Tasking Thorax Routine dedicated Tin Filter protocols marked by “ _Sn” in CARE Dose4D CARE KV Off Slice 5.0 mm - Acq. 128 x 0.6 mm the protocol selector. Pitch 1.2 2 Eff. mAs kV Sn100 Direction Craniocaudal Organ characteristic: Thorax Sn 100 The Voltage list can be accessed as before from the Sn140 • CTDIvol (32cm): 0.62 mGy DLP: 20.54 mGy cm Scan time kV dropdown in the scan tab. 3.98 s2 Scan start Start button Rotation time 0.5 s . Delay Language German CARE kV will work for each voltage list API None • independently and not across both lists. Routine Scan Recon Auto Tasking LungLowDose_Sn 28 Tin Filter Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 SIEMENS Healthineers Cardiovascular News 29 Cardiovascular News Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Cardiovascular News SIEMENS Healthineers Additional Protocols With VB10, we are introducing special protocols for FFRCT (Fractional Flow Reserve by Computed Tomography) to Dual Energy Protocol · Replace ensure optimal image quality as required by HeartFlow® Append Card TurboFlash CaScore_Sn Analysis. TurboFlash CaScore DS CaScore Cut They will be added to the cardiac folder in the Patient Model Vasc DS CaScoreSeq_Sn DS CaScoreSeq Keep Dialog and are named as follows: FAST TurboFlash Cardiac R DS CoroCTA AdaptSeq • CoroCTA_HeartFlow on SOMATOM Definition AS64, DS CoroCTA_AdaptSeq_Edge_IR one DS CoronaryCTA DS CoroCTA BiSeg SOMATOM Definition AS+, SOMATOM Definition Edge, Spec DS_CoronaryCTA05s DS CoroCTA AdaptSeqArrhythmicHR SOMATOM Definition Edge Plus DS CoroCTAArrhythmicHR PE DS CoroCTA HeartFlow • DS_CoroCTA_HeartFlow on SOMATOM Definition Flash, TurboFlash TAVI API Language German SOMATOM Drive and SOMATOM Force (see figure) For more information please also refer to the VB10 cardiac news and the instructions for use. 30 Cardiovascular News Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Cardiovascular News SIEMENS Healthineers Additional Protocols With VB10, we are introducing special protocols for TAVI planning to existing systems. They can be found in the Dual Energy Protocol · Replace TurboFlash CaScore Sn Append Cardiac folder of the Patient Model Dialog. TurboFlash CaScore DS CaScore DS CaScoreSeq_Sn Cut They are named as follows: Val DS CaScoreSeq FAST TurboFlash Cardiac Keep DS_CoroCTA_AdaptSeq TAVI on SOMATOM Definition AS and AS+ DS CoroCTA_AdaptSeq_Edge_IR • DS_CoronaryCTA None DS_CoroCTA_BiSeg • Flash_TAVI on SOMATOM Drive and Definition Flash Sp DS_CoronaryCTA05s DS CoroCTA_AdaptSeqArrhythmicHR DS CoroCTAArrhythmicHR TurboFlash_TAVI on SOMATOM Force (see figure) DS CoroCTA HeartFlow • TurboFlash TAVI API Language German For more information please also refer to the cardiac news and the instructions for use. 31 Cardiovascular News Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 SIEMENS Healthineers Miscellaneous 32 Miscellaneous Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Miscellaneous SIEMENS Healthineers Protocol Changes - HD Field of View 3.0 (HD FoV 3.0) With VB10, HD Field of View (blue circle) algorithm has been further enhanced: • Improved patient outline up to the bore size • Avoid artifacts at abrupt transitions (i.e. Patient table) 50 cm Please note: The accurate attenuation measurements are only available within the scan field of view (50 cm). For further details, please consult the Instruction of Use (IFU) of your system. For more information please also refer to the VB10 Changes in Radiation Therapy news and the instructions for use. 33 Miscellaneous Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Miscellaneous SIEMENS Healthineers Protocol Changes - HD Field of View 3.0 (HD FoV 3.0) HD FoV can be switched on via a check box on Recon job 1 2 3 4 5 6 7 8 Series description Lun ThorAbd 7.0 B157 the recon card. Slice 7.0 mmy Recon job type · Axial 3D ADMIRE Recon region: Narrow Wide . Kernel BI57 CAP - Lung apex to Ischium FAST M Window Lung Begin position -450.5 mm == End position -650.5 mm HD FOV FoV 380 mm= Image order Craniocaudal Center X 0 mm Increment 7.0 mm Overview Center Y 0 mm = No. of images 29 Mirroring None Comments Extended CT scale Routine Scan Recon Auto Tasking 34 Miscellaneous Miscellaneous Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Miscellaneous SIEMENS Healthineers Protocol Changes – Topogram, Control Scan, Slice per Rotation Information Topogram speed is increased from 100mm/sec to 200mm/sec (140 mm/s for sliding gantry systems): • By increasing the speed, the dose will be reduced since for the topo selection the mA is independent of the time. • Synchronized scanning and table movement means that table movement will stop when the topogram ends. • The overall mA settings for the topogram is reduced with VB10 thus adding to dose reduction. Control scan function: The “Control scan“ feature will no longer be available on any of the SOMARIS7 system with VB10. During protocol transcription any “control scan“ will be automatically transformed into a “pause”. Please make sure that affected protocols are checked towards applicability after transcription. Slice per rotation / HR256 icon: On the recon sub-tab card the “Slice per rotation” will no longer be displayed. This was only displayed when the recon position increment was 0.3 mm or less. Analogue the HR256 icon and the blue coloring of the recon will be removed as well. 35 Miscellaneous Miscellaneous Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Miscellaneous SIEMENS Healthineers Protocol Changes – Raw Data Availability Reading and new reconstructions of pre-update raw data will be possible. Scan protocols saved including the raw data set and their parameters prior to the update, may no longer be available for SOMATOM Force, SOMATOM Definition AS/AS+, SOMATOM Confidence, SOMATOM Definition Edge, SOMATOM Drive and SOMATOM Flash after the update. 36 Miscellaneous Miscellaneous Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Miscellaneous SIEMENS Healthineers Protocol Changes - SOMATOM Force For Pre-Monitoring, Monitoring scans C_Spine (Adult) 17.08.09-14:03:57-STD-Specials PolyTraun 17.08.09- and Test Bolus scan, it is now possible to Topogram mAs 23 choose between a slice thickness of 5 mm PreMonitoring kV 100 CTDIvol (32cm): 0.83 mGy 1 and 10 mm. Contrast Scan time 1.0 s Exam time 1.0 s Delay 2 s Monitoring 2 Slice 10.0 mm Acq. 1 x 10.0 mm Slice thickness can be selected via the L C_Spine RT| No. of scan 5.0 Acq. 1x5.0 mm 3 10.0 Acq. 1 x 10.0 mm Slice drop down menu in the Routine Tab No. of image (see figure). m Comments Range: Begin End Table: Position Heig Load Hold -1255.0 2 -1255.0 -1248.0 1C Recon Recon Routine Scan Recon Auto Ta 37 Miscellaneous Miscellaneous Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Miscellaneous SIEMENS Healthineers Protocol Changes – Sliding Gantry Systems Adaptive 4D Spiral scans • The scan range for body perfusion scan has SIEMENS . Healthineers SOMATOM Confidence been increased to 30 cm. 38 Miscellaneous Miscellaneous Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Miscellaneous SIEMENS Healthineers Changes – Touch Panels (SOMATOM Drive, Confidence & Force) Configuration Tab General Radio Therapy Auto Laser: Tablet Cleaning mode Toggle button to switch between manual laser light Camera Position mode activation and automatic activation of the laser lights as Move Table Top Only mode soon as the topogram scan start position is reached (see Auto Laser figure) Restore Topogram Presets 0.0 100.0 0.00 Press » to reach position 39 Miscellaneous Miscellaneous Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 Miscellaneous SIEMENS Healthineers Changes - syngo Classic Applications The following applications will not be supported with VB10: • syngo Neuro- and Body Perfusion (Neuro PCT / Body PCT) removed à this functionality is now covered by Neuro or Body Volume Perfusion (Neuro VPCT / Body VPCT) for evaluation • DE BoneRemoval in syngo InSpace removed Unsupported function in syngo Volume Perfusion Body: • The function “VOI based Motion Correction” is removed Further changes: • Bookmark handling for Lung Parenchyma in syngo InSpace functionality improved 40 Miscellaneous Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018 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's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. 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. Copyright © Siemens Healthcare GmbH, 2018 Global Siemens Healthineers Headquarters Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84 0 siemens.com/healthineers 41 Eff. Date: 06/25/2018 | HOOD05162002863496 Unrestricted © Siemens Healthcare GmbH, 2018