syngo CT VB20 myExam Companion Improvements Job Aid

SIEMENS Healthineers syngo CT VB20A myExam Companion Improvements Job Aid Version 2024.12 Template Effective Date: 10 Aug 2021 | HILS 2223 Job Aid Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Table of Contents Change Recon Strategy after scan3 Change Recon Strategy after scan 3 Scan Strategies Decision Tree Clinical Decision Trees for children4 Clinical Decision Trees for children 4 Define Study Descriptions11 Define Study Descriptions 11 Tips Tricks15 Tips & Tricks 15 Whole Body soft tissue or bone [factory] standard dose adult ~ Patient Type L ............... Adult Child standard dose adult standard dose child Soft tissue/bone? Sinus soft tissue/bone? Bone Soft Tissue Bone Soft Tissue low dose adult v standard dose adult v low dose child v standard dose child v 2 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Change Recon Strategy after scan You can replace or add recon jobs by changing the recon strategy Use case example: after performing a scan. • You require an iMAR recon after scanning. • After scanning and before starting the reconstruction: • Answering the metal question with Yes adds the iMAR You exchange the existing recon jobs. recon job. • After scanning and after starting the reconstruction: You add recon jobs. myExam Compass Recon Ranges Study Description: Shoulder Test(Adult) Topogram No Questions Shoulder Do you see any metal implants on the topogram? No auto auto auto Which recon do you want to perform? Left myExam Compass Recon Ranges Study Description: Shoulder Test(Adult) Topogram Yes Questions Shoulder Do you see any metal implants on the topogram? Yes Which recon do you want to perform? Left 3 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Clinical Decision Trees for children You can now define clinical decision trees also for children's examinations. You can categorize three groups of trees: The groups refer to the three filter types of clinical decision trees below: • Adult (only) tree Adult Child Adult and Child Child (only) tree • Adult (only) tree • • Adult and Child tree Decision Tree Filter RoutineAbdomenAdult NoChild On the tree selection page, the patient type is displayed as a suffix: • Child (only) tree Decision Tree Filter NoAdult RoutineAbdomenChild • Adult/Child Pelvis soft tissue or bone [factory] (Adult/Child) • Child Pelvis cooperative [factory] (Child) • Adult and Child tree Adult Pelvis contrast medium necessary [factory] (Adult) • Decision Tree Filter RoutineAbdomenAdult RoutineAbdomenChild You can only connect the trees to the protocols or ranges with the same patient type of the clinical decision tree filter. 4 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Clinical Decision Trees for children You can only connect the trees to the protocols or ranges with the same patient type of the Decision Tree Filter, for example: The Abdomen cooperative tree is a Child-only tree: The Whole Body soft tissue or bone tree is an Adult and Child tree: Abdomen cooperative [factory] (Child) Whole Body soft tissue or bone [factory] (Adult/Child) Its Decision Tree Filter is: Its Decision Tree Filter is: Decision Tree Filter NoAdult RoutineAbdomenChild Decision Tree Filter RoutineAbdomenAdult RoutineAbdomenChild You can only connect this tree to child abdomen protocols. You can connect this tree to both adult and child abdomen You will NOT find this tree in adult abdomen protocols. protocols. 5 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Clinical Decision Trees for children Adult and Child trees have a new attribute: Patient Type. You do not need to use the Patient Type attribute for Adult-only or Child-only trees. Whole Body soft tissue or bone [factory] Scan Strategies Decision Tree standard dose adult v Patient Type Adult None Whole Body soft tissue or bone [factory] Attribute standard dose adult Patient Type standard dose adult ~ Soft tissue/bone? - Age (Adult) Patient Type Age (Child) Bone Soft Tissue Weight (Adult) rissue Adult Child low dose adult v standard dose ad Weight (Child) ose child v standard dose adult standard dose child Gender Soft tissue/bone? Sinus soft tissue/bone?- CREA Bone Soft Tissue Bone (e)GFR Soft Tissue Heart Rate (Adult) low dose adult v standard dose adult v low dose child v standard dose child Heart Rate (Child) 6 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Clinical Decision Trees for children Adult and Child trees have a new attribute: Patient Type. When you use the Patient Type in an Adult and Child tree, you connect this tree to an Adult or Child protocol. It automatically adapts the answer in myExam Compass. On the screenshot below, it connects the Whole Body soft tissue or bone tree to the child abdomen protocol. Child is automatically selected. Abdomen [factory] ... i= myExam Compass myExam Compass Abdomen [factory] (Child) Study Description: Abdomen [factory](Child) Topogram Abdomen Patient Characteristics Reconstruction Patient Type Child Close Questions Is your focus on bone with lower dose or soft tissue with standard dose? Bone Soft Tissue Is your focus on bone with lower dose or soft tissue with standard dose? Bone Soft Tissue 7 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Clinical Decision Trees for children Adult and Child trees have a new attribute: Patient Type. Switching the Patient Type is possible, but will lead to an invalid scan range as the scan modes are not supported. Therefore, please do not switch the Patient Type in myExam Compass. The only proper way to switch the patient type is to change to an adult protocol. Abdomen [facto ... myExam Compass ® myExam Compass Study Description: Abdomen [factory](Child) Topogram Abdomen A Patient Characteristics Reconstruction Patient Type Adult Close Questions Is your focus on bone with lower dose or soft tissue with standard dose? Bone Soft Tissue Is your focus on bone with lower dose or soft tissue with standard dose? Bone Soft Tissue 8 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Clinical Decision Trees for children Three new Attributes are available for children in Patient Characteristics: Patient Categories Patient Characteristics • Age (Child) Age (Adult) [Years] Age (Child) [Years] • Weight (Child) 35 60 Young Adult Adult Senior Newborn Infant Child • Heart Rate (Child) Weight (Adult) [kg] Weight (Child) [kg] 60 100 10 30 Please keep in mind: Only use children attributes under the Child Patient Slim Average Obese Small Medium Large Type. Heart Rate (Adult) [bpm] Heart Rate (Child) [bpm] 65 70 100 Low Moderate High Low Moderate High Heart Rate Variability [bpm] 12 Regular Unstable Arrhythmic CREA [mg/dl] 1.5 Normal Elevated High (e)GFR [ml/min/1.73m2] 60 30 Normal Decreased Severely decreased 9 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Clinical Decision Trees for children An example of an Adult and Child tree T- and L-Spine disc or bone: Four Strategies, two for Adult and two for Child. T- and L-Spine disc or bone [factory Scan Strategies Decision Tree standard dose adult low dose adult standard dose child low dose child Info Level None None None None Info Text T- and L-Spine disc or bone [factory] Scan Mode RoutineSpiralAdultSpine RoutineSpiralAdultSpineSn RoutineSpiralChildSpine RoutineSpiralChildSpineSn standard dose adult CARE Dose4D & CARE KV Full Full Full Full Patient Type CARE KV optimized for Non-Contrast Bone/Calcium Non-Contrast Bone/Calcium Adult Child CARE KV IQ level 285 142 285 142 standard dose adult standard dose child Spine disc/fracture? Spine disc/fracture? Spine Disc Fracture Spine Disc Fracture standard dose adult low dose adult standard dose child low dose child 10 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Define Study Descriptions In syngo CT VB10, the protocol name is the default name of a study description independent of the scan strategy that you apply in the Scan Favorites General Scan Dose Timing Config Phys examination. General Recon Recon&GO Image Impression Recon Box Physio Recon Auto To reflect the applied scan strategy in the study description, in VB20, you can now define a study description for each individual scan strategy of a Protocol x Scan Favorites x clinical decision tree. Protocol Description Study Description RT Patient Marking Decision Trees -Indications: masses, tumor, metastases, ly ... For this, a new parameter column called Study Description is now available Neck (Adult) None in the category Protocol. 1 1 This parameter shows: -Indications: masses, tumor, metastases, ly ... Thorax [factory] (Adult) None • The protocol name if there is no study description added, or • You can define the study descriptions based on the active scan Thorax multi [factory] strategies combination. -Indications: masses, tumor, lymphoma, lym. Non-Contrast Abdomen [factory) None 1 The pencil (Edit icon) is dimmed, when you do not select any 2 decision tree. This means that this protocol will use the default Abdomen contrast medium nec ... 2 study description. 2 When you select a decision tree, you enable the Edit icon. Select it to open the Edit mode. There you can define the study description for each scan strategy combination. 11 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Define Study Descriptions Define a study description based on scan strategies: • By selecting the Edit icon a new window pops up. , • You cannot move or resize the window. • The window displays all trees with their scan strategies as columns. • You can add or remove study descriptions here. • If you delete all study descriptions, it will automatically insert the scan protocol name as the study description. • As a default, all scan strategies are checked. Define study description based on scan strategies x Decision Tree Metal implant [factory] Side [factory] Study Description: WO iMAR W IMAR recon both recon right recon left Shoulder both Shoulder left V Shoulder right + Add Study Description 12 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Define Study Descriptions Error handling: You must select at least one strategy per tree. Otherwise, you will get a yellow error message. Define study description based on scan strategies x Decision Tree Metal implant [factory] Side [factory] Study Description: WO IMAR W IMAR recon both recon right recon left Shoulder both Shoulder left Shoulder right c Add Study Description 1) At least one strategy must be selected per decision tree for each study description. 13 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Define Study Descriptions Shoulder (Adult) myExam Compass myExam Compass Study Description: Shoulder right Hint: You can change the study description as Topogram Shoulder long as you have not performed the diagnostic Reconstruction Questions scan – no images are available in the Patient Close Do you see any metal implants on the topogram? No Browser. Which recon do you want to perform? Right SIEMENS EQ Padilla, Luisa X Healthineers 01/17/1941 Afterwards, changing the strategy has no Sh myExam Compass X effect. The protocol name remains unchanged. Breathing Instruction Practice Instruction Language English Audio Visual Study description: Shoulder right Questions Do you see any metal Answer implants on the topogram? No Which recon do you want to Answer perform? Right Test Table Movement 3.3s 9.5s Start Test Run O O 10 -1208.5 Close Recon 14 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Tips & Tricks Different kinds of Decision Trees: Templates: Adult: • Not connected to any Templates (11) • You can only connect it Thorax (8) scan range. Info template [factory] (AdultiChild) to Adult scan ranges. Thorax multi [factory] (Adult) • Support of all scan Brain template [factory] (Child) Thorax breathhold and X-CARE [factory] (Adult) modes for customized trees. General: Child: Thorax (3) • No decision tree filter. General (21) • You can only connect it • Independent of scan Side [factory] (Adult/Child) to Child scan ranges. Thorax breathhold [factory] (Child) mode. Brain metal implant [factory] (Adult/Child) Thorax and Abdomen cooperative [factory] (Child) • You can connect it to any range. Scan Mode: Thorax (13) Adult and Child: • Connection possibility Thorax (2) • You can only connect it depends on the scan Thorax multi [factory] (Adult) to Adult & Child scan RTP Motion Management [factory] (Adult/Child) mode. Thorax breathhold and X-CARE [factory] (Adult) ranges. RTP Motion Management Respiratory [factory] (AdultiChild) 15 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Tips & Tricks Building rules for decision trees: xam Designer Scan Protocols Examination Configuration 1. Set up the question & answer. 2. (Set up a contrast protocol.) 3. Look into the scan protocol to see, which decision tree is used. Use this one as the decision tree base. Contrast Protocols myExam Cockpit 4. Set up the decision tree. 5. Link the decision tree to the protocol. WITH 6. Link the recon jobs to the recon strategies. 7. Perform a final check on the Exam UI. 16 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Tips & Tricks Building rules for decision trees: Scan/Recon Scan/Recon Scan Strategies • The decision tree name suffix Range is the sign for an active / inactive scan range. Brain [factory] (Adult) Topogram Non-Contrast Brain Non-Contrast Range [factory]. active Venous Phase Brain Contrast range [factory]. inactive Brain Perfusion [factory] (Adult) Soft tissue/bone? • You can use one question and answer in several decision trees. Is your focus on bone with lower dose or soft tissue with standard dose? Answer 1: Bone Answer 2: Soft Tissue 17 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Tips & Tricks Building rules for decision trees: Questions Which range should be activated • For each scan range which you could set to range1 range2 range3 active / inactive, you need a decision tree. Scan Strategies Decision Tree • One question may be sufficient for deciding among multiple scan ranges. See the example Tree range 1 Tree range 2 Tree range 3 on the screenshots to the right. inactive inactive inactive Which range should be activated Which range should be activated Which range should be activated range1 range2 range3 range1 range2 range3 range1 range2 range active inactive inactive > nactive active › nactive inactive inactive active Scan/Recon Scan Favorites x Scan/Recon Decision Trees Scan Strategies Thorax Range (Adult) Topogram Range1 Tree range 1 Tree range 1. active Range2 Tree range 2 Tree range 2. inactive Range3 Tree range 3 Tree range 3. inactive 18 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Tips & Tricks Decision trees filter for Adult and Sinus soft tissue or bone [factory] Child trees: standard dose adult low dose adult standard dose child low dose child Info Level None 1 None None 2 None • When you build an Adult and Info Text Child tree, please set up strategies Scan Mode RoutineSpiralAdultHeadXcare RoutineSpiralAdultHeadSnXcare RoutineSpiralChildHeadXcare RoutineSpiralChildHeadSnXcare for both adult and child. CARE Dose4D & CARE KV Full Full Full Full CARE KV optimized for Non-Contrast Bone/Calcium Non-Contrast Bone/Calcium CARE KV IQ level 50 25 50 25 + Add Parameter 1 2 Decision Tree Filter RoutineHeadAdult RoutineHeadChild 19 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Tips & Tricks Always check the selections on Sinus soft tissue or bone [factory] the strategy page! standard dose adult low dose adult standard dos child low dose child Info Level None None None None Because it is possible to select Info Text both adult and child scan mode Scan Mode RoutineSpiralAdultHeadXcare RoutineSpiralAdultHeadSnXcare RoutineSpir Adult eadXcare RoutineSpiralChildHeadSnXcare CARE Dose4D & CARE KV Full Full Full in the Adult and Child tree, Full CARE KV optimized for Non-Contrast Bone/Calcium Non-Contrast Bone/Calcium please always make sure that CARE KV IQ level 50 25 50 25 the Patient Type is consistent in: + Add Parameter • Strategy name • Scan mode • Decision Tree Filter On the example screenshot shown here, the user has incorrectly selected an Adult Decision Tree Filter RoutineHeadAdult RoutineHe Child scan mode in a Child strategy. 20 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Tips & Tricks Keep an eye on the strategy Sinus soft tissue or bone [factory] order! standard dose adult low dose adult standard dose child low dose child Info Level None None None None The strategy order on the Scan Info Text Strategies page is not always the Scan Mode RoutineSpiralAdultHeadXcare RoutineSpiralAdultHeadSnXcare RoutineSpiralAdultHeadXcare RoutineSpiralChildHeadSnXcare Full Full Full Full same as on the Decision Tree CARE Dose4D & CARE KV CARE KV optimized for Non-Contrast Bone/Calcium Non-Contrast Bone/Calcium page. CARE KV IQ level 25 + Add Parameter Adult In our example here, the low dose adult + standard dose adult strategy is in first place on the Scan Sinus soft tissue/bone? Strategies page. Bone Soft Tissue But it is the second item listed low dose adult standard dose adult v on the Decision Tree page. standard dose adult Standard dose child low dose child 21 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Tips & Tricks When using an Adult and Child decision tree: Scan/Recon Recon Strategies Sinus [factory (Adult) • In an Adult scan protocol, the Topogram system will ignore Child strategies Topogram 0.60 Tr20 sag in Recon Strategies. You can Sinus leave them selected or Sinus 3.00 Hr60 Q3 ax deselected. Sinus 3.00 Hr40 Q3 ax Sinus soft tissue or bone [factory]. low dose adult, low dose child Sinus 3.00 Hr60 Q3 cor Sinus soft tissue or bone [factory] • In a Child scan protocol, the Sinus 3.00 Hr40 Q3 ax standard dose adult system will ignore the Adult Sinus 3.00 Hr60 Q3 ax Sind v low dose adult ild; Recon Strategies. You can leave Sinus 3.00 Hr40 Q3 cor Sind standard dose child them selected or deselected as ¥ low dose child ild; well. 22 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A myExam Companion Improvements Job Aid SIEMENS Healthineers Tips & Tricks The same questions will appear twice Study Description: Abdomen [factory](Child) in myExam Compass. Patient Characteristics Patient Type Child If the question names are different, but the questions themselves are the same, both questions will occur on the Exam Questions user interface. Is your focus on bone with lower dose or soft tissue with standard dose? Bone Soft Tissue Is your focus on bone with lower dose or soft tissue with standard dose? Bone Soft Tissue Sinus soft tissue/bone? Soft tissue/bone? Is your focus on bone with lower dose or soft tissue with standard dose? Is your focus on bone with lower dose or soft tissue with standard dose? Answer 1: Bone Answer 1: Bone Answer 2: Soft Tissue Answer 2: Soft Tissue 23 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 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 HQ I Siemens Healthineers AG Siemensstr. 3 91301 Forchheim Germany Phone: +49 9191 18-0 siemens-healthineers.com 24 Effective Date: 27 Mar 2025 | QR700018128 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025