syngo CT VB20A General Scan and Recon Improvements Job Aid

SIEMENS Healthineers syngo CT VB20A General Scan and Recon Improvements Job Aid Version 2024.12 Template Effective Date: 10 Aug 2021 | HILS 2223 Job Aid Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Table of Contents Scan Protocol Improvements3 Scan Protocol Improvements 3 NAEOTOM® FAST Planning Improvements11 FAST Planning Improvements 11 Alpha myExam Companion Series Description Improvements13 myNeedle Laser Series Description Improvements 13 Dual Source Cardiac Imaging Improvements 14 Cardiac Imaging Improvements 14 SOMATOM® Pro.Pulse Large bore Dual Energy Imaging Improvements*21 Dual Energy Imaging Improvements* 21 SOMATOM® SOMATOM® Quantum technology Flex 4D Spiral Improvements*24 Flex 4D Spiral Improvements* 24 X.cite X.ceed ASPECT Improvements* 29 ASPECT Improvements* 29 Eco Power Mode31 Eco Power Mode 31 SOMATOM® SOMATOM® go.Sim go.Open Pro Miscellaneous35 Miscellaneous 35 SOMATOM® SOMATOM® SOMATOM® SOMATOM® go.Now go.Up go.All go.Top * Optional 2 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Scan Protocol Improvements All Somaris 10 Systems New Protocol: Protocol: Liver Intervention 3D [factory] Protocol Description Liver Intervention* or Liver Intervention 3D* -Indications: biopsy, abscess in the abdomen, w/wo CM Topogram Examination Information Premonitoring With different contrast phases, before interventional -Scan Modes: PremonitoringSequenceAdult2d, MonitoringSequenceAdult2d, Monitoring procedure: RoutineSpiralAdultAbdomen, Venous Phase Abdomen InterventionSpiralAdultAbdomen, InterventionSequenceAdultAbdomen, Late Phase Abdomen InterventionFluoroAdultAbdomen2d i-Spiral Abdomen -Decision Trees: Additional late range [factory] • Range 1: Venous phase with bolus tracking -Contrast Protocols: Abdomen [factory] • Range 2: Additional late phase triggered by a decision tree • Range 3: Intervention i-range 4 mlis 4 mlis -CH 1 2 3 L L 1s 40 4.9s 170 4.9s 6.2s 10 85 180 5.3 10 20 25 30 35 80 85 90 175 180 185 10 O O * Optional 3 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Scan Protocol Improvements NAEOTOM Alpha and SOMATOM Pro.Pulse New Protocol: Protocol: Lung Screening and Coronary Calcium Scoring [factory] Protocol Description Lung Screening and Coronary Calcium Scoring -Indications: masses, tumor, metastases, lymphoma, Topogram lymph nodes, tuberculosis, empyema, infection, early Lung visualization of pulmonary nodules, screening of the • Combination of Lung Screening and Calcium Scoring lung, identification and quantification of calcified lesions • Available on Somaris 10 Dual Source systems now in the coronary arteries, wo CM Examination Information -Scan Modes: CardiacFlashSpiralAdultPhaseChestQuantumSn 50 60 60 60 60 60 60 60 60 -TH L 2.9s 2.4s 5.3 5.3 10 0 O 4 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Scan Protocol Improvements All Somaris 10 Systems New Protocol: Recon range CTA Brain and Neck scan- 1 ,- 2, and-3- HFS Brain and Neck Multi Phase CTA (mCTA) auto CTA Brain • Three CTA scan ranges (Auto range) A • The first scan range CTA Brain and Neck covers the CTA 10cm Recon range auto settings from the brain perfusion protocol. KV 1.30 scan 1, only CTA Brain The second and third scan ranges CTA Brain cover the mA 30 T1 3.32 L • 512.0 00 500 entire brain as perfusion scan range. Tr20rS.n3. 00000.0HtAS1a34 50 auto • The temporal offset (cycle time) between each scan is approximately 8 seconds. ~ 8 s 2 8S • Check all timing parameters after scan length changes 3.35 10.55 5.25 even with FAST Planning. 4 27.1 10 20 25 This mCTA protocol is designed for visual comparison of the arrival times of the regional contrast agent. 5 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Scan Protocol Improvements All Somaris 10 Systems New Protocol: Neck and Thorax • New Neck and Lung FAST Planning range FAST Planning FAS Wid Lung Protocol: Neck and Thorax [factory] + Vascular > CAP Protocol Description Topogram , NCAP -Indications: masses, tumor, lymphoma, lymph nodes of Neck and Lung the larynx or pharynx, lung, w/wo CM Premonitoring Examination Information Neck and Chest -Scan Modes: PremonitoringSequenceAdultQuantum2d, Monitoring Neck to Symphysis MonitoringSequenceAdultQuantum2d, Neck and Thorax Neck to Pubic Arch RoutineSpiralAdultThoraxQuantumplus Decision Trees: Thorax contrast medium necessary Neck to Ischium [factory] Neck to Trochanter Whole Body 6 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Scan Protocol Improvements SOMATOM go.Now/Up/All/Top/Sim/Open Pro, SOMATOM X.cite/ceed, SOMATOM Pro.Pulse Changed Protocols: Protocol: Coronary CTA [factory] Protocol Description Dual topo in all cardiac protocols -Indications: identification, quantification of calcified Topogram lesions in the coronary arteries, wo CM; stenosis of the Topogram coronary arteries, w CM • Better image quality Examination Information Calcium Scoring -Scan Modes: CardiacSequenceAdult, Premonitoring • Better positioning PremonitoringSequenceAdult2d. • Auto isocenter adaptation of the table height is possible MonitoringSequenceAdult2d, CardiacSpiralAdultAngio Monitoring • Default in all cardiac protocols -Decision Trees: Coronary Calcium Scoring HR variability CTA Coronary range [ factory]; Coronary CTA HR variability and HR [factory] -Contrast Protocols: Coronary CTA [factory] 7 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Scan Protocol Improvements SOMATOM X.cite and SOMATOM X.ceed Changed Parameters: Scan/Recon Pitch Rot. Exam Time Time [s] [s] Patient Instruction • To improve abdomen image quality, a pitch of 0.6 is Abdomen 0.60 0.25 5.99 Inspiration used in all default Abdomen protocols. 8 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Scan Protocol Improvements All Somaris 10 Systems Deleted Protocols: Specials (2) • CTDI measurement protocols are removed. wol measurement desu [fact ... -nul measurement >. + Mfact ... • A new tool is available, called CTDI Individual in the Administration Portal  Quality Assurance  CTDI Individual. Intervention (4) Thorax Intervention 3D [ facto ... Diagnosis Installation &# Technical Configuration O Quality Assurance Clinical Configuration Quality Assurance CTDI Individual Quality Status Overview Scan and Reconstruction Parameter CTDI Calculation Parameter IEC Constancy IEC Constancy Reference Load Parameter Set| Select saved parameter set .. Load Current Single Axial Scan: Save Parameter Set Name your parameter . Save IEC Acceptance CTDIw [mGy] Scan Mode Select basic scan mode ... Extended QA Clinical Scan: kV Pitch CTDI Individual Eff. mAs Feed [mm] mA Exposure Pattern [s] Shaped Filter CTDIvol [mGy] Acquistion [mm] Rotation Time [s] Collimation [mm] FoV [mm] 9 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Scan Protocol Improvements All Somaris 10 Systems New exam protocols, new features, decision trees and contrast protocols* RTP (12) for Radiation Therapy (RT) support: RTP Head [factory] RTP Head and Neck [factory] RTP Brain and Whole Spine [f ... RTP exam protocols for NAEOTOM Alpha Class scanners RTP Thorax [factory] • Updated RTP protocols including DirectDensity reconstruction RTP Respiratory 4D [factory] • RTP Respiratory Motion Mana ... • ZeeFree RT for Direct i4D scans RTP Breast [factory] Bolus tracking and injector coupling for Twinspiral RTP Abdomen [factory] • Updated RTP Respiratory Motion Management, combined 4D scan and RTP Pelvis [factory] • Direct Breathhold decisions in one protocol with a clinical decision tree RTP Spine [factory] RTP Extremity [factory] • Linked HD FoV, iMAR, and contrast medium decision trees RTP Commissioning [factory] Is the anatomical region within the current FoV? Yes No Do you see any metal implants on the topogram? Yes NO Would you like to add another range with contrast medium? Yes NO * For more RT details, please see the VB20 learning objects in the Radiation Therapy training area of PEPconnect. 10 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers FAST Planning Improvements All Somaris 10 Systems FAST Planning 3D: • New Algorithm to correct the third dimension for FAST Planning • Always runs if you select a FAST Planning preset. You do not need to change any extra parameter. • Runs only once after scanning (RTD) • It works for both Fix Axial and 3D Recons. SOMATOM X.ceed CT EE, CS SE SOMATOM X ceed CT EE, CS SE CT EE, CS SE SOMATOM X ceed 12345678 12345678 12345678 SOMATOM X.ceed syngo CT VB20A *1/1/1990, 0, 34Y syngo CT VB10A 12345678 *01/01/1990, 0, 34Y syngo CT VB20A *01/01/1990, 0, 34Y *1/1/1990, 0, 34Y syngo CT VB10A 11/29/2024 FFS 11/29/2024 11/29/2024 FFS 11/29/2024 10:55:36.13 AM TOP 101 TP1 -1,167.4 10:56:10.02 AM 10:51:45.90 AM RTD 201 TOP 101 TP1 -1,167.4 10:53:28.52 AM 1 IMA 1 TP2 -896.5 RTD 201 LEN 270.9 101 IMA 34 1 IMA 1 TP2 -896.5 LEN 270.9 101 IMA 34 TP-1,262.0 FOV 193×193 TP -1,033.4 TP-1,262.0 FOV 136×136 TP -1,033.4 VB20 VB10 10cm KV Sn100 KV. Sn.100 -- Eff. mAs 822 Eff. mAs 825 KV Sn100 A Quality ref. mAs 553 F KV Sn100 MA 56 A Quality ref. MAs 553 MA 55 TI 1.0 TI 1.0 F TI 3.32 GT 0.0 GT 0.0 SL 4.0/1 28x0.6 (z-sharp)/p0.4 SL 4.0/1 28x0.6 (z-sharp)/p0.4 550.72 0/ 500.0 0/0 1375 W Filter S 550.72 0/0 350 Simulator C 50 500.0 0/0 Simulator Filter Sn 200 11 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers FAST Planning Improvements All Somaris 10 Systems New FAST Planning ranges: Two Examples: Wide and Narrow Tilt H Topo Direction H Entry Name Carotid Aortic Arch to Skull Neck and Chest Both knees APPA* Narrow only None Carotid Aortic Arch APPA & LAT** Narrow only None to Skull Runoff Knee APPA Narrow only None to Feet Neck and APPA Lung Wide and Narrow None Neck and APPA Chest Wide and Narrow None Filter Sn Filter Sn * Anterior-Posterior (AP) and Posterior-Anterior (PA) directions 12 ** Lateral direction Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Series Description Improvements All Somaris 10 Systems User Texts: Diagnosis Installation &# Technical Configuration Quality Assurance Clinical Configuration Examination Configuration General Configuration Dose You can add or modify up to two User Texts to the series description before Cardiac Maximum Child Age recon starts: Respiratory 11 + years Image Table DICOM Node Marked as d.via • Go to the General Recon tab card. Patient None • By default, one User Text is available. General Show Examination Information in Protocol Selection Audio • You can add the second User Text in the Administration Portal  Clinical Use Requested Procedure as Study Description in Single Study Mode Reference Slice Configuration  General (Configuration)  Series Description Available Patient Setup Series Description Items. Data Preprocessing Available Items Selected Items • Insert the User Texts at any position of the whole series description. Patient Browser Image Type Kernel IBHC Predefine the User Texts in the Exam Designer. Prior Study Search Iterative Recon Strength • Reading Matrix Size Recon Phase User Text 2 DICOM Data Handling Image Orientation iMAR Recon&GO Type Please note: You cannot directly edit the series description by selecting a Licensing Application Class Recon Cycle Pattern HD FOV Layout Management User Text 1 text line in the Scan/Recon column anymore. Recon Favori ... General Recon Recon&GO Image Impression | Recon Box Physio Recon Auto Tasking Inline Options - - Scan/Recon User Text 1 Slice Thickness Increment No. of [mm] [mm] Images Comment 1 Comment 2 Neck, Thorax and Abdomen 5.00 B160 Q3 sag Lung 1 Lung 5.00 5.00 I 42 Neck, Thorax and Abdomen 5.00 B160 Q3 cor Lung2 Lun 5.00 5.00 42 13 Neck, Thorax and Abdomen 5.00 B160 Q3 ax 5.00 5.00 68 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Cardiac Imaging Improvements All Somaris 10 Systems Preview Series (1 of 6): on Recon&GO | Image Impression | Recon Box Physio Recon - For retrospective ECG-gated spiral and prospective ECG- Recon Type Recon Phase • triggered sequence acquisitions, you can perform a Preview BestPhase (diastolic) 75 Series reconstruction to reconstruct a single image at multiple BestPhase (diastolic) BestPhase (systolic) different ECG phases within one recon job. Therefore, it is like a Single Phase Multi Phase 60 60 60 60 multiphase reconstruction limited to a single image with Preview Series settings optimized for reconstruction speed. • Use a Preview Series to determine the cardiac phase with the least motion present in the images by visual inspection. 5 mlls • You can find the Preview Series item in the Physio Recon tab card  Recon Type column  select Preview Series from the 3.3s 0.35 drop-down list. 9.9 There is a specific recon job icon for this recon type: 10 15 • luta I 14 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Cardiac Imaging Improvements All Somaris 10 Systems Preview Series (2 of 6): Autd II • After the acquisition of the Coronary CTA, you can repeat one of CT EE, CS SE the recon jobs. Switch the Recon Type to Preview Series. 12345678 H SOMATOM X.ceed 01/01/1990, 0. 34Y syngo CT VB20A 1 2/1 6/2024 HFS 10:30:34.75AM • The system positions the preview slice inside the scan range TOP 101 TP1 -919:2 1 IMA 1 TP2-921.2 TP -750.0 LEN 2.0 FOV 183×183 using FAST Planning. R • You can move the preview slice to the desired position with the help of the image position line. 10cm KV Sn100 mA 55 A TI 3.32 550.72 0/0 350 Simulator Filter Sn 50 15 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Cardiac Imaging Improvements All Somaris 10 Systems Preview Series (3 of 6): Auto II • You can define the Recon Phase in steps of 20, 10, 5 or 2, if the phase unit is %. Recon Favorites | General Recon/ Recon&GO | Image Scan/Recon Recon Type Recon Phase Step Recon Phase Re Ph • You can define the Recon Phase in steps of 200, 100, 50 or 20, if CTA Coronary 2.00 Bv36 70 ... Preview Series 5 70%; 75%; 80%; 85 ... the phase unit is ms. 30% 35% 40% 60 60 60 60 60 45% 60 50% 55% 60% 65% ¥ 70% ¥ 75% ¥ 80% 85% 90% 95% 100% L 3.3s 9.9 9.9 10 10 O O 16 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Cardiac Imaging Improvements All Somaris 10 Systems Preview Series (4 of 6): CTA Coronary Start Recon • After setting up the Preview Series parameters, you can directly Show Parameters start the recon by selecting the context menu item Start Recon. Delete Repeat Copy All Recon Parameters X After reconstruction, you can see the different reconstructed Copy Recon Volume Parameters • Paste All Recon Parameters phases in the slice. Paste Recon Volume Parameters CT EE, CS SE A 12345678 SOMATOM X ceed *01/01/1990, 0, 35Y syngo CT VB20A • Determine the best phase from the Preview Series recon. 01/30/2025 HFS 12:53:18.41 PM SEQ 203 2 IMA 161 TP -932.0 • Select another recon job with Single Phase, then perform the diagnostic recon with the determined best phase. R 60bpm, 80%, 125ms, ZF 5cm KV 80 Elf. MAS 69 Quality ref. mAs 157 F GT 0.0 182.56 27/22 700 Simulator 60bpm, 80%, 125ms, ZF 240 17 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Cardiac Imaging Improvements All Somaris 10 Systems Preview Series (5 of 6): Juta II • To create a new Preview Series recon, you can repeat this recon job or select Clear Preview Series in the context menu and use CTA Coronary the same recon job icon. Start Recon Show Parameters • The database does NOT store any of the preview images. Delete Repeat Please note: Once you have used a recon job icon to create Preview Copy All Recon Parameters Series, please do NOT use the same icon to reconstruct any other Copy Recon Volume Parameters diagnostic recons (single, multi or best phase), as it will NOT store Paste All Recon Parameters the result images under this recon job. Paste Recon Volume Parameters Clear Preview Series Create Image with Reference Lines Send to CT View&GO Edit Result in CT View&GO 18 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Cardiac Imaging Improvements All Somaris 10 Systems Preview Series (6 of 6): • A Preview Series cannot be combined with Multi Recons or any Inline Results parameter. • If you create a Preview Series, some parameter values are hidden. • If you perform several reconstructions and Preview Series, the system prioritizes a Preview Series reconstruction among the queued recon jobs in the Job View tab. Scan/Recon Slice Thickness [mm] Window@120kV Kernel Fix Axial iBHC Image Orientation Matrix Size Matrix StackRecon Auto Recon CTA Coronary 2.00 Bv36 70 ... 2.00 Cardio Bv36 On Off Axial Auto (512; Square TrueStack Off 19 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Cardiac Imaging Improvements SOMATOM Pro.Pulse and SOMATOM go.Top Additional Parameter: Recon Favorites General Recon Recon&GO Image Impression User Text 1 Slice Thickness Increment A minimal slice thickness of 0.6 mm is possible for a [mm] [mm] • Cardiac sequence* with fix axial on SOMATOM Pro.Pulse and SOMATOM go.Top systems. Q3 BestDiast ZF 0.80 0.50 0.60 0.80 ✓ For all countries 1.00 ✓ Not in default protocols 60 60 60 60 1.50 60 2.00 3.00 4.00 5.00 6.00 7.00 * Optional 20 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Dual Energy Imaging Improvements SOMATOM go.Now/Up/All/Top/Sim/Open Pro, SOMATOM X.cite/ceed, SOMATOM Pro.Pulse Bolus tracking and injector coupling for Recon Favori ... . | General Recon Recon&GO Image Impre ... O Recon Box Physio Recon Auto Tasking - Twinspiral DE: Spectral Recon nline Results Multi Recons lodine None Orientation ... It is now possible to use Bolus Tracking (Test None Monoenergetic Plus Bolus) and Injector Coupling for Twinspiral DE VNC lodine Instruction Language Mute scan ranges. Control English Contrast H3D Command Patient Instruction Apply to all Bolus Tracking Test Bolus Injector Coupling Inspiration In the Recon&GO tab card, you can select VNC RoutineSpiralAdultAbdomenTwinspiral (max. 100 cm) and Iodine in the Spectral Recon* column for 2 mlis 4 mlis 3 mlla KV 100/Sn150 L/H Exam Time 12.16 S Range Name Kidney Stones contrast-enhanced Twinspiral DE scans. .3s 0.3s 0.85 12.25 10 22.2 10 O 10 15 20 25 30 35 O * Optional 21 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Dual Energy Imaging Improvements All Somaris 10 Systems Enable iBHC selection for DE Ranges*: Inline Results Application Class iBHC iBHC Material You can select from and edit iBHC (iterative Beam Hardening Correction) and iBHC Material for all DE Parallel Ranges Bone Marrow On Bone v Application Classes except Brain Hemorrhage for Bone DE Ranges. lodine For Application Class Brain Hemorrhage as part Inline Results Application Class iBHC iBHC Material syngo.CT Brain Hemorrhage**: iBHC is always On and read only. DE Parallel Ranges Brain Hemorrhage On Bone • • iBHC Material is always Bone and read only. * Optional 22 Effective Date: 27 Mar 2025 | QR700018692 ** Optional. This CT post-processing application is a standalone medical device. Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Dual Energy Imaging Improvements All Somaris 10 Systems Organ Segmentation for Bone Marrow as part of CT Dual Energy Q + syngo.CT Dual Energy*: ProPulse_059 CT Dual Energy ProPulse 059 SOMATOM Pro. Pulse 08/10/2023, M syngo CT VB20A Spi201 [700|701] 08/08/2023 100[HU] Activate or deactivate the Bone Segmentation FOV Extend Reculit 4:28:03.87 PM ROL Text Layout State 702 IMAn.a. | 704 IMAn.a. SP R1.4 | SP R1.4 functionality to apply the bone marrow overlay only to Archive Publish areas that contain bone. Results Results CT Dual Energy ProPulse_059 5cm CT Dual Energy ProPulse 059 SOMATOM Pro. Pulse *08/10/2023, M syngo CT VB20A -150 [HU] O. E Spi201 [700|701] 08/08/2023 100 [HU] FOV Extend a 46.00% Recet Result 4:28:03.87 PM ROI Text Layout State 702 IMAn.a. | 704 IMAn.a. SL min SP R1.4 | SP R1.4 MPR FUSION 600 350 DE MIX Sn140/100 (M 0.3)/VNCA 1.50 = Archive Publish etults Results Application Profile Bone Marrow (F ... Bone Marrow (Full Body) 5cm Resolution Maximum [HU] 800- Default -150 [HU] Threshold [HU] -300 ¢ a 46.00% SL min Calculam MPR FUSION 600 DE MIX Sn140/100 (M 0.3)/VNCA 150 W 350 C Homen A 23 Apply Bone Segmentation Effective Date: 27 Mar 2025 | QR700018692 *Optional. This CT post-processing application is a standalone medical device. Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Flex 4D Spiral Improvements* NAEOTOM Alpha, SOMATOM X.cite and SOMATOM X.ceed Please find the supported minimal and maximal cycle times for each dynamic scan mode in the Basic scan mode Min. cycle time Max. cycle time table to the right. DynamicSpiralAdultHead 1.0 s 1.5 s** The system will not automatically adapt the cycle time when you change the scan range. Instead, you can manually select a cycle time within the DynamicSpiralAdultAngioHead 1.5 s*** 2.5 s supported range. DynamicSpiralAdultAngioNeck 1.5 s*** 2.5 s DynamicSpiralAdultBody 1.4 s 1.8 s DynamicSpiralAdultAngioBody 2.0 s 3.0 s * Optional ** Maximum cycle time on SOMATOM X.cite: 1.57 s 24 *** In syngo CT VB10, NAEOTOM Alpha supported 1.4 s cycle time to enable sufficient short scan image ranges (obsolete) Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Flex 4D Spiral Improvements* NAEOTOM Alpha, SOMATOM X.cite and SOMATOM X.ceed Requested new scan BOMATON KETED *10 1245924, 1067 Cart 22324 CTDIvol (16 cm) 255 mGy $ 33 10:49 PM TOP 301 SSDE (17 cm) 235 mGy image range: DLP 2021 mGy*cm 71 mm 1:02m When you adapt the 5 10 15 20 25 30 35 40 45 So 55 60 O scan range during a 450-72 MO 1770%A. R. 3:0300303 0P-ECUI AB EN scan, the: Request of new scan image range Exposure pattern maintained 2124 09 13-13:31 12-093-1 3122 1107 5:00 ] 03/1 2/2024 CTDIvol (16 cm) 257 mGy 1 23 10.30 PM TOP 2011 ZIMAE SSDE (18 cm) 226 mGy DLP 1754 mGy*cm • Cycle time is maintained. 56 mm 1:02m • Exposure pattern is 10 15 20 30 35 40 45 50 55 60 O EN maintained. Request of new scan image range Exposure pattern maintained P10 Bench_Vir20 • CTDIvol is 203:4 09 12-122% 12-061-13122 1101: 5 99.3 -10-1 2/1924, 10EY Can 2/2024 CTDIvol (16 cm) 249 mGy 1 33:1089 PM TOP 101 SSDE (18 cm) 218 mGy maintained. DLP 1469 mGy*cm .................................... 1:02m 44 mm wy Sn1 40 10 15 20 25 30 35 40 45 50 55 MASS 60 O 450- 72 010 EN * Optional 25 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Flex 4D Spiral Improvements* NAEOTOM Alpha, SOMATOM X.cite and SOMATOM X.ceed • In VB20, you can configure the Cycle Time independently on the scan range. • The default Cycle Time is the maximum Cycle Time supported (includes factory protocols as well as updated customized protocols). • If you use Cycle Times different from the maximum one supported in your existing protocols, please check and set the cycle time correctly after the software upgrade. Or you can reach out to your local Siemens Healthineers service support team to adapt the protocols for you. Scan Favorites General Scan Dose CH Scan/Recon Pitch Rot. Exam Time Cycle Time [s] [s] Time [s] Patient Instruction Perfusion Brain 0.50 0.25 46.70 1.10 None - * Optional 26 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Flex 4D Spiral Improvements* NAEOTOM Alpha, SOMATOM X.cite and SOMATOM X.ceed • Please find the maximum scan ranges possible** broken down by CT scanners and scan modes in the table to the Basic Scan Neuro Body Head CTA Body CTA right. mode (cm) (cm) (cm) (cm) NAEOTOM • Minimum scan ranges possible are limited by collimation Alpha 12 32 48 81 width (4 cm, respectively 6 cm***). SOMATOM X.ceed 11 25.5 36 58 SOMATOM X.cite (Vitus, 10 21.5 30.5 48 Vario2.D) SOMATOM X.cite (Vario 2) 10 19.5 28.5 44 * Optional ** The range length numbers are given in steps of 0.5 cm to improve readability. The actual realized numbers at the CT systems might therefore be slightly different. Grayed numbers have not been changed compared to syngo CT VB10. *** The only exception is with DynamicSpiralAdultAngioBody basic scan modes. The minimum possible scan range in VB20 is larger 27 than collimation width but still smaller than the minimum possible scan range with syngo CT VB10. This applies to all the scanners. Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Flex 4D Spiral Improvements* SOMATOM Pro.Pulse and SOMATOM go.Top Enabled full z-position- and angular-dependent dose modulation as part of CARE Dose4D on SOMATOM Pro.Pulse and SOMATOM go.Top systems. 09/11/2024 09/11/2024 11:58:52.06 AM syngo CT VB10 HFS 11:58:52.06 AM syngo CT VB20 HF TOP 201 IP1 -1,330.2 TOP 201 3 IMA 1 3 IMA 1 TP-1,202.5 LEN 309.5 TP-1,202.5 LEN 10cm 10cm KV Sn140 L KV Sn140 mA 55 mA 55 TI 3.32 TI 3.32 498.0 0/0 W 500 498.0 0/0 500 Tr20fA.n.3.:0000000:0ALCU1agB Filter Sn C 50 Tr20fA.n.3.:0000000:0At.CU1 agB Filter Sn 50 * Optional 28 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers ASPECT Improvements Within syngo.CT ASPECTS* All Somaris 10 Systems Assessment of the severity of ischemic changes on Affected area (X) Recon&GO non-contrast CT head scans E Rapid Results C 40.6 C 40.9 IC 33.6 X IC 35.5 Benefits INS 35.3 X INS 38.3 L 38.5 X 41.8 Highlights the affected brain regions (bold) and M1 35.4 X M1 provides the average HU value in each of the 10 M2 35.5 M2 37.1 automatically segmented regions. M3 38.1 M3 38.2 Provides the overall ASPECT Score** ranging from 0 M4 35.5 M4 36.5 33.9 M5 (most severe) to 10 (least severe) regions with M5 34.6 M6 36.9 M6 36.0 automatic detection and visualization of old infarct. Image quality notification in case the head is not in ASPECT Score 6 isocenter, with automated orientation correction through optimal head rotation. Image courtesy of Hôpital Morges, Morges, Switzerland 29 * Optional. This CT post-processing application is a standalone medical device. Effective Date: 27 Mar 2025 | QR700018692 ** ASPECT Score is not available for sale in the U.S. and its future availability cannot be guaranteed. Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers ASPECT Improvements Within syngo.CT ASPECTS* All Somaris 10 Systems Quality Check Plane alignment Old infarcts Core infarct Image quality notification Automated orientation Automatic detection and Automatic detection and in case head is not in iso- correction – find optimal visualization of old infarct visualization of acute center rotation of the head (dark yellow color-coded) ischemic change (red area) Please ensure that horizontal positioning is correct as it may impact the CT ASPECT Score. RAF nativ ASPECTS results only visible in 2D slices 30 * Optional. This CT post-processing application is a standalone medical device. Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Eco Power Mode (1 of 4) NOT for SOMATOM go.Now and SOMATOM go.Up Eco Power Mode helps to reduce power consumption when your CT system Patient Registration CT EE, CS SE Medical Information Exam Information (gantry and patient table) is not in use. The leaf icon indicates the Eco Power Last Name CTEE Admitting Diagnosis Mode status with different colors: First Name CS SE Requested Procedure Title Description Suffix Alerts Accession No Middle Name Medical Alerts ID 27908e7d-6fbc-4e Patient ID 12345678 Comments • Green: Eco Power Mode is on. Eco Power Mode is turned off Date of Birth 01/01/1990 MM/dd/yyyy Allergies Age 34 Year(s) automatically when any key on any of the control devices is pressed Sex Other Radiotherapy Prescription Height or there are running scanning tasks in progress. ft No connection to the Oncology Information System. Weight U.S. Please contact your Siemens Healthineers service technician. No radiotherapy prescription information will be used if you continue the exam. • White: Eco Power Mode is off. If Enable Manual Eco Power Mode is configured, you can select the leaf icon and then Activate to Eco Power Mode is on. manually turn on Eco Power Mode. If Enable Automatic Eco Power Mode is selected, the Eco Power Mode turns on after a preset time Isafety relevant information needs to be validated and confirmed * Mandatory information Save Cancel Delete Local Data Prior Studie period. Eco Power Mode is on . • Gray: Eco Power Mode is disabled. If neither Enable Automatic Eco Power Mode nor Enable Manual Eco Power Mode are configured, the leaf icon turns to gray. 31 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Eco Power Mode (2 of 4) NOT for SOMATOM go.Now and SOMATOM go.Up Operations that deactivate Eco Power Mode: • Open a patient for examination from the main console or from a tablet. • Start system Checkup or Calibration procedure. • Press any key on any of the control devices. Operations that do not deactivate Eco Power Mode: • Open CT View&GO. • Use postprocessing applications. • Do offline Recon (from Patient Browser). • Open Exam Designer. 32 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Eco Power Mode (3 of 4) NOT for SOMATOM go.Now and SOMATOM go.Up From the Administration Portal  Diagnosis Installation * Technical Configuration Quality Assurance Clinical Configuration Technical Configuration  Eco Site Information Eco Power Mode Power Mode, you can enable or >Remote Service Licensing Eco Power Mode reduces energy consumption. You can access all applications at the console and tablet, for example, CT Scan&GO. disable the feature. You can also User and Role Administration Enable Automatic Eco Power Mode adjust how long the CT system Result Handling Configuration waits while inactive before DICOM Nodes System ready Eco Power DICOM Data Handling Table and gantry ready after 10 min Table ready entering the power saving state: Gantry ready within 30 s Auditing to Syslog Server Connect to File Share • To automatically turn on Eco Quality Assurance Power Mode after a defined Remote Control Pairing Enable Manual Eco Power Mode period of inactivity, select Application Configuration Eco Power Mode activated Eco Power Enable Automatic Eco Power Ablation Device Settings manually RT Laser instantly Table ready Gantry ready within 30 s Mode. 3D Camera Calibration • To be able to manually turn on Tablet Wi-Fi QR Code Connect Eco Power Mode, select Enable Eco Power Mode Manual Eco Power Mode. 33 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Eco Power Mode (4 of 4) NOT for SOMATOM go.Now and SOMATOM go.Up Eco Power Mode in Scan&GO: You can also activate the Eco Power Mode on the tablet. SIEMENS Healthineers EQ SIEMENS Healthineers EO Eco Power Mode is off. Eco Power Mode is on. Q Search by Name, ID, DoB, Description, Procedure D Activate Q Search by Name, ID, DoB, Description, Procedure D Activate Today, Scheduled (1) Today, Scheduled (1) C Y = Demo patient, Education Demo patient, Education ... *01/01/1990, 0 12345678 ... *01/01/1990, O 12345678 09:27 12/03/2024 09:27 12/03/2024 34 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Miscellaneous All Somaris 10 Systems Enlarged grabbing area for the FAST 3D camera: SIEMENS . Healthineers Berger, Dana X 712/1956 Thorax [factory] (Adult) / Head First - Supine • Enlarge the adjustable area of the 3D camera topo length. C Table Movement In • For ease of use, we recommend to adjust the topo length on the tablet. Topogram Length [mm] 1,309 Audio Control Instruction Language English Audio Visual Test Table Movement Start Test Run Radiotherapy Mode: Table moves in horizontal direction only Live Image is off -230.0 Press MOVE Back GO 35 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Miscellaneous All Somaris 10 Systems Select All / Deselect All: Recon Favori ... | General Recon / | Recon&GO | Image Impression Recon Type Recon Recon Phase Recon Phase Step Phase Unit StackR • Select All / Deselect All buttons for list boxes with checkboxes are Multi Phase 10 10%: 20%: 309% % Zeef now available. Select All • They are available for list boxes with more than four entries. Deselect All 60 60 60 60 • Exception: Recon Strategies. 10% ¥ 20% ¥ 30% ¥ 40% 50% 60% 70% 80% 90% 100% Slice Thickness & Increment per Recon: Recon Favori ... General Recon/ Recon Scan/Recon User Slice Thickness Increment No. of Text 1 [mm] • You can now define different Slice Thicknesses and Increments in [mm] Images Thorax 8.00 B160 Q3 cor 8.00 8.00 26 Multi Recons. Thorax 5.00 B160 Q3 sag 5.00 4.00 119 Thorax 3.00 B160 Q3 ax 3.00 2.50 107 36 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025 syngo CT VB20A General Scan and Recon Improvements Job Aid SIEMENS Healthineers Miscellaneous All Somaris 10 Systems Start Recon item in context menu: Recon Ranges Topogram • You can now start each individual recon job from the context menu. Thorax Auto Tilt when closing the patient: Start Recon Show Parameters • The system now automatically tilts the gantry back to zero Delete degree after selecting Close Patient. Repeat Copy All Recon Parameters Copy Recon Volume Parameters New User Interface languages: • syngo CT now supports two new User Interface languages: Swedish and Portuguese. 37 Effective Date: 27 Mar 2025 | QR700018692 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 38 Effective Date: 27 Mar 2025 | QR700018692 Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025