syngo CT VB20A General Scan and Recon Improvements - USA

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: 12 Nov 2025 | QR700028785 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 NAEOTOM® Scan Protocol Improvements 3 Alpha myExam Companion FAST Planning Improvements 10 Am myNeedle Laser Dual Source Series Description Improvements 12 SOMATOM® Pro.Pulse Large bore Cardiac Imaging Improvements 13 Quantum technology Dual Energy Imaging Improvements* 20 Flex 4D Spiral Improvements* 23 SOMATOM® SOMATOM® Eco Power Mode 28 go.Sim go.Open Pro Miscellaneous 32 SOMATOM® SOMATOM® SOMATOM® SOMATOM® go. Now go.Up go.All go. Top * Optional 2 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 1 2 3 L 1s 40 4.95 170 4.9s 6.25 10 85 180 5.3 10 20 25 30 35 80 85 90 175 180 185 10 O O ^ X. Family systems not included at this time. 3 * Optional Effective Date: xx Xxx 2025 | QR7000xxxxx 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 Ch • Examination Information -Scan Modes: CardiacFlashSpiralAdultPhaseChestQuantumSn 50 60 60 60 60 60 60 60 60 -TH L 2.9s 2.45 5.3 5.3 5 10 O O 4 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 Recon range 10cm auto settings from the brain perfusion protocol. KV 130 scan 1, only CTA Brain • The second and third scan ranges CTA Brain cover the mA 30 TI 3.32 L entire brain as perfusion scan range. 512.0 00 W 500 Tr20rS.n3. 00000.0HtAS1a4 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 5.25 even with FAST Planning. 4 19.2 27.1 10 Is 20 25 50 This mCTA protocol is designed for visual comparison of the arrival times of the regional contrast agent. ^ X. Family systems not included at this time. 5 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 + Vascular Protocol: Neck and Thorax [factory] + CAP Protocol Description ¥Topogram - NCAP -Indications: masses, tumor, lymphoma, lymph nodes of Premonitoring Neck and Lung the larynx or pharynx, lung, wiwo CM Examination Information Neck and Chest Monitoring -Scan Modes: PremonitoringSequenceAdultQuantum2d, 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 ^ X. Family systems not included at this time. 6 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 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 Calcium Scoring Examination Information 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: xx Xxx 2025 | QR7000xxxxx 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. col measurement Wego [fact ... -Tul measurement .. + Ifact ... • 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 Save Parameter Set Current Single Axial Scan: 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] ^ X. Family systems not included at this time. 8 Effective Date: xx Xxx 2025 | QR7000xxxxx 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] RTP Respiratory 4D [factory] • Updated RTP protocols including DirectDensity reconstruction 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 ^ X. Family systems not included at this time. 9 * For more RT details, please see the VB20 learning objects in the Radiation Therapy training area of PEPconnect. Effective Date: xx Xxx 2025 | QR7000xxxxx 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 CTEE, CS SE 12345678 SOMATOM X.ceed CT EE, CS SE 12345678 12345678 SOMATOM X ceed *01/01/1990, 0, 34Y syngo CT VB20A syngo CT VB20A syngo CT VB10A FFS *01/01/1990, O, *1/1/1990, 0, 34Y *1/1/1990, 0, 34Y syngo CT VB10A 11/29/2024 11/29/2024 11/29/2024 FFS 11/29/2024 10:55:36.13AM TP1 -1,167.4 10:56:10.02 AM 10:51:45.90 AM TP1 -1,167.4 10:53:28.52 AM TOP 101 RTD 201 TOP 101 RTD 201 1 IMA 1 TP2 -896.5 TP2 -896.5 TP-1,262.0 LEN 270.9 101 IMA 34 1 IMA 1 101 IMA 34 FOV 193x193 TP -1,033.4 TP-1,262.0 LEN 270.9 FOV 136x136 TP -1,033.4 VB20 VB10 10cm KV Sn100 .KV.Sn.1.00. Eff. mAs 822 Eff. mAs 825 KV Sn100 A Quality ref. mAs 553 F Kv Sn100 A Quality ref. mAs 553 mA 55 TI 1.0 MA 55 TI 1.0 F TI 3.32 GT 0.0 GT 0.0 SL 4.0/1 28x0.6 (z-sharp)/p0.4 550.72 0/ 500.0 0/0 137.5 SL 4.0/1 28x0.6 (z-sharp)/p0.4 550.72 0/0 350 Filter S 50 500.0 0/0 Simulator Simulator Filter Sn 290 10 ............................................................................................................ ^ X. Family systems not included at this time. Effective Date: xx Xxx 2025 | QR7000xxxxx 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: Entry Name Topo Direction Wide and Narrow Tilt Carotid Aortic Arch to Skull H Neck and Chest Both knees AP/PA* Narrow only None Carotid Aortic Arch AP/PA & LAT** Narrow only None to Skull Runoff Knee AP/PA Narrow only None to Feet Neck and AP/PA Lung Wide and Narrow None Neck and A/PPA Chest Wide and Narrow None Filter Sn FilterSn ^ X. Family systems not included at this time. * Anterior-Posterior (AP) and Posterior-Anterior (PA) directions 11 ** Lateral direction Effective Date: xx Xxx 2025 | QR7000xxxxx 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 You can add the second User Text in the Administration Portal  Clinical Show Examination Information in Protocol Selection Audio • 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 Kemel 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 Application Class Recon&GO Type Please note: You cannot directly edit the series description by selecting a Licensing 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 Lung1 Lung1 5.00 5.00 Neck, Thorax and Abdomen 5.00 B160 Q3 cor Lung2 Lun 5.00 5.00 42 12 Neck, Thorax and Abdomen 5.00 B160 Q3 ax 5.00 5.00 68 Effective Date: xx Xxx 2025 | QR7000xxxxx ^ X. Family systems not included at this time. 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): • For retrospective ECG-gated spiral and prospective ECG- triggered sequence acquisitions, you can perform a Preview Series reconstruction to reconstruct a single image at multiple on Recon&GO | Image Impression | Recon Box Physio Recon - different ECG phases within one recon job. Therefore, it is like a Recon Type Recon Phase multiphase reconstruction limited to a single image with BestPhase (diastolic) 75 settings optimized for reconstruction speed. BestPhase (diastolic) BestPhase (systolic) Single Phase • Use a Preview Series to determine the cardiac phase with the Multi Phase 60 60 60 60 least motion present in the images by visual inspection. Preview Series • You can find the Preview Series item in the Physio Recon tab card  Recon Type column  select Preview Series from the drop-down list. • There is a specific recon job icon for this recon type: luta I ^ X. Family systems not included at this time. 13 Effective Date: xx Xxx 2025 | QR7000xxxxx 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): Jutd II • After the acquisition of the Coronary CTA, you can repeat one of CT EE, CS SE H the recon jobs. Switch the Recon Type to Preview Series. 12345678 SOMATOM X.ceed *01/01/1990, 0,34Y syngo CT VB20A 1 2/1 6/2024 HFS 10:30:34.75AM TOP 101 TP1 -919.2 • The system positions the preview slice inside the scan range 1 IVA 1 TP2-921.2 TP-750.0 LEN 2.0 FOV 183x183 using FAST Planning. ---- You can move the preview slice to the desired position with the R • help of the image position line. 10cm KV Sn100 MA 55 A TI 3.32 550.72 0/0 Simulator Filter Sn NE ^ X. Family systems not included at this time. 14 Effective Date: xx Xxx 2025 | QR7000xxxxx 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): Butd 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% 50% 60 55% 60% 65% ¥ 70% ¥ 75% 80% 85% 90% 95% L 3.3s 100% 9.9 9.9 O 10 O ^ X. Family systems not included at this time. 15 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 Cute II • 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 Determine the best phase from the Preview Series recon. "01/01/1990, 0, 35Y syngo CT VB20A 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 5cm 60bpm, 80%, 125ms, ZF KV 80 Eff. MAS 69 Quality ref. MAS 157 IF GT 0.0 eva A la charal 182.56 27/22 700 Simulator 60bpm, 80%, 125ms, ZF 240 ^ X. Family systems not included at this time. 16 Effective Date: xx Xxx 2025 | QR7000xxxxx 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): • 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 ^ X. Family systems not included at this time. 17 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 Kemel 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 ^ X. Family systems not included at this time. 18 Effective Date: xx Xxx 2025 | QR7000xxxxx 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. D3 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 19 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 Pro.Pulse Bolus tracking and injector coupling for Recon Favori ... / | General Recon Recon&GO Image Impre ... . | 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 KV 100/Sn150 L/H Exam Time 12.16 S Range Name Kidney Stones contrast-enhanced Twinspiral DE scans. .3s 0.3s 0.85 12.2s 10 22.2 10 O 10 15 20 25 30 35 O * Optional 20 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 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. ^ X. Family systems not included at this time. * Optional 21 Effective Date: xx Xxx 2025 | QR7000xxxxx ** 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 OH ProPulse 059 SOMATOM Pro. Pulse *08/10/2023, M syngo CT VB20A Spi201 [700|701] E 08/08/2023 100 [HU] Activate or deactivate the Bone Segmentation FOV Extend Rocet Recult 4:28:03.87 PM ROI Text Layout State 702 IMAn.a. | 704 IMAn.a. SP R1.4 | SP R1.4 functionality to apply the bone marrow overlay only to Ternovel Archive Publish areas that contain bone. Results Results Annlication Profile CT Dual Energy Q. + ProPulse 059 5cm CT Dual Energy OH ProPulse_059 SOMATOM Pro.Pulse 08/10/2023, M syngo CT VB20A Spi201 [700|701] -150 [HU] L 08/08/2023 100 [HU] FOV a 46.00% Extend Recet Contrait 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 150 W 350 DE MIX Sn140/100 (M 0.3)/VNCA C Heart Archive Publish lemovil esults Results Application Profile Bone Marrow (F ... A Bone Marrow (Full Body) 5cm Resolution With the feature turned on, the bones are Maximum [HU] 800- Default -150 [HU] Threshold [HU] -300 ¢ @ 46.00% clearly visible. You can also choose to have SL min Calculate MPR FUSION 350 this feature turned on by default in the Bone DE MIX Sn140/100 (M 0.3)/VINCA C O Marrow Configuration. Bone Seg men A 22 Apply Bone Segmentation ^ X. Family systems not included at this time. Effective Date: xx Xxx 2025 | QR7000xxxxx *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 Please find the supported minimal and maximal cycle times for each dynamic scan mode in the Basic scan mode Min. cycle time Ma 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 *** In syngo CT VB10, NAEOTOM Alpha supported 1.4 s cycle time to enable sufficient short scan image ranges (obsolete) 23 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 Requested new scan 20:40912-12:39: 13-091-131221101 4 09 3 COMATON METRO 0HU 22124 CTDIvol (16 cm) 255 mGy 133- 10 20 FM image range: SSDE (17 cm) 235 mGy DLP 2021 mGy*cm 71 mm 1:02m When you adapt the 5 10 15 20 25 30 35 40 45 So 55 60 scan range during a O 120MA R.3. 0300303 0€ CUTMB EN scan, the: Request of new scan image range Exposure pattern maintained PHIGH Bench VERZE CONATON ACTES CTDIvol (16 cm) 257 mGy 1 23 10.20 PM TOP 211 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 DASS 55 60 o 550 72:010 EN maintained. Request of new scan image range Exposure pattern maintained PAUL Bench Vir29 • CTDIvol is 23310912-122: 12-091-131221101 4 843 CTDIvol (16 cm) 249 mGy 1-33:10 89 FM TOP 101 21541 SSDE (18 cm) 218 mGy maintained. DLP 1469 mGy*cm ........................... 44 mm 1:02m w Snt 4 10 15 20 25 30 35 40 45 50 55 PASS 60 o 450-32 200 EN * Optional 24 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 • 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 25 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 • 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) • Minimum scan ranges possible are limited by collimation NAEOTOM Alpha 12 32 48 81 width (4 cm, respectively 6 cm***). * 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 26 than collimation width but still smaller than the minimum possible scan range with syngo CT VB10. This applies to all the scanners. Effective Date: xx Xxx 2025 | QR7000xxxxx 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 11:58:52.06 AM syngo CT VB10 HES 09/11/2024 syngo CT VB20 HFS 11:58:52:06 AM TOP 201 TOP 201 3 IMA 1 3 IMA 1 TP -1,202.5 LEN 309.5 TP-1,202.5 LEN'S 10cm 10cm KV Sn140 KV Sn140 mA 55 L mA 55 TI 3.32 TI 3.32 498.0 0/0 W 500 498.0 0/0 500 Tr20fA.n.3.:0000000:0At.CU1agB Filter Sn C 50 Tr20fA.n.3.:0000000:0At.CU1 agB Filter Sn 50 * Optional 27 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 CT EE 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. 28 Effective Date: xx Xxx 2025 | QR7000xxxxx 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. 29 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 v 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. 30 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 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 = L 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 31 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 . Berger, Dana × Healthineers 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 go Live Image is off -230.0 Press MOVE Back GO ^ X. Family systems not included at this time. 32 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 Phase Step Recon Phase Recon Phase Unit StackR • Select All / Deselect All buttons for list boxes with checkboxes are Multi Phase 10 10%. 20%- 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] [mm] You can now define different Slice Thicknesses and Increments in Images • Thorax 8.00 BI60 Q3 cor 8.00 8.00 26 Multi Recons. Thorax 5.00 B160 Q3 sag 5.00 4.00 119 Thorax 3.00 B160 03 ax 3.00 2.50 07 ^ X. Family systems not included at this time. 33 Effective Date: xx Xxx 2025 | QR7000xxxxx 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. ^ X. Family systems not included at this time. 34 Effective Date: xx Xxx 2025 | QR7000xxxxx 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 35 Effective Date: xx Xxx 2025 | QR7000xxxxx Unrestricted I Published by Siemens Healthineers AG | © Siemens Healthineers AG, 2025