syngo.via MAMMOVISTA B.smart VB71 What's New

Continue Button Continue Continue Continue Continue Continue Continue MAMMOVISTA B.smart VB70 OLT Master Template HILS2218 | Effective Date: 29-Jul-2021 ? syngo.via MAMMOVISTA B.smart VB70 What’s New Online Training In this training you will learn about the new and updated features available in the new MAMMOVISTA B.smart VB70 version. Summarize General Workflow Improvements Describe New MR Tools Explain Double-Blind Reading 1 3 2 Welcome [audf_syngovia_mammo_olt_welcome_1.mp3] Welcome to the MAMMOVISTA B.smart VB70 What’s New online training. In this training you will learn about the new and updated features available in the new MAMMOVISTA B.smart VB70 version. It covers the following three learning objectives: Summarize General Workflow Improvements Explain Double-Blind Reading and Describe new MR Tools ? Navigation Hints Before you start, we would like to give you a few tips on how to navigate: Table with 2 columns and 4 rows Not all pages contain audio. Some pages invite you to read for yourself or watch a video. All pages show a ? button in the lower-right corner. Select the ? button to get a quick guide through the navigation elements. Some pages show an X button in the upper right corner. Select the X button to return to the overview page and not miss any information provided. Enjoy the course! ? Navigation Hints Summarize General Workflow Improvements syngo .via | MAMMOVISTA B.smart VB70 ? Summarize General Workflow Improvements ? Workflow Improvements Overview Please select the tab arrows to learn more about each of the General Workflow Improvements. Import and Export Series Navigator Structured Roaming Steps AI Information and Display with TransparaTM AI Information and Display with iCADTM ReportFlow Assignment Workflow Improvements Overview [audf_syngovia_mammo_olt_workflowimpro_3.mp3] Please select the tab arrows to learn more about each of the General Workflow Improvements. ReportFlow Assignment Layer: The New ReportFlow Assignment rule uses an OR conjunction which means that if any one of the words separated by a comma is available in the study description, the ReportFlow specified is assigned to the patient study. There is no space required with the comma. It is important to note the following : The OR conjunction gives more flexibility in defining words used in the study description. This is usually configured by the application specialist on site. Import and Export Layer: It is now possible for each user (irrespective of the admin role) to import and export ReportFlows and Layouts. It is important to note that the Layouts/ReportFlows created in VB60 can be imported as well. Newly created Layouts/ReportFlows cannot be imported back into VB60. Series Navigator Layer: In the Series Navigator, two improvements have been added: First, a new sorting order which is adapted chronologically as per study date and time is now included. Second, this version offers a new ‘Export to DICOM Node’ feature where you can send the images to pre-configured DICOM nodes. Please note that the DICOM nodes for the “Export to DICOM” feature have to be configured by the CSE in coordination with the hospital IT. Also, the DICOM nodes are initially sorted alphabetically, with the last selected or the most used node placed at the top of the list. Structured Roaming Steps Layer: Structured Roaming now has a configuration of 3 steps, namely 2, 4 and 6. AI Information and Display with TransparaTM Layer: The new Screenpoint Medical TransparaTM version 1.7 delivers a colored CAD mark display which means CAD findings are colored depending on the certainty of malignancy. In the example image, an orange mark has around a 50% risk of malignancy whereas a red mark indicates a higher risk classification for malignancy. It is very important to note that this feature is only available for cases analyzed with TransparaTM Version 1.7. The color and the threshold values for the display of colored CAD marks are defined by the CAD manufacturer. MAMMOVISTA B.smart only allows you to define a value for displaying CAD marks below a threshold (e.g. 80%). This is independent from the color of the CAD mark​. Another new feature with AI is the jump from a CAD finding in synthetic 2D to the Tomo slice. By hovering the mouse pointer over the CAD marks displayed on the synthetic 2D image, the symbol changes which makes it possible to jump to the corresponding Tomo slice. This jump is only from the synthetic 2D image to its corresponding Tomo slice and not vice versa. It is important to note that this feature is available with TransparaTM Version 1.7 and above. This feature does not work between FFDM and Tomo. AI Information and Display with iCADTM Layer: iCADTM case scores have been added to the CAD information. This can be viewed if it is activated in the image text section of the configuration. Please note that the data for the iCADTM score comes from the structure report. The value indicated is per patient. There is certainty of finding regarding the score for dedicated areas of interest. AI Information and Display with iCADTM iCADTM case scores are added iCADTM scores are like TransparaTM scores that display the cancer risk score of the patient. They can be viewed if this text is activated in the image text of the configuration. AI Information and Display with TransparaTM Close video AI Information and Display with TransparaTM Colored CAD marks for TransparaTM 1.7 Displayed CAD findings are colored depending on the certainty of malignancy. Example image: Orange has around 50% risk of malignancy. Red indicates a higher risk classification for malignancy. Jump from CAD Finding to Tomo Slice CAD marks are located on the Synthetic image. By moving the mouse cursor to the CAD, it changes symbol which allows you to jump to the corresponding Tomo Slice. Navigation is only possible from the Synthetic Image (in 2D) to Tomo and not vice versa or from a contact 2D image. Video TransparaTM Score The patient browser also displays the score and helps you to prioritize the available cases. Additionally, for CAD SRs from TransparaTM version 1.7.1 or higher, the TransparaTM Three Level Exam Score which ranges from L (Low) via I (Intermediate) to E (Elevated) is displayed in the image information to discribe the probability of malignancy. Structured Roaming Steps In VB60 – only 2 steps are available: 4 & 6. In VB70 – 3 steps are available: 2,4 and 6. Series Navigator New sorting order In VB60 – sorting is per time point, modality and study date. In VB70 – sorting is adapted chronologically as per the study date and time. Sending images to pre-configured DICOM node Right click on the image > Export to DICOM node > List of DICOM nodes is displayed, to which the user can send the images. (Nodes are configured in the syngo admin portal in the technical configuration.) Import and Export for ReportFlow and Layouts In VB60 – The user needs to be an administrator in order to import and export a ReportFlow. In VB70 – All users can import and export ReportFlows and Layouts. Please note: Layouts/ReportFlows created in VB60 can be imported. Newly created Layouts/ReportFlows cannot be imported back into VB60. ReportFlow Assignment In VB60 – AND conjunction is used in Series Description i.e. several words and separated by blanks. In VB70 – AND conjunction and OR conjunction are available in Study Description. Words separated by blank: spaces shall be handled as AND-conjunction, i.e. all defined words have to be available, order shall be ignored. Words separated by comma: shall be handled as OR-conjunction, i.e. at least one defined word has to be available. Explain Double-Blind Reading syngo .via | MAMMOVISTA B.smart VB70 ? Explain Double-Blind Reading ? Double-Blind Reading Functionality MAMMOVISTA B.smart supports a dedicated screening mode, where two different readers can view the same screening cases in a blind double reading while reporting on a RIS. This functionality is a license protected option that does not show a second reader the reading results of a first reader and vice versa. In the event of disagreement a consensus reader can make a final decision considering the results of both readers. This is an optional license. Double-Blind Reading Functionality [audf_syngovia_mammo_olt_doubleblind_5.mp3] MAMMOVISTA B.smart supports a dedicated screening mode, where two different readers can view screening cases on the system in a blinded double reading and report them on a RIS. This functionality is a license protected option that does not show a second reader the reading results of a first reader and vice versa. In the event of disagreement a consensus reader can make a final decision considering the results of both readers. This is an optional license. ? Double-Blind Reading Configurations Double-Blind Reading Configurations [audf_syngovia_mammo_olt_doubleblind_config_6.mp3] In VB70, we can configure whether the client can be used for double-blind reading or not by clicking on the checkbox at the bottom of the configuration window. In addition, the detection of screening cases can also be configured. A study description can be defined and all cases matching the specified study description will be opened in double-blind mode. Consensus reading allows the user to view all the ROI measurements drawn by other users irrespective of the double-blind reading. For screening cases that are configured for double-blind reading, double-blind is mentioned in the viewing panel. In this mode, when the user draws an annotation, distance, or ROI, it is hidden from the other users and only the consensus reviewer can see all the markings. Double-blind reading is not set as default. It needs to be activated by the administrator. Once activated it is automatically switched on for other users for that study description. It can only be switched off by the clinical administrator. Describe New MR Tools syngo .via | MAMMOVISTA B.smart VB70 ? Describe New MR Support Tools ? MR Layouts MR Dynamic MR Kaiser MR MPR MR DWI MR FollowUp Please note: It is not possible to drag and drop images in dynamic layouts, they are automatically populated. To drag and drop MR series, the Empty Layout must be used. There are five layouts available to display an MR Main or MoCo dynamic with corresponding subtraction and synchronization. MR Layouts [audf_syngovia_mammo_olt_mrlayouts_8.mp3] Five new dynamic layouts are now available to display MR Main or MoCo with corresponding subtraction and synchronization. The layouts are – MR Dynamic, MR Kaiser, MR MPR, MR DWI and MR FollowUp. To use these layouts, you need to click on the MR tab which is highlighted in this image. To learn more about each layout, select the tab arrows on the right. Please note that it is not possible to drag and drop images in these dynamic layouts. Non-availability of a segment may lead to an empty segment or layout. They are automatically populated. To drag and drop MR images, MR Empty Layout must be used. MR Dynamic Layer The MR Dynamic layout displays the Main or MoCo dynamic in normal and subtraction modes. It also includes a segment displaying the dynamic in the sagittal orientation. MR Kaiser Layer The MR Kaiser layout displays the Main or MoCo dynamic in normal and subtraction modes plus an analyzer. It also includes a segment for STIR/T2 images. MR MPR Layer The MR MPR layout displays the Main or MoCo dynamic in normal, subtraction and MIP (Maximum Intensity Projection) modes, plus an analyzer. It also includes a special MPR (multi-planar reconstruction) segment, a segment for STIR/T2 images, and a segment for Non-Fat Sat images. MR MPR Segment Tab In the MPR segment each orientation is indicated by colored reference lines and matching outlined quadrants: orange for transverse, purple for sagittal, and pink for coronal. On blowing up this segment, all of the quadrants will be blown up together. A limited tool set is available in this segment. It contains only Window/Level, Reference lines, Phase toggling, and Scrolling. Please note that Measurements are not displayed in the MPR segment. MR DWI The MR DWI layout displays diffusion weighted images (b-values and ADC-Map) next to the Main MoCo and STIR as well as T2 weighted images. MR FollowUp MR FollowUp is used to compare the current and a prior MR dynamic and the corresponding subtractions with synchronization and analyzers. MR FollowUp Close video MR FollowUp To compare the current and a prior MR dynamic and the corresponding subtractions with synchronization and analyzers. Video MR DWI Close video MR DWI This layout displays diffusion weighted images (b-values and ADC-Map) next to the Main MoCo) and STIR as well as T2 weighted images. Video MR MPR Segment Close video MR MPR Each orientation is indicated by colored reference lines and matching outlined quadrants: orange for transverse, purple for sagittal, and pink for coronal. When using blow-up on this segment, all the quadrants will be blown up together. A limited tool set is available in this segment: Window/Level Reference lines Phase toggling Scrolling (including Fast-scrolling) Measurements are not displayed. Video MPR Segment MPR Layout MPR Layout MR MPR Close video MR MPR This layout displays the Main or MoCo dynamic in normal, subtraction and MIP (Maximum Intensity Projection) modes, plus an analyzer.  It also includes a special MPR (multi-planar reconstruction) segment, a segment for STIR/T2 images, and a segment for Non-Fat Sat images. Video MPR Segment MPR Segment MPR Layout MPR Layout MPR Layout MR MPR This layout displays the Main or MoCo dynamic in normal, subtraction and MIP (Maximum Intensity Projection) modes, plus an Analyzer.  It also includes a special MPR (Multi-planar reconstruction) segment, a segment for STIR/T2 images, and a segment for Non-Fat Sat images. Video MPR Segment MPR Segment MPR Layout MPR Layout MPR Layout Tab Slide Please click on one of the tabs to display the corresponding content on this page. MR Kaiser Close video MR Kaiser This layout displays the Main or MoCo dynamic in normal and subtraction modes plus an analyzer. It also includes a segment for STIR/T2 images. Video MR Dynamic Close video MR Dynamic This layout displays the Main or MoCo dynamic in normal and subtraction modes. It also includes a segment displaying the dynamic in the sagittal orientation. Video ? Documentation Video Documentation [audf_syngovia_mammo_olt_docu_9.mp3] For documentation purposes, it is possible to take snapshots of the image segment in an MR layout and also of the time curve. These snapshots are saved in the findings menu. They are also captured as part of the report. Snapshots, Findings and Reports ? Interactive Orientation Views allow easy toggling between the views by clicking on the cube loops in the bottom right corner of the screen, through the following orthogonal orientations in that segment: F – Transversal L – Sagittal A – Coronal It is available in every segment. Interactive Orientation Views Please note: There is a synchronization button available in the Tools panel for MR Sync or Shortcut Y, which can also be used to deactivate synchronization. Interactive Orientation Views [audf_syngovia_mammo_olt_interactive_10.mp3] Interactive Orientation Views allow easy toggling between the views by clicking on the cube loops in the bottom right corner of the screen, through the following orthogonal orientations in that segment. F represents Transversal L represents Sagittal A represents Coronal It is available in every segment. Please note: There is a synchronization button available in the Tools panel for MR Sync or Shortcut Y, which can also be used to deactivate synchronization. ? MR Display Color Overlay Click the Color Overlay button in the tools panel , or press Alt + G. Click on the gear icon on the legend and use the sliders to adjust the filter settings. Click on the parameter setting in the legend and drag up to increase or drag down to decrease the threshold value. Video (1) Initial Threshold (2) Delayed Threshold (3) Filter Settings (4) Phases MR Display Color Overlay [audf_syngovia_mammo_olt_mrdisplay_11.mp3] A color overlay highlights wash-in and wash-out characteristics that can be displayed on Main Dynamic and Main MoCo Dynamic data. Click the Color Overlay button in the tools panel, or press Alt + G. Color overlays are displayed on Main Dynamic and Main MoCo Dynamic images with an interactive legend in the center at the bottom of each segment. The color overlay legend allows parameter settings to be changed for the currently displayed overlay. Click on the parameter setting in the legend and drag up to increase or drag down to decrease its value. Click on the gear icon (3) on the legend and use the sliders to adjust the filter settings. Filter settings that optimize the display of the overlay can be changed via this legend. Noise Reduction: reduces a noisy or grainy appearance of the color overlay. Averaging: averages signal intensities of the images Edge Smoothing: removes small isolated colored areas and reduces jagged edges in color overlays. MR Display Color Overlay ? MR Curve Analyzer Select the markers on the right to learn more about the components of an MR Curve Analyzer. X-Axis The x-axis displays all the phases of the dynamic. Highlighted Reference Phases The highlighted reference phases are the three phases as selected for t1, t2, and t3 in the MR settings (XREF). Please note: It is possible to change the reference phases by moving the vertical green lines. Time The time displayed is the difference in time (mm:ss) from t1. The phases are distributed along the axis relative to the time difference. Y-Axis The y-axis displays the difference in enhancement between the t1 phase and other phases as a percentage. The axis automatically scales to fit the currently displayed curves. A time curve is displayed in layouts with analyzer segments. The axes of the analyzer are adjusted based on the contents of the dynamic and the displayed curves. MR Curve Analyzer [audf_syngovia_mammo_olt_mrcurve_12.mp3] A time curve is displayed in layouts with analyzer segments. This curve is calculated based on the difference in enhancement of a point in a Main or MoCo Dynamic. The curve shows the enhancement as a difference in percent across all available phases as a live curve and for each pixel lens, circle, and ellipse measurement. Time curves are also drawn for each pixel lens, circle, or ellipse measurement created in the dynamic data associated with the analyzer. The intensity values used are always from the Main or MoCo dynamic, even if the measurement was drawn in a subtraction mode segment. For ROI measurements, the mean intensity is shown. To save the results displayed in the analyzer, right-click in the analyzer segment and select Snapshot to create a segment snapshot, or select Print. The axes of the analyzer are adjusted based on the contents of the dynamic and the displayed curves. Please select the markers on the right image to learn more about the components of an MR Curve Analyzer. ? MR Settings – Reference Phase Settings Each phase of the Main MR Dynamic represents a specific timepoint within the acquisition. MAMMOVISTA B.smart provides configuration options for selecting the start of the initial phase (t1), the start of the delayed phase (t2) and the end of the delayed phase (t3): Select last pre-contrast phase as t1. Select first post-contrast phase as t2. Select last post-contrast phase to be evaluated as t3. MR Settings - Reference Phase Settings [audf_syngovia_mammo_olt_mrsettings_13.mp3] Each phase of the Main MR Dynamic represents a specific timepoint within the acquisition. MAMMOVISTA B.smart provides configuration options for selecting the start of the initial phase (t1), the start of the delayed phase (t2) and the end of the delayed phase (t3):: Select last pre-contrast phase as t1. Select first post-contrast phase as t2. Select last post-contrast phase to be evaluated as t3. Please note that the settings selected in the configuration are client specific and will be applied to all cases for this client. ? MR Settings – Color Overlay Settings Noise Reduction Averaging Edge Smoothing Noise Reduction To reduce a noisy or grainy appearance of the color overlay, move the Noise Reduction slider to the right. Pixels with intensities below this threshold will not be colored. Averaging To average signal intensities of the images, move the Averaging slider to the right. Each pixel’s signal intensity will be averaged from all pixel intensities in a surrounding square with the set size. Edge Smoothing To remove small isolated colored areas and reduce jagged edges in color overlays, move the Edge Smoothing slider to the right. Small isolated or narrow areas and jagged edges of the color overlay are removed if they are smaller than the set diameter. MR Settings - Color Overlay Settings [audf_syngovia_mammo_olt_mrsettings_color_14.mp3] MAMMOVISTA B.smart has the new Color Overlay settings Noise Reduction, Averaging, and Edge Smoothing. Please select the markers to learn more about these settings. ? Course Review Congratulations. You have completed the MAMMOVISTA B.smart VB70 What’s New Online Training. Select the numbered buttons below to review the material before proceeding to the final assessment. Describe New MR Tools Explain Double-Blind Reading Summarize General Workflow Improvements 1 1 2 2 3 3 Course Review Describe New MR Support Tools In the chapter MR Support you learned about the following: Five New MR Layouts – MR Dynamic, MR Kaiser, MR DWI, MR MPR and MR FollowUp Color Overlay Time Curve Analyzer MR Settings – Color Overlay and Curve Analyzer ? Explain Double-Blind Reading In the chapter Double-Blind Reading you learned the following: How to activate Double-Blind Reading How to configure Screening Case Detection How to assign the Consensus Reading role How Double-Blind Reading works ? Summarize General Workflow Improvements In the chapter General Workflow Improvements you learned about the following new improvements in MAMMOVISTA B.smart: Series Navigator – New sorting order and sending images to preconfigured DICOM node using Export to DICOM Node Image Navigation – Automatic ReportFlow Assignment with the new OR conjunction Import and Export feature for non-admin users for ReportFlows & Layouts Structured Roaming with 3 steps – 2, 4 and 6 AI Information and Display with TransparaTM – TransparaTM Score, Colored CAD marks and Jump from CAD finding in Synthetic Image to corresponding Tomo Slice AI Information and Display with iCADTM – Display of iCADTM score ? Disclaimer Please note that the learning material is for training purposes only. For the proper use of the software or hardware, please always use the Operator Manual or Instructions for Use (hereinafter collectively “Operator Manual”) issued by Siemens Healthineers. This material is to be used as training material only and shall by no means substitute the Operator Manual. Any material used in this training will not be updated on a regular basis and does not necessarily reflect the latest version of the software and hardware available at the time of the training. The Operator 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 Healthcare GmbH 2022 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Assessment Start ? This assessment will test your retention of the presented content. A passing score of 80% or higher is required to complete the course and earn your certificate . Assessment questions must be answered completely to receive full credit. Partial credit will not be given for assessment questions that require multiple answers. You may repeat the assessment as many times as needed. Assessment Select the best answer. ? Question 1 of 5 MR Kaiser Layout displays … Main or MoCo dynamic in normal & subtraction modes plus an analyzer Main or MoCo dynamic in normal & subtraction modes plus a sagittal orientation Main or MoCo dynamic plus diffusion weighted images plus STIR plus T2 weighted images Main or MoCo dynamic and corresponding subtraction comparison of the current and prior with synchronization and analyzers Multiple Choice Incorrect This is not the correct answer. Incorrect This is not the correct answer. Incorrect This is not the correct answer. Correct Select the applicable image. ? Which one is the MR Dynamic Layout ? Question 2 of 5 Pick One Incorrect This is not the correct selection. Correct Incorrect This is not the correct selection. ? Select three (3) answers. Question 3 of 5 Which of the following are workflow improvements in VB70? Image Navigation - ReportFlow Assignment Colored CAD markings with TransparaTM Structured Roaming steps - 4 and 6 Case score display with iCADTM Multiple Answer Incorrect One or more answers are incorrect. Correct Select the correct designated area, then select Submit below. Question 4 of 5 Where do you define the screening case detection for double-blind reading workflows? ? Hotspot Incorrect You did not select the correct area. Incorrect You did not select the correct area. Incorrect You did not select the correct area. Correct Incorrect You did not select the correct area. Select the best answer. ? Question 5 of 5 How does the new automated jump between two images work with AI based reading? The jump is from the finding in the synthetic image directly to the relevant Tomo slice It works on all the cases processed with Screenpoint TransparaTM (All versions) The jump is from the CAD finding in 2D FFDM to the Tomo slice The jump is from the Tomo slice to 2D FFDM Multiple Choice Incorrect This is not the correct answer. Incorrect This is not the correct answer. Incorrect This is not the correct answer. Correct Assessment Results YOUR SCORE: PASSING SCORE: Review Retry Retry Continue Continue Continue %Results.ScorePercent%% %Results.PassPercent%% ? Assessment Results You did not pass the course. Take time to review the assessment then select Retry to continue. Congratulations. You passed the course.. Exit To access your Certificate of Completion, select the Launch button drop down on the course overview page. You can also access the certificate from your PEPconnect transcript. ? You have completed the MAMMOVISTA B.smart VB70 What’s New Online Training. Completion [audf_syngovia_mammo_olt_completion_24.mp3] Thank you! You have completed the MAMMOVISTA B.smart VB70 What’s New Online Training. Navigation Help Select the icon above to open the table of contents. Click Next to continue. Next Welcome Slide The timeline displays the slide progression. Slide the orange bar backwards to rewind the timeline. Click Next to continue. Next Tmeline Select the buttons to learn more about a topic. Be sure to review all topics before navigating to the next slide. Click Next to continue. Next Tab Arrow Slide Select the X to close the pop-up. Click Next to continue. Next Layer Slide Some images may have a magnifier icon. Select the image to see an enlarged view. Select it again to return to the normal view. Click Next to continue. Next Zoom Slide Some images have a magnifier icon in the bottom-left corner. Select these image to see an enlarged view of the image. Select the image again to return to the normal view. Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Question Bank 1 HOOD05162003272443 | Effective Date: 02-MAY-2022 1.1 Welcome 1.2 Navigation Hints 1.3 Summarize General Workflow Improvements 1.4 Workflow Improvements Overview 1.5 Explain Double-Blind Reading 1.6 Double-Blind Reading Functionality 1.7 Double-Blind Reading Configurations 1.8 Describe New MR Support Tools 1.9 MR Layouts 1.10 Documentation 1.11 Interactive Orientation Views 1.12 MR Display Color Overlay 1.13 MR Curve Analyzer 1.14 MR Settings - Reference Phase Settings 1.15 MR Settings - Color Overlay Settings 1.16 Course Review 1.17 Disclaimer 1.18 Assessment