MI VB60 Cardiology Applications, Part 2

Continue syngo.via VB60 MI Cardiology Applications VB60 Delta Online Training Master Template HOOD05162003052540 | Effective Date: 26-Nov-2019 ? syngo.via MI Cardiology Applications VB60 Delta Online Training, Part 2 In this training, you will be introduced to enhancements of MI Cardiology and the Cardiology analysis applications. You will also learn about new features and functionalities of the syngo.MBF workflow and further offerings for Cedars Sinai Cardiac Suite 2017 available with syngo.via VB60. Learn more about the Cardiology analysis applications 1 Get to know new features and functionalities of syngo.MBF 3 Become familiar with updates for Cedars Sinai 2017 2 Welcome audf_sv_vb60_delta_olt_mi2_welcome.mp3 Audio: Welcome to the syngo.via MI Cardiology Applications VB60 Delta Online Training, Part 2. In this training, you will be introduced to enhancements of MI Cardiology and the Cardiology analysis applications. You will also learn about new features and functionalities of the syngo.MBF workflow and further offerings for Cedars Sinai Cardiac Suite 2017 that become available with syngo.via VB60. Hints for Navigating this Online Training Before you start, we would like to give you a few tips on how to navigate: Table with 2 columns and 3 rows Not all pages contain audio. Some pages invite you to read for yourself or watch a video. All pages have a ? button in the lower right corner. Click the ? button to get a quick guide through the navigation elements. Some pages show an X button in the upper right corner. Click the X button to return to the overview page and not miss any information provided. Enjoy the course! ? ? Hints for Navigating ? MI Cardiology Overview This e-learning introduces the following enhancements in MI Cardiology: News for Cardiology analysis applications Cedars reporting is now a purchasable option for Cedars Cardiac Suite The new version of syngo.MBF VB30 with enhanced features and functionalities You will learn more in the following sections. MI Cardiology Overview audf_sv_vb60_delta_olt_mi2_card_overview.mp3 Audio: This session gives you an overview of the enhancements which were made for MI Cardiology in syngo.via VB60. The enhancements were designed to optimize image reading and post-processing. To enable more convenient reading and reporting for cardiology image data, changes have been made to the Cardiology analysis applications. Cedars reporting is now available as a purchasable option for Cedars Cardiac Suite, and syngo.MBF has been updated to version VB30 with enhanced features and functionalities for myocardial blood flow quantification. You will learn more in the following sections. ? Cardiology Analysis Applications – Part 1 The Cardiology analysis applications Corridor4DM, syngo.MBF, and Cedars Cardiac Suite (QPS+QGS, QBS) are now hosted in the Digital Marketplace*. The applications can be accessed via the syngo.via Open Apps button in the Tool Gallery: An additional panel shows all installed apps.** You can toggle between apps by selecting the corresponding icon. Multiple apps can be opened simultaneously. Snapshots taken in any app are sent as secondary capture images to the Series panel. * available for a 90-day trial download ** depending on your product license(s) Cardiology Analysis Applications - Part 1 audf_sv_vb60_delta_olt_mi2_card_news_caa_1.mp3 Audio: The Cardiology analysis applications Corridor4D, syngo.MBF, and Cedars Cardiac Suite (QPS+QGS, QBS) are now hosted in the Digital Marketplace. The applications can be accessed via the syngo.via Open Apps button in the Tool Gallery: Once selected from the Tool Gallery, OpenApps is displayed in the viewing panel and an additional panel shows all installed applications depending on your product licenses. To toggle between the apps, simply select the corresponding icon. Multiple applications can be opened simultaneously. Snapshots taken in any Cardiology application are sent as Secondary Capture images to the Series panel. ? Cardiology Analysis Applications – Part 2 More flexible launch options are provided: Installed applications can be accessed just like any other workflow in the patient browser. The applications open in their own patient tab, with no syngo.via elements visible (Series Navigator, findings, etc.). Installed apps can also be seen and launched in the Digital Marketplace dialog. For further information, see the syngo.via OpenApps User Guide Job Aid available on PEPconnect. To find out more about the launch options, click the orange frames in the images. Cardiology Analysis Applications - Part 2 audf_sv_vb60_delta_olt_mi2_card_news_caa_2.mp3 Audio: More flexible launch options for users are provided: The installed applications can be accessed just like any other workflow from the patient browser. The applications open in their own patient tab, with no syngo.via elements visible (series navigator, findings etc.). The installed apps can also be visualized and launched from the Digital Marketplace dialog. A syngo.via OpenApps User Guide Job Aid is available on PEPconnect. If you do not have a license for a Cardiology analysis application, a 90-day trial version for these applications can be ordered and directly downloaded from the Digital Marketplace. These applications and their respective options can be purchased through the usual ordering process. Please contact your Siemens Healthineers representative. ? Cedars Sinai Cardiac Suite In OpenApps, only one Apps icon is available: Selecting this icon, presents the user the option to either run QGS+QPS or QBS. Cedars reporting is now a purchasable option for Cedars Cardiac Suite: Capability to generate reports directly inside Cedars Cardiac Suite. Includes support for PDF and ASCII TEXT, HL7 output, ASNC image guide registry, custom fields, admin reports, and blood pool reports. Cedars Sinai Cardiac Suite audf_sv_vb60_delta_olt_mi2_card_news_cedars.mp3 Audio: Previously, two icons could be used to launch the Cedars applications: one icon to launch QGS+QPS and one icon to launch QBS. If you now launch Cedars via the OpenApps button, only one icon is available. Selecting this presents the user with the option to run either QGS+QPS or QBS. Cedars reporting is now a purchasable option for Cedars Cardiac Suite in syngo.via: The Cedars reporting option provides the capability to generate reports directly inside the Cedars Cardiac Suite. The Reporting option includes support for PDF and ASCII TEXT, HL7 output, ASNC image guide registry, custom fields, admin reports, and blood pool reports. A video tutorial is available on the Cedars Sinai webpage. ? syngo.MBF VB30 The new version of syngo.MBF VB30 is available with the following updates: Spillover factors (SF) Automatic Window Level for each frame Global LV time activity curves You will learn more about these functions in the following sections. Please watch the syngo.MBF e-clip on PEPconnect to get more insights into the extended handling capabilities. For more information regarding the new features, refer to the syngo.MBF VB30 Operator Manual. syngo.MBF VB30 audf_sv_vb60_delta_olt_mi2_card_news_mbf.mp3 Audio: syngo.MBF provides visualization and quantification of either Ammonia or Rubidium PET dynamic myocardial datasets. The VB30 update to syngo.MBF includes enhanced features and functionalities for myocardial blood flow quantification. Spillover factors (SF) are implemented as a Quality Score to assess the reliability of MBF values. Automatic window/level for each frame reduces manual windowing interactions. Global LV Time Activity Curves can now be calculated and displayed. You will learn more about these functions in the following sections. Please watch the syngo.MBF eclip on PEPconnect to get more insights into the extended handling capabilities. For more information regarding the new features, refer to the syngo.MBF VB30 Operator Manual. ? Spillover Factor (SF) Formula The spillover factor (SF) is an important part of the MBF computation, shown in a simple formula on the right. In the formula, the myocardial tissue (MYO) is derived as a combination of the blood input function (BIF) and a model of perfusion (MP) in myocardial tissue. This model is a convolution of the BIF with an exponential term that includes the K1 value, which is a function of MBF. The SF value is an important indicator of the accuracy of the kinetic modeling used to compute the MBF value. A high SF number will cause the MBF value to be dominated by the SF*BIF term and not the term including the K1 value, which is where the MBF value comes from. Spillover Factor (SF) Formula audf_sv_vb60_delta_olt_mi2_card_mbf_sf1.mp3 Audio: The spillover factor (SF) is an important part of the myocardial blood flow computation, shown in a simple formula on the right. In the formula, the myocardial tissue (MYO) is derived as a combination of the blood input function (BIF) and a model of perfusion (MP) in myocardial tissue. This model is a convolution of the BIF with an exponential term that includes the K1 value, which is a function of MBF. The spillover factor value is an important indicator of the accuracy of the kinetic modeling used to compute the MBF value, for example in the case of high motion or infarcted myocardium tissues. A high SF number will cause the MBF value to be dominated by the SF*BIF term and not the term including the K1 value, which is where the MBF value comes from. This can be an indicator that the myocardial blood flow and the reserve values are not accurate. Calculation for the myocardial blood flow can be distorted by spill-in/spill-out effects: • Spill-in: When radiation from the background tissue spreads into target tissue. • Spill-out: When radiation from the target tissue spreads into the background tissue. ? Display of Spillover Factors (SF) Spillover overlay is enabled through the polar plot overlay menu option. The threshold can be set by selecting the Configure Polar Plots option from the Edit menu. To find out more about the display of spillover factors, click the orange frames in the images. Display of Spillover Factors (SF) audf_sv_vb60_delta_olt_mi2_card_mbf_sf2.mp3 Audio: Spillover overlay is enabled through the polar plot overlay menu option. Spillover factor values above this threshold will be displayed in the MBF polar plots. A threshold can be set by selecting the Configure Polar Plots option from the Edit menu. The Configure Polar Plots range configuration dialog opens. In the Spillover Threshold Factor field, the desired value for the threshold can be set. ? Visualization of Spillover Factors (SF) When you select Spillover factor, the spillover factor for each voxel that falls above the set threshold will appear as a green overlay on the polar plots. When a segment inside the polar plot is selected, the spillover value is displayed in the bottom right corner. Values above the threshold are displayed in red. If any region is above the threshold in either stress or rest, those regions will also be represented on the reserve plot. The spillover factors are also displayed in the statistics table. Visualization of Spillover Factors (SF) audf_sv_vb60_delta_olt_mi2_card_mbf_sf3.mp3 Audio: When you select “Spillover factor”, the spillover factor for each voxel that falls above the set threshold will appear as a green overlay on the polar plots. When a segment inside the polar plot is selected, the spillover value is displayed in the bottom right corner. Values above the threshold are displayed in red. If any region is above the threshold in either stress or rest, those regions will also be represented on the reserve plot. The spillover factors are also displayed in the Statistics table. The table will display the average spillover factor values instead of the standard deviation. ? Automatic Window Level The system can apply the default window level values of each frame automatically. The algorithm defines a bounding box based on the center of the LV and windows the data within this bounding box using a histogram approach: Takes away the 5 % of the data points with the highest intensity within the box. Defines the maximum intensity value as the intensity corresponding to the bin which contains the point of maximum intensity. Takes the minimum window level as the bin defined by 0.2 * maximum window level. Window and levels are defined from the new min and max. Learn more Automatic Window Level audf_sv_vb60_delta_olt_mi2_card_mbf_awl.mp3 Audio: With the “Automatic window level” function, the system applies the default window level values of each frame automatically. Late frame window levels over-saturate the image in the earlier frames, making it difficult to QC data without manual window level adjustment. This saves adjustment time, reduces the performance of repetitive tasks, and prevents the display of over-saturated frames. The algorithm defines a bounding box based on the center of the LV and windows the data within this bounding box using a histogram approach: It histograms the data in the bounding box and takes away the 5% of the data points with the highest intensity in the box. It defines the maximum intensity value as the intensity corresponding to the bin which contains the point of maximum intensity and takes the minimum window level as the bin defined by 0.2 * maximum window level. The window and levels are defined from the new min and max. Setting the Automatic Window Level To set the Automatic Window Level, select Set Automatic Window Level in the Edit menu or click the button in the toolbar. You can also press Ctrl + W. The feature is enabled by default. If you perform any manual adjustment for either the Stress or the Rest series, the automatic window level setting is switched off. ? Global Time Activity Curve Before this update, selecting an area of the images in MBF did not correspond to the myocardial tissue. In this case, the time activity curves (TACs) displayed in the plot area where removed. Global LV time activity curves can now be calculated and displayed. The global time activity curve represents the amount of tracer for the entire myocardium. To see the global time activity curve, click the orange frame in the image. Global Time Activity Curve audf_sv_vb60_delta_olt_mi2_card_time_activity.mp3 Audio: Before this update, selecting an area of the images in MBF did not correspond to the myocardial tissue. In this case, the time activity curves (TACs) displayed in the plot area where removed. Global LV time activity curves can now be calculated and displayed. The global time activity curve represents the amount of tracer for the entire myocardium. ? Course Review Congratulations. You have completed the syngo.via MI Cardiology Applications VB60 Delta Online Training, Part 2. Select the numbered buttons below to review the material before proceeding to the final assessment. Get to know new features and functionalities of syngo.MBF Become familiar with updates for Cedars Sinai 2017 Learn more about the Cardiology analysis applications 1 1 2 2 2 3 3 3 Course Review syngo.MBF syngo.MBF has been updated to version VB30 and includes enhanced features and functionalities for myocardial blood flow quantification: Spillover factors (SF) are implemented as a Quality Score to assess the reliability of MBF values. Automatic Window Level for each frame reduces the manual windowing interaction. Global LV time activity curves can now be calculated and displayed. The global time activity curve represents the amount of tracer for the entire myocardium. Cedars Sinai 2017 Cedars reporting is now a purchasable option for Cedars Cardiac Suite in syngo.via. The Cedars reporting option provides the capability to generate reports directly inside the Cedars Cardiac Suite. Previously, Cedars had two icons: QGS+QPS and QBS. In OpenApps, there is only one icon. When selected, the user is presented with the option to either run QGS+QPS or QBS. Cardiology Analysis Applications To enable a more convenient reading and reporting for MI Cardiology: The Cardiology analysis applications Corridor4DM, syngo.MBF, and Cedars Cardiac Suite (QPS+QGS, QBS) are now hosted through Digital Marketplace. Applications can be accessed via the syngo.via Open Apps button from the Tool Gallery. Snapshots taken in any application are sent as secondary capture images to the Series panel. 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 Timeline Select the X to close the pop-up. Click Next to continue. Next Layer Slide Select Submit to record your response. Click the X in the upper right corner to exit the navigation help. Assessment Slide Disclaimer and Assessment 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's Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Note: Some functions shown in this material are optional and might not be part of your system. Certain products, product related claims or functionalities (hereinafter collectively “Functionality”) may not (yet) be commercially available in your country. Due to regulatory requirements, the future availability of said Functionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales representative for the most current information. The reproduction, transmission or distribution of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All names and data of patients, parameters and configuration dependent designations are fictional and examples only. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Copyright © Siemens Healthcare GmbH 2021 Siemens Healthineers Headquarters\Siemens Healthcare GmbH\Henkestr. 127\ 91052 Erlangen, Germany\Telephone: +49 9131 84-0\siemens-healthineers.com ? Disclaimer Assessment 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. You may repeat the assessment as many times as needed. Start ? Assessment Select the best answer. ? Question 1 of 5 syngo.MBF VB30 in the MI cardiology workflow provides several new enhancements. Which features are included? Spillover factors (SF) / Automatic Window Level for each frame / Global LV time activity curves Rate Pressure Product Normalization Auto Lung 3D Spillover factors (SF) / Global RV time activity curves Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Question 2 of 5 syngo.MBF provides spillover factors (SF) as a Quality Score to assess reliability of MBF values. Which of the following answers is true for the function? Spillover overlay is enabled through the polar plot overlay menu option. Spillover overlay is enabled through the graph option. The threshold is fixed and cannot be changed. Spillover factor values below the threshold will be displayed in the MBF polar plots in green. Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Question 3 of 5 Automatic window / level for each frame is a new feature in syngo.MBF. Which of the following answers is true for the function? The algorithm works by defining a bounding box based on the center of the LV and windows the data within this bounding box using a histogram. The algorithm works by defining a bounding box based on the center of the RV and windows the data within this bounding box using a histogram. It takes away the 20 % of the data points with the highest intensity within the box. Manual adjustment to the window is no longer possible. Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Question 4 of 5 To enable more convenient reading and reporting for MI Cardiology, which changes have been made to the Cardiology analysis applications? Applications can be accessed via the syngo.via OpenApps button from the Tool Gallery. The Cardiology analysis applications Corridor4DM, syngo.MBF, and Cedars Cardiac Suite (QPS+QGS, QBS) are now hosted through syngo.via Frontier. Only one Cardiology application can be opened. The applications can only be accessed via the syngo.via browser. Multiple Choice Incorrect Incorrect Incorrect Incorrect Select the best answer. ? Question 5 of 5 Which answer is correct for the Cardiology Analysis third-party applications? Snapshots taken in any application are sent as secondary capture images to the Series panel. Installed applications cannot be accessed from the Patient Browser. Installed apps can also be visualized and launched from syngo.via Frontier. Only one Cardiology application can be launched. Multiple Choice Incorrect Incorrect Incorrect Incorrect 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 syngo.via MI Cardiology Applications VB60 Delta Online Training, Part 2. Completion Question Bank 1 syngovia_VB60_MICardiology_Applications_VB60_Delta_OnlineTraining 1 syngo.via VB60 MI Cardiology Applications VB60 Delta Online Training 1.1 Welcome 1.2 Hints for Navigating 1.3 MI Cardiology Overview 1.4 Cardiology Analysis Applications - Part 1 1.5 Cardiology Analysis Applications - Part 2 1.6 Cedars Sinai Cardiac Suite 1.7 syngo.MBF VB30 1.8 Spillover Factor (SF) Formula 1.9 Display of Spillover Factors (SF) 1.10 Visualization of Spillover Factors (SF) 1.11 Automatic Window Level 1.12 Global Time Activity Curve 1.13 Course Review 3 Disclaimer and Assessment 3.1 Disclaimer 3.2 Assessment