syngo.via VB60 Delta Job Aid - USA

SIEMENS Healthineers syngo.via VB60 Delta Job Aid Improvements and MM Reading What’s new in syngo.via VB60A Template Effective Date: 27 May 2019 | HOOD05162003010284 Job Aid Effective Date: 11 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Unrestricted General Improvements and MM Reading SIEMENS Healthineers Table of Contents Link to Online Training 5 syngo.via Frontier 7 Angle on Stack 13 Lung CAD 15 Lesion Quantification 25 CT Lung Assistant (Similar Patient Search) 27 Interactive Spectral Imaging 31 CT Trauma Plugin 35 Spine Ranges for MR 38 Actionable Reporting – Interfacing with Third-Party Vendors 42 2 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Introduction SIEMENS Healthineers These training slides will introduce you to the new features and feature enhancements when upgrading your syngo.via system from version VB50A or VB50B to VB60A. The information includes VB60A enhancements and general improvements. Please note: These slides are optimized for clinical and administration users and some features may not be described. Please refer to your user documentation or your Siemens Healthineers Service Representative for further information. 3 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers SIEMENS Healthineers Q . x Favorite Toch General O Improvements 1847 AM window 4 Click to add footnote Effective Date: 17 March 2022 | HOOD05162003262024 second line Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Ready for Routine Link to Online Training 5 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Link to Online Training SIEMENS Healthineers SIEMENS . Healthineers PEPconnect Explore Search Content and Groups A English Log In / Register Medical Imaging and Therapy • In this new version of syngo.via, your Advanced Visualization and Imaging IT (syngo) Angiography Computed Tomography Digital Marketplace Magnetic Resonance Imaging Mammography Mobile C-arms nexaris Therapy Suites Nuclear Medicine Technology - PET Nuclear Medicine Technology - SPECT Radiation Therapy Robotic-assisted Interventions Ultrasound X-ray Products learning experience has been improved. You now have a direct link to our free online Advanced Visualization and Imaging IT (sungo) syngo Dynamics - CVIS syngo Virtual Cockpit syngo.plaza - PACS education platform, called PEPconnect. EN EN EN syngo.share syngo.via syngo.via Clinical Applications EN EN EN syngo.via VB20 syngo.via View&GO Syngo WebViewer • The link is available in the access bar of * EN EN your syngo.via client. TOP SIEMENS .... Healthineers PEPconnect Explore Search Content and Group English Log In / Register • The link provided directs you to the specific syngo.via syngo.via training area, relevant for your Type Of: All Language: English Filter by Module/Version: None Selected Filter By Title: Enter text Events Upgrade (Delta Training) system and version. General Functions & Features Routine Reading & Reporting Computed Tomography Applications Magnetic Resonance Imaging Applications Mammography Applications Nuclear Medicine Applications Radiation Oncology Applications Technical Administration Events If you do not have an account with Help & AS sels: the-Experts - virtual live • PEPconnect, simply register as prompted Online Training * with an email address and password. Remote Assistance 0 0 9 38 Details What's New Upgrade (Delta Training) Please note: This feature requires internet syngo News connection on the syngo.via client. About 6 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Ready for Routine syngo.via Frontier 7 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 syngo.via Frontier SIEMENS Healthineers • syngo.via Frontier provides you with an advanced post- OpenApps Catalog Order status processing research environment. Welcome to the • The research applications are currently available in the syngo.via Digital Marketplace Frontier Prototype Store and in the Digital Marketplace. Explore apps for cutting-edge care from Siemens Healthineers and solution partners Installed Apps Application family Manufacturer Installation type However, from the syngo.via version VB60 and onward, the syngo.via All manufacturers All types • Q Search for app name, keyword Sort by Date desc syngo.via Frontier Prototype Store is no longer available and the MM Research Frontier workflow has been removed. CT Skull Unfolding for syngo.via VACO CT Coronary Plaque Analysis for CT Cardiac Risk Assessment for CT Cardiac Functional Analysis for syngo.via VB50 syngo.via VB50 syngo.via VB50 • Instead, you can now simply download the syngo.via Frontier Research CT Trauma Head Research Cardiac CT Cardiovascular Research CT Cardiac CT Research Cardiac CT Cardiology Digital Marketplace Frontier Coronary Artery Disease (CAD) Frontier Cardiology Obesity Frontier Cardiovascular research applications directly from the Digital Marketplace in Research prototype designed to Research prototype for the Research prototype designed to Research prototype designed to calculate unfolded views of the skull to aid the detection of fractures and .. quantification and qualification of quantify abdominal and pericardial analyze functional parameters of the coronary and carotid plaques fat for cardiac risk assessment ... heart and its compartments your syngo.via client. 8 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 syngo.via Frontier SIEMENS Healthineers • The installed research applications are seamlessly integrated with OpenApps Catalog Order status syngo.via as a new workflow. Welcome to the • They can also be used directly as inline applications in MM Reading, Digital Marketplace Explore apps for cutting-edge care from Siemens Healthineers and solution partners similarly to the syngo.via OpenApps applications, thus providing Installed Apps tighter integration with your clinical workflow. Application family syngo.via Manufacturer All manufacturers Installation type All types Q Search for app name, keyword Sort by Date desc • This new infrastructure also provides you with a better performance of the research applications, and it no longer has restrictions regarding the number of users who can use the syngo.via Frontier CT Skull Unfolding for syngo.via VACO CT Coronary Plaque Analysis for CT Cardiac Risk Assessment for CT Cardiac Functional Analysis for syngo.via VB50 syngo.via VB50 syngo.via VB50 research applications concurrently. Research CT Trauma Head Research Cardiac CT Cardiovascular Research CT Cardiac CT Research Cardiac CT Cardiology Digital Marketplace Frontier Coronary Artery Disease (CAD) Frontier Cardiology Obesity Frontier Cardiovascular Research prototype designed to Research prototype for the Research prototype designed to Research prototype designed to calculate unfolded views of the skull to aid the detection of fractures and .. quantification and qualification of quantify abdominal and pericardial analyze functional parameters of the coronary and carotid plaques fat for cardiac risk assessment ... heart and its compartments 9 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 syngo.via Frontier SIEMENS Healthineers How to open a Frontier research application from the Patient O Open Ctrl+O Favorites @ Open with Browser: Suggested View as Read-Only with Batch Open CT Neuro Perfusion CT Neurovascular CT Pulmo 3D • Select the desired study. 1 CT Skull Unfolding Frontier Click on Open With and select the research application name CT TAVI Planning * • CT Vascular from the workflow list 1 . More • The research application is displayed with all the applicable 2 clinical use CT Coronary Plaque Analysis LAD1 tools in a basic prototype viewer 2 CT Coronary Plaque Analysis . VRT Heart Coronary Isolation Tree • To exit, click on the X icon in the patient tab and select one of Centerline Inner Wall Outer Wall Plaque 2D Measure Msibility Msibility Mribility Maibility CT Centerline Editing the closing options. CT Plaque Editing + × Add Plaque Initialize Ignore Inner Wall Edit Markers Edit Inner Edit Outer wall Wall DEC DECT Plaque Analysis LAD CT Plaque Summary Componen @. Vessel Vol. [mm] Plaque Ratio [%] AHA Segments: - Lumen 0 Perivascular Analysis B- Plaque - Calcified 10 11 12 B- Non-Calcified TO Lipid Rich 13 15 16 Fibrotic Napkin Ring Sign Segment Length [mm]: 0 Set Length [mm]: 0 Plaque Sections 2D Measurements Accept current Type Branch Min. Luminal Area [mm ]: Stenosis Grade [%]: Remodeling Index: Eccentricity Index: Threshold Presets: 100 kV + TO (HU): -100 T1 (HU): 30 T2 (HU): 190 T3 (HU): 950 Help -100 0 100 200 300 400 500 600 700 800 900 1000 1100 1200 1300 1400 1500 1600 1700 Initialize Reset 10 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 syngo.via Frontier SIEMENS Healthineers How to use a Frontier research application 3 Viewing Data Selection CT head Image Stack(s) in MM Reading: Fron Viewing wat for clinical use Head Stack 2x2 Results CT general CT Coronary Plaque Analysis • In the Tools Gallery, click on the OpenApps icon 1 2x2 MPR VRT Stack 2x2 Results CT Coronary Plaque Analysis 2x2 . CT Corona VET Heart Coronary • The OpenApps section is then displayed in the Plaque Isolation Tree Analysis - OpenApps Frontier Mobility Visibility viability " Viewing panel 2 OpenApps 2 X Plaque 2Q bayre App Home CT Centerline Editing . You can directly start an CT Plaque Editing app from the list or • An additional application panel opens, displaying all alternatively select Add Plaque Initialize Ignore Inner Walls Wall specific data before. the installed research applications available CT Skull Viewing Unfolding caft Markers Edit Inner Edit Outer Wall . Frontier Favorite Tools CT head Vessel: LAD W DECT Plaque Analysis Component Plaque Ratio [%] AHA Segments Scroll Reset OpenApps Vol. [mm Research applications that are not applicable for the Layout CT Plaque Summary B- Vessel Lumen • Perivascular Analysis B- Plaque Head Stack 2x2 Results Calcified 100.0 E 4DN Parallel Spine Spine/Rib B- Non-Calcified Ranges Ranges Label 2x2 Lipid Rich Fibrotic Napkin Ring Sign currently loaded images are dimmed 4 LungCAD Lesion CT Lung Segment Length [mm]: 0 Set Length [mm]: Quantific ... Assistant . 2D Measurements Accept current Favorite Tools X O Plaque Sections Corridor4C Min. Luminal Area [mm2]: Stenosis Grade [%]: ID Type Branch Distance Angle on ROI Circle Remodeling Index: Eccentricity Index: Line Stack Select the required research application you would ... Threshold Presets: 100 kV • Scroll Rotate OpenApps ? like to use. OpenApps X Pardoel 1 Synch Ranges Cedars-Sin Text 200 You can also select multiple research applications for Cardiac Su. 5 *HUI - HU Threshold Evaluation /4/200 1400 • O 1 App Home Spine/Rib ROI Circle Distance the same study. Simply click on the App Home button Label Line and select another research application 5 Full Text Hide Lines Snapshot . syng A CT Skull Unfolding • In the OpenApps tab, you can easily navigate Frontier between the different research applications and back to MM Reading. 11 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers SIEMENS Healthineers Q . x Clinical Tools Favorite Toch MM Reading O 1847 AM window 12 Click to add footnote Effective Date: 17 March 2022 | HOOD05162003262024 second line Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Ready for Routine Angle on Stack Tool 13 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Angle on Stack SIEMENS Healthineers • This is a new tool available in MM Reading and it supports you in Distance Line performing orthopedic measurements. ROI Auto Contour • You can find the tool in the upper right corner menu or in the Tools Gallery. Pixel Lens • This tool measures an angle between two lines across different image Arrow planes. Marker • This multimodality tool is available for 2D, MPR, MPR Thick, MIP Thin, Angle MinIP Thin and MPR/MPR image types. Angle on Stack • No automatic finding is created when using this tool. Text • This feature does not require the purchase of an additional license. Spine/Rib Label O 14 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Ready for Routine Lung CAD 15 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Lung CAD – Improved Algorithm SIEMENS Healthineers • The syngo.CT Lung CAD (LCAD) is a Computer-Aided Detection (CAD) tool designed to assist radiologists in the detection of solid and subsolid (part-solid and ground glass) pulmonary nodules, during review of Multi-Detector Computed Tomography (MDCT) from multivendor examinations of the chest. The algorithm is powered by a highly sophisticated deep learning algorithm1, since syngo.via version • VB40, and is able to detect nodules ranging from 3mm to 30mm (for solid) and 5mm to 30mm (for sub-solid nodules). • syngo.via VB60 includes the newest AI algorithm version VD20C, which has increased accuracy and is now available for all countries in the world, including the USA. 1The same LCAD algorithm is used in syngo.via MM Reading and MM Oncology workflows. However, the navigation toolbar has a different look and design in these two workflows. H. 16 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Lung CAD – Improved Algorithm SIEMENS Healthineers • The LCAD algorithm, available in MM Reading and MM Oncology, can now be used as a concurrent first reader, thus reducing the time needed to read thorax CT cases. • A study was performed at a large multireader center with 20 radiologists (no standard hospital setting) to demonstrate the safety and effectiveness of syngo.CT Lung CAD. The study provides evidence that the device significantly improves radiologists’ accuracy for the detection of nodules. • The standalone sensitivity of 729 cases was 81.8% and the false positive rate was 0.77/case. 17 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Lung CAD – Improved Algorithm SIEMENS Healthineers 1st Reader, Reportable, Lobe AUC 2nd Reader, Reportable, Lobe AUC 1.00 1.00 0.95 0.95 0.90 0.90 0.85 0.11 0.85 0.05 0.103 0.05 0.80 0.80 0.75 0.75 Sensitivity Sensitivity 0.70 0.70 0.65 0.65 0.60 0.60 m m 00 5 9 8 2 7 2 19 10 20 12 11 14 15 17 16 11 13 14 20 18 17 10 16 18 15 12 13 19 Reader ID Reader ID Overall Overall Reader Reader +CAD (gain) Reader Reader + CAD (gain) The histogram shown in the bar graph above The histogram shown in the bar graph above demonstrates that each radiologist benefitted from demonstrates that each radiologist also benefitted the use of CAD in a 1st reader paradigm. from the use of CAD in a 2nd reader paradigm. 18 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Lung CAD - Navigation Toolbar SIEMENS Healthineers • The Lung CAD (LCAD) navigation toolbar available in A MM Reading allows you to review lung nodule markers C1, Change Since: 16.01.2019 SL : 1 mm Diameter: 11,36 mm (+17%) Max. Orth. Diam: 10,32 mm (+18%) proposed by the system. 1 Mean Diameter: 10,84 mm (+17%) Volume: 0,58 ml (+49%) Average HU: 14,19 HU (+254%) VDT. 596 Days • The lens displayed in the image area now allows you to scroll and zoom 1 2 . R • The slice thickness of the image displayed in the lens is now displayed next to the lens 2 thus providing you SL : 1 mm , with an improved reading experience. B S 1/8 X Please note: As in the previous versions, the thinnest slice thickness is shown within the lens, independently of the slice thickness displayed in the image segment. H. 19 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Lung CAD - Navigation Toolbar SIEMENS Healthineers The navigation toolbar provides user specific settings, which allow you to change, Configuration X for example, the filtering of CAD markers. In this new syngo.via version, these settings are now saved in the user profile and persist in the following cases. Zoom factor of lens Additional new settings are available, such as: Filtering of CAD markers . Find solid nodules only • Exclude calcified nodules – if enabled, filters out fully calcified nodules from · Find all nodules being displayed 1 Sorting of CAD markers . By size (large to small) • Show incremental findings – if enabled, only newer findings will be shown. Any From lung apex to base 1 nodules that have been manually segmented using the Lesion Quantification . Exclude calcified nodules tool are not displayed as a CAD marker 2 2 Show incremental findings . 3 Number of CAD markers displayed • Set maximum number of nodules – you can set a maximum number of nodules All Maximum 20 to be shown in the navigation toolbar (a specific number) or select Show all 3 . Reset to default configuration Please note that the settings Sorting of CAD markers and Exclude calcified nodules are not available in the USA. OK Close H. 20 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Lung CAD – New Follow-up Mode SIEMENS Healthineers Since syngo.via version VB50, the LCAD navigation tool available in Current Prior 1 MM Reading automatically computes the lesion segmentation for the current case and displays results like diameter and volume. CP In this new version of syngo.via, the LCAD tool provides the following additional features: Diameter: 9.73 mm Max Orth. Diam: 8.77 mm Mean Diameter: 9.25 mm Diameter: 10 84 min (=1796 ) Volume: 0.39 ml Average HU: -9.22 HU • Automatic matches and segmentation of the corresponding lesion in the prior 1 case. • Display of parameters such as the percentage of change and volume doubling time. C1, Change Since: 19.08.2014 Diameter: 11,36 mm (+17%) Max. Orth. Diam: 10,32 mm (+18%) Mean Diameter: 10,84 mm (+17%) Volume: 0,58 ml (+49%) Average HU: 14,19 HU (+254%) VDT: 82 Days 21 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Lung CAD – New Follow-up Mode SIEMENS Healthineers To see the comparison values, follow these steps: Current Prior 1 • Ensure that the current and prior 1 series are displayed in the layout. • Select the segment where the lung series from the current time point are displayed. • Activate the LCAD tool – once the calculation finishes, the @1. Change Since: 1/16/2019 Diameter: 9.73 mm Diameter. 11.36 mm (+17%) Max. Orth. Diam: 8.77 mm Max. Orth. Diam: 10.32 mm (+18%) Mean Diameter. 9.25 mm Mean Diameter. 10.84 mm (+17%) Volume: 0.89 ml matched nodules from the current and prior series are Volume: 0.58 ml (+49%)) Average HU: -9.22 HU Average HU: 14.19 HU (+254%) VDT4596 Days automatically segmented and the comparison values are OL displayed in the measurement details box of the current series. The preprocessing for the comparison is performed for the series i within the current and prior 1 cases, containing the thorax body region and the thinnest slice. If there are multiple series satisfying these rules, the latest series within the dataset is preprocessed. 22 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Lung CAD – New Follow-up Mode SIEMENS Healthineers • The CAD markers in the current and prior time points are identified by a number, for example CAD1, CAD2, etc. in the evaluation text. Current Prior 1 • After you accept the CAD marker using the mini toolbar, the an automatic name is assigned to the finding, for example, C1. R • To ensure that the correct lesion is being compared, verify that the CAD number is the same for the same nodule across the two time points. For example, after you accept the CAD 1 in the current Ci, Change Since: 1/16/2019 Diameter: 11.36 mm (+17%) Max Orth. Diam: 8.77 mm case, the measurement details box displays C1 for the Max. Orth. Diam: 10.32 mm (+18%) Mear Diameter: 9.25 mm Mean Diameter: 10.84 mm (+17%) Volume: 0.39 ml Volume: 0.58 ml (+49%) Average HU: -9.22 HU A erage HU: 14.19 HU (+254%) measurement in the current and in the prior case. VLT. 596 Days • This linking of lesions is performed automatically by the system and cannot be changed. C1, Change Since: 19.08.2014 Diameter: 11,36 mm (+17%) C1 After you accept the CAD marker in the navigation tool bar, two Max. Orth. Diam: 10,32 mm (+18%) Diameter: 9,73 mm Max. Orth. Diam: 8,77 mm findings are created in the findings assistant: one for the prior case Mean Diameter: 10,84 mm (+17%) Volume: 0,58 ml (+49%) Mean Diameter: 9,25 mm and one for the current case. You can group the findings using drag Average HU: 14,19 HU (+254%) Volume: 0,39 ml H. and drop in the findings assistant. VDT: 82 Days Average HU: -9,22 HU 23 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Lung CAD – New Follow-up Mode SIEMENS Healthineers If you would like to remeasure or correct the segmentation of a nodule: C1 Diameter: 9,30 mm Max. Orth. Diam: 6,88 mm Replace Lesion AF X 1. Do not delete the nodule. Mean Diameter: 8,09 mm Volume: 0,35 ml Average HU: -9,22 HU ? This lesion has been already measured. 2. Select the Lesion Quantification tool from the Tools Gallery Do you want to replace it? and manually remeasure the nodule. 1 Yes No 3. The previous contours are automatically replaced by the new contours and the comparison is adapted. R SL :1 4. After you remeasure, a dialog opens asking you to confirm the remeasurement 1 . Or 5. Right-click in the measurement and C2. Change Since: 19.08.2014 Diameter: 9,36 mm (+9%) Max. Orth. Diam: 6,35 mm (-8%) Mean Diameter: 7,85 mm (+1%) select Correction Pen 2 Volume: 0,23 ml (+21%) Average HU: NaN . VDT. 144 Days R You can also use the Lesion Quantification tool to measure Correction Pen 2 a nodule that has not been identified by the Lung CAD tool. Delete Measurement H. 24 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Ready for Routine Lesion Quantification 25 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Lesion Quantification – New Follow-up Mode SIEMENS Healthineers • The Lesion Quantification tool was introduced in syngo.via [1] Nodule Measur ... L1, Change Since: 1/16/2019 version VB50 and it allows you to perform a semi-automatic 3D Diameter: 11.36 mm (+17%) segmentation of lung nodules. Max. Orth. Diam: 10.32 mm (+18%) Mean Diameter: 10.84 mm (+17%) Volume: 0.58 ml (+49%) Average HU: 14.19 HU (+254%) In this new syngo.via version VB60, this tool now supports a VDT: 596 Days • follow-up, displaying the percentage of change in the measurement details box. Favorite Tools 1 EE -:-D scroll Reset OpenApps Parallel spine Spine/Rib LungCAD Lesion CT Lung Distance Angle on ROI Circle Hide Lines Full Text Trauma How do you use it? Layout Ranges fanges Label Quantific. Assistant Line Stack Tools • Ensure that the current and prior 1 lung series are displayed in A A the layout. [1] Nodule Measur .... Li, Change Since: 1/16/2019 [2] Nodule Measur ... Diameter: 11.36 mm (+17%) L1 Diameter: 9.73 mm • Activate the Lesion Quantification tool, in the Tools Gallery 1 Max. Orth. Diam: 10.32 mm (+18%) Mean Diameter: 10.84 mm (+17%) Max. Orth. Diam: 8.77 mm Volume: 0.58 ml (+49%) Mean Diameter. 9.25 mm . Average HU: 14.19 HU (+254%) Volume: 0.39 ml Average HU: -9.22 HU • Measure the nodule in the current case with a single click or by 2 drawing a stroke along the desired lesion. R R • The corresponding nodule in the prior case is segmented automatically and the measurement details box in the current case displays the percentage of change for diameter, volume and others, as well as volume doubling time 2 . 26 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Ready for Routine CT Lung Assistant (Similar Patient Search) 27 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 CT Lung Assistant SIEMENS Healthineers • The CT Lung Assistant calls up the Similar Patient Search (SPS) OpenApps ? x Web Service page. SIEMENS Healthineers Digital Marketplace Country (language) Germany (English) Login / Register Catalog Order status Similar Patient Search < • It provides similar cases via an AI-driven image search, Interactive search for similar lung CT cases sold by Siemens Healthcare GmbH Request quotation Install Installed Apps including known diagnosis and up-to-date textbook knowledge from Thieme1 in order to enhance imaging diagnostics for Interstitial Lung Disease (ILD). 00:00:00 • A new version of SPS VA20A is available in syngo.via VB60 and Digital Marketplace VB50B. What is it? Similar Patient Search (SPS) Web Service is an Al supported search for similar patterns in an image with focus on interstitial lung diseases. It retrieves similar lung CT images from a reference 28 1 – Siemens Healthineers is not the legal manufacturer of this product. Any claims made for this product are under the sole responsibility of the legal manufacturer. Additionally, the partner applications mentioned here may not be commercially available in all countries. Please contact the legal Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 manufacturer for more information. CT Lung Assistant SIEMENS Healthineers This new version includes: CT Lung Assistant - NSIP (1/1/1900) SIEMENS Healthineers .. Similar Patient Search Web Service Q ? • An improved visualization of the results page, Tags : |F acute chronic = bilateral focal smoking very rare Recent disease in SPS database: COVID-19 displaying a summary of the imaging signs for each Idiopathic Pulmonary Fibrosis: Exacerbated Usual Interstitial Pneumonia (UIP bilateral 2 acute disease shown on the main results page 1 Reticular pattern with honeycomb cysts. . Traction bronchiectasis, volume reduction and impaired architecture. No dominant frosted-glass opacities, nodules, cysts or mosaic pattern. Predominantly basal and peripheral changes. • Clinical tags - quick sorting and/or exclusion of Mostly symmetrical, rarely asymmetrical (approx. 25%). diseases from the results page, enabling you to O 1 search through the similar cases faster 2 Pulmonary Lupus Erythematosus (SLE) acute chronic bilateral very rare . . Pneumonia is relatively common in SLE. · Pleural involvement with thickening and pleural effusion in about 70% and pericardial effusion in approx. 35% of cases. • More diseases and cases have been added to the · Lupus pneumonitis (5%): Patches of consolidation and frosted-glass opacities representing diffuse alveolar injury or diffuse pulmonary haemorrhage. database. O Non-Specific Interstitial Pneumonia (NSIP) chronic bilateral • Additionally, you can request a trial version of this Fine homogeneous reticulations (chronic fibrosing type) and/or frosted-glass opacities (cellular acute type). Traction bronchiectasis and volume reduction. product in the Digital Marketplace. No dominant honeycomb patterns. Predominantly basal. Peribronchiovascular predominance often with relative sparing of the subpleural space. ... .. Rheumatoid Interstitial Lung Disease chronic bilateral V 29 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 CT Lung Assistant SIEMENS Healthineers CT Lung Assistant - NSIP (1/1/1900) J X SIEMENS How do you use the clinical tags? Healthineers Similar Patient Search Web Service Q ? Tags : |F acute chronic = bilateral 1 focal smoking very rare Recent disease in SPS database: COVID-19 • All diseases in the Similar Patient Idiopathic Pulmonary Fibrosis: Exacerbated Usual Interstitial Pneumonia (UIP) acute bilateral Search Web Service database are V · Reticular pattern with honeycomb cysts. assigned certain clinical tags 1 · Traction bronchiectasis, volume reduction and impaired architecture. . · No dominant frosted-glass opacities, nodules, cysts or mosaic pattern. · Predominantly basal and peripheral changes. · Mostly symmetrical, rarely asymmetrical (approx. 25%). • With a single click you can display o the similar cases sharing that tag 2 . Pulmonary Lupus Erythematosus (SLE 2 acute chronic bilateral very rare Pneumonia is relatively common in SLE. • With a second click, you can exclude Pleural involvement with thickening and pleural effusion in about 70% and pericardial effusion in approx. the similar diseases from the results Filtered out 3 list. The filtered out diseases are Miliary Tuberculosis acute bilateral infectious displayed at the bottom of the page, Primary tuberculosis: In the case of manifest infection, there will be infiltrates predominantly in the upper in a section called Filtered out 3 lobe, while cavitation and miliary spread are atypical. Atypical manifestation with atelectasis and lymphadenopathy is possible in children. Residual findings: calcified granuloma (= Ghon focus), with lymph . node involvement (= Ranke complex). Post primary tuberculosis: Reactivated tuberculosis usually shows a progressive course with necrosis and O . Pneumocystis Jirovecii Pneumonia (PJP) acute bilateral infectious Typical changes are diffuse ground-glass opacities and increasing interstitial changes with septic thickening suggesting crazy-naving nattern. 30 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Ready for Routine Interactive Spectral Imaging 31 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Interactive Spectral Imaging SIEMENS Healthineers • Interactive Spectral Imaging is a functionality available in MM Reading. • It allows you to easily visualize Dual Energy CT Studies and evaluate the most common Dual Energy application classes (e.g. Monoenergetic, Iodine, VNC). O O • You can change the different spectral representations, for example Iodine or VNC, on the fly by interacting with the MPR FUSION image text. SL min SPC 0,6 VNC | lodine n.a. | IOD Reset Mono+ 50 % DE TB_Chest VNC Mixed lodine VNC/lodine 32 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Interactive Spectral Imaging SIEMENS Healthineers In this new version of syngo.via: You now have the fused VNC/Iodine images, a visualization that • might be familiar to you within the CT Dual Energy workflow 1 . Simply right-click in the image text and select VNC/Iodine 2 • O . MPR FUSION SL min SPC i Please note: The fusion mode is not displayed if you change 2 VNC | lodine n.a. | IOD Reset the representations by left-clicking in the image text to toggle to the different representations. Mono+ 50 % DE TB_Chest VNC Mixed lodine VNC/lodine 1 33 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Interactive Spectral Imaging SIEMENS Healthineers Further improvements related to this functionality include: A • Improved interactivity when changing the energy level using the left mouse button for the Mono+ representation, making O it easier to display a certain energy level. [1] ROI Circle CT_2 lodine Min / Max: -36 HU/22 HU Mean/SD: -7 HU/10 HU Area: 2,37 cm2 When performing a measurement with the ROI Circle tool, MIX/VNC/IODINE • Mean: 24 HU/32 HU/-7 HU the measurement details text now displays the mean Hounsfield Units (HU) for MIX, VNC, Iodine 1 . [1] ROI Circle CT_2 50 % DE TB Chest ... • This gives an overview of the HU (or iodine concentration) in lodine DE TB_Chest .. Min / Max: -36 HU/22 HU the other representations without the need to change the Mean/SD: -7 HU/10 HU representation. Area: 2,37 cm2 MIX/VNCAODINE Mean: 24 HU/32 HU/-7 HU 1 34 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Ready for Routine CT Trauma Plugin 35 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 CT Trauma Layouts SIEMENS Healthineers Viewing • A new plugin is available in MM Reading, called CT Trauma. CTTrauma Trauma Brain Skull Unf. Skull Unf. Stac :2x2 Hemorrha. Hemato ... Fractures Head Soft Head Soft Neck Soft Neck Soft +Sharp +Sharp • This plugin provides a collection of layouts to facilitate the Thorax Abdomen Pelvis Soft Soft+Sharp Soft+Sharp +Sharp reading of polytrauma CT scans and is protected by a license. Favorite Tools Scroll Reset Layout OpenApps Parallel Ranges • The layouts are preconfigured to display soft and hard kernels pine RInges Spine/Rib Lung CAD Lesion Label Quantific .. side-by-side for the different body parts, thus allowing you to do O CT ung Distance Angle o ROI Circle ASsi tant Line Stack Hide Likes Full Text Trauma a faster structured reading of your polytrauma cases. Tools Viewing C # X • In addition, the scanners with software versions SOMARIS/10 CTTrauma VA40 or above can generate inline results providing a skull Trauma Brain Skull Unf. Skull Unf. unfolding for hematoma and fractures1 that can also be + Stack2x2 Hemorrhamato .. Fractures visualized with the CT Trauma plugin. Head Soft Head Soft Neck Soft Neck Soft +Sharp Sharp • To obtain a correct image loading in the CT Trauma layouts, you Thorax Abdomen Pelvis Soft Soft+SharpSoft+Sharp +Sharp need to assign the corresponding data role in the Auto Tasking tab at the scanner2 (software version SOMARIS/10 VA40 or higher). 36 1 – The availability of this feature is not guaranteed for all SOMARIS/10 VA40 scanners. 2 – The data role assignment in the scanner requires an additional license to be installed on the scanner. Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 CT Trauma Layouts SIEMENS Healthineers • This new plugin functionality is available in the Tools Gallery. Viewing CT Trauma • When you activate the tool, the layout collection in your preferred layouts area changes to the collection of layouts Trauma Brain Skull Unf. Skull Unf. defined for this plugin. Stack2x2 Hemorrha. Hemato .... Fractures Layout Gallery Deactivate the tool to return to your preferred layouts. Head Soft Head Soft Neck Soft NeckSo X • +Sharp +Sharp Layout operations Save • To change the collection of layouts available in the CT Trauma Save Thorax Abdomen Pelvis Soft Thorax layout layout as Soft+SharpSoft+Sharp +Sharp tool: Sharp Allgemeine Layouts 1 Stack 1x1 Stack 2x1 Stack 2x2 Stack 3x2 Stack 3x3 Stack 4x4 Stack 5x5 Follow Up Follow Up Follow Up MPR 2TP 3TP 4TP Follow .. 1 • Open the Layout Gallery . MR Spine MG 2x2 PET CT MR CT MPR MPR VRT MPR MIP MIP Head Head 2 Runoft Compare Standard • Right-click on the desired layout and select Add to 2 Spine Luna 2 Results Results Brain Skull Unf. Skull Unf. Skull Unf. Trauma Head Soft Favorites Rename Fractures Combined Stack2x2 . The first layout is the default layout for this plugin. Head Delete Head Thorax Thorax Thorax 2 • Sharp +Sh Cafe Thorax Soft Sharp Soft+Sharp Phases Set as default • To rearrange the order of the layouts, simply drag and drop Spine&Ribs Abdo Copy to Private section Pelvis Pelvis Soft Pelvis 3 Sharp Sharp Pelvis 2 Phases Phases the layouts to a different position. 2 Add to Favorites 37 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Ready for Routine Spine Ranges for MR 38 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Spine Ranges for MR SIEMENS Healthineers AFL • Spine ranges allow you to define slices perpendicular to AH the spinal cord. C2 C3 • In this new version of syngo.via, this functionality has RF C4 C5 O been extended to include spine datasets from the MR C6 O C7 modality. T2 C AFL Parallel (O Radial Curved Spine * Vascular • You can run the spine ranges on any spine sequence Preview from a Siemens MR, although the algorithm requires a Image Thickness 2,0 mm Distance between Images 2,0 mm T1 acquisition of the cervical, thoracic or lumbar spine Number of Images 100 O Field of View 158,6 X 158,6 mm to be present within the dataset. RF Presets Image Series Range Series Name |MPR 2mm Range Image Comment Include Reference Image Start Accept Close Please note: For a complete list of the image requirements, please refer to the user manual. H. 39 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Spine Ranges for MR SIEMENS Healthineers How do you use it? Zoom/Pan HR * 3D Reference Point Windowing • Activate the tool from the upper left corner menu or from the Tools Gallery 1 Il Movie Rotate • The spine labels are displayed and need to be Scroll accepted 2 Ranges Parallel Ranges Save as Series * Radial Sliced Ranges • The spinal cord central line is automatically calculated Fit to Segment Radial Ranges and the slices perpendicular to this line are displayed R A Flip Horizontal Curved Ranges in the preview. Spine Ranges 1 * Vascular Ranges Confirm Verify the correct location of all automatic anatomy labels. Please edit the labels if necessary and then confirm to proceed. -- 2 Confirm Close 40 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Spine Ranges for MR SIEMENS Healthineers How do you use it? H AFL 1. 2 O • If required, you can interact with the green circles in the C2 C3 O upper segments in order to correct the center line 3 5 A C4 3 . C5 C6 O C7 • Select the number of images, the slice thickness and T1 C6/C7 T2 other parameters 4 . o AFL Parallel Radial Curved Spine * Va Preview • You can adjust the size and aspect ratio of the ranges images by moving the corners of the Field of View Image Thickness 2,0 mm graphics in the upper middle segment 4 Distance between Images 2,0 mm 5 Number of Images 110 + . Field of View 158,6 x 158,6 mm RF - ---- Presets Image Series • Click on Start and Accept to save the ranges 6 . 6 Start Accept Close 41 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers Ready for Routine Actionable Reporting – Interfacing with Third-Party Vendors 42 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Actionable Reporting – Interfacing with Third-Party Vendors SIEMENS Healthineers A new “real-time” interface for exchanging data with external reporting applications is now available: Real-time data exchange Disable real-time data exchange with external applications • You can send clinical data and findings to PowerScribe One (by Enable legacy data exchange Nuance) and SmartReports1 (by Smart Reporting). Enable FHIRCast-based data exchange Service URL https://%MED_SERVER%:44384 • For example, if you measure a lung nodule, the measurement value and location of the nodule is automatically transferred to Service API key the report application from PowerScribe One or SmartReports1. 43 Effective Date: 17 March 2022 | HOOD05162003262024 1 – This feature is under development and not yet commercially available. Its future availability cannot be ensured. Unrestricted © Siemens Healthineers, 2022 Actionable Reporting – Interfacing with Third-Party Vendors SIEMENS Healthineers To activate this feature, follow these steps: Configuration Panel Client Settings Advanced Visualization Display And Behavior Export Frontier Open 1 Reporting • Log in with an account with Administrator The reporting configuration will open in a new window. Your syngo.via session will be maintained. H. rights in syngo.via. Open Reporting Configuration • Go to the Configuration Panel and select Real-time data exchange Disable real-time data exchange with external applications the Reporting tab 1 Enable legacy data exchange Enable FHIRCast-based data exchange 2 . Service URL https://%MED_SERVER%:4438 Service API key • Activate the option Enable FHIRCast-based data exchange to activate this feature 2 . • If you are interfacing with PowerScribe One, a further configuration file might be required. Please contact your Customer Support Center for assistance. Please note: This interfacing is protected by a license. H. 44 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 Actionable Reporting – Interfacing with Third-Party Vendors SIEMENS Healthineers PowerScribe One 1 Help V . Deno 1 Siemens V Report View Format Review Draft Prefirm Close Wet Read Discard PACS mPower PointerShort • The clinical data from the syngo.via Findings Assistant is exchanged if the (Draft) 5555 - Frank N. Study, - CT Head and CTA Head/Neck SMART ASSIST PRIOR REPORTS (6) TEMPLATES MACROS PROCEDURE DATA INDICATION: Suspect Stroke FIELDS PowerScribe One application is opened next to syngo.via COMPARISONS: None Current Template 1 RSNA 2020 (Default) AMBIENT MODE TECHNIQUE/PROTOCOL: Noncontrast head CT followed by contrast enhanced head and neck CT arteriogram . ALERTS (2) was performed. O Create New Template BRAIN FINDINGS: Enter the template name to search Acute intracranial hemorrhage: absent Q Brain Parenchyma: No acute hemorrhage, mass effect or midline shift. Besuch Fers Ventricles and Sulci: Normal for age. Extra-Axial Spaces: No extra-axial fluid collection. Owner Anatomy SmartReports Basal Cisterns: Normal.] Section Folder Other: Normal paranasal sinuses, orbits, and cranium. Q Apply Filters Clear All Filters X ASPECT score (left hemisphere): 7 ASPECT score (right hemisphere): 10 TEMPLATES (1) Relevant TEMPLATE NAME Large vessel occlusion (LVO): Left middle cerebral artery Siemens RSNA 2020 NECK FINDINGS: • A specific SmartReports section is available in the syngo.via Report Lymph Nodes. No enlarged or abnormal annearing lymph nodes Report for MULTI_5_5TP (1/1/1900) Editor. When you add this section to your report and click the button 2 CT | Thorax provided (Edit in SmartReports), the SmartReports application opens 2 › PROCEDUR . CLINICAL INFORMATION During this action the clinical data from the syngo.via Findings Assistant COMPARISON Findings Lung parenchyma: no pulmonary nodules). FINDINGS is exchanged1. Lung parenchyma Pulmonary nodules No pulmonary ... . No pulmonary nodules No selection • As soon as you close the SmartReports application, the report content is Infiltrates No pulmonary nodules Pulmonary cavities Granuloma displayed in the SmartReports section in the syngo.via Report Editor. Pulmonary emphysema Lung nodule Fibrosis Diffuse metastatic lung disease Pulmonary nodule • You can add further content in the SmartReports section by reopening Thoracic vessels Pulmonary venous congestion the SmartReports application. Pleura Lymph nodes Bones • You can also add more content, such as screenshots, in the syngo.via IMPRESSION Report Editor. 11:05-21 Report updated. Report Language: E 45 Effective Date: 17 March 2022 | HOOD05162003262024 1 – This feature is under development and not yet commercially available. Its future availability cannot be ensured. Unrestricted © Siemens Healthineers, 2022 Actionable Reporting – Interfacing with Third-Party Vendors SIEMENS Healthineers Further improvements include: X • In the Digital Marketplace, you can request the creation of customized Finding Types from our partner Smart Reporting. • After importing, the new finding type is available in your syngo.via Findings Assistant, for example in the MM Reading workflow or in any MR workflow. • This provides you with additional flexibility to create structured reports. 46 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022 SIEMENS Healthineers 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.com/healthineers 47 Effective Date: 17 March 2022 | HOOD05162003262024 Unrestricted © Siemens Healthineers, 2022