Plataforma SOMATOM go. (VA20) - Oncología - Ayuda de trabajo

Guía de tareas de oncología SOMATOM go. VA20 CT View&GO Con solo unos cuantos pasos sencillos para los casos de pacientes con un punto temporal único y varios puntos temporales, el presente documento lo guiará por el flujo de trabajo Oncology de CT View&GO para SOMATOM go. Versión de software VA20. Nota: En cada uno de los siguientes flujos de trabajo se describe una de las muchas for- mas posibles de llevar a cabo la tarea. Caso de paciente de punto temporal único Paso 1: Cargue los datos de CT Thorax del paciente con nódulos pulmonares en CT View&GO (1 y 2). SIEMENS adminUser + ? @ @ wwf = Scan 4 # Recon 1 Patient Browser Local Data Search by Name, ID, Date, Description and Modality (Ctrl+F) Q More Filters 2 Viewso Open Open with DICOM Import Delete Manage Recon Results (41 results, 11:30:21 AM) Series Open with View&GO Patient Name Date of Birth Patient ID Modality Study Date and Time Study Description Delete Protect .. Series Number Series Description Modality # Instances + MEP_China_03_2017_00003_Scott 1/1/1985 837c3b4aa0 CT, SR 2/23/2017 9:59:49. 01_CN Abdomen(. 1 Topogram 1.0 T20s CT MEP_China_03_2017 00003 Scott 1/1/1985 837c3b4aa0 CT, SR 2/23/2017 9:57:59. 01_CN_Thorax(Ad 3 LungCARE 1.0 B50f CT 37 MEP_China_03_2017_00003_Scott 1/1/1956 837c3b4aa0 CT, SR 2/23/2017 9:53:56 02_GZ_Abdomen( 501 Patient Protocol CT MEP_China_03_2017_00003_Scott 1/1/1956 837c3b4aa0 CT, SR 2/23/2017 9:50:41 02_GZ_Thorax(Ad Osteo Spiral 1 4/12/1951 Osteo Spiral1 CT 10/14/2015 12:36: CT Osteodensitom. Osteo Spiral 2 2/18/1956 Osteo Spiral 2 CT 10/12/2015 9:51:5 CT Osteodensitom. Osteo_Anke_LWS 4/12/1951 Anke_LWS CT 10/14/2015 12:36 Abdomen^Osteod. Osteo_SPI_01_L2L3L4L5 4/12/1951 Osteo SPI 0 CT 10/14/2015 12:36 Abdomen^Osteod Osteo_SPI_01_L3L4L5 4/12/1951 Osteo_SPI 0 CT 10/14/2015 12:36: Abdomen^Osteod OsteoSpine_SpiralTilt 1/28/1955 123 CT 1/28/2015 12:28:5 Abdomen^Abdom OsteoU_Sequ_PhantDetect_Failed 1/1/1940 OsteoU_Seq. CT 4/10/2014 10:38:4 Spezial^07_Osteo OsteoU_Sequ_PhantDetect_Failed OsteoU_Seq ... CT 6/27/2013 2:51:13 OsteoU_Sequ_PhantDetect_Failed 2 2/18/1939 OsteoU_Seq ... CT 12/18/1995 11:40 PEP_AbdominalMass_Onco 12/5/1946 CT 3/14/2007 12:47:3 Abdomen 01_Abd PEP_AorticCoarctation AVA 9/8/1968 CT 5/7/2007 11:25:55 ThoraxAngio_% # Instances PEP_CT_Colonography_2 are Follows 1/1/1975 CT 9/27/2005 10:17:1 Colonography CT 2/5/2002. 9:40:00 AM 05 Feb 2003 PEP_CT_LungCare, Followup 1/11/1939 454 CT 10/23/2002 8:41:4. 23-Oct-2002 @ PER NeuroDSA_Garouas Brain Scall & # PEP_ThoraxAbdo_CTA_IDR_NOZ 7/7/1940 007 CT 10/23/2007 10:49 Specials^Thoracal. Ross, Haley 1/24/1967 dc3cd7a8-32 CT, SR 4/27/2018 3:44:53 Thorax(Adult) ThoraxHead_00001_Aaron 1/1/1973 d32c673f42 CT 10/29/2015 8:31:2 Thorax^01_Thorax. ThoraxHead_00001_Aaron 1/1/1973 d32c673f42 CT 10/29/2015 8:30:0 Head^001_HeadS Tyson, Kurtis 11/17/1979 8699b58c-7f. CT, SR 4/27/2018 3:55:04 Thorax(Adult) WholeBody_Angio_BR_AVA 9/16/1946 CC CT 5/10/2006 11:08:4 Abdomen % # WholeBodyAngio, HongKong, China 5/16/1965 CC CT 2/26/2007 12:11:3 Vascular BodyAngi Search successfully completed 11:30 AM SIEMENS siemens.com/healthineers Healthineers . Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Paso 2: Maximice el segmento axial haciendo doble clic en él (1). Healthineers adminUser ER E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup . 1/11/1939 M 454 CT View&GO PEP_CT_LungCare, Followup Anlagenzentrum Sensation 16 Series -1/11/1939, M, 63Y Viewing SPA1 60. SPF171.1 Ref. Physicio Word: 23-Oct-2002 08:41 Physician: IT Operator. Stack 3x2 Stack 4x4 Follow Up MPR VRT MAS Total mAS, 695 TI CSL Later 01 Topogr am 1.0 LungCARE 1.59 51 0.8 CT, 2/5/2003 ------- 05. Feb-2003_@ MPR MIP MPR Stack 2x2 Vessel Compare Current R _ CT, 10/23/2002 23-Oct-2002_@ 10cm Printing LA Distribution CT_SOMS TOP 350 ATSOMS SP opogram 1.0 LungCARE 1.0 V II Favorite Tools × Patient Protocol Distance ROI Circle Parallel Snapshot Line Ranges Export Show in Remove Remove Image 3D Table Bones Endosco ... Define Coffee" Heard View Vesse case drag data from Series Navigator. Please drag data from Series Navigator. Please drag data from Series Navigator. Solid Lung CAD Reset Lesion RD Series Windowing T Windowing Vascular Diamete Ranges ROI HU dia Result 11:33 AM Paso 3: Cambie a Lung windowing (Ajuste de ventana de pulmones) pulsando la tecla F6 o seleccionando Lung (Pulmón) (2) en CT Presets (Ajustes predefinidos de TC) (1) del menú de la esquina inferior derecha del segmento. Healthineers Soft-Tissue F5 adminUser mf R = Scan 4 E Recon 1 O PEP_CT_LungCare, Followup * 1/11/1939 M 454 Lung F6 2 CT View&GO A Bone F7 Series X Viewing Liver F8 Angio Stack 3x2 Stack 4x4 Follow Up MPR VRT 3 IMA 238 SP F171.1 Colon Later 01 Abdomen 05-Feb-2003_@ MPR MIP MPR Stack 2x2 Vessel Baby Abdomen Current Baby Brain CT, 10/23/2002 23-Oct-2002_@ Baby Extremity Baby Lung Printing Baby Nec Distribution Baby Spine T205 (1) LUNGCARE 1.0 Base Orbita Cardio Favorite Tools Cerebrum Patient Protocol Snapshot Distance ROI Circle Parallel Snapshot Dental Line Extremity Export Inner Ea 10cm Show in Image 3D Bones Intervention Bone Define Isolate Tree Heart Intervention Lung Intervention Soft-Tissue F Solid Lung CAD Lesion Series Windowing Larynx * T SL 1.0 Diameter CT_SOM5 SPI Mediastinum Windowing Vascular Ranges WHO KV 120 Osteo CT Presets 1 ROI HU Zoom Pelvis CT Color LUT Reset Windowing 11:35 AM Siemens Healthineers Services Página 2 de 14 Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Paso 4: En el menú de la esquina inferior izquierda del segmento, cambie el tipo de imagen a MPR (1). Ajuste el grosor de corte para una visualización óptima si es necesario. Healthineers> adminUser E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup . 1/11/1939 M 454 CT View&GO A Series X Viewing Add Study Disto stuck 3x2 Stack 4x4 Follow Up MPR VRT 3 IMA 238 SPF171.1 Later 01 CT, 2/5/2003 05-Feb-2003_@ COMPR Current CT, 10/23/2002 23-Oct-2002_@ Printing Distribution 101205 117 LUNGCARE 1.0 V R Favorite Tools Patient Protocol Distance ROI Circle Parallel Snapshot Line Ranges Export Image Show in Remove Remove 10cm 3D Table Bones Define Coronary Isolate Vessels Tree Heart VRT F Solid Lesion Lung CAD Osteo Series Windowing MinIP Thin SL 1.0 Windowing Vascular Diameter MPR Thick Ranges MPR 1 W 1200 C -600 ROI HU EGA PRESUN MPR Show in Display Type MPR [2] Q 2D 11:36 AM Paso 5: En la imagen del segmento desplácese por el conjunto de datos para realizar la interpretación diagnóstica utilizando el botón del medio del ratón o ruedecita (1). Healthineers adminUser * = E Scan 4 = Recon 1 O PEP_CT LungCare, Followup . 1/11/1939 M 454 CT View&GO A Series x Viewing Add Study Disto stuck 3xd Slack 4x4 Folow Up MPR VRT 3 IMA ~167 SP F114.2 Later 01 CT, 2/5/2003 APR MIR Stack 2012 v 05.Feb-2003_@ Current CT, 10/23/2002 23-Oct-2002_@ 1 Printing Distribution Program 1.0 LungCARE 1.0 R Favorite Tools Patient Protocol [501] Distance ROI Circle Parallel Snapshot Line Ranges X Export Image Show in Remove Remove 10cm 3D Table Bones Endosco ... Define Coronary Isolate View Vessels Tree Heart F Solid Lung CAD Osteo Reset Lesion Series Windowing SL 0.0 Windowing Vascular Diameter MPR Ranges WHO kV 120 1500 -400 ROL HU 11:44 AM Siemens Healthineers Services Página 3 de 14 Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Paso 6: Utilice la herramienta Lung CAD Series (Serie Lung CAD) (2) como segundo lector seleccionándolo en la Tool Gallery (Galería de herramientas) (1) o en Favorite Tools (He- rramientas favoritas). Healthineers adminUser mf R = Scan 4 # Recon 1 PEP_CT_LungCare, Followup . 1/11/1939 M 454 X O CT View&GO A Series X Viewing Add Study Disto stack 3xd Stack 4x4 Follow Up MPR VRT 3 IMA ~238 SP F171.1 Later 01 Tool Gallery MPR MIP COMPPare St Stack 22 veados Basic Interactions Alignment 2_@ Display Types Printing 2D MPR MPR/MPR MinIP Thin VRT 2 Distribution LungCARE 1.0 Measurements 4 Distance Angle Pixel Lens ROI Circle Diameter Line Lugg CAL Favorite Tools x Annotations palculate and Show/Hide Lung CAD Distance ROI Circle Parallel Snapshot T Line Ranges Text Export Image Show in Remove 3D Bones Ranges E Endosco ... Define Coronary Isolate View Vessels Tree Heart Raralles Image Visualization Solid Lung CAD Osteo Reset Lesion Series Windowing Fit to Fit to Acq. Hide Hide Lines | Custom Windowing Segment Size Graphics Text Va Diameter WHO MPR KV 130 Windowing ROI HU + 11:47 AM Después de seleccionar la herramienta, el formato se divide en dos segmentos. La parte Lung CAD Series (Serie Lung CAD) se calcula en el segmento de la derecha (1). Healthineers adminUser E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup X 1/11/1939 M 454 CT View&GO Series Viewing 3 IMA -187 SP F130.3 tack 3x2 Stack 4x4 Follow Up MPR VR Later 01 05.Feb-20036 MPR MIP MPR Stack 2x2 Vessel Current _CT, 10/23/2002 23-Oct-2002_@ Printing Distribution pogram 1.0 7205 LUNGCARE 1.0 1 Luna CAD series is being calculated Favorite Tools Patient Protocol ce ROI Circle Snapshot Export Endosco ... coffeey View A Solid Lesion Lung CAD Osten Series * T Diamete MPR ROI HU Edit Resu KV 120 1500 + 11:48 AM Siemens Healthineers Services Página 4 de 14 Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Paso 7: Una vez que haya terminado el cálculo, desplácese por (1) los hallazgos (2) del segmento de la derecha y evalúe los posibles candidatos. Healthineers adminUser E Scan 4 = Recon 1 PEP_CT_LungCa . 1/11/1939 M 454 O CT View&GO Series X Viewing 3 IMA -187 1000 IMA 3 Add Study Disto SP F119.9 Stack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 2TP CT, 2/5/2003 05-Feb-2003_@ MPR MIP MPR Stack 2x2 Vessel Compare Current 23.Oct-2002 Printing Distribution Topogram 1.0 720s [1] LUNGCARE 1.0 V Favorite Tools 1 Patient Protocol Distance ROI Circle 2 Line Results Export 2-C3 Image Show in 3D Bones Define View Vessels Caution. View only after first read!" Lung CAD [3] Findings: 6 Candidates [1000] Lung CAD Osten Series Windowing Lung.CAD version: VD10F mage 174/373 (1 Finding(s)) SIEMENS pianeta MPR ROI HU an Edn Result KV 120 LOAD SERIES KV 120 1500 Automatic Result 11:50 AM Healthiners> adminUser mf R = Scan 4 E Recon 1 PEP_CT_LungCare, Followup 1/11/1939 M 454 CT View&GO Series X Viewing @ IMA -166 SP F113.5 1000 IMA Stack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 CT, 2/5/2003 05-Feb-2003_@ APR MIPMPR Stack 2X2 Vessel Current CT, 10/23/2002 23-Oct-2002_@ Printing Distribution Topogram 1.0 720% LUNGCARE 1.0 Favorite Tools x 2 Patient Protocol Distance ROI Circle Parallel Ranges Results Export Show in 3D Endosco View Caution. View only after firstread Candidates [ 10001 Findings: 6 Solid Lesion Lung CAD Series Lung.CAD version: VD1OF mage 166/373 (1 Finding(5) SIEMENS Windowins T MPR SL U.D SL 1.0 ROI HU on Result kV 120 1500 LOAD SERIES 1500 + Automatic Resul 11:52 AM Siemens Healthineers Services Página 5 de 14 Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Paso 8: Tras validar la lesión, se puede utilizar Lung Lesion Segmentation (Segmentación de le- sión pulmonar) para segmentar el hallazgo. Selecciónelo en Tool Gallery (Galería de herramien- tas) (1) o en Favorite Tools (Herramientas favoritas). Para inicializar la segmentación, dibuje un recorrido del diámetro más largo del hallazgo (2) y se mostrará en formato 3D (3). El usuario puede ajustar los resultados de la segmentación utilizando la barra de herramientas del seg- mento de la parte inferior (4). Healthineers> adminUser R = Scan 4 = Recon 1 O PEP_CT_LungCare, Followup * 1/11/1939 M 454 X CT View&GO A A Series Viewing 3 IMA ~166 SP F113.5 1000 IMA IT Stack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 Tool Gallery MPRMIP Compare Stac Stack 22 Vessel Basic Interactions Scrof Alignment Display Types Printing Distribution Measurements LUNGCARE 1.0 Distance 4 Pocel Lens ROI Circ Diameter Lung CAD ROI HU Legion Lung Lesion Segmentation Favorite Tools X Annotations Distance ROI Circle Snapshot Mad Export Show in Remove BD Table Ranges * * * D Endosco Define Isolate View Vessels Heart Ranges Ranges Ranges Ranges Ringen Edit Image Visualization Solid Lesion Lung CAD Series RD windowins T Fit to Fit to Acq- Hide Hide Lines | Custom Lock Ret Segment Size Graphics Text Lines WHO SLOO LCAD SERIES Windowing KV 120 ROI HU Zoom/Pan Edit Result Threshold + Automatic Result 11:56 AM Healthineers adminUser .= [m] > = Scan 4 = Recon 1 PEP_CT_LungCare, Followup . 1/11/1939 M 454 O CT View&GO x A A Series Viewing 3 IMA -166 BP F113.5 1000 IMA 2 SPF113 Stack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 CT, 2/5/2003 MPR MIP MPR Stack 212 v 05-Feb-2003_@ Current CT, 10/23/2002 23-Oct-2002_@ Printing Distribution 2 Topogram 1.0 720s LungCARE 1.0 Favorite Tools Patient Protocol Distance ROI Circle Parallel Snapshot C2 Ranges Results Show in 30 Bones Endosco ... Define Coppeary Update View Vessels ng CAD SI Candidates ( 10001 Solid Lesion Lung CAD Osteo Series Windowing F F Windowing Vascular Diameter Ranges WHO * LEAD SERIES KV 120 ROI HU Zoom/Pan Edit Result Threshold Automatic Result 11:58 AM Siemens Healthineers Services Página 6 de 14 Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Healthingers adminUser mf R = Scan 4 # Recon 1 O. PEP_CT_LungCare, Followup . 1/11/1939 M 454 CT View&GO A A Series X Viewing SPF113.5 SPFH Stack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 , CT, 2/5/2003 05-Feb-2003_@ MPR MIP MPR Stack 2x2 Vessel Compare Current CT, 10/23/2002 23-Oct-2002_@ Printing Distribution 3 opogram 1.0 1205 LUNGCARE 1.0 Favorite Tools X Patient Protocol Distance ROI Circle Parallel Snapshot Line Rangles Plameter: 10.1 mm Mean Diameter: 8.9 mm CZ Results Export Show in 3D Endosco ... Define View Vessels Candidates 110001 Solid Lugg Can Osteo Lesion T 4 [F] Windowing Vascular SL 1.0 LCAD SERIES KV 120 ROI HU Zoom/Pan Ean Result KV 120 + Automatic Result 11:59 AM Paso 9: Documente los hallazgos tomando instantáneas (1). Healthineers adminUser A mi R = Scan 4 = Recon 1 PEP CT_LungCare, Followup * 1/11/1939 M 454 X CT View&GO A A Senes Viewing SP F113.5 Stack 3 x2 Stack 4x4 Follow Up MPR VRT Later 01 05-Feb-2003 @ MPR MIP MPR Stack2X2 Vessel Current CT, 10/23/2002 23-Oct-2002_@ Printing Distribution Topogram 1.0 7205 LungCARE 1.0 Favorite Tools 1 Paliers Protocol Linee ROI Circle Snapshot Create Snapshots [S] Chiam Diameter 8.9 mm 02 Results Export Remove Remove Show in Image 3D Eneview Vessels Coronary Candidates 110001 View & Go [ 1006 ] Solid Lung CAD Osteo Lesion Reset Series Windowing T Windowing Vascular Diamete Ranges WHO SLO.O KV 120 LOAD SERIES SL 1.0 t Result Threshold + Automatic Resul 12:06 PM Nota: Para la documentación, puede crear instantáneas en cualquier momento mientras ejecuta los pasos pertinentes del flujo de trabajo. Siemens Healthineers Services Página 7 de 14 Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Caso de paciente con varios puntos temporales (nódulos pulmonares) Paso 1: Cargue los datos de CT Thorax del paciente con nódulos pulmonares en CT View&GO (1 y 2). Healthineers adminUser tmf : Scan 4 # Recon 1 O Patient Browser X Local Data T Search by Name, ID, Date, Description and Modality (Ctrl+F) More Filters 2 new ppen with View&GO Do Delete Mandat Results (41 results, 12:10:18 PM) Series Patient Name Date of Birth Patient ID Modality Study Date and Time Study Description Delete Protect ... + Series Number Series Description Modality # Instances + MEP_China_03_2017_00003_Scott 1/1/1985 837c3b4aa0 CT, SR 2/23/2017 9:59:49. 01_CN_Abdomen( Topogram 1.0 T20s CT MEP_China_03_2017_00003_Scott 1/1/1985 837c3b4aa0 CT, SR 2/23/2017 9:57:59 01_CN_Thorax(Ad LungCARE 1.0 B50f CT 35 MEP_China_03_2017_00003_Scott 1/1/1956 837c3b4aa0 CT, SR 2/23/2017 9:53:56 02_GZ_Abdomen( 501 Patient Protocol CT MEP_China_03_2017_00003_Scott 1/1/1956 837c3b4aa0 CT, SR 2/23/2017 9:50:41. 02_GZ_Thorax(Ad Osteo Spiral 1 4/12/1951 Osteo Spiral 1 CT 10/14/2015 12:36: CT Osteodensitom. Osteo Spiral 2 2/18/1956 Osteo Spiral 2 CT 10/12/2015 9:51:5. CT Osteodensitom. Osteo_Anke_LWS 4/12/1951 Anke_LWS CT 10/14/2015 12:36 Abdomen^Osteod. Osteo_SPI_01_L2L3L4L5 4/12/1951 Osteo_SPI 0 CT 10/14/2015 12:36 Abdomen^Osteod Osteo_SPI_01_L3L4L5 4/12/1951 Osteo_SPI 0 CT 10/14/2015 12:36 .... Abdomen^Osteod OsteoSpine_SpiralTilt 1/28/1955 123 CT 1/28/2015 12:28:5 Abdomen^Abdom OsteoU_Sequ_PhantDetect_Failed 1/1/1940 OsteoU_Seq CT 4/10/2014 10:38:4 ... Spezial^07_Osteo OsteoU_Sequ_PhantDetect_Failed OsteoU_Seq ... CT 6/27/2013 2:51:13. OsteoU_Sequ_PhantDetect_Failed_2 2/18/1939 OsteoU_Seq ... CT 12/18/1995 11:40 PEP_AbdominalMass_Onco 12/5/1946 cc CT 3/14/2007 12:47:3 Abdomen 01_Abd. PEP AorticCoarctation AVA 9/8/1968 cc CT 5/7/2007 11:25:55 ThoraxAngio_%_# Instances 1/1/1075 122 CT PEP_CT_LungCare, Followup 1 1/11/1939 454 CT 2/5/2003 9:40:09 AM 05-Feb-2003 @ PER_CT_Lungoare, Followup PEP_NeuroDSA_Carotids 1/26/1931 CC CT 3/7/2007 10:21:40 Brain Scan & # PEP_ThoraxAbdo_CTA IDR_NOZ 7/7/1940 007 CT 10/23/2007 10:49 Specials^Thoracal. Ross, Haley 1/24/1967 dc3cd7a8-32 CT, SR 4/27/2018 3:44:53 Thorax(Adult) ThoraxHead_00001_Aaron 1/1/1973 d32c673f42 CT 10/29/2015 8:31:2 Thorax^01_Thorax. ThoraxHead_00001_Aaron d32c673f42 CT 10/29/2015 8:30:0 Head^001_HeadS Tyson, Kurtis 11/17/1979 8699658c-7f. CT, SR 4/27/2018 3:55:04 Thorax(Adult) WholeBody_Angio_BR_AVA 9/16/1946 CC CT 5/10/2006 11:08:4 Abdomen_% # WholeBodyAngio, HongKong, China 5/16/1965 CC CT 2/26/2007 12:11:3 Vascular BodyAngi The selected data opened 12:10 PM Paso 2: Cambie al formato MPR Compare seleccionándolo en el panel Viewing (Visualización) (1). Healthineers> adminUser www | = Scan 4 = Recon 1 O PEP_CT_LungCare, Followup 1/11/1939 M 454 CT View&GO PEP_CT_LungCare, Followup 454 Sensation Series X Viewing *1/11/1939, M, 64Y SPA1780 SP F604.8 Ref. Physician Word: 05-Feb-2003 09:40 Physician: IT lack 4x4 Follow Up MPR VR Operator Scan MAS CTDigtal mAS 692 TI CSL Current LORSCARE 1.56 5.3 1.0 0.8 CT, 2/5/2003 05-Feb-2003_@ MPR MI MPR * 22 Vessel 1 T205 (1) UngCARE 1.0 Printing LA Distribution CT_SOMS TOP SL 1. V 120 Patient Protocol Favorite Tools Prior 01 CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Parallel Snapshot Line Ranges Export Show in Remove Image 3D Table Bones Endosco Define Coronary Isolate Vessels Tree Heart Please de ag data from Series Navigator. Please drag data from Series Navigator Please drag data from Series Navigator Solid Lung CAD Osteo Lesion Series Windowing T Windowing Vascular Ranges WHO ROI HU ZoomPa 12:12 PM Siemens Healthineers Services Página 8 de 14 Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Paso 3: Cargue los estudios Prior (Previo) (1) y Current (Actual) (2) en los formatos arrastrando y soltando los datos del estudio del panel Series (Serie) en los segmentos vacíos (3 y 4). Healthineers adminUser mf R = Scan 4 = Recon 1 ILungCare, Followup 1/11/1939 M 454 CT View&GO Series Viewing Add Study Disto Stack 3x2 Stack 4x4 Follow Up MPR VRT Current Please drag data from Series Navigator. Please drag data from Series Navigator. Please drag data from Series Navigator. Please drag data from Serles Navigator. CT, 2/5/2003 - 05-Feb-2003_@ MPR MIP COMPR Stack 2x2 Vessel Bsor 15 2 Printing Distribution V II [50 1] Favorite Tools Prior 01 _ CT, 10/23/200 Distance ROI Circle 4 23-Oct-2002 @ Please drag data from Series Navigator. 3 Please drag data from Series Navigator. 1 Patient Protocol Tex Diameter WHO Edit Result + 00 0 12-15 PM Resultado después de arrastrar y soltar los conjuntos de datos Previo y Actual en los segmentos vacíos: healthineers adminUser E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup x 1/11/1939 M 454 CT View&GO Series Viewing SPA16OO SPL5.0 SIMAna FRM inAn.a. FRM n.a Add Study Disigh Stack 3x2 Stack 4x4 Follow Up MPR VRT Current CT, 2/5/2003 05-Feb-2003_@ MPR MIP MPR Stack 2x2 Vessel Compare 2500 MPR THICK 400 kV 120 Topogram 1.0 T205 LUNGSARE 1.0 Printing Distribution SPF130. SPEAR176 (501) Favorite Tools Prior 01 CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Line Parallel Sn Ranges Export Image Show in 30 Topogram 1.0 720% Bsor BI 10cm Solid Lesion Series F abient Protocol Windowing Vascular Diameter * Ranges MPR THICK IMPR THIC SL 0.7 1500 ROI HU + 12:16 PM Siemens Healthineers Services Página 9 de 14 Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Paso 4: Para desplazarse simultáneamente por los cortes axiales, haga clic en el primer seg- mento axial (1) y, a continuación, haga clic en el segundo segmento axial pulsando al mismo tiem- po la tecla Control (2). A continuación, desplácese por las imágenes axiales utilizando el botón central del ratón o ruedecita (3). Healthineers adminUser ? * = mf ) = Scan 4 E Recon O PEP_CT_LungCare, Followup . 1/11/1939 M 454 CT View&GO Series X Viewing SPL5.0 3 IMAn.a. FRM n.a Stack 3x2 Stack 4x4 Follow Up MPR VR Current - 61, 2/5/2003 MPR MIP 05-Feb-2003_@ MPR Stack 22 Vessel MPR THICK MPR THICK KV 120 pogram 1.0 7205 LungCARE 1.0 Printing Distribution Ctrl + SPF114. 3 IMA -148 2 vers Proto Favorite Tools Prior 01 _ CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Parallel Snapshot Line Ranges 7 X 1/x Export Show in Image 3D Coronary Topogram 1.0 7208 LungCARE 1.0 [1] Leston Lusa CAD Osteo windowins * T 3 Patient Protocol 1507 Windowing Vascular Ranges WHO AMPRTH ROI HU Zoom/Pan Edit Resul Threshold 12:42 PM Paso 5: Para obtener las vistas sagital y coronal (1) de una lesión (2), seleccione 3D Reference Point (Punto de referencia 3D) (3) en el menú de la esquina superior izquierda del segmento. Healthineers adminUser E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup . 1/11/1939 M 454 X CT View&GO Senes Viewing H SPAIGONG 3 IMAn.a SP L5.0 3 IMAn.a. FRM n. SP L3.2 Add Study Stack 3x2 Stack 4x4 Follow Up MPR VRT Current F 05.Feb 2003 MPR MIPT MPR Stack 22 Vessel KV 120 MPR THE 1500 Topogram 1.0 720s LUNGCARE 1.0 Printing Zoom/Pan Distribution O- Windowing SP F114.5 Rotate Scroll Favorite Tools EM Movie Prior 01 X 3D Reference Point „ CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Parallel Snapshot Line Lock Reference Lines 3 ce Point across multiple segments [R] Export IF Ranges Image Show in 3D Region Growing LungCARE 1.0 Endhere Vossas Fit to Segment 2 Solid Lesion Senes * FI Windowing Vascular [501) Ranges APR THICK KV 120 TROI HU 12:44 PM Siemens Healthineers Services Página 10 de 14 Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Nota: Después de seleccionar el punto de referencia 3D en el menú de esquina del segmento, tiene que hacer clic en el punto de interés (en cualquiera de los segmentos) para que funcione la na- vegación. Tras hace clic, los demás segmentos navegarán automáticamente a la posición 3D de este punto. Resultado después de seleccionar 3D Reference Point (Punto de referencia 3D) con las vistas axial (1), sagital (2) y coronal (3) de una lesión: Healthineers adminUser v ? = = wwf ¡ = Scan 4 = Recon 1 O PEP_CT_LungCare, Followup * 1/11/1939 M 454 CT View&GO Series Viewing 3 IMAn.a. SP L115. JIMAna FRM n 3 IMAn.a. FRM n.a. Add Su IT Stack 3x2 Slack 4x4 Follow Up MPR VRT 3 2 Current 1cm CT, 2/5/2003 MPR MIP MPR 05-Feb-2003_@ MPR THIC KV 120 MPR THICK KV 120 1500 Topogram 1.0 T20s LungCARE 1.0 88-5 [1] Printing Distribution 3 IMAn.a . SP F114.5 3 IMA ~148 SPF586.0 11 Patient Protocol Favorite Tools X Prior 01 CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Line Parallel Snapshot Ranges Export Image Show in 30 Topogram 1.0 1208 LungCARE 1.0 Endosco ... Define View Vessels Tree Solid Lung CAD Osteo Regens Lesion Series * T Patient Protoce Windowing Vascular Text Ranges MPR THICK 14 0.7 1500 ROI HU Zoompa 12:51 PM Siemens Healthineers Services Página 11 de 14 Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Paso 6: Utilice la herramienta Lung Lesion Segmentation (Segmentación de lesión pulmonar) pa- ra segmentar las lesiones identificadas. Selecciónelo en Tool Gallery (Galería de herramientas) (1) o en Favorite Tools (Herramientas favoritas). Para inicializar la segmentación, dibuje un recorrido del diámetro más largo del hallazgo (2) y se mostrará en formato 3D (3). Puede ajustar los resultados de la segmentación utilizando la barra de herramientas del segmento de la parte inferior de este (4). Healthineers adminUser E Scan 4 = Recon 1 O CT_LungCare, Followup : 1/11/1939 M 454 CT View&GO Series Viewing SPAIGES 3 IMAn.a. SP L115.4 BIMAna F PA18BO 3 IMAn.a. FRM n.a. Add Study Diste Stack 3x2 Stack 4x4 Follow Up MPR VRT Current RP CT, 2/5/2003 05-Feb-2003 @ MPR MIP CMPR Stack 2x2 Vessel Tool Gallery Basic Interactions MPR TH kV 120 Zoompan Alignment 2 1.0 T205 LungCARE 1.0 Printing Display Types Distribution 2D MPR MPR/MPR Thick Measurements 1 Favorite Tools X Diefine 4 O. kel Lens ROI Circle VOF SeCSD TROIHU Leston > Lung Lesion Segmentation Line ROI Circle De Rangley Snapshot Annotations x 1/x Show in Arrow 3D Ranges Parallel Ranges Radial Curved Ranges Solid Lesion * T Image Visualization Ps Protocol Windowing Vascular WHO SL 0.7 Fit to Fit to Acq. Hide Hide Lines |Custom Lock Ref. 3D Ref. MPR T Segment Size Graphics Text Lines Point ROI HU Zoom/Pan Edit Result -400 KV 120 ROI HU Windowing + 2:05 PM Healthineers adminUser @ mà ¡ = Scan 4 # Recon 1 O PEP_CT_LungCare, Followup . 1/11/1939 M 454 CT View&GO x Series Viewing BIMAna SPAIGE SP L115. 3 IMAn.a. FRM n.a. SP L113.0 Add Study Disto Diameter. 10 3G Diameter: 10.2 mm Stack 3x2 Stack 4x4 Follow Up MPR VR Mean Diameter Mean Diameter 8.5 m Volume: 0.320 Volume: 0.326 ml Current RP 05.Feb-2003_@ MPR MI MPR Stack 2x2 Vessel WER THIC KV 120 Topogram 1.0 7203 LungCARE 1.0 -83ª EN Printing A Distribution Patient Pro Favorite Tools Prior 01 CT, 10/23/2002 23-Oct-2002 @ Distance ROI Circle Ranges Line 2 Export Image Show in gram 1.0 720% LungCARE 1.0 B50 [3] Endosco ... View Vessels Diameter 10 2 mm Volume: 0.320 ml Windowing Vascular Diameter Patient Protocol Ranges MPRTHICK V 120 SLOT ROI HU Zoom/Pan Edit Result Threshold PA + 2:08 PM Siemens Healthineers Services Página 12 de 14 Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Healthingers> adminUser mf R = Scan 4 E Recon 1 O PEP_CT_LungCare, Followup 1/11/1939 M 454 X CT View&GO Series X Viewing 3 IMAn.a. BIMAna. FRMn 3 IMAn.a. FRM n.a SP L115.4 SP L113.0 Diameter: 10.1 mm Diameter: 10.2 mm Stack 3x2 Stack 4x4 Follow Up MPR VRT Me meter 10 Mean Diameter: 89 mm Diameter me plume 0:317 Volume: 0.317 ml Mean Diameter Mean Diameter. 8.5 Volume: 0.326 ml Current RP _ CT, 2/5/2003 05-Feb-2003 @ MPR MIP MPR Stack 2x2 Vessel Compare KV 120 MPR THIC KV 120 Topogram 1.0 T205 LungCARE 1.0 Printing A Distribution [501] Favorite Tools X Prior 01 CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Parallel Snapshot Rangey Snapshot Line Diameter. 10.1 mm Mean Diameter. 8.0 mm Volume: 0.317 ml Export Show in 3D ram 1.0 T20s LungCARE 1.0 Endosco ... Define View Vessels 3 Diameter 10.2 mm Volume: 0:320 ml Solid Lesion Series * 4 F F Patient Proto 501) Windowing Vascular WHO ROI HU ZoomiPan Ean Result + 159 2:09 PM Paso 7: Documente las lesiones tomando instantáneas (1). Healthineers adminUser RE Scan 4 = Recon 1 O PEP CT_LungCare, Followup * 1/11/1939 M 454 CT View&GO Series Viewing SP L115.4 BIMAna FRM na 3 IMAn.a. FRM n.a SP L113.0 Add Stud Mean Diameter 80 Diameter: 10.2 mm mm et 8.5 mm Mean Diameter 8.5 mm Stack 3x2 Stack 4x4 Follow Up MPR VRT Volume 0317 Volume: 0.326 ml A APR MIP MPR Stack 2x2 Ves Topogram 1.0 7205 ung CARE 1.0 SL 0.7 KV 120 1500 Printing A A Patient Protocol [501] Distribution iMAnG 3 IMA ~148 Prior 01 CT, 10/23/2002 23-Oct-2002_@ Favorite Tools Distance ROI Circle Create Snapshots [S] Diameter. 10.4 mm Mean Diameter 8.0 mm Topogram 1.0 7205 LungCARE 1.0 Export Image Show in Remove BD Table Endosco ... Define Coronary View Vessels Tree Mean Diameter : 8. 5 mm Patient Protocol Volume: 0.320 ml Solid Lesion Windowing Results T F Windowing Vascular Diameter WHO JPR THICK SLO7 XV 120 MAR THIC 30 ROI HU Zoom/Pan Edit Result Threshold + View&GO (1005) ViResults CT few&GO (1008] 2:10 PM Nota: Para la documentación, puede crear instantáneas en cualquier momento mientras ejecuta los pasos pertinentes del flujo de trabajo. Siemens Healthineers Services Página 13 de 14 Guía de tareas de oncología | SOMATOM go. VA20 CT View&GO Fecha de entrada en vigor: 29/06/2018 | HOOD05162002905862_ES Exención de responsabilidad Tenga en cuenta que el material de aprendizaje se ha diseñado únicamente con fines formativos. Para usar adecuadamente el software o el hardware, utilice siempre el Manual del operador o las Instrucciones de uso (en adelante denominados conjuntamente "Manual del operador") publicados por Siemens Healthineers. Este material debe usarse solo como material de formación y no sustituye en modo alguno al Manual del operador. Los materiales empleados en esta formación no se actualizan con regularidad y, por tanto, no reflejan necesariamente la última versión de software y hardware disponible en el momento de la formación. El Manual del operador debe usarse como documento de consulta principal, en particular para la información relacionada con la seguridad, como las advertencias y las precauciones. Nota: Algunas de las funciones que se muestran en este material son opcionales y puede que no formen parte de su sistema. Es posible que determinados productos, propiedades o funciones relacionados con el producto (en adelante denomi- nados conjuntamente "Funcionalidad") no se hayan comercializado (aún) en su país. Debido al obligado cumplimien- to de los requisitos normativos, no se puede garantizar la disponibilidad futura de dichas funcionalidades. Póngase en contacto con su representante local de ventas de Siemens Healthineers para obtener la información más actual. No está permitida la reproducción, transmisión ni distribución de este curso ni de su contenido sin autorización expresa por escrito. Los infractores serán responsables por daños y perjuicios. Todos los nombres y datos de pacientes, parámetros y designaciones dependientes de la configuración son ficticios y se dan a título de ejemplo. 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