SOMATOM go.平台肿瘤工作流程操作指南(VA20)

肿瘤工作辅助工具 SOMATOM go.VA20 CT View&GO 通过针对单个时间点和多个时间点病例的几个简单的步骤，本文档将指导您在 SOMATOM go. VA20 软件版本上完成 CT View&GO 的肿瘤工作流。 请注意：以下各工作流描述了多种执行方式的其中一种可能的方式。 单个时间点病例 第 1 步：将有肺结节的胸部 CT 患者数据加载进 CT View&GO（1 和 2）。 Healthineers adminUser ? 0 8 = Scan 4 = Recon 1 O Patient Browser Local Data Search by Name, ID, Date, Description and Modality (Ctrl+F) More Filters Y 2 newso Open Open with DICOM Import Delete Ma 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( 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 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 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 PEP_CT_Colonography_2 1/1/1975 123 CT 9/27/2005 10:17:1 Colonography 1/11/1020 1/11/1020 454 CT 215/2002 9:40:00 AM 05 Ecb 2002 PEP_CT_LungCare, Followup 1/11/1939 454 CT 10/23/2002 8:41:4. 23-Oct-2002_@ PER NeuroDSA_Garouas 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 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 . 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 第 2 步：通过双击即可最大化轴位像格(1)。 Healthinees adminUser E Scan 4 = Recon 1 O PEP_CT LungCare, Followup : 1/11/1939 M 454 CT View&GO ER-CT_LungCare, Followup Anlagenzentrum Sensation 16 Series +1/11/1939, M, 63Y VA508 Viewing SPA160.0 SPF1238 Ref. Physician: H-SP Add Study Word: 23-Oct-2002 08:41 Physician: stack 3x2 Stack 4x4 Follow Up MPR VRT Operator. MAS Total MAS CTDIV ৳ 995 TI CSL Later 01 Topogr ar LungCARE 1.59 51 1.0 CT, 2/5/2003 05-Feb-2003 @ MPR MIP COMPpare Sta Stack 22 vessel Current CT, 10/23/2002 23-Oct-2002_@ 10cm cm Printing A Distribution CT_SOMS TOP 350 Topogram 1.0 LungCARE 1.0 V II Favorite Tools x Patient Protocol Distance ROI Circle Parallel Snapshot Line Ranges Export Show in Remove Image 3D Bones Endosco ... Define Coffeemy Heart View Please drag data from Series Navigator. Please drag data from Series Navigator Please drag data from Series Navigator. Solid Lung CAD Osteo Reset Lesion Series Windowing * T Windowing Vascular Diamete Ranges ROI HU din Result + 11:33 AM 第 3 步：按 F6 键或从右下像格边角菜单中的 CT Presets（CT 预置）(1)选择 Lung（肺部） (2)，即可更改为肺窗。 Healthineers Soft-Tissue F5 adminUser E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup . 1/11/1939 M 454 Lung F6 2 CT View&GO Bone F7 Series Viewing Liver F8 " ill Add Study Angio Stack 3xa Stack 4x4 Follow Up MPR VRT 3 IMA 238 SP F171.1 Colon Later 01 Abdomen CT, 2/5/2003 05-Feb-2003 @ MPR MIP Compare Sta Stack 22 veados Baby Abdomen Current Baby Brain - C1, 10/23/2002 Baby Extremity 23-Oct-2002_@ Baby Lung Printing Baby Neck Distribution Baby Spine Topogram 1.0 LUNGCARE 1.0 Base Orbita R Cardio Favorite Tools × Cerebrum bers proto Distance ROI Circle Parallel Snapshot Dental Extremity Export Show in Remove Inner Ear 10cm Image 3D Bones Intervention Bone Endosco ... Define Coffeey Heard View Intervention Lung Intervention Soft-Tissue F Solid Lung CAD Reset Lesion RD Series Windowing Larynx T SL 1.0 Diamete Mediastinum Windowing Vascular CT_SOM5 SPI Ranges KV 120 Osteo CT Presets CI Presets 1 ROI HU Con Result Pelvis CT Color LUT Reset Windowing 11:35 AM Siemens Healthineers 服务部 第 2 页，共 14 页 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 第 4 步：在左下像格边角菜单中，将图像类型更改为 MPR(1)。如有必要，调整层厚以优 化可视化效果。 Healthineers adminUser E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup . 1/11/1939 M 454 X CT View&GO Senes X Viewing Add Study Diffon 3 IMA 238 Stack 3x2 Stack 4x4 Follow Up MPR VRT SP F171.1 Later 01 2TP CT, 2/5/2003 05-Feb-2003_@ APR MIP MPR Stack 22 Vessel Current CT, 10/23/2002 23-Oct-2002_@ Printing Distribution Pppgram 1.0 LUNGCARE 1.0 V Favorite Tools Patient Protocol Linee ROI Circle Ranges Export image show in 10cm A Endosco. View Define Isolate Vessels Tree Heart A VRT F Solid Lung CAD Reset Lesion Series Windowing MinIP Thir SL 1.0 Windowing Vascular Diameter MPR Thick 1200 MPR -600 ROI HU 1 Ean Result MPR T Show in Display Type MPR [2] + 2D 11:36 AM 第 5 步：在该像格中的图像上，使用鼠标中间按钮/滚轮(1)滚动浏览数据集以进行诊断阅片。 Healthineers adminUser R RE Scan 4 = Recon 1 O PEP_CT_LungCare, Followup X CT View&GO x Series X Viewing Stack 3x2 Stack 4x4 Follow Up MPR VR 3 IMA ~167 SP F114.2 Later 01 CT, 2/5/2003 05-Feb-2003 MPR MIP Compare Stack 2x2 Vessel Current CT, 10/23/2002 1 23-Oct-2002_@ Printing Distribution Topogram 1.0 LUNGCARE 1.0 Favorite Tools Distance ROI Circle Show in 10cm Enchesw vesselis F 0 * MPR SL 0.0 kV 120 -400 on Result + 0 0 11:44 AM Siemens Healthineers 服务部 第 3 页，共 14 页 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 第 6 步：要使用 Lung CAD Series（肺部 CAD 序列）工具(2)作为第二阅片工具，请从 Tool Gallery（工具库）(1)或从 Favorite Tools（常用工具）中选择该选项。 Healthingers 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 Distil cheraxa Stack 4x4 Follow Up MPR VRT 3 IMA ~238 SP F171.1 Later 01 Tool Gallery APR MIP Compare Stack 22 3 @ Basic Interactions Movie Alignment 2. @ Display Types Printing 2D MPR MPR/MPR MIP MinIP Thin VRT 2 Distribution LUNGCARE 1.0 Measurements O. The Pixel Lens ROI Circle Diamo 59 CAL ROI HU Lesion Favorite Tools Annotations Calculate and Show/Hide Lung CAD Distance ROI Circle Parallel Snapshot Line Ranges Text Export Image Show in Remove Table Bones vanges Vessels * mage Visualization Solid Lesion Lung CAD Osteo Reset Series Windowing Site ª gutHide Hide Lines Cyatom Lock pet 201 Vindowins Diameter MPR KV 120 Windowing ROI HU + 11:47 AM 选择该工具后，布局分为两个像格，在右像格中计算 Lung CAD Series（肺部 CAD 序列）(1)。 Healthineers> adminUser id = Scan 4 # Recon 1 O PEP_CT_LungCare, Followup * 1/11/1939 M 454 CT View&GO Series Viewing IMA ~187 Add Study Distin SP F130.3 Stack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 CT, 2/5/2003 MPR MIP COMPS.re Stack 20 05 Feb-2003_@ Current _ CT, 10/23/2002 23-Oct-2002_@ Printing Distribution Topogram 1.0 720s LungCARE 1.0 V II 1 Favorite Tools Lung CAD series is being calculated. x istance ROI Circle tiens Proto Snapshot Export Image Show in 3D Endosco .. Define ofice View Vessels Solid Lesion Lung CAD Osten Series Window T MPR SL 0.0 ROI HU KV 120 1500 Edit Result + 11:48 AM Siemens Healthineers 服务部 第 4 页，共 14 页 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 第 7 步：完成计算后，滚动浏览(1)右像格中的结果(2)并评估潜在候选图像。 Healthingers> adminUser E Scan 4 = Recon 1 O PEP_CT_LungCare, F * 1/11/1939 M 454 CT View&GO Series Viewing IMA -187 SP F130.3 1000 IMA 3 SP F119.9 Add Study Disto Stack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 CT, 2/5/2003 MPR MIP 05-Feb-2003_@ P COMPRI Current CT, 10/23/2002 23-Oct-2002_@ Printing Distribution opogram 1.0 T20g [1] 20 LungCARE 1.0 Favorite Tools 1 Patient Protocol Distance ROI Circle Line Snapshot 2 Results Define Coffee" Vessels A Caution: View only after first read!" Lung CAD [3] Candidates [1000] Findings: 6 Lung CAD Osten Series Windowin Lung.CAD version: VD10F T Image 174/373 (1 Finding(S) SIEMENS Diamete MPR KV 120 1500 LOAD SERIES SL 1.0 1.500 ROI HU KV 120 + Automatic Result 11:50 AM Healthingers adminUser E Scan 4 = Recon 1 CT LungCare, Followup . 1/11/1939 M 454 CT View&GO Series Viewing 3 IMA ~166 1000 IMA 2 SP F113.5 FIT Stack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 , CT, 2/5/2003 05-Feb-2003_@ MPR MIP Colpire Stac Stack 2x2 Vessel Current - CT, 10/23/2002 23-Oct-2002_@ Printing Distribution Topogram 1.0 7205 LungCARE 1.0 1 Favorite Tools x 2 Distance ROI Circle Snapshot Results Export Endosco Define View Vessels Caution. View only after firstread Findings: 6 Solid Lesion Lung CAD Lung.CAD version: VD10F Series SIEMENS windowins T Image 166/373 (1 Finding(5) WHO MPR SL 0.0 LOAD SERIES SL 1.0 ROI HU KV 120 1500 KV 120 1.500 in Result + Automatic 11:52 AM Siemens Healthineers 服务部 第 5 页，共 14 页 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 第 8 步：确认病灶后，可以使用 Lung Lesion Segmentation（肺部病灶分割）来对结果进行分 割。从 Tool Gallery（工具库）(1)或 Favorite Tools（常用工具）中选择该选项。要初始化分割， 请绘制一条最长直径穿过结果( 2 )，然后该分割将采用 3D 形式执行(3)。您可以使用底部的像 格工具栏(4)来调整分割结果。 Healthineers adminUser ? * * E Scan 4 = Recon 1 PEP_CT_LungCare, Followup * 1/11/1939 M 454 O CT View&GO Series X Viewing 1000 INMA 2 stack 3x 2 Stack 4x4 Follow Up MPR VRT Later 01 Tool Gallery X 3 3_@ Compare Basic Interactions ZoomP Movie Alignment 2_@ Display Types Printing 20 Distribution Measurements 1 LUNGCARE 1.0 V O. Angle Pixel Lens ROI Circle ung CAD ROI HU Favorite Tools Legion Lung Lesion Segmentation Annotations Distance ROI Circle -is Line Export Show in Show in Image Remove 3D 3D Table Bones Ranges * * * * D Endosco Define Coronary Parallel Radial View Vessels Tree Ranges Ringes pages Ranges Ranges Image Visualization Lung CAD Osteo Series Windowing T Segment 30.Acq Hide Hide Lines| Custom Windowing Diamet F ascular Ranges LCAD SERIES Windowing Result KV 120 Automatic Result 11:56 AM Healthineers adminUser RE Scan 4 = Recon 1 O PEP_CT_LungCare, Followup . 1/11/1939 M 454 CT View&GO X A A Series Viewing 1000 IMA SPF113.5 Add Study Diffon tack 3x2 Stack 4x4 Follow Up MPR VRT Later 01 CT, 2/5/2003 05-Feb-2003_@ MPR MIP MPR Stack 22 Vessel Current _CT, 10/23/2002 23-Oct-2002_@ Printing Distribution 2 Topogram 1.0 T20s LungCARE 1.0 V Favorite Tools Patient Protocol 02 Line Results Export Show in Image Endosco ... View A Lung CAD IST Candidates [ 1000 ) Lung CAD Osteo Series T Diameter F Windowing Vascular LOAD SERIES ROI HU Zoom/Pan Edit Result Threshold + Automatic Result 11:58 AM Siemens Healthineers 服务部 第 6 页，共 14 页 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 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 Cinc Osteo Lesion T [F] Windowing Vascular 4 SL 1.0 ROI HU ZoomiPan Eon Result KV 120 LCAD SERIES KV 120 Mediry + Automatic Result 11:59 AM 第 9 步：通过拍摄 Snapshots（快照）来记录结果(1)。 Healthingers adminUser f R = Scan 4 = Recon 1 PEP CT LungCare, Followup X * 1/11/1939 M 454 CT View&GO A A Series Viewing SPF113.5 Stack 3 x 2 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 Topogram 1.0 720s LungCARE 1.0 V II Favorite Tools 1 tiens Protoc Distance ROI Circle Line Create Snapshots [S] Mean Diameter 8.9 mm 02 Results Exage Show in 3D End View Bom Vessels Treey sieals Results CT Solid Lesion Lung CAD Series HD * T F Windowing Vascular Diameter WHO SLOO LCAD SERIES SL 1.0 KV 120 1500 TROI HU Edit Result AE + Automatic Result 12:06 PM 请注意：出于图像文档化目的，在执行相关的工作流步骤时可以随时创建 Snapshots （快照）。 Siemens Healthineers 服务部 第 7 页，共 14 页 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 多个时间点病例（肺结节） 第 1 步：将有肺结节的胸部 CT 患者数据加载进 CT View&GO（1 和 2）。 leofthings adminUser A mi ) = Scan 4 # Recon 1 O Patient Browser Local Data Search by Name, ID, Date, Description and Modality (Ctrl+F) More Filters 2 new ppen with View&GO DORM ect Delete Manage 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(. 1 Topogram 1.0 T20s CT MEP_China_03_2017_00003_Scott 1/1/1985 837c3b4aa0 2/23/2017 9:57:59 01_CN_Thorax (Ad 3 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 10/14/2015 12:36 .... Abdomen^Osteod OsteoSpine_SpiralTilt 1/28/1955 123 1/28/2015 12:28:5 Abdomen^Abdom. OsteoU_Sequ_PhantDetect_Failed 1/1/1940 OsteoU_Seq 4/10/2014 10:38:4 ... Spezial^07_Osteo OsteoU_Sequ_PhantDetect_Failed OsteoU_Seq 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 CT CC 5/7/2007 11:25:55 ThoraxAngio_%_# Instances 1/1/1075 122 PEP_CT_LungCare, Followup 1 1/11/1939 454 2/5/2003 9:40:09 AM 05-Feb-2003 @ EF_CT_Lungoare, Followup TU/23/ZOUZ 8.41.4 25-Oct-2002 0 PEP_NeuroDSA_Carotids 1/26/1931 3/7/2007 10:21:40. Brain Scan & # PEP_ThoraxAbdo_CTA IDR NOZ 7/7/1940 007 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 10/29/2015 8:31:2 Thorax^01_Thorax. ThoraxHead_00001_Aaron 1/1/1973 d32c673f42 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 CC 5/10/2006 11:08:4 Abdomen % # WholeBodyAngio, HongKong, China 5/16/1965 CC 2/26/2007 12:11:3 Vascular BodyAngi The selected data opened 12:10 PM 第 2 步：要切换至 MdPR Compare（MPR 比较）布局，请在 Viewing（查看）面板(1)中选择该 选项。 Healthineers adminUser E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup 1/11/1939 M 454 CT View&GO PEP_CT_LungCare, Followup Series X 454 Viewing *1/11/1939, M, 64Y SPA178. 3 IMA 172 SP F604.8 Ref. Physician: H-SP Ward: 05-Feb-2003 09:40 Add Stud Physician: Stack 3x2 Stack 4x4 Follow Up MPR VRT Operator. Scan MAS Total mAS 692 CTOR TI CSL Current Topogr ar LungCARE 1.56 153 CT, 2/5/2003 MPRIM 05-Feb-2003_@ Compare era Vessel 1 10cm LungCARE 1.0 Printing A Distribution CT_SOMS TOP SL 1. kV 80 350 AV 120 11 Favorite Tools Prior 01 92 10/23/2002 23-Oct-2002_@ Distance ROI Circle Line Export Show in Remage "gomes" Endosco Coronary View Please drag data from Series Navigator. Please drag data from Series Navigator Please drag data from Series Navigator. Solid Lung CAD Osteo Lesion Series T Windowing Vascular Text Diameter WHO ROI HU Threshold Zoom/Pan Edit Result + 12:12 PM Siemens Healthineers 服务部 第 8 页，共 14 页 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 第 3 步：要将 Prior（前一个）(1)和 Current（当前）(2)检查加载进布局，请将检查数据从 Series Panel（序列面板）拖动至空像格（3 和 4）。 SIEMENS adminUser ? @ @ E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup * 1/11/1939 M 454 CT View&GO Series X Viewing Add Study Bisich Stack 3x2 Stack 4x4 Follow Up MPR VRT Current Please drag data from Series Navigator. Please drag data from Serles Navigator. Please drag data from Series Navigator Please drag data from Serles Navigator _ CT, 2/5/2003 05-Feb-2003_@ MPR MIP MPR Stack 2x2 Compare Bsof [3] 2 Printing Distribution Patient Protocol Favorite Tools Prior 01 _CT, 10/23/2002 Distance ROI Circle Snapshot 4 23-Oct-2002_@ Line Ranges Export Show in Remove Image BD Table Please drag data from Series Navigator. 3 Please drag data from Series Navigator Bsor [ O * TK aliens Protocol + 2:15 PM 将前一个和当前的数据集拖动进空像格后的结果： colthineers> adminUser E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup 1/11/1939 M 454 CT View&GO Series Viewing SIMAnE SPAIGO SP L5.0 anAna SP L4.0 Add Study Diskon Stack 3x2 Stack 4x4 Follow Up MPR VRT Current CT, 2/5/2003 05-Feb-2003_@ MPR MIP Stack 22 Vessel ₩120 MPR TH Topogram 1.0 T205 UNGCARE 1.0 Printing Distribution 3 IMAn.a. SPF130. SPF608.4 [501] Favorite Tools Prior 01 CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Line Image Show in 3D Topogram 1.0 120 LungCARE 1.0 10cm Solid Lung CAD Osten Lesion Senes * T F Windowing Vascular Ranges WHO MPR THICK MPR THI 1500 ROI HU Zoom/Pan Edit Result Threshold + 12:16 PM Siemens Healthineers 服务部 第 9 页，共 14 页 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 第 4 步：为了同时滚动浏览轴位断层，请点击第一个轴位像格(1)，然后在按下 Ctrl 键的同时点 击第二个轴位像格(2)。然后，使用鼠标中间按钮/滚轮(3)滚动浏览轴位图像。 Healthineers adminUser ? 0 8 RE Scan 4 = Recon 1 O .EP CT_LungCare, Followup 1/11/1939 M 454 CT View&GO Series Viewing 3 IMA n. 3 IMAn.a. FRM n. SP L3.2 Add Study Dition Stack 3x2 Stack 4x4 Follow Up MPR VRT Current CT, 2/5/2003 05-Feb-2003_@ Compare AV 120 88 Topogram 1.0 7205 LUNGCARE 1.0 Printing Distribution SPF586.0 Ctrl + 3 IMAn.a . 2 Patient Protocol [50 1] Favorite Tools X Prior 01 O. CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Parallel Snapshot Line Ranges TX Export Robbie Bones Image Show in 3D Coronary lactate Topogram 1.0 T20s LungCARE 1.0 Endosco. [1] B50f [3] View Deine Tree Solid Lung CAD Osteo Lesion Reset Series Windowing T X Patient Protocol W Windowing Vascular Text Diameter Ranges WHO MPR THICK MPR T SL U. 1500 ROI HU + 12:42 PM 第 5 步：要获得病灶(2)的矢状位和冠状位视图(1)，请从左上像格边角菜单中选择 3D Reference Point（3D 参考点）(3)。 Healthineers> adminUser imà ¡ = Scan 4 = Recon 1 O PEP_CT_LungCare, Followup * 1/11/1939 M 454 CT View&GO Series Viewing SPAIGE 3 IMAn.a SP L5.0 aAna FFM SPA118.8 3 IMAn.a. FRM n.a SP L3.2 Add Stud Stack 3x2 Stack 4x4 Follow Up MPR VRT Current 05 Feb 5003 MPRMI 05-Feb-2003_@ CMPR Stack 22 1 WERT KV 120 500 fopogram 1.0 T203 (1) LungCARE 1. Printing Zoom/Pan Distribution Windowing 3IMAn.a Rotate Patient Protocol Scroll Favorite Tools Movie Prior 01 3D Reference Point _ CT, 10/23/2002 Distine 23-Oct-2002_@ Distance ROI Circle Lune Parallel Snapshot Ranges Lock Reference Lines 3 e Point across multiple segments [R] Export Ill Ranges Show in Remove 3D Table Bones 10] Region Growing Topogram 1.0 1205 Endosco ... Destino, Coronary Isolato Fit to Segment 2 Leston Series Windowins RD Patient Protocol Windowing Vascular Diameter IMPR THICK SL 0.7 ROI HU AUPR THIC 1500 + 12:44 PM Siemens Healthineers 服务部 第 10 页，共 14 页 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 请注意：从像格边角菜单中选择 3D Reference Point（3D 参考点）后，必须点击感兴趣点 （在任像格中），以使导航功能起作用。点击后，其他像格会自动导航至此点的 3D 位置。 病灶的轴位(1)、矢状位(2)和冠状位视图(3)选择 3D Reference Point（3D 参考点）后的结果： Healthineers adminUser E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup * 1/11/1939 M 454 CT View&GO H Series X Viewing SPAIGES 3 IMAn.a. SP L115.4 SIMAna FRMna 3 IMAn.a. FRM n.a. SP L113.0 Add Study Stack 3x2 Stack 4x4 Follow Up MPR VRT 2 Current RP _ CT, 2/5/2003 05-Feb-2003_@ W MPR MIPM MPR lack 22 Vessel KV 120 MPR THI 88ª pogram 1.0 7205 LungCARE 1.0 Printing Distribution Patient Protocol [501] Favorite Tools Prior 01 O. - 92, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Parallel Snapshot Line Ranges Export Image Show in 3D Table Bones 1 Topogram 1.0 720% LungCARE 1.0 Endosco ... Define View Vessels Tree Solid Lung CAD Lesion Osteo Series Windowing T FI Sent Protoc Windowing Vascular Text Diameter Ranges WHO MPR THICK IPR THIC TROLHU + 12:51 PM Siemens Healthineers 服务部 第 11 页，共 14 页 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 第 6 步：使用 Lung Lesion Segmentation（肺部病灶分割）工具来分割已确定的病灶。从 Tool Gallery（工具库）(1)或 Favorite Tools（常用工具）中选择该选项。要初始化分割，请绘制一 条最长直径穿过结果( 2 )，然后该分割将采用 3D 形式执行(3)。可以使用该像格底部的像格工 具栏(4)来调整分割结果。 healthineers adminUser mf R = Scan 4 E Recon 1 O. PEP_CT_LungCare, Followup . 1/11/1939 M 454 CT View&GO Series Viewing SIMAna SPAIGES 3 IMAn.a. SP L115.4 3 IMAna.FRM SPA1BBIO 3 IMAn.a. FRM n.a SP L113.0 Add Stud Distil Stack 3x2 Stack 4x4 Follow Up MPR VRT Current RP - 64, 2/5/2003 E 05-Feb-2003_@ MPR MIP MPR Stack 2x2 Vessel Tool Gallery Compare A SLOT Basic Interactions 1500 MPR THIC -400 KV 120 Zoom/Pan Scroll Rotate Movie Visual Alignment im 1.0 720% Printing Display Types Distribution 3 IMAn.a. 20 SPF114.5 3 IMA PF6 MPR MPR/MPR Minip Thin Measurements Favorite Tools Distance ROI Circle VOT O ... Ing CAD ROI HU Leston > Lung Lesion Segmentation Distance ROI Circle Line Ranges Snapshot Annotations Arrow LungCARE 1.0 Endosco .. Ranges 7 20 Leston Lugg CAD Osteo whaouand Radial Radial Vascular Edit Result * Image Visualization Windowing Vascular .O. Ranges Fit to Fit to Acq. Hide Hide Lines | Custom Lock Ref. Show MPR T Segment Size Graphics Text Lines KV 120 ROI HU Zoom/Pan E Threshold Windowing 2:05 PM Healthineers> adminUser ? ‹ E Scan 4 = Recon 1 O PEP_CT_LungCare, Followup . 1/11/1939 M 454 CT View&GO Series Viewing BIMAna PL115.4 3 IMAna FRMn SPA183.O 3 IMA n.a. FRM n. Diameter. 10.2 mm Stack 3 x 2 Stack 4x4 Follow Up MPR VRT Mean Diameter 8.5 8.5 mm Current RP - CT, 2/5/2003 05-Feb-2003_@ IMPR THIC MPR THICK Topogram 1.0 T205 LungCARE 1.0 Printing Distribution 3 IMA ~148 Patient Protocol Favorite Tools Prior 01 X CT, 10/23/2002 23-Oct-2002_@ Distance ROI Circle Parallel Snapshot Line Ranges 2 Export Image Show in 30 Bones Topogram 1.0 720% LungCARE 1.0 Endosco ... Define Isolate View Vessels Tree Heart Diameter: 10.2 mm Mean Diameter: 8.5 mm Solid Lesion Lung CAD Volume: 0.320 ml Series Windowing 0 % F F Patient Protocol Windowing Vascular Diameter Ranges SLOT 1500 ROI HU Zoom/Pan Edit Result -400 Threshold 59 + 2:08 PM Siemens Healthineers 服务部 第 12 页，共 14 页 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 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 Me meter 10 Mean Diameter: 89 mm Diameter me Diameter: 10.2 mm Mean Diameter Mean Diameter. 8.5 Stack 3x2 Stack 4x4 Follow Up MPR VRT plume 0:317 Volume: 0.317 ml 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 Olameter 10 2 mm Volume: 0:320 ml Solid Lesion Series * F Patient Proto 501) Windowing Vascular 4 F WHO SLOT ROI HU ZoomiPan Ean Result + 2:09 PM 第 7 步：通过拍摄 Snapshots（快照）来记录病灶(1)。 Healthineers adminUser A mi ) = Scan 4 E Recon 1 O PEP_CT_LungCare, Followup 1/11/1939 M 454 CT View&GO H Series Viewing SPAIGES 3 IMAn.a. @ IMAna FRMnA 3 IMMAn.a. FRM n. SP L115.4 Add Stu Diameter: 10.1 mm Stack 3x2 Stack 4x4 Folow Up MPR VRT Mean Diameter Diameter 10.2 mm Mean Diameter: 80 Volume 0317 Volume: 0.317 ml Volume: 0.326 ml RP MPR MIR MPR Stack22 v Topogram 1.0 T205 LungCARE 1.0 MPR THIC MPR THICK SL 0.7 kV 120 KV 120 1500 Printing A A Patient Protocol Distribution 3 MAR BIMA 14 Prior 01 VII CT, 10/23/2002 23-Oct-2002_@ Favorite Tools 1 Distance ROI Circle Paralle Line Ranges Create Snapshots [S] Mean Diameter. 8.0 mm Toposta[1] 120s LungCARE, 1.0 x Volume: 0.317 ml Export Show in Remove Remove Image 3D Table Bones 1cm Endosco ... Define Coronary Isolate View Vessels Tree Heart Mean Diameter: 8.5 mm Patient Protocol [501] Solid Lesion Series Results indowins * T F Ranges Diameter WHO 2500 MPRTHI AV 120 TROLHU ABEL View&GO (1005) View&GO (1008) 2:10 PM 请注意：出于图像文档化目的，在执行相关的工作流步骤时可以随时创建 Snapshots（快照）。 Siemens Healthineers 服务部 第 13 页，共 14 页 肿瘤工作辅助工具 | SOMATOM go.VA20 CT View&GO 生效日期：06/29/2018 | HOOD05162002905862 免责声明 请注意，本学习材料仅用于培训目的！ 为正确使用软件或硬件，请务必使用 Siemens Healthineers 发布的《操作手册》或《使用说明》（下文统称为“操 作手册”）。本材料仅作为培训材料使用，并不能代替《操作手册》。本培训使用的材料将不会定期更新，因此在 培训时已发布的最新软件和硬件并不一定能够在其中得到反映。 操作手册应当用作主要参考资料，特别是在涉及警告和注意事项之类的安全信息时。 注意：本材料中显示的部分功能为可选项，您的系统中可能没有。 某些产品、产品相关的声明或功能（以下统称为“功能”）可能尚未在您的国家/地区进行商业销售。受监管要求所 限，我们并不能保证所述功能将来能够向特定国家/地区提供。请联系当地 Siemens Healthineers 销售代表获取最 新信息。 未经明确书面许可，不得复制、传播或分发本培训材料或其内容，如有违反，将追究损害责任。 所有患者姓名和数据、参数及配置相关名称均为虚构，仅用于示例。 保留一切权利，包括对实用模型或设计的专利授予或注册的权利。 版权所有 © Siemens Healthcare GmbH, 2018 ………………………………………………………… Siemens Healthineers 总部 Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany 电话：+49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2018