syngo CT VB20 Software Update Job Aid

SIEMENS Healthineers syngo CT VB20 Software Update Job Aid Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 SOMATOM VB20 Update – SIEMENS Healthineers Table of Content Precision Matrix (SOMATOM Force only) 3 - Updated Lung imaging protocols (SOMATOM Force only) 8 FAST DE Results improvements 10 Improvements to Workflows and Data role selection 25 Intervention 28 Miscellaneous 30 SIEMENS .. .... 2 Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 SIEMENS Healthineers Precision Matrix (SOMATOM Force only) 3 High precision matrix Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 Precision Matrix (SOMATOM Force only) SIEMENS Healthineers • Precision Matrix: Matrix >512 (768, 1024) Matrix 512 Precision Matrix Improve imaged visualization workflow of the fine structures, e.g. of the lungs (such as the peripheral pulmonary vessels), terminal bronchioles, inner ear and hips on large field-of-views.* • Automode Selects the right matrix size for high 512 Matrix / 300 mm FoV 512 Matrix / 150 mm FoV 1024 Matrix / 300 mm FoV resolution images according to selected kernels and field of view while keeping reconstruction time and required storage as minimal as possible. * Please note that note that not all kernels benefit from a high matrix as their intrinsic resolution is limited. Additional No additional For further information please refer to the whitepaper “Precision Matrix on SOMATOM Force”. reconstruction needed reconstruction needed 4 High precision matrix Effective Date: 05/21/2019 | HOOD05162003008151 Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 Job Aid restricted © Siemens Healthcare GmbH, 2019 unrestricted ©Siemens Healthcare GmbH, 2019 Precision Matrix (SOMATOM Force only) SIEMENS Healthineers With syngo CT VB20 the Precision Matrix will be available Recon job 1 2 3 4 5 6 7. 8 Series description Thorax 0.6 Br40 3 for SOMATOM Force scanners as an option. Slice 0.6 mm Advanced reconstruction options The reconstruction matrix size can be selected via a ADMIRE M Strength 3 Matrix size 1024 dropdown in the Advanced reconstruction dialog on the Kernel Br40 ... BHC None Auto Recon tab card (orange box). This will allow for choosing FAST MI Window Mediastinum iMAR None 512 768 between a 512-, a 768- and a 1024-reconstruction matrix 1024 size as well as auto mode.* If auto mode is chosen the system will choose the HD FoV FoV 300 mm 2 Image order Craniocaudal appropriate matrix size according to selected kernel and Center X 0 mm 2 Increment 0.6 mm 2: field-of-view size. Overview Center Y 0 mm =| No. of images 501 Mirroring None Comments The matrix size selected for reconstruction is also Extended CT scale Matrix size 1024 displayed at the bottom of the Recon tab (purple box). Routine Scan Recon Auto Tasking Please note that using a larger matrix size might be beneficial to image sharpness for large field-of-view but may also lead to an increase in image noise, thus maybe requiring adjustment of custom protocols. * Please note that some syngo.via applications might require a 512-matrix. 5 High precision matrix Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 Precision Matrix (SOMATOM Force only) SIEMENS Healthineers 19.01.28-14:06:14 ST Hospita 19.01.28-14:06:14 ST H Hospital 19.01.28-14:06:14 STD-1. 19.01.28-14:06:14 STD-1. *18-Nov-1858, 0, 160Y *18-Nov-1858, 0, 160Y 29-Jan-2019 29-Jan-2019 16:07:31.94 16:07:31.94 MPR 3 MPR 3 For oblique reconstructions via 3D Recon, there is a second opportunity to alter matrix size: the 3D R A Graphical Reconstruction Planning (GRP) controls bar. Here, all sizes (orange box) are available as square as o/ 230 337 SL 5.0 ₩ 1500 SL 5.0 1.500 450 well as non-square options. Matrix siz 1024 Non-square Planning base ThorHR RTD The largest aspect ratio of non-square matrixes is 1:8 19.01.28-14: 256 Auto Specials PolyTraun 19.01.28-14:06:14-STC Total mAs: 703 512 Reco 768 3 456 7 8 1024 Series description ThorHR 5.0 MPR ax for 256 and 1:4 for all other matrix sizes. Thus, CT Slice 5.0 mm Advanced reconstruction options ADMIRE Strength 3 Matrix size |1024 reconstructions with a matrix up to 1024 x 4096 are Kernel Br40 J ... BHC None FAST M Window Lung iMAR None now possible. Fov 230 mm = x 387 mm Image order Head to feet Increment 5.0 mm No. of images 61 Comments Matrix size 1024 Routine Scan Recon Auto Tasking 6 High precision matrix Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 Precision Matrix (SOMATOM Force only) SIEMENS Healthineers It is possible to limit the matrix size for all reconstructions Examination Configuration Patient Dose Workflow Topogram Processing Contrast to 512, 768 or 1024 by choosing the matrix size upper Shortcut Settings For Windowing F2 Abdomen F3 Lung F4 Bone limit in the workflow tab card of the Examination Messages Configuration. Confirm Close current patient This is accessible via Confirm contrast examination Options → Configuration → Examination Configuration Reconstruction Matrix Matrix size upper limit 1024 OK Apply Default Settings Cancel Help 7 High precision matrix Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 SIEMENS Healthineers Updated Lung imaging protocols (SOMATOM Force only) Updated Lung 8 imaging Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 protocols unrestricted © Siemens Healthcare GmbH, 2019 Updated Lung imaging protocols (SOMATOM Force only) SIEMENS Healthineers Patient Model Dialog · Adult Dual Energy Protocol . Replace . Child · Append With syngoCT VB20 protocols with enhanced in-plane resolution for TurboFlash Thorax HR high resolution lung scanning have been introduced (no z- flying focals Thorax XCARE Topogram @ Cut ThoraxRoutine spot). DSXXL_Thorax . Keep Thorax HR ThoraxSeqHR TurboFlash_LungLowDose_HR_Sn eference lines None LungLowDose_Sn They have been added to thorax folder of the patient model dialog LungLowDose_HR_Sn LungCAD ThorAbd_XCARE (orange box) and are marked by „_HR“ ThorAbd ThoraxIntervention API Language German The following enhanced high resolution thorax protocols are available: • TurboFlash_Thorax_HR OK Cancel • Thorax_HR • TurboFlash_LungLowDose_Thorax_HR_Sn • LungLowDose_Thorax_HR_Sn Please note that minimal slice thickness for these protocols is limited to 0.75 mm. In addition, dose levels for the “TurboFlash_Thorax_HR” and “Thorax_HR” protocols have been increased for improved image quality. Thorax_HR ThoraxRoutine Rotation time 0.25s Rotation time 0.25s Updated Lung 9 imaging Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 protocols unrestricted © Siemens Healthcare GmbH, 2019 SIEMENS Healthineers FAST DE Results improvements 10 FAST DE Results improvements Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 FAST DE Results improvement SIEMENS Healthineers Fast DE Results allows automated post-processing Recon job 1 2 3 4 5 6 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 of reconstructed dual energy images. Auto recon Auto filming every 1 - image Auto viewing With syngo CT VB20 FAST DE Results have been No. of filmed images Auto postprocessing None C reworked. FAST DE Results Application class Output type Output series description For a single dual energy recon job it is now None None possible to select up to three different dual None None energy application classes for “on-scanner” post None None processing via the Auto-tasking tab. Output: Original settings Slice 1.5 mm Increment 1.0 Auto transfer None FAST DE Results jobs from previous software Routine Scan Recon Auto Tasking versions will be converted and show up on this card. However, redundant reconstructions or auto-transfer settings have to be modified manually. 11 FAST DE Results improvements Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 Dual Energy SIEMENS Healthineers FAST DE Results Recon prerequisites Recon job 1 2 4 5 6 7 Series description DE_Thorax 5.0 Br40 3 Slice 5.0 mm Recon job type · Axial 3D For SOMATOM Force, SOMATOM Drive and SOMATOM Definition ADMIRE Strength 3 Recon region: Narrow @ Wide . Kernel Br40 ... Thorax - Lung Flash Dual Source systems: Window Mediastinum Begin position 806.5 mm 2: Series A+B+M DE Comp. 0.6 End position -506.5 mm 2 A+B+M A+B FAST DE FoV 300 mm == Image order Craniocaudal “A+B+M” or “A+B” must be selected in the Series dropdown list of Center X 0 mm == Increment 5.0 mm Overview Center Y 0 mm No. of images 61 the Recon tab (see figure) to be able to use FAST DE Results. Mirroring None Comments Extended CT scale Routine Scan Recon Auto Tasking For SOMATOM Definition Edge, SOMATOM Definition AS+ and Recon job 2 3 4 5 6 8 Series description TB_Abdomen 5.0 Br38 SOMATOM Edge Plus with the TwinBeam dual energy option: Slice 5.0 mm Recon job type o Axial 3D ADMIRE Recon region: Narrow . Wide o Kernel Br38 None FAST Window Abdomen Begin position -1213.0 mm == “L+H” must be selected in the Series dropdown list of the Recon Series L+H End position -1413.0 mm 2: tab (see figure 1) to be able to use FAST DE Results. HD FOV FoV 300 mm mage order Craniocaudal Center X 0 mm Increment 5.0 mm Overview Center Y 0 mm No. of images 41 Mirroring None Comments Extended CT scale Routine Scan Recon Auto Tasking 12 FAST DE Results improvements Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 FAST DE Results improvement SIEMENS Healthineers General information for all Somaris 7 Scanners - 1/3 Check the tick box next to FAST DE Results (orange box) to Recon job 1 2 3 4 5 6 8 Series description #PP DE_Thorax 1.5 Qr40 2 activate FAST DE post processing. Auto recon To configure application classes left click on the button in Auto filming every 1 _image Auto viewing - the same row. No. of filmed images 0 Auto postprocessing None FAST DE Results ... This will open the menu for selection of the application classes Application class Output type Output series description and its associated output types. Up to three application classes None None can be selected for one recon job. None None None None FAST DE Results jobs from previous software versions will be converted and show up on this card. However, redundant Output: Original settings Slice 1.5 mm Increment 1.0 Auto transfer None reconstructions or auto-transfer settings have to be modified manually. Routine Scan Recon Auto Tasking For this, former separate Recon jobs solely for FAST DE Results should be combined into one or more Recon jobs with multiple active FAST DE Application classes. 13 FAST DE Results improvements Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 FAST DE Results improvement SIEMENS Healthineers General information for all Somaris 7 Scanners - 2/3 It is now also possible to manually label a FAST DE Results series created Recon job 1 2 3 4 5 6 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 by an application class by entering the information in the corresponding Auto recon text field (orange box). Auto filming every 1 _ image Auto viewing If FAST DE Results were converted from an earlier software version as No, of filmed images Auto postprocessing None O described on the previous page, please check, if the series description is FAST DE Results still valid (especially for slice thickness). Application class Output type Output series description Please note, if the Output series description is left empty, the same None None automatically generated series description will be used as in previous None None software versions (please also refer to your system’s Instructions of Use None None for further information). Output: Original settings Slice 1.5 mm Increment 1.0 LL Auto transfer None Routine Scan Recon Auto Tasking 14 FAST DE FAST DE Results improvements Results Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 restricted © Siemens Healthcare GmbH, 2019 unrestricted © Siemens Healthcare GmbH, 2019 FAST DE Results improvement SIEMENS Healthineers General information for all Somaris 7 scanners - 3/3 By checking the “Originals settings” tick box (orange box) slice thickness Recon job 1 2 3 4 5 6 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 and increment set in the recon tab will be used for reconstruction of FAST DE Results images. Auto recon Auto filming every 1 _ image Auto viewing If this tick box is left unchecked, predefined slice thicknesses can be No. of filmed images 0 Auto postprocessing None selected via a drop down and the increment can be manually entered in FAST DE Results ... the corresponding box (blue box). Application class Output type Output series description For good image quality, the default thin-slice low/high energy None None reconstruction of the default scan protocol should be used. If thicker None None slices are needed for the PACS reading, they should be generated by None None setting the required output in FAST DE Results. Output: Original settings Slice 1.5 mm Increment 1.0 Please note that it is not possible to reconstruct FAST DE slices that are Auto transfer None thinner than the original input slices. This will yield in an error message. Furthermore, if thicker slices are created please make sure the series is Routine Scan Recon Auto Tasking adequately labeled by entering the necessary information in the output series description field. If previously configured, a DICOM node can be chosen from the Autotransfer dropdown to autosend images to that node. 15 FAST DE FAST DE Results improvements Results Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 FAST DE Results improvement SIEMENS Healthineers Application Classes Overview for Dual Source systems The Application Classes are available via a dropdown Recon job 123 4 5 6 8 Series description #PP DE_Thorax 1.5 Qr40 2 menu (orange box). Auto recon Auto filming every image Auto viewing No. of filmed images Auto postprocessing None O With syngo CT VB20 the following application classes FAST DE Results ... will be available for Dual Source systems: Application class Output type Output series description None None None Monoenergetic Plus Monoenergetic Plus None • Mixed None Virtual Unenhanced • Mixed Optimum Contrast Slice 1.5 mm Increment 1.0 Lung PBV Virtual Unenhanced Liver VNC Auto transfer None • Rho/Z • Optimum Contrast Routine Scan Recon Auto Tasking • Lung PBV • Liver VNC • Rho/Z 16 FAST DE FAST DE Results improvements Results Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 FAST DE Results improvement SIEMENS Healthineers Application Classes Overview (TBDE) The Application Classes are available via a dropdown Recon job 1 2 34 5 6 7 8 menu (orange box). Series description #PP TB_Thorax 2.0 Qr40 3 Auto recon Auto filming every image Auto viewing With syngo CT VB20 the following application classes No. of filmed images Auto postprocessing None will be available for systems with the TwinBeam Dual FAST DE Results [ ... Energy option: Application class Output type Output series description None None • Monoenergetic Plus None None Monoenergetic Plus Mixed None • Mixed Virtual Unenhanced Virtual Unenhanced Optimum Contrast Slice 2.0 mm Increment 14 • Liver VNC Optimum Contrast Rho/Z Auto transfer None • Liver VNC Routine Scan Recon Auto Tasking • • Rho/Z 17 FAST DE FAST DE Results improvements Results Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 FAST DE Results improvement SIEMENS Healthineers Application Classes Overview The Application Classes are available via a dropdown 7 menu (orange box). Recon job 1 2 3 4 6 8 Series description #PP DE_Foot80kV 0.75 Qr40 Auto recon Auto filming every -image Auto viewing With syngo CT VB20 the following application classes No. of filmed images 0 Auto postprocessing None will be available with the Dual Spiral Dual Energy FAST DE Results ... option: Application class Output type Output series description None None • Monoenergetic Plus None Monoenergetic Plus None • Mixed Mixed None Rho/Z Rho/Z Output: Original settings Slice 0.75 mm Increment 05 • Auto transfer None F Routine Scan Recon Auto Tasking 18 FAST DE FAST DE Results improvements Results Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 FAST DE Results improvement – Application Classes SIEMENS Healthineers Monoenergetic plus Through this application class, monoenergetic images Recon job 2 3 4 5 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 O) for a range of 40 – 190 keV can be reconstructed. With Auto recon Monoenergetic plus tissue contrast may be increased Auto filming every 1 - image Auto viewing No. of filmed images 0 Auto postprocessing None and faintly enhancing lesions may be detected with FAST DE Results ... higher sensitivity. Application class Output type Output series description Monoenergetic Plus None None 40keV 45keV With Monoenergetic Plus different energy levels can be None 50keV 55keV reconstructed by ticking the appropriate check box in Output: Original settings 60keV 70keV Increment 1.0 = 80keV transfer None the output type drop down menu (orange box). 90keV Routine Scan 100keV 19 FAST DE FAST DE Results improvements Results Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 FAST DE Results improvement – Application Classes SIEMENS Healthineers Mixed and Optimum Contrast Mixed Recon job 1 2 3 4 5 6 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 “Mixed” blends the low and high kV datasets in the image Slice 1.5 mm ] DE Composition: space. ADMIRE Strength 2 For Dual Source system this blend is depending on the Kernel Qr40 B A XH setting of the DE Composition slider in the Recon tab Window Mediastinum 0.5 +0.0 +0.5 card. (see figure) Series A+B+M DE Comp 0.6 -1.0 +1.0 For TBDE this value is fixed at 0.8 with regards to the low FoV 300 mm = Image order Craniocaudal spectrum (gold) image. Center X 0 mm : Increment 1.0 mm= For dual spiral dual energy scans the mixing ratio is fixed Overview Center Y 0 mm 2: No. of images 301 at 0.3 with regards to the low kV spiral. Mirroring None Comments Extended CT scale Matrix size 512 Optimum Contrast Routine Scan Recon Auto Tasking Optimum contrast blends the low and high kV datasets depending on the level of attenuation to achieve the best contrast-to-noise ratio. 20 FAST DE FAST DE Results improvements Results Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 FAST DE Results improvement – Application Classes SIEMENS Healthineers Virtual Unenhanced and Liver VNC Recon job 1 23 3 4 5 6 7 8 Virtual Unenhanced and Liver VNC assists you in visualizing the contrast Series description #PP DE_Thorax 1.5 Qr40 2 Auto recon agent concentration in abdominal organs and liver, respectively. The Auto filming every 1_image Auto viewing basis for this approach is a material decomposition into iodine contrast No. of filmed images 0 Auto postprocessing None FAST DE Results agent and organ / liver tissue. Application class Output type Output series description The assessment of iodine uptake of an abdominal lesion can, for Virtual Unenhanced None None lodine example, be used as an indicator whether a lesion is benign or VNC None None ¥ malignant. Output: Original settings Slice 1.5 mm Increment 1.0 Auto transfer None For both virtual unenhanced and Liver VNC, iodine maps and/or virtual Routine Scan Recon Auto Tasking non-contrast series can be reconstructed by ticking the checkbox for Recon job 1 23 4 5 6 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 Iodine and/or VNC respectively in the Output type dropdown menu Auto recon Auto filming ever image Auto viewing (orange box). No, of filmed images Auto postprocessing None O FAST DE Results ... Application class Output type Output series description Please note that Iodine maps will be displayed in greyscale. Liver VNC None None lodine VNC None None Output: Original settings Slice 1.5 mm Increment 1.0 Auto transfer None Routine Scan Recon Auto Tasking 21 FAST DE FAST DE Results improvements Results Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 FAST DE Results improvement – Application Classes SIEMENS Healthineers Lung PBV This application class allows for direct visualization of Recon job 2 3 4 5 b 8 Series description #PP DE_Thorax 1.5 Qr40 2 the local iodine concentration in the lung parenchyma, Auto recon Auto filming even 1 image Auto viewing which is a measure of the local blood volume. It may No. of filmed images Auto postprocessing None C help you in the assessment of hemodynamically FAST DE Results ... Application class Output type Output series description relevant perfusion defects e.g. caused by pulmonary Lung PBV None emboli. None lodine Mixed None None 00 Output Original settings Slice 1.5 mm Increment 1.0 Auto transfer None Routine Scan Recon Auto Tasking 22 FAST DE FAST DE Results improvements Results Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 FAST DE Results improvement – Application Classes SIEMENS Healthineers Rho/Z The attenuation of X-ray mainly depends on the Recon job 1 2 3 4 5 6 7. 8 Series description #PP DE_Thorax 1.5 Qr40 2 electron density and the effective atomic number. Auto recon Auto filming every 1 image Auto viewing Both parameters are characteristic for different No. of filmed images 0 Auto postprocessing None materials and may be used for evaluation of beam FAST DE Results ... Application class Output type attenuation for radiation oncology procedures. Output series description Rho/Z None With FAST DE Results Rho/Z you have access to electron None Rho Z density maps and effective Z maps from dual energy None None Output: ~Original settings Slice 1.5 mm Increment 1.0 scans. Auto transfer None Routine Scan Recon Auto Tasking 23 FAST DE FAST DE Results improvements Results Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 FAST DE Results improvement - FAST DE Results configuration SIEMENS Healthineers FAST DE Results Configuration X Iodine concentration Global Settings conversion table If necessary, FAST DE Results can be configured in: Display Boundary of Analyzed Area Roi value µg/cm³ mg/ml Options → Configuration → FAST DE Results. Calculate iodine concentration [100ug/cm3] (instead of enhancement maps [HU]) 0 0 0 5 500 0,5 Dual Energy Algorithm: Liver VNC With syngo CT VB20 it is now also possible to obtain iodine concentration maps instead 10 1000 1 Used for: DE Liver VNC 15 1500 of HU measurements maps, which allow for easy measurements with standard ROI tools 1,5 Voltage Combination: 80/140 kV 20 2000 2 in an image viewer / PACS. Iodine concentration maps, which can be calculated in the Algorithm Parameters Material Definitions 25 2500 2,5 following application classes: 30 3000 3 • Virtual Unenhanced 35 3500 3,5 Lung PBV Minimum [HU] -300 • Maximum [HU] 3071 40 4000 4 • Liver VNC 45 4500 4,5 Range CM Cutoff [HU] -100% | 50 5000 5 To switch to iodine concentration maps check the tick box in the FAST DE Results 55 5500 5,5 configuration window. Please note that this is a global setting and will affect all Organ Contour Enhancement 60 6000 6 application classes producing iodine maps (see above). 65 6500 6,5 70 7000 7 Resolution Enhancement For interpretation of iodine concentration maps (see table): 75 7500 7,5 A measurement value of 1 in a ROI stands for 100 µg/cm³, Respectively a measurement 80 8000 8 8500 of 10 would be equal to 1000 µg/cm³ or 1 mg/ml. Siemens Default 85 8,5 90 9000 9 (see iodine concentration conversion table) OK Apply Cancel Help 95 9500 9,5 100 10000 10 24 FAST DE FAST DE Results improvements Results Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 SIEMENS Healthineers Improvements to Workflows and Data role selection (Rapid Results technology) Workflows 25 and Data role Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 selection unrestricted © Siemens Healthcare GmbH, 2019 Improvements to Workflows and Data role selection SIEMENS Healthineers With syngo CT VB20, the usability of workflows and data roles for Rapid Results technology will be improved. As a general measure a large number of Siemens default protocols with Bild RR appropriately assigned data roles will become available. Furthermore VB20 data roles for workflows and data roles can now be adjusted on-the-fly during the examination. As before a general preset of workflows and data roles is available through the Scan Protocol Assistant. Please note that syngo.via has to be connected to the scanner and Rapid Results need to be configured on syngo.via to gain access to custom customer workflows and Data roles.* SOMATOM CT scanner svngo.via server svngo.via client / PACS *Depends on system‘s configuration Workflows 26 and Data role Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 selection unrestricted © Siemens Healthcare GmbH, 2019 Improvements to Workflows and Data role selection – SIEMENS Healthineers adjusting Workflows and Data roles on the fly Please follow these steps to adjust workflow and data roles on the fly Topogram Recon job 1 2 345 6 Series description DE_Thorax 5.0 Br40 3 000 during an examination: DE_Thorax RT 1 Auto recon Auto filming every image Auto viewing Bild GUI 1. No. of filmed images 0 Auto postprocessing None Select the first reconstruction of the first scan (RT – purple box). FAST DE R 1. Auto reference lines Auto Tasking DE CT Neuro DSA CT Dual Energy CT Bone Reading 2. Go to the Auto Tasking tab. CT Myocardial Perfusion Auto transfer None Requested procedure CT Dynamic Angio MM RT Image Suite 3. Select the appropriate workflow for the Workflow dropdown None CT Cardiac Planning None Body part examined CT Vascular (orange box) 3. 3. CT Liver Analysis Workflow None Data role 4. Subsequently you can now select the appropriate data role from Load Hold Recon Recon Routine Scan Recon Auto Tasking 2. the dropdown menu for data role (blue box) for each recon job. Topogram Recon job 1 2 3 5 6 8 Series description DE_Thorax 5.0 Br40 3 DE_Thorax RT Auto recon Please note that only one workflow can be chosen for the whole exam Auto filming every image Auto viewing No. of filmed images 0 Auto postprocessing None and assigning different workflows to different scans within one exam FAST DE Results ... Auto reference lines Auto Tackinn DE ceries M will not be possible. Kidney Stones (AA) Liver VNC (AA) Lung PBV (AA) Selection of different data roles for each recon job is possible. But Auto transfer None Lung Vessels (AA) None Mixed (AA) Monoenergetic (AA) please keep in mind that the requirements for the selected data roles None Monoenergetic+ (AA) Monoenergetic+ 40 (AA) Monoenergetic+ 45 (AA) have to be met by the recon job. 4. 000000000 Data role Load Hold Recon Recon Routine Scan Recon Auto Tasking Workflows 27 and Data role Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 selection unrestricted © Siemens Healthcare GmbH, 2019 SIEMENS Healthineers Intervention 28 Intervention Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 Changes to Intervention SIEMENS Healthineers Enhanced functionality of i-Control There has added functionality for the following buttons: 1. 1. 2. 2. 3. 3. 1 IN 1. Current image position: 123 Move the patient table to the currently image position. 2. Blowup image: K-K Blow up view for the currently selected image. Save displayed images: 4 . 1. 4. 3. Save all displayed images as key images. 4. Cancel move: Stop movement of the patient table. This function is only available if a move request is active, for example, after mode loading. Same functionality as software button. In case of an spiral scan the start of the scan range will be moved to current position. 29 Intervention Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 SIEMENS Healthineers Miscellaneous 30 Miscellaneous Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 UHR protocols with tin filter - SOMATOM Force only SIEMENS Healthineers Patient Model Dialog With VB20 dedicated UHR_Sn protocols were added to . Adult Head XCARE Dual Energy HeadRoutine Protocol . Replace the SOMATOM Force for imaging of the inner ear and . Child HeadNeuro_XCARE . Append HeadNeuro HeadRoutineSeq ardiac HeadNeuroSeq extremities. Topogram . Cut InnerEarUHR InnerEarUHR_Sn Vascula . Keep InnerEar InnerEarSeq Sinus RT Auto reference lines None They allow for high spatial resolution due to the UHR Sinus Sn Sinus Vol Orbit Dental Specials comb and improved image quality due to the tin filter PET API Language German New protocols: OK Cancel • InnerEarUHR_Sn Patient Model Dialog Patient Model Dialog Adult Dual Energy · Adult al Energy . Child • ExtrUHR_Sn Child Cardiac ardiac Vascula WristUHR ExtrUHR ExtrUHR Sn RT Extremity Extremity_Sn ecials Specials KneeUHR FootUHR PET ExtrUHR ExtrUHR Sn Extremity Extremity_Sn OK Cancel OK Cance Miscellaneous 31 Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 Additional Kernel for bone imaging SIEMENS Healthineers The following kernels have been added on SOMATOM Drive, SOMATOM Edge Plus, SOMATOM Definition Edge, SOMATOM Definition Flash, SOMATOM Definition AS family. Standard mode: Qr62 and Qr66 UHR mode: Uq68 and Uq77 As compared to the corresponding “Br” kernel they have less edge enhancement which facilitates the appraisal of bone structures. Miscellaneous 32 Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 General Protocol Changes SIEMENS Healthineers • In all default protocols for coronary calcium scoring “CARE kV” will be switched on and the kernel for the default reconstructions is set to Sa36. The Sa36 kernel ensures that the reconstructed image shows HU values equivalent to 120 kV even when a divergent voltage is chosen. • The newly added NeuroVPCT_Prolonge protocol allows for neuro perfusion scans lasting up to 60 s. Miscellaneous 33 Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 Miscellaneous • FAST 3D Camera: Algorithm update • More robust and accurate detection of landmarks » Improved iso-center detection » Improved topo-range accuracy » Faster calculation • Image data storage capacity (Tower 13 update) • Data base increased by factor 4 • > 2,000,000 uncompressed images • Please keep in mind, that the duration for deleting large quantities of old image data may increase greatly. Miscellaneous 34 Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019 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, 2019 Global Siemens Healthineers Headquarters Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84 0 siemens.com/healthineers 35 Job Aid Effective Date: 05/21/2019 | HOOD05162003008151 unrestricted © Siemens Healthcare GmbH, 2019