syngo.via Ask-the-Experts: Speed up Your Routine Reading (MM Reading) Job Aid

SIEMENS Healthineers Ask-the-Experts: syngo.via MM Reading Template Effective Date: 27 MAY 2019 | HOOD05162003010284 Effective Date: 15 NOV 2019| HOOD05162003021964 Effective Date: 15 NOV 2019 | HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers Table of content • Personalizing Configuration • Adjust Screen Layout • Preferred Layouts • Series Presets • Image Interactions • Interactive Image Text • Enlarge Orientation or Series on the fly • Easy Reading • Clinical Tools • Auto Views • Spine/Rib Labeling • Extended Functionality: Vessel Definition Time Curve/ Time ROI • Reporting • Findings Assistant • Report Editor 2 Effective Date: 15 NOV 2019 | HOOD05162003021964 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Unrestricted © Siemens Healthineers, 2021 MM Reading – Personalizing Configuration How can I personalize the display of MM Reading ? 3 Effective Date: 15 NOV 2019| HOOD05162003021964 Effective Date: 15 NOV 2019 | HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Unrestricted © Siemens Healthineers, 2021 3 MM Reading SIEMENS Healthineers Personalizing Configuration • Adjust the screen layout according to your needs. 30_Head_w/o_and_w_ CM 05.02.2018 F goTop_30 Viewing Series CT general Viewing Thorax Stack 2:2 Head Oncology MPR VRT Abdomen # Series Name • Personalize your screen setup by adapting Current CT, 05.02.2018 Favorite Tools the image area, Head Nativ(Erwachsener) • Patient Protocol [502] Brain CM 1,00 Hr60 S3 [13] • the Viewing Panel Brain CM 1,00 Hr40 S3 [12] Brain CM 5,00 Hr60 S3 ax [10] Brain_CM 5,00 Hr40 S3 ax [8] • the Findings Panel or Brain_Nativ 1,00 Hr60 S3 [7] Series Brain_Nativ1,00 Hr40 S3 [6] Brain_Nativ 5,00 Hr60 S3 ax [4] • the Series Panel Favorite Tools Brain_Nativ 5,00 Hr40 S3 ax [2] Topogramm 0,60 Tr20 sag [1] Scroll Distance ROI Circle Line Findings Rotale Synch Hide Lines Spine/Rib Label • Move the panels to a predefined position on the 3D Ref. Parallel Auto Full Text Point Ranges Views screen or undock them and use them as a floating Printing Findings window - moving it to any position convenient for you. 4 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 MM Reading SIEMENS Healthineers Personalizing Configuration Visualize data according to your needs directly P • Viewing Q .x Viewing using preferred layouts. SOMATOM Drive SOMATOM Drive 1.2 Favorite Tools • Define the most appropriate layouts for any relevant modality or study type. O MPR Series SL 0,0 SL V SPC 0,8 F A Allows for individual display configuration. 208 • KV80 Findings Favorite Tools x Ci Can be adjusted on the fly if needed. Pixel Lens Synch 3D Ref OMATOM Drive SOMATOM Drive Point Printing • ? Synch Quick Distance Auto Config Guide Line Views Snapshot .. Print Expert Image Image Ful Text |Hide Lines Spine Rib Reset Label Layout O Define Lung CAD ROI Circle Rotate Vessels Series MPR P C VR SL 0,8 0.0 SPC 0,8 L A kV80 5 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 MM Reading SIEMENS Healthineers Personalizing Configuration In addition to the layout definition, further settings can be Configuration ? X • predefined for default image data visualization. Layouts Series Presets • Configure series presets such as Admin Series Preset Rules Table Removal State Assignment VRT Modality Bone Removal • slice thickness AbdRoutin. Abdominal 2 CT Auto Presets applied for image filter type VRT *abdomen* Liver Vascularization CT • *body* Osseous Shaded CT • Automatic application of table or bone removal *extremity* Osseous Shaded CT *head * Osseous Shaded Head CT *shoulder* Osseous Shaded CT • Presets can be saved for different series types e.g. *sinus* Osseous Shaded Head CT different slice thickness for brain/ thorax scan. *spine* Osseous Shaded CT Torace 1 .... Pulmonary Vasculariz ... CT Auto *trauma* Osseous Shaded CT • If these series presets do not fit your needs, you can add Apply + Edit Add Delete Import Export new series presets or modify the existing series presets. Close 6 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 MM Reading – Image Interactions How can I quickly adjust the displayed image data? 7 Effective Date: 15 NOV 2019| HOOD05162003021964 Effective Date: 15 NOV 2019 | HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Unrestricted © Siemens Healthineers, 2021 7 MM Reading SIEMENS Healthineers Image Interactions SOMATOM Drive • Adapt data display on the fly by using the interactive image text (Highlighted in blue). • If the image segments are synchronized, the changes will apply to the synchronized segments. • Quick adjustments using the interactive image text can be used: R • To toggle between the standard display types 10cm • To adjust the slice thickness MPR SL 10,8 0.8 To adjust the spacing SPC • • To change the image orientation A • To adjust the windowing values W 1030 C 205 kV 80 D +C 8 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 MM Reading SIEMENS Healthineers Image Interactions • To easily focus on a specific series or compare different time points on the fly you can: • Enlarge a series of a single study using the Show in MPR Context Menu or the keyboard shortcut Enlarge Series [CTRL+ double click]. Enlarge Orientation • Enlarge all images of the same orientation III Exclude Series using the Context Menu or keyboard shortcut III Exclude Time Point [ALT+ double click]. Insert and Propagate • To get back to the initial view, just double-click a segment. 9 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 MM Reading SIEMENS Healthineers Image Interactions • Quickly change image data visualized in the segments with Easy Reading: Simply select the required series in the Series Panel and drag them into the image area. Replace • The layout adapts to the number of selected series/ Add Series as 2D studies. Add Series as 3D Replace all Series as 2D • Fusion of two different series can be done on the fly: Replace all Series as 3D Select the series you want to fuse in the Series Panel and Fuse (MPR/MPR) drag and drop it with the Right Mouse button to the image area- select the ‘Fuse’ option from the Context Menu. • Easily return to your initial display using the ‘Reset Layout’ functionality. 10 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 MM Reading – Clinical Tools How can I do a selection of my favorite Tools, the one I use the most, and how to access them ? 11 Effective Date: 15 NOV 2019| HOOD05162003021964 Effective Date: 15 NOV 2019 | HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Unrestricted © Siemens Healthineers, 2021 1 1 MM Reading SIEMENS Healthineers Clinical Tools Favorite Tools X • Find all relevant tools for your reading workflow in the Scroll Distance ROI Circle Toolbox. Line Rotate Synch Hide Lines Spinc/Rib • Easily define your favorite tools to be quickly accessible from Label the tool box or the context menu. 3D Ref. Parallel Auto Full Text Point Ranges Views • Shortcuts to remember: + • [F11]: hide panels/ [SHIFT + F11]: hide panels in portrait Distance Line monitor setup Measure straight distance [D] • [F1-F5]: change windowing values Soft-Tissue F5 • [1-8]: change image filter type 3 2 Lung F6 Bone F7 • [H]- hide reflines Modify Preset F5 LIvel To Configurable F keys 1 Angio • F6 F7 Colon CT Presets F8 CT Color LUT [ Reset Windowing 12 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 MM Reading SIEMENS Healthineers Clinical Tools Auto Views ? X • Obtain clinical meaningful views with a single click Modality CT using the Auto Views functionality. Preset group All Name Sagittal Coronal Axial The presets automatically adjust to the selected Head & Neck • body part and show a standard projection. Head When opening the tool, the system suggests some Orbitomeatal • Line presets based on modality and body part examined. Head Orbital Bone R • Dedicated preset groups such as Head/ Neck or Thorax allow for quick selection. • Definition of favorites allow easy access to the OK Cancel most commonly used presets. 13 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 MM Reading SIEMENS Healthineers Clinical Tools L2 • syngo.via provides you a tool for an easy evaluation of spine and ribs, which can be useful e.g. in [13] fracture cases. [T4 R4 • From the upper right corner menu, choose LS RS Spine/Rib Label. TG LE R6 O L7 • syngo.via proposes the localisation and the labeling R7 T8] for vertebra and ribs. T9| L8 R8 • A mini toolbar is displayed to e.g confirm or edit T10 L9 the automatically found labels. T11 T12 L10 R10 R11 14 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 MM Reading SIEMENS Healthineers Extended Functionalities • A basic vessel evaluation of in CT and MR images SOMATOM Drive SOMATOM Drive CL can be performed without workflow switch. • Use the Vessel definition tool provided in your R toolbox. O O CL MPR MPR SPC SL 0.8 SPC 0.8 F A PR CV SL • Make use of further functionalities such as: C 1030 KV 80 20 COL 205 kV 80 +C 1030 205 • Vessel tracing / editing SOMATOM Drive SOMATOM Drive Measure Measure Define Radial Diameter Length Vessels CPR • CPR display AFR • Creation of ranges for documentation in PACS MPR Manip C VRT RH Spc 0.8 0.0 Define Vessels A 1030 BO SP A179,5 KV80 512 512 AC 8 15 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 MM Reading SIEMENS Healthineers Extended Functionalities • With Time Curve and Time ROI, you can perform further kinetic evaluation of post contrast dynamic images. • Use this tool on any injected dynamic series from any modality (e.g. MR, CT, NM or PT). • Time ROI enables the ROI tool, you can draw a circle on your region of interest. The area within the drawn ROI is considered for Time Curve evaluation. This allows you to Time ROI draw the the ROI while remaining on your current layout. • Time Curve is changing the display : clicking on this icon, the layout will change to have an empty segment for the Time Curve display. Time Curve • To come back to initial display after dynamic analysis, or to disable the ROI tool, simply click again on the icon. 16 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 MM Reading SIEMENS Healthineers Image Registration • syngo.via automatically registers all available series in the background. • If any corrections are needed, use the align buttons available on the tool gallery. Align • Align Timepoint – this tool keeps the registration of all series of each time point, but Timepoi. allows you to correct the registration of one timepoint in relation to the other. • Align – allows you to correct the registration of all series of all timepoints. Align • A manual alignment can also be performed by simply selecting the desired image segments. 17 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 syngo.via Reporting How can the reporting functionalities help me speed my reporting? 18 Effective Date: 15 NOV 2019| HOOD05162003021964 Effective Date: 15 NOV 2019 | HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Unrestricted © Siemens Healthineers, 2021 1 8 Findings Assistant • The Findings Assistant helps you to further charaterize the Details CAD-RADS 1 Current findings, e.g. location, severity. Type CAD-RADS ? CAD-RADS 3 CAD-RADS with ... International guidelines, like PI-RADS or CAD-RADS, are Patient State Stable chest pain Interpretation • Disclaimer ACS cannot be excluded implemented on the findings assistant. ACS highly unlikely ACS likely ACS possible • syngo.via reporting uses the findings created on the viewing ACS unlikely ACS very likely area and transfers them to a structured report. Documented absence of CAD Overall Rating + Mild non-obstructive CAD Comment Minimal non-obstructive CAD Moderate stenosis Obstructive CAD cannot be excluded ‹ Previous Finding Next Finding > Severe stenosis Total coronary occlusion 19 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Findings Assistant • On follow-up mode, the findings assistant Details Abdomen 1 Current automatically takes over the previously inserted Type Basic attributes, e.g location and laterality. Finding Site VI segment of Liver Laterality right Severity Diagnosis hypervasculated lesion • Confirmation dialog allows the user to confirm. • Placeholders on the Assistant ensures that the measurements on each Time Point are grouped into the same findings. Overall Rating + Comment Findings X ICarried forward from prior exam. Please confirm. Abdomen 1 Previous Finding Next Finding > Confirm [1] Di ... Dista ... Current [1] Di ... 3.27 cm 15-Ma ... 20 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Report Editor Siemens Healthineers Demo Hospital Demo Department of Radiology SIEMENS SiemensStr. 3 Forcheim, Germany Healthineers ... Requested Procedure Thorax CT scan without contrast Study Date: The Report Editor automatically collects the Patient Name: • Date of Birth: Patient ID: findings, like measurements and snapshots. Clinical Information Solitary nodule identified on Chest X-ray following pneumonia, Previous Thorax CT found solitary solid nodule with smooth margins measuring 82 mm. Non smoker, no chest pain. Findings • The reports are configurable and can be Chest 1 [1] Distance Line 0.84 cm Laterality adapted to different types of scans. right low lobe Diagnosis upper right Location concentric lung nodule Images • Configuration can either be saved permanently or you can do them on the fly. Comparison with previous examination 15/2006 CURRENT Chest 1 0 [1]| Distance Line 0,82 cm Now El Wome 6) Improves 4) Disappeared Impression Solitary solid nodule with smooth margins measuring 84 mm. Nodule size remained stable since last assessment. No Pleural effusion, No pneumothorax. Heart is normal. No pericardial effusion, Visualised portions of the Abdomen are unremarkable. Reading Physician: Dr. Jeane Doe Further Evaluation Recommendations Further evaluation is recommended with: Follow-up Low Dose CT in 6 months. 21 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Report Editor How can you use it? • Export the entire syngo.via structured report to your RIS or reporting system. • Use it as an addendum to your dictated report. • Print as preliminary report for your private patients or inpatients. • Export only dedicated sections of the syngo.via report to your dictated report. Info: syngo.via reporting can be saved as DICOM object or integrated with the RIS using HL7 message. 22 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Report Editor Export Results to Dictated Report • Click on clipboard and export the results table and Comparison with previous examination snapshots of key findings to your dictated report. 17-Jan-12 01-Aug-12 CURRENT Abdomen 2 • The sections from the report that are exported can be [2] Distance Line 3.74 cm 4.32 cm K Finding Site V segment of the Liver V segment of the Liver configured (e.g. export only result tables or snapshots Laterality right right Diagnosis hypervasculated lesion hypervasculated lesion from the report). 17-Oct-11 17-Jan-12 01-Aug- 12 CURRENT Chest 3 [3] Distance Line 2.94 cm 3.21 cm 3.75 cm Finding Site VI segment of Liver VI segment of Liver VI segment of Liver Laterality right right right Diagnosis hypervasculated lesion hypervasculated lesion hypervasculated lesion 23 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Advantages • Ensure that key findings are clearly identifiable on your report and documented with snapshots. [3] Distance Line 3.75 cm Laterality right Finding Site VI segment of Liver Diagnosis hypervasculated lesion • Provide your referring physicians with trending tables that clearly show how the key findings have evolved over time. SPI 12 2273 MA 9 SP H166.0 • Ensure that certain attributes, like laterality of a lesion, are clear on the report. 375 Line KV 100 • Faster follow-up, as attributes are carried forward from F SL 5.0 M 51 2:523 arteriel previous examination (i.e. don‘t need to type location of diagnosis). 24 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Q&A MM Reading • Spine Labelling • Context Menu • Alignment and Registration 25 Effective Date: 15 NOV 2019| HOOD05162003021964 Effective Date: 15 NOV 2019 | HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Unrestricted © Siemens Healthineers, 2021 2 5 Q&A Spine Labelling Q: What are the key combinations in order to move the labels on the spine labelling? L2 23 R4 A: You can simply select one label and press ALT+A to select all labels. [TS Afterwards they can be moved to a different location using RS LS O T6]. the mouse. LE R7 [18 ] . ...--- --- R8 T10 R9 T12 - L10 R10 R11 L11 26 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Q&A Context Menu Q: How can the context menu be customized? A: Different tools are available in the four corner menus. From there, you have the possibility to send the tool to the context menu. If we take the upper right corner menu as an example, select the Distance Line > Measure straight distance [D]] Distance Line tool with the Right Mouse Button and select ‚Send to Context Menu‘. The distance line tool will now appear in your context menu. To remove the tool from the context menu, select it and drag& drop it to the image area. 27 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Q&A Alignment and Registration Q: From time to time, the system is not able to set up the registration between two series (e.g. current- prior) automatically. How can I adjust this manually? A: The reason for this behaviour is that there are prerequisites that need Align to be fulfilled. If there is no registration, you should not use the Alignment Tool as this L tool is used to correct an already existing registration and will not work Align in this case. Timepoi. A manual registration can be done. Press the CTRL key and multiselect two or more segments. Now the synchronization is locked. A manual alignment has been done, there is no registration algorithm running in the background. The selected series can now be scrolled simultaneously. To unlock the synchronized scrolling, just click in one segment. 28 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Acknowledgments SIEMENS Healthineers Image data courtesy of: Allgemeines Krankenhaus Universitätskliniken Wien, Vienna, Austria. Universitätsklinikum Erlangen, Erlangen, Germany. Ludwig-Maximilians-Universitätklinikum München, Munich, Germany. Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands. 29 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021 Disclaimer 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 30 Effective Date: 15 NOV 2019| HOOD05162003021964 Unrestricted © Siemens Healthineers, 2021