What’s New in X-ray syngo.via VC10

SIEMENS Healthineers What’s New in X-ray syngo.via VC10 Template Effective Date: 26 Mar 2025 | QR700020784 1 This training material is based on the medical device Syngo Carbon Clinicals VA40A. Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 Disclaimer SIEMENS Healthineers syngo.via Q Scanner AI-Rad Companion V syngo.via Syngo Carbon View&GO Space Please keep in mind that the user interface may differ slightly from what is shown in this Job Aid. The actual usage of the tool may differ slightly on the different host systems, for example on syngo.via, Syngo Carbon Space, syngo.via View&GO, AI-Rad Companion or on the scanner. The tool functionality defined in this Job Aid is applicable to any of the Siemens Healthineers products in which you find this tool. Template Effective Date: 26 Mar 2025 | QR700020784 2 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 SIEMENS Healthineers OrthoMatic Spine* Template Effective Date: 26 Mar 2025 | QR700020784 3 * This functionality might not be available in all countries due to regulatory reasons. Please contact the local Job Aid Effective Date: 15 May 2025 | QR700023222 Siemens Healthineers personal for more details. Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Introduction (I) Purpose Y C7 OrthoMatic Spine allows you to perform musculoskeletal measurements of the whole spine, in particular spine curve angle measurements. Cervical lordosis Minor Curve 29 deg (C2-C7) +13 deg (T9-L1) Apex C5 The tool can be used in CR (Computed C7 Major Curve Apex T10 Left-convex Thoracic Radiography) and DX (Digital X-Ray) images of -27.4 deg (L1-L4) Apex L3 the entire spine (multivendor). CR, DX images Right-convex Lumbar shall cover at least vertebrae from C7 to S1, in Thoracic kyphosis +40.3 deg (T4-T11) coronal and sagittal view. Apex T6 S1 Coronal Balance + 10 mm (to right) 6- Lq Lumbar lordosis 74.3 deg (L1-S1) Apex L4 Validation Please note: OrthoMatic Spine is validated for patients who are at least H. Sagittal vertical alignment -58 mm (to posterior) 7 years old. Template Effective Date: 26 Mar 2025 | QR700020784 4 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Introduction (II) OrthoMatic Spine uses AI-powered spinal vertebrae detection, automating the calculation Y C7 of the following measurements: 1 • Cobb angle (Major and Minor). 1 Cervical lordosis 3 2 • Coronal balance. Minor Curve 29 deg (C2-C7) 1 +13 deg (T9-L1) Apex C5 Apex T10 C7 Major Curve Left-convex Thoracic 3 • Cervical lordosis. -27.4 deg (L1-L4) Apex L3 Right-convex Lumbar 4 Thoracic kyphosis 4 • Thoracic kyphosis. +40.3 deg (T4-T11) Apex T6 S1 5 • Lumbar lordosis. 2 Coronal Balance + 10 mm (to right) 6-Lq 6 • Sagittal vertical alignment. 5 Lumbar lordosis -74.3 deg (L1-S1) Apex L4 Validation Please note: OrthoMatic Spine is validated for patients who are at least H. 6 Sagittal vertical alignment -58 mm (to posterior) 7 years old. Template Effective Date: 26 Mar 2025 | QR700020784 5 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Starting calculation Tool Gallery X 2 Algorithm running To start the OrthoMatic Spine: Search 1 • Click the OrthoMatic Spine icon that you find in the Favorite Tools panel or in the Measurements Tool Gallery. O Distance Angle Angle on Pixel Lens ROI Circle VOI Sphere Line 2 • If the images are calibrated and contain 1 patient orientation information, the Assisted OrthoMa. Lesion LungCAD Manual Perpendi. Spine Quantific. Calibration OrthoMatic Spine algorithm starts. Manual Calibration Patient Orientation Distance Line The OrthoMatic Spine algorithm only X ROI Circle O runs on images that are calibrated. If H. H. Select and confirm the Patient Orientation Pixel Lens this information is missing, use the Manual Calibration tool. Arrow Marker -IT Patient orientation AP PA LR LL Angle The OrthoMatic Spine algorithm runs only on images with patient orientation Angle on Stack Text T information. If this information is missing, H. add it manually using the Set patient Ok Cancel Manual Calibration orientation tool. Template Effective Date: 26 Mar 2025 | QR700020784 6 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Resulting measurements (I) Once the OrthoMatic Spine algorithm provides Cervical lordosis C7 -29 deg (C2-C7) the landmarks and measurements, the Apex C5 C7 application displays the following message: Caution – not for diagnostic use: Automatic Thoracic kyphosis landmark locations centerline and +40.3 deg (T4-T11) O Minor Curve Apex T6 superior/inferior plates are not confirmed. +13 deg (T9-L1) Apex T10 Major Curve Left-convex Thoracic 27.4 deg (L1-L4) L1 Apex L3 Right-convex Lumbar Lumbar lordosis This message disappears after you confirm the 74.3 deg (L1-S1) Apex L4 correctness of the landmarks and the results. Caution - not for diagnostic use: Caution - not for diagnostic use: Automatic landmark locations, S1 Automatic landmark locations, centerline and superior inferior centerline and superior inferior plates are not confirmed. plates are not confirmed. Coronal Balance + 10 mm (to right) Sagittal vertical alignment -58 mm (to posterior) Caution - not for diagnostic use: Automatic landmark locations, centerline and superiorinferior -- plates are not confirmed. Template Effective Date: 26 Mar 2025 | QR700020784 7 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Resulting measurements (II) To OrthoMatic Spine automatically detects and Cervical lordosis displays: C7 -29 deg (C2-C7) Apex C5 C7 • The spine centerline. • The vertebrae landmarks. Thoracic kyphosis • The anchor labels. +40.3 deg (T4-T11) Minor Curve Apex T6 • +13 deg (T9-L1) The resulting measurements. Major Curve Apex T10 Left-convex Thoracic In the coronal view: -27.4 deg (L1-L4) Apex L3 • Right-convex Lumbar Cobb angle (Major and Minor). Lumbar lordosis 74.3 deg (L1-S1) • Coronal balance (C7 plumb line). Caution - not for diagnostic use: Apex L4 C Caution - not for diagnostic use: Automatic landmark locations, Automatic landmark locations, In the sagittal view: centerline and superior inferior centerline and superior inferior plates are not confirmed. plates are not confirmed. 4-51 • Cervical lordosis (C2-C7). Coronal Balance + 10 mm (to right) Sagittal vertical alignment -58 mm (to posterior) • Thoracic kyphosis (T4-T12). • Lumbar lordosis (L1-S1). • Sagittal vertical alignment (C7 plumb line). Template Effective Date: 26 Mar 2025 | QR700020784 8 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Resulting measurements (III) Minor Curve For each Cobb angle, the OrthoMatic Spine tool +13 deg (T9-L1) provides the following measurement attributes: C7 Apex T10 • Left-convex Thoracic Degree (deg): Angle between superior and inferior plates. Minor Curve +13 deg (T9-L1) • Apex: Major Curve Apex T10 Left-convex Thoracic Most lateral point of the curve. -27.4 deg (L1-L4) Apex L3 Right-convex Lumbar • Major Curve Convexity: Left-convex or Right-convex C -27.4 deg (L1-L4) Caution - not for diagnostic use: Automatic landmark locations, Apex L3 centerline and superior inferior plates are not confirmed. Coronal Balance + 10 mm (to right) Right-convex Lumbar • Classification of the curvature: e.g., Thoracic or Lumbar. Template Effective Date: 26 Mar 2025 | QR700020784 9 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Resulting measurements (IV) For the Cervical lordosis, the Thoracic kyphosis Cervical lordosis and the Lumbar lordosis, the OrthoMatic Spine Cervical lordosis -29 deg (C2-C7) tool provides the following measurement -29 deg (C2-C7) Apex C5 C7 Apex C5 attributes: • Degree (deg): Angle between superior and inferior Thoracic kyphosis +40.3 deg (T4-T11) Apex T6 Thoracic kyphosis plates. +40.3 deg (T4-T11) • Apex: Apex T6 Most lateral point of the curve. Lumbar lordosis 74.3 deg (L1-S1) Apex L4 Caution - not for diagnostic use: Automatic landmark locations, centerline and superior inferior Lumbar lordosis plates are not confirmed. Sagittal vertical alignment-58 mm (to posterior) -74.3 deg (L1-S1) Apex L4 Template Effective Date: 26 Mar 2025 | QR700020784 10 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Editing the results (I) In case that the vertebrae are not correctly detected, you can add vertebrae landmarks (o), move them, change their position or change their label. Editing a vertebra landmark (o) affects: Minor Curve +52.6 deg (T1-T7) Apex T2 • The subsequent vertebrae landmarks until Left-convex Thoracic the next anchor label (C7, L1, S1). • The spine centerline. Major Curve The resulting measurements. ........ • 87.2 deg (T7-L1) Apex T10 Right-convex Thoracic The OrthoMatic Spine algorithm automatically provides you with the updated values. O Edition of vertebrae landmarks (o) The vertebrae landmarks should be Label C7 Caution - not for diagnostic use: positioned in the center of each Automatic landmark locations, Delete L1 centerline and superior/inferior H. plates are not confiCoronal Balance + 7 mm (to right) S1 vertebra. The centerline should run Caution - not for diagnostic use: S1 along the spine. Automatic landmark locations, centerline and superior/inferior plates are not confiCoronal Balance + 7 mm (to right) Template Effective Date: 26 Mar 2025 | QR700020784 11 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Editing the results (II) 1 2 3 4 1 • To add a vertebra landmark, left-click the centerline in between two vertebrae landmarks. CT 2 • To delete vertebra landmark, right-click the desired vertebra (o) and choose Delete from the context menu. O 3 • To move a vertebra landmark, left-click the desired vertebra (o) and move to the required position. .O 4 • To change the label of a vertebra, right- O Label C7 click the desired vertebra (o) and choose Delete L1 IC S1 Label and the anchor label (C7, L1, or S1). + Label Delete -O Edition of vertebrae landmarks (o) Lo -- 81 The vertebrae landmarks should be ution - not for diagnostic use: S1 ution - not for diagnostic use: S1 Ition - not for diagnostic use: Ition - not for diagnostic use: S1 omatic landmark locations, tomatic landmark locations, omatic landmark locations, omatic landmark locations, positioned in the center of each terline and superior/inferior nterline and superior/inferior terline and superior/inferior tes are not confiCoronal Balance + 7 mm (to right) tes are not confiCoronal Balance + 7 mm (to right) es are not confiCoronal Balance + 7 mm (to right) terline and superior/inferior es are not confiCoronal Balance + 7 mm (to right) vertebra. The centerline should run H. along the spine. Template Effective Date: 26 Mar 2025 | QR700020784 12 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Editing the results (III) 1 2 If necessary, adjust the suggested angle measurements. 1 • Drag an angle leg along the spine to the CT required position. CT 2 • You can also incline an angle leg by dragging the handles on the left and the right side. The OrthoMatic Spine algorithm automatically provides you with the updated measurement values. Ition - not for diagnostic use: S1 ution - not for diagnostic use: S1 omatic landmark locations, omatic landmark locations, -O terline and superior/inferior es are not confiCoronal Balance + 7 mm (to right) terline and superior/inferior es are not confiCoronal Balance + 7 mm (to ri Ition - not for diagnostic use: -S1 -e-e omatic landmark locations, terline and superior/inferior es are not confiCoronal Balance + 7 mm (to right) Template Effective Date: 26 Mar 2025 | QR700020784 13 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS OrthoMatic Spine – Adding/Deleting Cobb angles Healthineers 1 4 15 To add a Cobb angle on a coronal image: 1 • Click the Add Cobb angle icon in the mini 2 3 4 toolbar. 2 • Click and drag across the centerline to draw the superior angle and the inferior angle plates. Minor Cury +52.6 deg (T1 Apex T2 eft-convex Th 3 • The measured Cobb angle is displayed. Minor Curve To delete a Cobb angle on a coronal image: -72 deg (TB-T11) Apex T10 Right-convex Thoracic Minor Curve -72 deg (TB-T11) Apex T10 4 • Right click the measurement text of the Rinthe Delete Cobb angle to delete and select Delete. Adding/Deleting Cobb angles 1 Adding or deleting Cobb angles is possible only in coronal images. You can measure a maximum of three Cobb angles at a time. ution - not for diagnostic use: ution - not for diagnostic use: S1 tion - not for diagnostic use: S1 bee tomatic landmark locations, omatic landmark locations, terline and superior/inferior omatic landmark locations, iterline and superior/inferior tes are not confiCoronal Balance + 7 mm (to right) tes are not confiCoronal Balance + 7 mm (to right) terline and superior/inferior es are not confioronal Balance + 7 mm (to right) Template Effective Date: 26 Mar 2025 | QR700020784 14 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Restoring the initial results 2 C7 Reset AF ? X If required, you can restore the initial results calculated by the OrthoMatic Spine algorithm. ? Reset landmarks and measurements to initial values? 1 • Click the Reset all changes icon on the C mini toolbar to restore the automatic Major Curve calculated OrthoMatic Spine results. 74 deg (T7-T11) Apex T10 Yes No Right-convex Thoracic 2 • The Reset message is displayed. Click Yes 3 to restore the initial results. Minor Curve +48.7 deg (L1-L5) Apex L5 Minor Curve +52.6 deg (T1-T7) 3 • The initial results are restored. Left-convex Lumbosacral Apex T2 Left-convex Thoracic Caution - not for diagnostic use: Automatic landmark locations. Major Curve centerline and superior/inferior -87.2 deg (T7-L1) plates are not confiCoronal Balance + 7 mm (to right) Apex T10 Right-convex Thoracic 1 15 O G -- 91 O Caution - not for diagnostic use: Automatic landmark locations. centerline and superior/inferior plates are not confiCoronal Balance + 7 mm (to right) Template Effective Date: 26 Mar 2025 | QR700020784 15 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Measurement Overview 1 • You can open the Measurement Overview Measurements dialog from the mini toolbar. Cervical lordosis 2 -29 deg (C2-C7) Apex C5 C7 Spine Measurements 2 2 • In the Measurements dialog, you can read Cervical lordosis -C7 Spine C2-C7: -29 º all the measurements and their attributes. Apex C5 Minor Curve +52.6 deg (T1-T7) Cobb Angle Thoracic kyphosis Apex T2 Major Curve O T4-T11: +40.3 º Left-convex Thoracic Thoracic kyphosis T7-L1: -87.2 º +40.3 deg (T4-T11) Apex T6 Apex T10 Apex T6 Lumbar lordosis Right-convex Thoracic L1-S1: -74.3 º Minor Curve Apex L4 T1-T7: +52.6 º In the Measurements dialog, you can also Sagittal vertical alignment Apex T2 Left-convex Thoracic -58 mm to posterior O Major Curve Coronal Balance toggle the visibility of specific anatomical -87.2 deg (T7-L1) Legend Apex 710 + 7 mm to right Right-convex Thoracic measurements. Cervical Legend Thoracic Lumbar C Cervical Thoracic Sacrum Lumbar Sacrum s r O S1 O Caution - not for diagnostic use: Automatic landmark locations, 0 Caution - not for diagnostic use: Automatic landmark locations, centerline and superior/inferier centerline and superior/inferior plates are not confirmed. -- S1 plates are not confiCoronal Balance + 7 mm (to right) 1 Template Effective Date: 26 Mar 2025 | QR700020784 16 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Confirming the results 1 To finalize the evaluation, you must confirm the landmarks and measurements. 1 • On the mini toolbar, click the Confirm landmarks/measurements icon. -29 deg (C2-C7) Apex C5 C7 €7 2 • The message Caution – not for diagnostic Minor Curve --------- +52.6 deg (T1-T7) use: Automatic landmark locations O Apex T2 Left-convex Thoracic centerline and superior/inferior plates Thoracic kyphosis O +40.3 deg (T4-T11) are not confirmed disappears. Apex T6 Tere Major Curve O 87.2 deg (T7-L1) The evaluation with the OrthoMatic Spine tool is Apex T10 Right-convex Thoracic now complete. IST O Lumbar lordosis O - - 74.3 deg (L1-S1) Apex L4 O 2 La. . S1 C --- 81 Coronal Balance + 7 mm (to right) Template Effective Date: 26 Mar 2025 | QR700020784 17 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Saving the results Tool Gallery Save as Series The application does not automatically create any × result series after confirming the landmarks and Cervical lordosis -29 deg (C2-C7) Apex C5 C7 Search Series Name OrthoMatic_evaluation measurements. O Image Comment O Print & Export 1 • To save a series with the results, use the Save Accept Cancel as Series tool in the Favorite Tools panel or in Thoracic kyphosis O +40.3 deg (T4-T11) 1 the Tool Gallery. Apex T6 O Snapshot Print Save as Export mage Series Image Series Name • The Save as Series dialog box opens. OrthoMatic_evaluation Provide the Series Name and an Image O Comment if needed. Tool Gallery • The series is available in the Series panel. 9 -- -LO Q Search 2 • You can also use the Snapshot tool in the Print & Export Favorite Tools panel or in the Tool Gallery. Lumbar lordosis -74.3 deg (L1-S1) Apex L4 2 • The series with the single frame is Snapshot Print save as Export Series Name available in the Series panel. Image Series Image O S1 Results Viewing Print Image, Print Stack, Print Layout OrthoMatic results are included when printing. H. Template Effective Date: 26 Mar 2025 | QR700020784 18 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Patient orientation (I) Tool Gallery X Please set the orientation 2 The OrthoMatic Spine algorithm does not start without setting the Patient Orientation. Q Search If the image does not contain any information Measurements about the Patient Orientation: O Patient Orientation 1 • 3 × You start the OrthoMatic Spine tool. Distance An 1 igle on Pixel Lens ROI Circle VOI Sphere Line Stack • 2 The application requests: Please set the X orientation. Select and confirm the Patient Orientation Assisted OrthoMa Lesion LungCAD Manual 3 • The Patient Orientation dialog automatically Perpendi. Spine Quantific. Calibration opens for you to set the correct orientation. As soon as you confirm the selected patient orientation, the OrthoMatic Spine algorithm starts. AP PA LR LL Incorrect diagnosis when the musculoskeletal measurement results were calculated on images with wrongly set orientation H. Ok Cancel Always set the patient orientation carefully. Template Effective Date: 26 Mar 2025 | QR700020784 19 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Patient orientation (II) Patient Orientation In some cases, it might be necessary to change 2 × the existing Patient Orientation. 1 • Click the Set Patient Orientation icon in Select and confirm the Patient Orientation the mini toolbar. 2 • The Patient Orientation dialog 1 automatically opens for you to set the correct orientation. AP PA LR LL As soon as you confirm the selected patient orientation, the OrthoMatic Spine algorithm starts, and the measurements are calculated again. Only for the current evaluation Ok Cancel The manually set Patient Orientation is kept only for the current evaluation. H. Incorrect diagnosis when the results were calculated on images with wrongly set orientation Always set the patient orientation carefully. Template Effective Date: 26 Mar 2025 | QR700020784 20 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Image calibration O Invalid Input, Please re-calibrate. 1 If the image is not calibrated, the tool prompts you to calibrate it: Invalid Input. Please re- 15 calibrate. 1 • Use the Manual Calibration tool, to calibrate the image. Distance Line Tool Gallery X ROI Circle O Q Search 2 • You can start the Manual Calibration tool Pixel Lens either from the top right corner of the image segments, or from the Tool Gallery. Arrow Measurements + 0 Marker As soon as you calibrate the image, the Distance Angle Angle on Pixel Lens ROI Circle VOI Sphere Line Stack Angle 2 OrthoMatic Spine algorithm starts the -:- calculation. Angle on Stack Assisted OrthoMa Lesion LungCAD Manual Perpendi Spine Quantific Calibration Text T Manual Calibration 2 Template Effective Date: 26 Mar 2025 | QR700020784 21 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 What’s New in X-ray SIEMENS Healthineers OrthoMatic Spine – Cautions CAUTION ! CAUTION The automatic labeling of landmarks and/or the automatic To use one of the musculoskelatal tools, such as OrthoMatic localization of landmarks, centerline, or superior/inferior plates Spine, it is important that the DICOM images contain may be incorrect. orientation information. If the DICOM images do not contain Incorrectly labeled landmarks and/or wrongly positioned such information, you must set the orientation manually. landmarks, centerline, or superior/inferior plates over Incorrect diagnosis when the musculoskeletal measurement anatomy can result in a wrong diagnosis or treatment. results were calculated on images with wrongly set ◆ Manually check, correct (if required) and confirm the orientation. accuracy of all labels as well as make sure that the correct ◆ Always set the orientation with great care. location of landmarks, centerline and superior/inferior plates are applied using your clinical knowledge as a radiologist. CAUTION Note that all automatically located but unlabeled landmarks are marked with “???” and should be corrected. After label edit operations, the assignment of the vertebrae may be wrong. Wrong diagnosis possible due to mix-up of vertebrae. ◆ Always check that after label edit and delete operations, the vertebrae labels still correspond to your clinical knowledge as a radiologist. Template Effective Date: 26 Mar 2025 | QR700020784 22 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025 SIEMENS Healthineers Please note that this 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 Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please 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. Siemens Healthineers Headquarters Siemens Healthineers AG Siemensstr. 3 91301 Forchheim, Germany Phone: +49 9191 180 siemens-healthineers.com Template Effective Date: 26 Mar 2025 | QR700020784 23 Job Aid Effective Date: 15 May 2025 | QR700023222 Published by Siemens Healthineers AG I © Siemens Healthineers, 2025