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<i>syngo</i>.via Cardiac Hybrid VRT support in Cedars Cardiac Suite and Corridor4DM

syngo.via Cardiac Hybrid VRT support in Cedars Cardiac Suite and Corridor4DM

This job aid provides information about Cardiac Hybrid VRT Support in Corridor4DM and Cedars Sinai.
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SIEMENS Healthineers Cardiac Hybrid VRT support in Cedars Cardiac Suite and Corridor4DM Template Effective Date: 10 Aug 2021| HILS 2223 Job Aid Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Cardiac Hybrid VRT Support in Corridor4DM and Cedars Sinai – SIEMENS Healthineers Table of Contents Cardiac Hybrid VRT Requirements – What´s needed 3 Comparison of Corridor4DM Functionality and Cedars Cardiac Suite 5 Heart Coronary Tree What is Cardiac Hybrid VRT? 5 Cardiac Hybrid VRT Feature General Workflow Steps 6 Aorta ANT CX 2 What is the syngo.CT Coronary Workflow? 7 BASE CT Coronary Workflow Steps 9 RO 5 Cardiac Hybrid VRT Feature – Corridor4DM Application 12 LAD 2 • Check the Dataset Requirements/Quality Control 14 RCA 6 SEPT APEX • Registration – Image Fusion 15 • Overlay Vessels – Corridor4DM Application 16 INF RC Cardiac Hybrid VRT Feature – Cedars Cardiac Suite 17 RCA RCA • Check the Dataset Requirements 20 RCA RCA 2 LAD 8 • Registration – Image Fusion 21 Overlay Vessels – Cedars Cardiac Suite RCA 3 • 22 2 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Cardiac Hybrid VRT Requirements – SIEMENS Healthineers What´s needed syngo.CT Coronary Analysis syngo.CT Extension (Cedars or Comments 4DM)* V V No additional packages required for Hybrid VRT - V syngo.CT Coronary Analysis is required for Hybrid VRT V syngo.CT Extension (Cedars or 4DM) is required for Hybrid VRT - Both packages required for Hybrid VRT 3 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Comparison of Corridor4DM and Cedars Cardiac Suite SIEMENS Healthineers Hybrid Functionality Functionality 4DM Cedars Visualize Coronary Tree V V Adjust the registration V V Adjust the LV functional view (e.g., LUT, cine, functional map selection) V Overlay Coronary Tree on polar maps V Vessel and finding labels Rest [Recon] Stress [Recon] Rest [Recon] Stress [Recon] Perfusion-Raw Perfusion-Raw CX 2 CX2 TANT As Corona therise BASE ANT BASE 261 Anterior Anterior 292 CX 368 707 1355 Septal 335 Apex Apex RCA 4 282 INF RCA2 A EX RCA 4 INF API 251 RCA RCA 509 620.6 226 300.0 Tifer or LAD LAD 8 LAD LAD 8 4 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 What is Cardiac Hybrid VRT? SIEMENS Healthineers Cedars and Corridor4DM now support the visualization of segmented coronaries: • The segmentation results generated from syngo.CT Coronary workflow can now be imported directly into Cedars and Corridor4DM. The coronary artery tree is extracted and saved as DICOM file. • This enables advanced hybrid visualization inside of Cedars and 4DM, (e.g., polar plot overlay of patient-specific coronary vessels, coronary vessel labeling). The feature allows the display of segmented and labeled coronary vessels from CT Angiography (CTA) fused with 3D surface perfusion NM data or PET viability data. • Available in the latest released versions of Cedars Sinai and Corridor 4DM on the Digital Marketplace for syngo.via VB60_HF03 and VB70. SPECT-CT Process Group Reset Manual 1 2 3 4 Qualty Sice Surface Splash Mews OPS QG5 Change Fusion Calcium More Database Limits Score Defacts Default: Save Pont Movie Heb CardiacHybrid_3_SPECT, Tc99m_Sestamibi 52 yo Male Cardiac Stress [Racon 2004-08-17 11 - 6 > < > Cardac Rest [Racon] 2004-08-17 1 - Edt .. 100 Label Box LV RV Spin Pins Vessels Fuse Scale 1.0 € > Rate 14 * > Surface Funktion Function Ram " Grid Segments - View RAO Rest [Recon] 17 Aug-2004 13:56:59 Ast Rest [Recon] M Processing Interpretation Ung. Supine, FOP HatPhorm: Unknown Cardiacitybnd_3_SPECT Fusion UgVol 40 ml TID:_ PAR ID Tc99m_Sestamibi SH 5-6 V-Symtia TCCTAC.SCR MALE Images UMEs TID 1.22 SRS 55% SR% 50% Register - 1 1 - A Z Shift :jump Ctrl spin Study Cardtic Dataset Stress [Recom] Func + Quant Date 2004-08-17 10:21:45 O CX 2 Cx 2 asCaron BASE ANT BASE SORTANT Status QC-1.34, IR-0.34 Database MaleStressMB Volume 52ml 111ml, 202k FM Stress [Recon] Defect 5ml Extent 49 CT Vener Perfusion-EBlackout Perfusion- Blackout TPD CX Shape 0.55 [SI], 0.84 [Ecc] Ca Scoring Stress [Record Rest (Recon] Stress [Recon] Study Cardoc 17-Aug-2004 10:21:45 Ung Sapine, FBP Dataest Rest [Recon] RadPharm: Unknown Dite 2004-08-17 13:56:59 UgVol 51 ml, TID: 1-27 Stanis QC=1.48, IR=0.39 Database MaleRestHa V-Symbia TCCTAC.SCR Volume 43ml Wil 109ml, 404k RCA 4 INF RCA1 Defect INF Extent 0% TPD 0% Shape 0.53 [51], 0.85 [Ecc] SRS SSS RCA RCA LAD LAD 8 LAD LAD 8 Auto 0 and Accept | Reject ] Pert. 0: Normal 1- Mild 2. Moderate 3. Severe 4 Absent Pielviesces UNG None Ungated Blackout 17.560 Edradied CTA ENDraque) 5 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Cardiac Hybrid VRT Feature General Workflow Steps SIEMENS Healthineers 1 Assign patient to CT Coronary. 2 Wait until the process step has finished. 3 Checkmark and save the Anatomy Visualizer Marks. 4 Markers and findings can be created as per routine reading. 5 Go to the step Vessel Evaluation and click Export. 6 Save and send the results to create the meshes. 7 Launch 4DM or Cedars within MI Cardiology (VB60) or MI General via the OpenApps tool or directly from the patient browser. 8 Check the datasets requirements as a quality control. 9 Register the NM series with the CTA series on the Fusion page. 10 Overlay the Coronary Tree with the functional image types (PET, SPECT, perfusion, viability etc.). 6 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 What is the syngo.CT Coronary Workflow? SIEMENS Healthineers The syngo.CT Coronary Workflow is a noninvasive visualization of the cardiac morphology and function. The CT Coronary Workflow performs a detailed evaluation of the coronary vessels. The workflow covers: • Quantative coronary assessment CT Coronary • Left ventricular analysis • Automatic heart isolation IT • Angiographic standard projections Isolate Coronary Remove Marker Heart Tree Blood Please refer also to the CT Coronary workflow in PEPconnect which shows in detail: • MPR Coronary Navigation CPR Coronary Navigation Manual Vessel Detailed • Plane SURF Tree • Coronary Stenosis Measurement • Cinematic Rendering Vessel Definition Acquisition and Processing Requirements: • Optimal contrast enhancement needed Manual Single Multiple Control • Thin-overlapped axial cardiac images (e.g., 0.75mm) for coronary assessment Click Clicks Point Edit • Soft image reconstruction kernel (e.g., B25) Good opacification of the vessels for vascular analysis Vessel Evaluation • • Multiphase recons for functional imaging Rapid Results • No additional short axis images needed for any evaluation (e.g., Ejection Fraction) 7 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 CT Coronary Workflow Steps SIEMENS Healthineers Assign patient to CT Coronary HRP 1 CT Coronary FFS 13.11.2012 17:37:58.26 Isolate Coronary Remove Marker 7 IMAn.a. Heart Tree Blood SP A67,9 Manual Vessel Detailed Process the Coronary Plane SURF Tree CTA scan in the syngo.CT Vessel Definition RAF Coronary Workflow. Manip VRT RCA SL full Manual Single Multiple Control Click Clicks Point Edit 5cm Vessel Evaluation Rapid Results W 600 200 8 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 CT Coronary Workflow Steps SIEMENS Healthineers By opening this task, the system has already 1 2 preprocessed the images by finding the series with the Process the Coronary Workflow will automatically best diastole, isolating the heart, segmenting and CTA scan in the syngo.CT process CorCTA data and labeling the main coronary arteries and its major Coronary Workflow. produce the Coronary Tree. branches, as well as saphenous vein grafts. CT Cardiac H +10,0 mm + In the case of a multiphase study, the remaining phases LAD -IT have also been preprocessed in the background, so you Coronary Remove Marker 47.5 mm can easily check the individual phases by selecting Detailed Tree Vessel Definition R them from the dropdown menu or, more conveniently, 45.0 mm Vessel Evaluation MPR SL min SL min ................. by right clicking and dragging the mouse horizontally Sterneals Diamets 5cm 5cm A +2,5 mm over the MPR segments. Radial CPR Parallel Expert W 1116 396 Rapid Results 49 bpm, 72 % D, 75 ms ppm, 72 % D, 75 ms 0,0 mm This will help you find the series with the least motion A H 2,5 for the different coronaries, which is especially useful mit 72% BestDiast 512 . 512 2.5 mm for reading challenging cases. Findings Navigator Nome Value Source V FILLINGC ... Left ... Func V LV BV Mode Left ... Func RCA POLARMAP Left ... Func LAD -5.0 mm RV Right ... Func CX FILLINGC ... Right ... Func R RCA 2 Polarmap ... Left AD Func MPR LAD 2 SL LAD 3 Manip Tools CX 2 7.5 mm 5cm Custom Hide Hide Lines Reset MPR CV Graphics Timepol -10.0 mm min Snapshot Print Rede W 1116 1116 2 Image C. 396 396 9 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 CT Coronary Workflow Steps SIEMENS Healthineers 3 Optionally checkmark and Create And Save Cardiac Structures ? X save the Anatomy Visualizer Marks to export Landmarks and Visualizer masks (both Structures Anatomy Visualizer Masks only supported in Cedars Contarlines Aorta Sinai) . As a minimum, ensure that the vessel centerlines are V. RCA Coronary Tree exported. VLAD I Heart V. CX VRCA 2 ........ . . . . .. . . VLAD Save ..... V LAD_3 4 Markers and ¥ CX_2 findings can be V Landmarks created as per v. [1] Marker (POI) For each selected mask a surface mesh routine reading. i will be created Save Cancel 10 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 CT Coronary Workflow Steps SIEMENS Healthineers 5 Once the reading CT Cardiac +10,0 mm Q + LI Loronary LAD has finished, the -IT cardiac Remove Heart Marker +7,5 mm Tree Blood structures need Manual Plane Vessel SURF Tree to be exported. Vessel Definition A R +5,0 mm Go to the step Vessel Evaluation MPR MPR SI min SI min Vessel 6cm 5cm Stenosis Diameter Length single Evaluation and Contour A +2,5 mm click Export. * V 1116 W 1116 CPR Export ₾C 396 C 396 ITT Rapid Results 49 bpm, 72 % D, 75 ms 49 bpm, 72 % D, 75 ms 0,0 mm 2,5 A H 18 72% BestDiast 512 . 512 2,5 mm 6 Findings Navigator Save and send Name Value Source FILLINGC ... Left Func the results to LV BV Mode Left Func DCA 1,000 :Meshes CT Coronary POLARMAP Left. Func LAD create the RV Right ... Func CX FILLINGC ... Right ... Func R RCA 2 R meshes in the V Polarmap ... Left. Func MPR LAD 2 LAD LLL SL LAD 3 Manip database. Tools min CX 2 SL 7,5 mm 5cm 5cm L Synch Align Hide Hide Lines Reset MPR CV Graphics Timepol ... F A 600 -10,0 mm SL min Edit Snapshot Export Redo KJ 1116 W W 1116 Layout Print Undo 200 mage Image 396 . 196 11 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Cardiac Hybrid VRT Feature – SIEMENS Healthineers Corridor4DM Application (1/2) 7 Launch Corridor4DM within MI Cardiology (VB60) or MI E Corridor4DM General via the Open Apps tool or the patient browser. LAD LCX RCA 12 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Cardiac Hybrid VRT Feature – SIEMENS Healthineers Corridor4DM Application (2/2) SIEMENS 7 MI Cardiology Heolthineers Open Ctrl+O HHE Series DELO Cedars Symbia_Cardiac, EU, TcDan 30 yo Male Q Open with 05 Fr 21 Mg Joot 11:44:01 Stress-Gated [Stress Primary] View as Read-Only with Favorites Basic Futed 2x3 Planar Display Gated GRU Frane 6 Batch Open MM Reading VZQUEICHCM --- Rost-Gelod (Rest Primary) Assign Workflow Suggested Savescreen Volume Volume ODAS Stripe Strip. Group Studies Cedars-Sinai Cardiac Suite OpenApps O oons Batch Assign Workflow Corridor4DM Stress [Stress No Correctioni Functional Futed 2×3 Fused Cancel Workflow CT Cardiac Planning 2x3 + M ... + Movie Accial 3 ..... Shess-Gated (Stress Pret .. Rest Gated [Roest Primary] Stress PSbess No Correct. Rest jest No-CorTecBon] 11 Aug 2004 11:54-21 Search Patient with DICOM Q/R MI Cardiology Tc-His Sevianibi VAlaskoIchCa Fogst (Rest No Correctige). MI General Hybrid 3x3 4D. 40 Fused Add to Demo List Functio ... 1x3 +- Favorite loch Remove from Demo List MI Neurology Ung. Siping, N:30 Set Mark state Cardiac AC Cardiac More NAC Port 0 Normaal 2 Moderate Sovere OpenApps X App Home E 4DM Corridor1DM Cedars-Sinai Cardiac Suite 13 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Cardiac Hybrid VRT Feature – Corridor4DM Application SIEMENS Healthineers Check the Dataset Requirements/Quality Control 8 Object (NM) Activate the Center Datasets if MI Processing Stress [Recon] Center Datasets necessary. Center Datasets allows the 7-Aug-2004 10:21:45 Fusion user to align the Object and Target Volume Size: Fusion page Center LV 64 x 64, 34 slices Images Pixel Size (mm): Indirect Registration datasets in the center of the image 6.34 x 6.34 x 6.34 panel to aid in manual registration. LIT MMPR AC Images V-Svmbia/TC/CTAC,SC.R SPECT-CT -650 100 CardiacHybrid_3_SPECT, Tc99m_Sestamibi 52 yo Male mage + Quant Object (Nf) ME Processi Transverse Stress [Recon] MPR Images -Target (CT) Fusion 17-Aug-2004 10:21:45 Quants CorCTA -40% 1.0 B30f 64 x 64, 34 slices Images Pixel Size (mm): 6.34 x 6.34 x 6.34 Func + Quant 10-Jun-2004 10:38:45 V-Symbia/TC/CTAC,SC.R Volume Size: Images + Quant 512 x 512, 180 slices Target (CT) Dyssy Chrony CorCTA 40% 1.0 830f Pixel Size (mm): Func . Quant 10-Jun-2004 10:38:45 0.45 x 0.45 × 0.70 Volume Size: 512 x 512, 180 slices MPI Summary Pixel Size (mm): Coronal 0.45 x 0.45 x 0.70 MPR None MPI Summary CT Viewer -Transformation Panel CT Viewer -Transformation Panel Ca Scoring X(Trans) 17.33 Y(Trans) 185.21 Check the datasets. Ca Scoring X(Trans) Z(Trans) 17.33 747.96 X(Rot) Change the CT target to 0.00 Y(Rot Y(Trans) 185.21 0.00 Z(Rot) 0.00 Stress [Recon] the Coronary CTA series. Sagitta MPR Z(Trans) 747.96 Perfusion-Raw Anterior Verify they represent the X(Rot) 0.00 Sept same portion of the Y(Rot) Reporting 0.00 Apex protocol (e.g., Stress NM Screen Capture Inferior Z(Rot) 0.00 Help 9 2 4 cm to Stress CTA). 25 50 75 references Auto UNG 14 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Cardiac Hybrid VRT Feature – Corridor4DM Application SIEMENS Healthineers Registration – Image Fusion 9 The Fusion page allows fused review of original NM (PET or SPECT), CT and CTA transverse slices in three orthogonal planes. Interactive 3D Fusion page alignment correction on NM, CT and CTA is possible. All standard image SPECT-CT -650 O fusion features are provided, such as interactive alpha blending, roving- ardiacHybrid_3_SPECT, Tc99m Sestamibi 52 yo Male Object (NM) window and synchronized orthogonal reformatting. CT window/level MI Processing Trapsugere Transverse fress [Recon] MPR Fusion 17-Aug-2004 10:21:45 presets are read from the DICOM header or can be predefined. Volume Size: 64 x 64, 34 slices Images Pixel Size (mm): The feature allows users to perform quality control of PET/SPECT/CT or 6.34 x 6.34 x 6.34 V-Symbia/TC/CTAC,SC.R . PET/SPECT/CTA alignment (for verification of attenuation correction). Images + Quant AC Images Target (CT) Quant CorCTA 40% 1.0 B30f Please note: Register the images before selecting other pages, to Func + Quant 10-Jun-2004 10:38:45 Volume Size: 512 x 512, 180 slices show the overlay of coronaries. Register as best as you can the Pixel Size (mm): 0.45 × 0.45 × 0.70 MPR NM images with the CT images. Verify they represent the same MPI Summary None CT Viewer -Transformation Panel portion of the protocol (e.g., Stress NM to Stress CT). Ca Scoring 17.33 Y(Trans 185.21 Coarse and fine adjustment alignment tools for image panning and Z(Trans) 747.96 . <(Rot) 10.00 rotation are provided when the mouse cursor is hovered over each Y(Rot) 0.00 Z(Rot) 10.00 image panel. The cursor will change to a hand icon, which allows Sagitta MPR Stress [Recon] Perfusion-Raw Anterior you to pan the image by clicking and dragging the object volume. eptal The transformation panel provides the user options for further Reportin Apex adjustment tools on the Fusion screen for rotation and translation Screen Capture Inferior in the X, Y, and Z planes for each image panel. Help 4 cm 25 50 75 100% Preferences Auto UNG 15 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Hybrid VRT Feature – Corridor4DM Application SIEMENS Healthineers Extract Vessels 10 SPECT-CT 100 100 EF S Tomo Q CardiacHybrid_3_SPECT, Tc99m_Sestamibi None 52 yo Male In any step Rest [Recon] Extracted CTA MI Processing 17-Aug-2004 13:56:59 Rst [Recom containing a VRT Ung, Supine, FBP RadPharm: Unknown Calcium sion-Blackout Fusion UgVol: 40 ml, TID:- view, you can SRS: 6 MPI Summary V-Symbia/TC/CTAC,SC,R O Images activate the Fusion Anterior page AC Images Lateral Overlay dropdown Images + Quant menu by right AC Images + Str Quant clicking and select Func + Quant O Extracted CTA to Dyssynchrony O 50 100 display the vessel MPI Summary Stress [Recon] CT Viewer Perfusion-Blackout overlay. Perfusion-Blackout Ca Scoring Stress [Recon] Rest [Recon] Stress [Recon] 17-Aug-2004 10:21:45 Ung, Supine, FBP Interior RadPharm: Unknown UgVol: 51 ml, TID: 1.27 Latera V-Symbia/TC/CTAC,SC,R 96 100 Apex 5 13 Extracted CTA is SRS SSS 2. 2 4 cm displayed in 3D view 50 100% and as overlay on O Reporting polar maps. Screen Capture O Help Perf: 0: Normal 1: Mild 2: Moderate 3. Severe 4: Absent Preferences Auto UNG None Ungated Blackout None 17 Seg Extracted CTA Epi(Opaque) 16 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Cardiac Hybrid VRT Feature – Cedars Cardiac Suite SIEMENS Healthineers 7 Launch Cedars within MI Cardiology (VB60) or MI C Cedars General via the Open Apps Sinai tool or the patient browser. BASE INF APEX Cedars_2.av 17 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Cardiac Hybrid VRT Feature – SIEMENS Healthineers Cedars Cardiac Suite (1/2) SIEMENS 7 MI Cardiology Healthineers DEMO_Cedars Symbia_Cardiac ... * 01.01.1969 M Tc99m Open Ctrl+O MI Cardiology COX Open with Mi Cardiology View as Read-Only with Favorites Basic Futed 2×3 Planar Display Gated Batch Open MM Reading Favorite Tools Assign Workflow Suggested FunEra ... Savescreen Volume Volume Cedars aim Cedars-Sinai Cardiac Suite Stripe Strip. Sinai Group Studies Camise Study Type Batch Assign Workflow Corridor4DM Series OpenApps X Functional Futed 2×3 Fused App Home Myocardial Perfusion QGS + QPS Cancel Workflow CT Cardiac Planning 2x3 + M ... . Movie Accial 30% .... 4DM Search Patient with DICOM Q/R MI Cardiology Resting Wall Motion QBS Add to Demo List MI General Hybrid 3x3 4D Fused Functio ... 1x3 + ... Remove from Demo List MI Neurology Favorite Tools Printing Set Mark state Contac Mark FART More Cardiac AC Cardiac CperAzol OpenApps X OPS Application App Home 4DM Corridor1DM Cedars-Sinai Cardiac Suite 18 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Cardiac Hybrid VRT Feature – SIEMENS Healthineers Cedars Cardiac Suite (2/2) × 7 OPS QPS 2008 Exit Process Reset Manual 1 2 3 4 Raw Slice Surface Splash Views Results QPC Change Fusion More Database Limits Score Report Defaults | Default Save Print Movie About Wien_PETCT_ COMPUTED TOMO 70% Herz-CTA B25 |2008-05-16 10:0 PET FDG summ .- recon 2008-05-16 09:4 Edit ... 15 Slices(2) 100 Label Orient Contours Smear Oblique Zoom 11 < Grid None Alpha Blend 275.8 COR 239.7 TRA 309.2 SAG Press Process. Select the Edit button next to the dataset selectors to open the Dataset Editor. 46.0 COR 40.0 TRA 51.5 SAG ...................... .................... ............... ................ 275.8 COR 239.7 TRA 309.2 SAG LV offset (-18,204 ,- 192) mm LV angles (0,0,0) deg Hardware fusion 19 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 Cardiac Hybrid VRT Feature – Cedars Cardiac Suite SIEMENS Healthineers Check the Dataset Requirements 8 Application Defaults ? × New Reset Copy From App The CoroTree will be Defaults Default Reload Save Save As Delete Set As Startup Tools , General | AutoMatch Data Processing| Phase Kinetic | Calcium | Themes | Graphics | MIP | ARG | Logging | Language active by default Dataset Options- (unless the Verify dataset attributes and prompt if incomplete or inconsistent Anonymize display of identifying patient information preference in Calibrate dataset display to preserve relative dimensions Defaults > Data > Prefer coronary voxel mask over centerlines Disable automatic switching to QBS based on data headers Dataset Options is Study grouping: Patient Name Iv Warn on mismatched datasets Process Group Freeze Reset Manual 1 2 3 4 Raw Quality Slice Surface Splash Views QPS QPC QGS Change Fusion Calcium Kinetic Snapshot More Database Phase Limits Score Maximum study duration in days Auto checked). PET PETCT ( PET STRESS 1 2009-05-29 1: 4 1 Y Edt ... La Dataset Editor Optionally set the Patient Name ID DOB Sex NH3_PATIENT ... 97166896 1942-12-27 00 ... Male Segmentations CT Datasets Coronary (Coronary Study Dataset Date Isotope Orientation Type Dimensions Database JT TITJ PET^PETCT_C .. Dynamic NH3 REST progressif AC_CT#2 (AC) 2009-05 -... NH3 Supine MIP / PT / EM 256x81 x 32(z) x 21(t) Active Stress Rest LHR AttC PET^PETCT_C .. PET NH3 REST 10 phases iter 6-8 AC_CT#2 (AC) PET^PETCT_C ... PET NH3 REST 1 phase ter 6-8 AC_CT#2 (AC) 2009-05 -... NH3 Supine Tran / PT / EM 256x256 x 81(z) Active Stress Rest 4Hour Late Via TID AttC FlpZ NH3Rest Edit ... 100 The registration Label Box LV RV Spin Pins Vessels Fuse Scale 1.0 Rate 14 4 > Surface Function Function Raw Grid | Segments View RAO Info Interpretation between the Name CardiacHybrid_3_SPECT Pat ID Tc99m_Sestamibi vessels and Sex MALE Limits -- functional image TID 1.22 LHR SSS SRS SDS can be SS% SR% Register A Z Shift :jump Ctrl :spin manipulated using Study Cardiac Dataset Stress [Recon] the Fusion Control CX 2 Aorta Date 2004-08-17 10:21:45 CX 2 Aorte Status 5 CoronarhaTree QC=1.34, IR=0.34 Database MaleStressMB options. BASE ANT BASE ANT Volume 52ml Wall 111ml, 202k Defect 5ml Extent 4% On the Surface TPD 6% CX Shape 0.55 [SI], 0.84 [Ecc] page, switch on SEPT CX SEPT Study Cardiac Dataset Rest [Recon] the Vessels RCA D Date 2004-08-17 13:56:59 RCA 7 LAD Status QC=1.48, IR=0.39 Database option. MaleRestMB RCA 8 AC 5 RCA 8 Volume 43ml LAC S Labels are Wall 109ml, 404k This will display RCA 4 Defect 0ml RCA A EX RCA 4 INF API Extent 0% displayed for any INF RICA 2 TPD 0% the centerline by Shape 0.53 [SI], 0.85 [Ecc] markers or default. RCA RCA findings created in RCA 3 Click the Fusion RCA 3 LAD the CT Coronary option to register LAD 8 LAD LAD 8 6tr Rst Auto 0 - Grid Accept Reject Rev workflow. the Coronary Tree. 22 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023 SIEMENS Healthineers Please note 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 Healthcare GmbH 2023 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com 23 Effective Date: 28 Mar 2023 | HOOD05162003342738 Unrestricted © Siemens Healthineers, 2023

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