syngo.via CT Cardiac

Singlecut cardiac workflow provides you with Smart Tools for reading your cardiac cases, whether it involves risk stratification with calcium scoring. Ruling out coronary heart disease. Stenosis evaluation? Stent planning. Functional analysis or a complete assessment of myocardial function based on its enhancement or on quantitative dynamic CT. Myocardial perfusion. The following movie shows you how to evaluate cardiac CT datasets. Assessment of coronary artery calcium burden can be used as a prognostic indicator of the patient's risk of a cardiac event. Single CT calcium scoring supports you in calculating the agatston equivalent score, the mass score. And the volume score of each coronary artery, as well as the corresponding total scores across all coronary arteries. The calculated score is further illustrated with a percentile chart and the coronary age of the patient. When you load a data set or click and drop a data set from the series panel, the automatic scoring automatically labels calcified lesions inside coronary arteries. You can manually draw or delete a region of interest if necessary by using the mini toolbar at the bottom of the scoring segment. The next step is CT coronary, where you can perform a detailed evaluation of the coronary vessels. When you open this task, it has already preprocessed the images by finding the series with the best diastole. Isolating the heart. Segmenting and labeling the main coronary arteries and its major branches as well as saphenous vein grafts. To view and navigate through the MSR segments, right click and vertically drag the mouse. Or use the scroll wheel. You can also move or rotate the reference lines to look for a specific orientation. To enhance your workflow, the vessel surf tool allows immediate 3D navigation without center lines and in occluded vessels. Just select the tool. Click the vessel you want to follow. When right click and drag the mouse pointer to surf. The segments update to display an orthogonal and longitudinal view of the corresponding vessel. One helpful tip to get the most out of this tool. Change the longitudinal view to a methin with five to 10 millimeters thickness. The coronary arteries and grafts, which have been automatically detected, are labeled and displayed as a CPR on the corresponding segments. This view can be very helpful because it provides an overview of the complete path of the vessel and its lumen in a longitudinal view and a cross-sectional view orthogonal to the center of the vessel. Navigation is easy. Simply right click and horizontally drag the mouse pointer over the CPR to rotate around the axis. Or drag the yellow reference over the vessel to navigate along the vessel. The cross-sectional segments update, while the yellow reference moves to indicate the position of the framed segment. In the vessel definition step you can find a set of semi automatic and manual tools. In case you need to correct center lines or create additional center lines. If quantification is needed, for example for assessing the severity of a stenosis or for planning stent placement, just click the stenosis measurement tool on the mini toolbar. This will activate 3 references. Drag the yellow reference over the stenosis and the red and green references in front of and behind the stenosis as proximal and distal references. It will calculate the minimum and maximum diameters for every reference and the stenosis ratio in area and diameter by comparing the lumen on the yellow marker with the lumen on the red and green markers. Click the create finding tool if you want to send the measurement to your findings navigator for further archiving. For reporting purposes, you can easily create radial CSR ranges with the corresponding function in the upper left corner menu. In the case of multiphase data, CT cardiac function allows you to read and diagnose CT angiography, images of the left and right heart ventricles for the evaluation of cardiomyopathy. The cname mode. And the automatic orientations for standard cardiac lanes, aortic valve and mitral valve help you make a first visual assessment. The time volume curve displays the dynamic behavior of the left ventricular volume during the whole heart cycle. If quantification is needed, all the relevant parameters such as end systolic and end diastolic volume, myocardial mass and ejection fraction, are automatically calculated for both the left and the right ventricle and marked for further archiving. Local left ventricular functional parameters such as wall motion, wall thickening and wall thickness are visualized in easy to read. AA compliant 17 segment olar maps. The perfusion evaluation step enables the simultaneous analysis of the full spectrum of myocardial perfusion data. This includes first pass and late enhancement, dual energy perfused blood volume and quantitative dynamic CT myocardial perfusion data such as blood flow and blood volume data. All findings are listed in the findings navigator. In addition, for individual markers measurements such as polar maps and snapshots, you can save all global function results for reporting in the same way as another cardiac evaluation. The interactive spectral imaging functionality allows you to display different representations of dual energy data by using the interactive image text that is available in the segments. To use the interactive spectral imaging functionality, you need to load a sectral postprocessing data set. When you initially load an app data set, the main representation is displayed. Available representations are conventional connect mixed mono plus VNC, iodine and pure lumen. You can choose one of them from the menu opened by right clicking on the current representation name on the left side of a segment. You can also switch the representation by clicking the current representation name on the left side of a segment. You can change the value of Kev in monoenergetic plus images by entering the value of Kev. Or by using a slider which can be shown by right clicking on the Kev on the left side of a segment. The pure lumen is available only for a specific vascular spectral post. Processing V data set from a quantum technology system. It shows only the lumen of the vessels by subtracting the calcium from the image.

0.00 0.0 4.79 29.6 14.2 90% 0,00 75% 55.6 10.6 100 25% 35 45 65 75 08:35 27.4 10 0,0 3.21 55 10.1 53.9 364 30 1386 600 200 15:49 5:49 2.5 72% 1,2,4 1.2.5 70% 12 17 16 06:54 1,3,4 100,00 100.00 94 55,6 10.61 5:31 15:31 88 50% 18.8 4,79 29,6 1000 9.4 10,61 14,2 3,21 18,8 2,60 3.2 27.5 55.7 13.11.2012 1088 404 17:37:58.26 12:45 12:46 1116 396 15:29 5.0 830 27 273 1382 138 15:18 3.11.2012 5,0 50 03.08.2020 15:09:02.76 250 08:54 12.5 111 123 17:37:58 2,5 15:13 2. [2] 70 +10 +7 -2 54,50 000 17:37:58.24 960 430 14:39 96 14:40 4:40 [1] 440 1130 20 60 10:40 13 0% 10% 20% 30% 60% 80% 76 163 38,9 6,08 1,88 15 07:19 40% 15.00 10,00 10.00 14 49 124,08 38,92 113,8 157,76 15,00 06:17 73 1.88 124.0 2,83 175 34 72,08 161 00.00 1.3.5 00 11 100.0 15.0 116 100% 13:41:05.04 06.08.2021 20:10 500 21 90 106 1300 422 Siemens Healthineers presents CT Cardiac CT CaScoring LAD CX Show LM CT Coronary CT Cardiac Function MM Reading Ca U1 RCA Findings Navigator Name Source CaSc Artery Lesions Volume / mm3 Equiv. Mass / mg Score Patient Age: 50 Y Coronary Age: > 70 Y Mild Calcification 27 4 re Score : 53,9 Tools Total Settings Mass calibration factor: 0,736 Percentile Ranking: Raggi, Circulation 2000 Age Edit MPR SL Vessel Definition min 5cm W 1386 Vessel Evaluation Rapid Results 49 bpm, 72 % D, 75 ms 25 mm Value 5.0 mm FILLINGC ... Left ... Func LV BV Mode POLARMAP RCA_2 LAD_2 CX 2 -7.5 mm MPR CV Start/Stop Layout Editing Mode [ALT L] TC 85 Marker Manual TC 8 V 600 49 bpm. 72 % D. 75 ms Left RV Print A: 20 % D: 10 % Align Length: 19,5 mm Coro ... PRH Left Ventricular Analysis RAH FUNCAO 1.0 126f ... Right Ventricular Analysis Perfusion Evaluation Enhancement Enhancement Mask 70% Phase / HU 70% Phase HLA FILLING Polarma .. Left v ... Func Polarma ... Left v ... Func LV BV M ... Left v ... Func Full Text ayout Right ... Func nage Layout Compute Synch Polarma ... L LAD 3 Score : 53,9 HICe Score Type: Agatston equivalent, Threshold: 130 HU (95,6 mg/cm3 CaHA) Mass calibration factor. 0,736 CaTotalScore 53,90 casc 14 2 Undo U2 Hide Lines Timepol ... Percentile Ranking: Raggi, CT Coronary Mild tion factor: 0,736 Casc Hice HiCe Clear oring ng Scoring gs Navigator ore Coronary A Auto re 53,90 Show All Score : 54,5 HL FFS 13.11 2012 7 IMAna SP A180,2 +7.5 mm +5.0 mm 49 bpm, 72 % D. 75 ms BestDiast 512 * 512 13 11.2012 7 IMA n.a. SP F262,3 LV Std. M ... Left ... FILLINGC ... Left ... RH RCA 2 RFP 7.5 mm W 1088 IF HPR SP A56,8 Plane RFA LAD 2 Manip VRT full TC 85 | LRQ Polarmap ... SP A60,4 RAF +10.0 mm -2.5 mm 0.0 mm A 2 RA -10.0 mm C 404 HRP SP F213,0 PHR SL min SP L141,9 AR AL SP L59,9 SP L108,5 Polarmap .. LA SP R9.7 SP L34,6 PR SP A182,5 SP A176,4 RP Manip SP A170,1 SP R12,7 SP L66,3 SP A139,9 SP A132,4 -5.0 mm LIP SP A142,0 SP L47,2 W 1116 Radial CPR RQ. 49 bpm, 72 % D. 75 ms LV BV Mode Left. FILLINGC. Polarmap ... Left ... Skip | TC 85 Right CX_2 C 396 W 1 Right ... HRA HP 4 IMA n.a. SP R143,9 ALH MIP Detailed SURF Manua SP R190,8 SP L228,1 ARH LRC W 600 SP F267.1 SP L228,7 mage HPL SP A110,1 LFP SP A299,7 SP R40 1 SP A206,6 SP R427 W 830 SP A260,9 RPH HAR SP A221,7 HAL SP F244,1 SP L27,4 Nome Angio View Cinematic VRT VRT MIP Thin Thin M Show in Display Type MIP Thin [5] MIP Thin Properties Send To Context Menu Slab Thickness Slab Spacing Minimum % of slab thickness mm Note: This value must not be larger than the slab thickness. OK Cancel AF SP L216,8 SP F237,6 SP A181,3 SP L59,0 Marke 70 bpm, 370 ms, 66 ms SP A133,7 CaTotalScore CX_25cm W 1000 +75 mm SP L73,7 SP A231,8 FF CaTotalScore 54,50 03.08 2020 SP A172,6 SP A186,9 SP L152,5 SP R84.1 LP SP A238,2 SP L72,6 SP A194,2 SP A161,0 C 250 SP A192,3 SP L55,2 STENT.0.6 146f 3 BestDiast 72 % SP L47,0 LAO 90 CorCTA_stents, Siemens Healthineers HOSPITAL DO C ... Ref .: Cardiac SOMATOM Definition Flash SP F196,9 Fun Polarmap ... Left. KV 100 mAs/rot. 82 P +72% BestDiast HR 49 BPM CAUD 90 mir FILLINGC .. LV BV Mode Left .. SP L39,8 SP L45,3 SP L59,3 HOSPITAL DO C .. S: A68% D35% 8 IMA n.a. SP L41,9 SP A179,5 V 1000 15 09 02 76 SP A110,9 Remove Heart Tree Blood SUR Single Multiple Clicks Control Point Edit 370ms SP F156,0 [2] Stenosis :A68% D35% 8 IMA n.a +2.5 mm Valu Manip C VRT SP L73,8 SP A231,9 IL LAD_3 SP L88,2 SP A240,7 SP F233.1 6 IMA n.a. SP R5.7 SP A179,2 49 bpm, 70 %, 75 ms 6 IMA n.a PL D eff (Area): 3.0 mm D eff (Perim.): 3,1 mm Sourc Area: 6,2 mm2 Perim .: 9,0 mm Mo Stenosis Measurement [Alt+S] = 8.4 mm A: 39 % D: 22 % A = 13,4 mm Remov 512 * 512 S: A39% D22% 10.0 mm W 1130 FILLINGCU ... Left ... FILLINGCU ... Right ... Func Polarmaps ... Left ... C 440 CA FILLINGCU ... MPF SP L39,0 SP A184,5 +2,5 mm FS SP F237.1 Zoom/Pan Windowing Rotate along Centerline Home Position Radial CPR Ranges Parallel CPR Ranges Show Centerline Zoom and pan image [Z] Degree Steps Degree High Resolution Image comment Range series name RCA Curved Range Radial MPR_CURVED Start Radia aluation ults s Navigator 2.5 mm AP CU ... Right ... Func ps ... Left ... Polarmaps POLARM. Left v ... FILLING .. Polarma ... Allign Blood Vol. Mode ml ED (LV) ES (LV) 163m 120ms 241ms 361ms 482ms 602ms 722ms 843ms 963ms 1084ms Wall Motion Standard Values Indexed Values LV Normal Values Ejection Fraction Myocardial Mass ED 18 - 238 Stroke Volume 51 - 133 ED Volume ES Volume 77 - 195 19 - 72 Cursor Volume Cardiac Output Height 175 Weight 73 kg cm 5 ft Sex BSA/ m2 Wall Thickening FUNCAO 1.0 126f 3 0-100% VIA FILLING ... Left v ... Func Polarma .... Left v ... Func Wall Thickness 70% Phase / mm Male Weight 73 kg POLAR ... Left v ... Func FILLING ... Right ... Func in 100ms 200ms 300ms 400ms 500ms 600ms 700ms 800ms 900ms Synchronize only source images 200 BPM TE ft tor Starts/Stops Cine RHP 2,82 - 8,82 Height 175 cm FILLINGC ... Left V ... LV BV Mo .. POLARMAP Left v ... . Left v ... Func Polarmap ... Left v ... F AFR LHA RHA 38,92ml Center Point Velue FILLINGC ... Right ... ARF kg FILLING. 163ml 56- 78 56 - 78 73 k Left v .. Left v ... F Show LV Blood Pool [Alt+N] 4 17 77- 195 51- 133 Height ED (RV) ES (RV) 120ms 241ms 361ms 602ms 722ms 843ms 963ms 1084ms Shows LV function results. 52 - 138 23 - 103 9 in 161 Ibs Left V .. 88 - 227 120ms 241ms 120m 482ms 47- 74 ES (LV 963ms 1084ms 77 -195 Weight: Left V ... PRAH FUNCAO 1.0 126f Polarma ... Le ... Left v ... Func FUNCAO 1.0 126f 3 0-100% VIA cf FILLING ... Distribute Inser Format Table CT Cardiac Report Finding is best illustrated on: Name : FILLINGCURVE_RV FILLINGCURVE_BV Mode Name: 65Y 2D 0% Phase / mm SL 1.0 100% Phase / mm Zoom 1,00 Polarmaps FUNCAO 1.0 126f 3 0-100% VIA cf Finding is best illustrated on 6.08 2021 IMA n.a. SPA138,2 Mono+ keV 70 ME 70keV 2 IMA n.a. SP H1925,6 SP A138,2 293ms BestDiast 512 * 512 fu Pure Lumen VNC Reset lodine (IOD) Lumen keV 100 Mono+ 100keV Dual Energy Mono+ Properties ? x 90keV 106keV Click 12:00 PM keV kel lodine Pure imen 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 Manual shall be used as your main reference, in particular for relevant safety information like warnings and cautions. Please noter 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 2022 SIEMENS Healt Healthineers