syngo.via CT VB30-VB60 Delta Job Aid - Part 1

SIEMENS Healthineers syngo.via CT VB30-VB60 News & Improvements Part 1 Version 2021 Template Effective Date: 27 May 2019 | HOOD05162003010284 Job Aid Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 Please note SIEMENS Healthineers This learning material is only providing you with information about the highlights of the syngo.via versions VB40, VB50, and VB60. In order to get the complete information, please consider the corresponding delta training material shown in the ‘Upgrade (Delta Training)’ section of the syngo.via Training Area. 2 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 syngo.via CT VB30-VB60 News & Improvements SIEMENS Healthineers Table of Contents Interactive Spectral Imaging 4 MM Reading Empowerment 11 CT Application 15 Dual Energy in MM Oncology 20 Miscellaneous 26 3 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements Interactive Spectral Imaging 4 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 Interactive Spectral Imaging in MM Reading SIEMENS Healthineers A new Image Format for DE – SPP (Spectral Post-Processing) Spectral Post-Processing (SPP dataformat) • The Interactive Spectral Imaging features uses a single post processing series in the file format Spectral Post-Processing (SPP) that contains all the necessary information. Thus separate high and low kV datasets are no longer needed. • Improve your clinical workflow by bundling the spectral low and high kV series into one Spectral Post-Processing (SPP) data series. Conventional CT • Interactive Spectral Imaging gives you the possibility to interactively change different monoenergetic energy levels and evaluate certain dual energy representations such as Virtual Non-Contrast (VNC) or Iodine in MM Reading. • The SPP series shows a conventional CT Image or a generated Monoenergetic Plus Image, readable in your PACS system. VNC 5 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 Dual Energy goes Routine SIEMENS Healthineers Interactive Spectral Imaging – as Easy as Windowing Interactive Spectral Imaging (ISI) is a new and simplified way of visualizing Dual Energy data. Healthineers Server. MS-CT.APPVIA03.wurmlechalemera.de adminUser Viewing CT general Viewing • Instead of calculating multiple series like VNC or Mono+, Stack 3x2 MPR VRT Stack 2-2 Results 22 syngo.via now creates a single series called Spectral Post- Mono+ VNC Favorite Tools Processing (SPP) data that contains all the necessary post processing information. Series • Only these Spectral Post-Processing (SPP) data needs to be loaded to MM Reading in order to have access to the new Favorite Tools % Reset Rotate Synch Layout features and functionalities. Iodine Mixed sQuipu! Assisted: Distance ROI Circle Perpend ... Line Snapshot • On patient follow up, high and low kV data is no longer Bupulld needed. + 6 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 Interactive Spectral Imaging in MM Reading SIEMENS Healthineers • Switch the most common Dual Energy application classes by one button click using the interactive image text: Server MSGTAPPVLAG3.munleon sievers.de . adminUser • Mono+ Viewing CT general Viewing Virtual Non Contrast (VNC)* Stack 3x2 MPR VRT Stack 2:22 Results 22 • Mono+ VNC Favorite Tools • Mixed Iodine* • Series • Easily change the keV level of your Monoenergetic Plus image by: Favorite Tools Reset Rotate Layout Synch • Mouse movement (left/ right or up/ down) Iodine Mixed Assisted Distance ROI Circle • Entering a value using the keyboard Snapshot Export Full Text Hide Lines • Using the slider in the Dual Energy Mono Plus properties box Bupund > x auto Bone Vestels Remo Mono+ Dual Energy Mono+ Properties keV 70 70keV OK Cancel * VNC and Iodine representations are not available for Dual Spiral Dual Energy and TwinSpiral Dual Energy 7 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 Interactive Spectral Imaging in MM Reading SIEMENS Healthineers • ROI or VOI measurements can be performed on any representation. [1] ROI Circle [1] ROI Circle Min / Max: 45 HU/282 HU Mono+ 70keV Mean/SD: 80 HU/19 HU Min / Max: 45 HU/282 HU Area: 1,96 cm2 Mean/SD: 80 HU/19 HU Area: 1,96 cm2 • ROI Measurement Details are explicitly informing you on which representation the measurement was performed. • The Findings Assistant reflects as well on which representation the measurement has been performed. • Spectral Post-Processing (SPP) data can also be used with CT Extended Functionality in MM Reading such as: Mono+ 70keV VNC • Define vessel • Table- and Bone Removal Define Remove Bone Heart Isolation Vessels Table Remo • • Coronary Tree View • cPR Ranges Isolate Coronary Heart Tree 8 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 Interactive Spectral Imaging in CT Coronary Workflow and CT SIEMENS Healthineers Vascular Workflow The Dual Energy functionality in the CT Coronary workflow and the CT Vascular workflow is enhanced by support for SPP1 data and Interactive Spectral Imaging. • The images are displayed with the default DE representation when they are loaded in each workflow. MPR SL 0.5 • The DE representation can be changed by using the interactive image text or the Mono+ context menu. Depending on the image type, the associated parameters can be keV 70 adjusted (e.g., keV, mixing ratio, etc.). • All segments in the layout are synchronized with respect to the DE representation and the parameters. Manip MIP SL Full Mono+ keV 70 1 : Spectral Postprocessing 9 2 : Available in SOMATOM go. family, SOMATOM X.cite and SOMATOM X.ceed Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 Supported Data for Interactive Spectral Imaging SIEMENS Healthineers CT Coronary workflow and CT Vascular workflow Scenario A Converted SPP For Interactive Spectral Imaging, the SPP data is supported in the following scenarios: High kV and low kV images V A. Converted by syngo.via for low and high kV series from Siemens Healthineers CT scanner with DE capability1 . SHS CT scanner with DE capability syngo.via B. Reconstructed SPP series by scanner of Somaris 102 CT scanner with DE capability. Scenario B • Conventional CT, Monoenergetic Plus, Mixed, Iodine, and VNC are supported by the SPP data format. • Dual Energy images from other vendors are not SPP supported. Somaris 10 CT scanner with DE capability syngo.via 1 : SOMATOM Force, SOMATOM Drive, SOMATOM Edge Plus, SOMATOM Definition, SOMATOM Definition Flash, SOMATOM Definition Edge, 10 SOMATOM Definition AS+, SOMATOM go. Top, SOMATOM X.cite, and SOMATOM X.ceed Effective Date: 16 Jun 2021 | HOOD05162003200692 2 : SOMATOM go. family, SOMATOM X.cite, and SOMATOM X.ceed Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements MM Reading Empowerment 11 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 MM Reading Empowerment SIEMENS Healthineers Basic Onco Tool • Enhancing routine tools in MM Reading – no matter which modality you read. Viewing Q . Series X CT general Viewing Add Study MPR VRT Stack 2x2 No more „switch workflow“. CURRENT Current • [N30348] ICT, 1/1/2000 Unknown study description SP F189.2 Favorite Tools • Assisted perpendicular tool – two lines auto aligned 2Results Viewin 130353) with 90°. Series R Favorite Tools X Findings Findings Rotate Synch Finding 1 [1] Assisted. 55.81. Findings MPR ?! 30 Ref. Assisted 10cm Point Perpend. oude O Distance ROI Circle Snapshot Print Export Printing Image Image Hide Lines 1600 -600 kV 120 Reset Auto Layout Views + Courtesy of Ludwig-Maximilians-University Munich, Munich, Germany 12 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 MM Reading: Clinical Tools – CT Lung Change Tool SIEMENS Healthineers In MM Reading, the CT Lung Change tool displays changes in density across different time points. CT Lung Change ? X Compare following Series 10/6/2014 -Lung 1.0 17OF 3 LCAD [3] • Current and prior series are automatically registered. &/19/2014 -Lung 1.0 17Of 3 LCAD [3] 8/19/2014 -Lung 1.0 17Of 3LCAD [3] 6/10/2014 -Lung 1.0. 170f 3 LCAD [3] • If the automatically selected series from the prior time point is not adequate, you can Show Restrict to Lung Hide Evalots Change select another suitable series from the drop-down menu. Density: CT Lung Change ? X • Changes in HU values are displayed as a colour overlay on MPR/ MPR Thick: Decreased Compare following Series • Decreased HU values are indicated by blue colour. 10/6/2014 -Lung 1.0 17Of 3 LCAD [3] • Increased HU values are indicated by orange colour. X Lung Change for 6/10/2014 -Lung 1.0 170f 3 ... • The evaluate change functionality activates a lens, displaying original series without Showl Evaluate M Restrict to Lung colour overlay. The toggle functionality allows to change the time point visualized in Hide Change the lens to evaluate a dedicated region. .................. ... ... .. The CT Lung Change tool can be The CT Lung Change tool can be • A progress bar is displayed to provide feedback on how long the comparison will CT Lung take. invoked from the tool gallery. Change invoked from the tool gallery. ... 13 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 CT Related New Features in MM Reading SIEMENS Healthineers SIEMENS Lung CAD C1. Charge Srce, 1601 2019 Diameter 11:35 mm (+ 175515 Healthineers Similar Pelient Search Web Service • Meer Diameter 10,8% mm) (+17%%) Average HJ 14:19 HU (+25451 MOT- 598 Days • CT Lung Assistant (Similar Patient Search) • Interactive Spectral Imaging • CT Trauma Plugin You can find more information in the SY VB60 Delta Job Aid on PEPconnect. Min / Max: -36 HU22 HU Mean/SD. . 7 HU/10 HJ Area: 2,37 cm2 MIX/VNCAODINE Mean: 24 HUN32 HUN-7 HJ 14 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements CT Application 15 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 Automated Vessel Specific Calcium Scoring SIEMENS Healthineers syngo.CT CaScoring • Calculates the Agatston equivalent score, the SIEMENS .. Xcite_233 x Healthineers * 1/1/1966 M Xcite_233 mass score, and the volume score of each CT CaScoring coronary artery as well as the corresponding CT CaScoring 1,2 Reset X total scores across coronary main branches Scarica 1,2 LAD Cx Ca Show Show Scored (LAD, LCX, RCA, LM). Original U1 U2 LM MM Reading LAD Cx x RCA • Clear Scoring button to start scoring from Automated Automated scratch. calculated Volume calculated Mass score of each score of each LAD Cx Ca coronary artery coronary artery 32 • The Recon&GO* and Rapid Results Technology (RRT) results are still total score-only in this Artery Lesions Volume / mm3 quiv. Mass / mg Score 2.1 0.54 1.5 LAD 136.0 26.57 140.8 version! CX 0 0.0 0.00 0.0 RCA 0.0 0.00 0.0 Ca 0.0 0.00 0.0 Total 8 138.0 27.10 142.3 U1 O 0.0 0.0 U2 0.0 0.00 0.0 Automated calculated Agatston equivalent score of each coronary Settings Score Type: Agatston equivalent, Threshold: 130 HU (105.3 mg/cm3 CaHA) artery Mass calibration factor: 0.81 * This is available on the SOMATOM X.cite and the SOMATOM go. Family scanners with software version VA30 16 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 Standardize Dual Energy Reading with syngo.via by Supporting SIEMENS Healthineers DICOM Supplement 188 syngo.via VB50 supports the new DICOM supplement Standardized display 188 : of DE parameters • Automatically store Dual Energy acquisition parameters and image content in a standardized and Works with transparent way. any scanner • Correctly display images and Dual Energy Support right parameters on all PACS systems supporting the new from the start standard. 17 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 syngo.CT Coronary and syngo.CT Vascular SIEMENS Healthineers VB50 Vascular Ranges Improvements The radial and parallel vascular ranges result generation has been Black borders Zooming improved for RRT and Recon&GO regarding the following aspects: RCA VB40 RCA VB50 203513 RCA Before VB50 • Less black borders are shown in parallel and radial vascular ranges results. VB50 • Excessive zooming in cross-sections is avoided in parallel TLYU 2120500 RCA 12.5 vascular ranges results. STUDY 4/19/2019 FICACHOSESALMONE MER 1030 1.0.28 • Sort order of images in a parallel vascular range series is always from proximal to distal direction. MPR CV MPR CV Do not manterre on left sd- of the regel 18 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 Precision Matrix SIEMENS Healthineers With VB60, CT Coronary workflow and CT Vascular workflow support images with matrix size up to 1024 X 1024. X lealthineers i Lan And - 9/7/1928 M 1005593883 WF_CT Vascular_85d34e ... @ + CT Vascular CaroticAnglo CarobidAngio 5.0 B30f H5000 6 (0.5) A.C. PR A carotis r int. SP R29.9 SP A1 51 3 X Famove font Edit Bones Remove Marker Calcium Mancal Vessel Plane Multiple Clicks Vessel Evaluation Rapid Results Lan_Ann in Erlangen Radiologisches I 1005593883 SOMATOM Denn . Ease CarobdAngio 5.0 830r 45010 6 0684. *9/7/1928, M, 1Y SPA1520 Findings Navigate CarotidAngio 5.0 B301: H50" Value Source MO 1/30/2012 Name 12:39:04 PM carotis'r ext carotis rint A. carotis r int. R 4.carotis | int Tools 5cm Lynch High Manip VRT 952 179 MPR KV 100 mAs 161 H50f O CALID 90 M 1024x1024 Not for clinical use! PR 19 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements Dual Energy in MM Oncology 20 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 MM Oncology SIEMENS Healthineers DE Layouts • Depending on the loaded data, the layout is displayed as follows: CT Lung CT Lung CT MPR 2TP DECT 4TP VRT Liver • Only Dual Energy scans are loaded: The corresponding Dual Energy layouts are displayed. Liver 3D DECT Liver 3D 2TP Liver 4TP DECT • CT scans and Dual Energy scans are loaded: A CT layout is displayed but a mixed image is displayed. DECT 3D DECT 3D DECT CT 4TP Arterial Enhance ... • The Dual Energy layout is applied according to the following Layout Liver VNC Virtual Unenhanced criteria: DECT Liver x • Fused segments display virtual non-contrast (VNC) and DECT Liver 3D iodine images. × DECT Liver 3D 2TP × • Non-fused segments display mixed images. DECT Liver 4TP x DECT x Hint: DECT 3D x In general, Virtual Unenhanced should be used for all tumor DECT 3D 2TP x evaluations. Optionally, Liver VNC can be used for the assessment DECT 4TP x of liver tumors. Depending on the selected layout, Liver VNC or Virtual Unenhanced will be applied. 21 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 MM Oncology SIEMENS Healthineers Lesion Segmentation (1/2) • Dual Energy information is now also provided within a lesion segmentation. • Dual Energy information like the iodine uptake of a lesion can Solid Liver Lymph Generic be measured. Lesion Node • The change of the Dual Energy information over multiple time points is often used to check the progress of a disease or a specific therapy response. Therefore, the Dual Energy information can be investigated over several time points. • For iodine images, it is strongly recommended to use the generic segmentation algorithm. • In virtual non contrast (VNC) and mixed images, the dedicated segmentation algorithms (liver, lung, lymph) work as usual. 22 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 MM Oncology SIEMENS Healthineers Lesion Segmentation (2/2) • Mean HMI for Liver VNC Layout Liver VNC Virtual Unenhanced • H: Hepatic DECT Liver X • M: Mixed Image DECT Liver 3D x • I: Iodine Image DECT Liver 3D 2TP X DECT Liver 4TP X • Mean NMI for Virtual Unenhanced DECT X • N: Unenhanced DECT 3D X • M: Mixed Image DECT 3D 2TP X • I: Iodine Image DECT 4TP x • Density in mg/ml • Iodine Uptake in mg 6VOM1 CT 2 L5VOI2 CT 2 RECIST 1.1 Diam.: 30.0 mm RECIST 1.1 Diam.: 36.8 mm Max. Orth. Diam.: 20.8 mm Max. Orth. Diam.: 29.2 mm Volume 7 166 ml Mean HMI: 37.7/ 73.8/ 36.5 HU Mean NMI: 46.6/ 80.3/ 33.9 HU lodine Density: 1.4 mg/ml lodine Density: 1.3 mg/ml lodine Uptake: 10.3 mg lodine Uptake: 33.0 mg Liver VNC Virtual Unenhanced 23 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 MM Oncology SIEMENS Healthineers Trending with DE Data Sets (1/2) Load Baseline and Follow-Up • Select both timepoints and assign them to MM Oncology. LAVOR CT 2 • Switch from default DECT 3D 2TP layout to e.g. DECT Liver DECT 3D 2TP. Liver 3D 2TP • Define a lesion segmentation in the baseline data set and link it to the defined lesion segmentation of the follow-up R R data set. 10cm L9VON1 CT 2 10cm LOVOM CT 2 REVIDIN T uIam.: 36.1 mm REVISUN.1 viam : 29.0 mm Max. Orth. Diam.: 32.7 mm Max.\Orth. Diam.: 24.8 mm Volume: 14.286 ml Volume: 5.798 ml Mean HMI: 46:8/ 79-2/ 32-2-HU Mean HMI: 60 4/ 108:7/ 47 3 HU Solid Liver Lymph Generic lodine Density: _1.2 mg/ml lodine Density 1.6 mg/ml Lesion Node lodine Uptake: 17 0 mg lodine Uptake. 9.4 mg F Follow-Up Baseline L9VOI2 L9VOI1 → Same lesion number but different VOI 24 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 MM Oncology SIEMENS Healthineers Trending with DE Data Sets (2/2) Trending graph: Findings details ? x • In the metric dropdown list, in addition to the geometric measurements, the Dual Energy information can be found. Series Details Trending Patient Name FO_490_05.12.18 ... Graph of . Selected Lesion Modality CT Baseline Prior 01, 12/5/2018 Tumor Burden Metric Print Copy Export to • Select one of the following entries for the graphical Max HU Add Snapshot CSV . Hottest Lesions Max HU RECIST 1.1 representation of its change: Max Orthog. Diam Volume Trend for L9 Mean HU SD HU % Change Baseline Min HU WHO Area ml 210 Volume Max. 3D Diam. 17.98 • Hepatic (H) mean HU or Virtual Unenhanced (N) mean HU Vol. - equiv. Sphere Diam. Elongation (depending on the used layout) 180 16.24 Hepatic (H) mean HU Mixed mean HU • Mixed mean HU 150 lodine mean HU 14.50 lodine Density (mg/ml) Iodine mean HU lodine Uptake (mg) • 120 12.76 • Iodine Density (mg/ml) 90 11.02 • Iodine Uptake (mg) 60 9.28 30 7.54 5.80 -30 4.06 Prior 01 CURRENT Date 12/5/2018 1/30/2019 M/D/YYYY 25 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements Miscellaneous 26 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 PEPconnect – Your Smart Connection to Knowledge SIEMENS Healthineers syngo.via xBL Content Available • Explore the complete multi modality online training portfolio for syngo.via any time on PEPconnect. • A new structure is available to facilitate the access to the syngo.via learning activities. PEP connect • Content is available in 5 languages. SHILS fon experience wilt options la cuitage and performance garnich. PEP connect Go to: www.siemens.com/pepconnect 27 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021 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 28 Effective Date: 16 Jun 2021 | HOOD05162003200692 Unrestricted © Siemens Healthineers, 2021