AI-Rad Companion Lung Workflow Job-Aid

Lung Workflow Job Aid AI-Rad Companion This document introduces the workflow steps with the Lung Lesions, the Lung Parenchyma and the Pulmonary Density in AI-Rad Companion. 1. Lung Lesions extension 1. After activating the Lung Lesions extension, you can see all findings in the list of results below the 3D image segment. By selecting one of them, the corresponding image of each lesion will be shown in the 2D image segment. The 3D segment shows you all lesions with their respective label. Lesion Lobe Max. 2D Max. 3D Volume 0 [mm] 0 [mm] [mmª] State LT Right Upper 19.9 22.8 2619.4 Accepted L2 Right Lower 17.2 17.4 566.4 Accepted 13 Right Upper 13.4 14.6 596.0 Accepted L4 Left Upper 11.1 12.8 379.8 Accepted Left Upper 11.0 16.8 515.2 Accepted LG Left Lower 7.7 8.2 156.7 Accepted v L7 Left Lower 7.7 8.8 98.6 Accepted L8 Left Upper 6.3 6.8 68.9 Accepted L9 Left Lower 6.3 6.6 51.4 Accepted L10 Left Lower 5.7 9.1 76.0 Accepted Sum 106.3 Accept All Decline All 2. The table shows the following parameters: • Label of the lesion • Lobe containing the lesion • Maximum diameter in the axial slice (2D), 3D and the volume of the lesion • State of the lesion (Accepted/Declined/To be remeasured in PACS) • Sum of all accepted lesions max 2D diameters Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 SIEMENS Job Aid Effective Date: 05 AUG 2020 | HOOD05162003113585 Healthineers Job Aid | Lung Workflow Effective Date: 29 APR 2021 | HOOD05162003174651 3. Select each lesion in the list of results and scroll through the 2D images to see the lesion. The 2D segment displays a short series of axial images of each lesion, including the maximum diameter in axial direction (2D, long axis) as well as the maximum orthogonal diameter in axial direction (short axis). 19 / 26 17.0 mm 8.5 m 4. Decide for each lesion individually to accept or decline the finding, or to remeasure it later in PACS. Select each lesion in the list of results below the 2D segment, then choose the button corresponding to your decision. Click Decline if you disagree with the finding. The finding will be marked as declined in the results list, will be deleted and will not be sent to the PACS. Preset Lung C-600 W 1200 | Z-1247.7 Accept Remeasure Decline Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 29 APR 2021 | HOOD05162003174651 Healthineers Job Aid | Lung Workflow Effective Date: 29 APR 2021 | HOOD05162003174651 5. You can also accept or decline all findings at once by using the Accept All or Decline All buttons at the bottom right of the result table. Accept All Decline All Click Remeasure if you accept the lesion position but disagree with the measurement values. In this case the measurement will be deleted, and the contour will be replaced by a marker. The remeasuring will take place in the PACS. Leave the state on Accepted if you accept the finding. You can always change the state for each lesion again in this step. 6. At any time during the workflow you can suspend the case by clicking on the Suspend button and return to the Worklist. If you then open the patient case again, all your prior decisions on the findings will be shown. If you made all your decisions on the findings, click the Send to PACS button. The patient case will be closed and the data will be sent to the PACS. Suspend Send to PACS Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 29 APR 2021 | HOOD05162003174651 Healthineers Job Aid | Lung Workflow Effective Date: 29 APR 2021 | HOOD05162003174651 2. Lung Parenchyma 1. After activating the Lung Parenchyma extension, scroll through the data set in the 2D segment in order to see the lobe segmentation and all lung parenchyma findings below -950 Hounsfield units, indicated in blue. 2. The 3D segment also shows the patches, indicating Hounsfield units below -950 inside the lung. A Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 29 APR 2021 | HOOD05162003174651 Healthineers Job Aid | Lung Workflow Effective Date: 29 APR 2021 | HOOD05162003174651 3. The table below the 3D segment shows the percentage values of lung parenchyma analysis findings below -950 Hounsfield units, separately for the five lobes and for the whole lung, including the state of each finding. Parenchyma Below -950 HU [%] State Total Lung 7.5 Accepted v Left Upper Lobe 6.4 Accepted Left Lower Lobe 6.4 Accepted v Right Upper Lobe 12.6 Accepted v Right Middle Lobe 7.1 Accepted v Right Lower Lobe 5.3 Accepted V Lung Parenchyma Range = 4. Decide for all findings to accept or decline them by clicking the button corresponding to your decision: Click Decline All if you disagree with the findings. They will be marked as declined in the Results list, will be deleted and will not be sent to the PACS. Accept All Decline All Leave the state on Accepted if you accept the findings. 5. At any time during the workflow you can suspend the case by clicking on the Suspend button and return to the Worklist. If you then open the patient case again, all your prior decisions on the findings will be shown. If you made all your decisions on the findings, click the Send to PACS button. The patient case will be closed and the data will be sent to the PACS. Suspend Send to PACS Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 29 APR 2021 | HOOD05162003174651 Healthineers Job Aid | Lung Workflow Effective Date: 29 APR 2021 | HOOD05162003174651 3. Pulmonary Density 1. After activating the Pulmonary Density extension, you can see all opacity findings in the list of results below the 3D image segment. By selecting one of them, the corresponding image of each opacity will be shown in the 2D image segment. The 3D contains VRTs of lungs and opacity segmentations as defined in the configuration. Pulmonary Density State Opacities Accepted 2. Select each opacity in the list of results and scroll through the 2D images to see the opacity. The 2D segment displays a series of axial images highlighting opacity regions. 113/ 280 3. You can accept or decline all findings at once by using the Accept All or Decline All buttons at the bottom right of the result table. Presel Lung C-600 W 1200 | 2 1783.3 Accept All Decline All Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 29 APR 2021 | HOOD05162003174651 Healthineers Job Aid | Lung Workflow Effective Date: 29 APR 2021 | HOOD05162003174651 4. At any time during the workflow you can suspend the case by clicking on the Suspend button and return to the Worklist. If you then open the patient case again, all your prior decisions on the findings will be shown. If you made all your decisions on the findings, click the Send to PACS button. The patient case will be closed and the data will be sent to the PACS. Suspend Send to PACS Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 29 APR 2021 | HOOD05162003174651 Healthineers Job Aid | Lung Workflow Effective Date: 29 APR 2021 | HOOD05162003174651 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 co llectively “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 auth ority. 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 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2021 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 29 APR 2021 | HOOD05162003174651 Healthineers