AI-Rad Companion - Results Configuration Workflow

Results Configuration Job Aid | Results Configuration Workflow Job Aid Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 AI-Rad Companion This document introduces the results configuration of Lung, Cardio, Vascular and Musculoskeletal extensions in AI-Rad Companion. You can open the configuration tabs with the button. 1. Screen layout of the Configuration menu The configuration menu is used to activate the calculations and to determine all results that are sent to PACS or to the result preview. The configuration menu comprises the following areas: Spine Measurement Send Results for Confirmation Create Structured Report Range Value [%] green 0 < 20 Yellow 20 < 25 Show findings label 25 < 40 Show findings label 3 40 < 100 Show findings label Windowing Window Center of Sagittal MPRs [HU] 450 Window Width of Sagittal MPRs [HU] Show Volume Rendering of the Spine Rendering Quality Excellent Number of Rotated Images per 360 Degrees 8 4 Restore Default Settings Save Cancel 5 1. Configuration tabs The tabs display sections that allow you to configure the results related to the medical devices. SIEMENS Intern Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 Job Aid | Results Configuration Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 2. Result setting The following options are commonly displayed in each extension except Pulmonary Density. • Send Results for Confirmation: This option enables the calculation of results. It activates the option to review and individually send the results to the PACS. The Pulmonary Density results can be enabled only in the Pulmonary Density configuration. • Create Structured Report: This option enables the creation of a DICOM Structured Report instance for these measurement results inside a common DICOM Structured Report series. 3. Results setting section You can configure the results setting, such as parameters, ranges based on the Low Attenuation Value (LAV), image windowing, and image volume rendering. 4. Restore Default Settings button This button is commonly displayed in each extension. The setting is restored to default setting for the selected extension only when you click Restore Default Settings button. 5. Save and Cancel buttons These buttons are commonly displayed in each extension. The settings for all extensions are saved when you click the Save button. SIEMENS Intern Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 Job Aid | Results Configuration Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 2. Lung Settings 2.1. Lung Lesion 1. Click on the Lung tab. Activate the Detection of Lung Lesions option to enable the calculation of results. By activating the Send Results for Confirmation option, you can enable to review and individually send images to the PACS. By deactivating this option, results will be regarded as automatically confirmed and sent to the PACS without prior manual review. Lung Lesion Detection of Lung Lesions Send Results for Confirmation 2. Enable the Create Structured Report option to save the measurement results in a DICOM structured report. Create Structured Report 3. Set values for the following parameters: a. Maximum number of lesions (values: 0-99) b. Ignore lesions with diameters less than [mm] (values: 1-20) c. Thickness of segmentation contour [pixels] (values: 1-5) d. Zoom factor of lesion series (values: 1-5): select the value to identify the anatomy surrounding the lesion e. Number of Outer Slices (values: 1-5): determine how many additional slices are displayed both above and below the lesion. Parameters Maximum number of lesions 10 i Ignore lesions with diameters less than [mm] Thickness of segmentation contour [pixels] Zoom factor of lesion series 3 i Number of Outer Slices 1 1 Show findings label SIEMENS Intern Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 Job Aid | Results Configuration Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 4. Select the Show findings label checkbox to display findings labels in the Worklist view if a lung lesion is detected. 5. Set values for the Windowing: Adapt the values for Window Center (values: 1000- 3071) and Window Width (values: 1-2000). - Windowing Window Center [HU] -600 Window Width [HU] 1200 6. Activate the Show Volume Rendering of Lung Lesions option to display VRT data in the 3D segment of the Results Preview. If required, you can define the Rendering Quality as Good or Excellent and you can adapt the Number of Rotated Images per 360 Degrees from one to ten. Show Volume Rendering of Lung Lesions Rendering Quality Excellent Number of Rotated Images per 360 De ... 8 2.2. Lung Parenchyma 1. Click on the Lung tab. Activate the Detection of Lung Parenchyma option to enable the calculation of results. By activating the Send Results for Confirmation option, you can review and individually send images to the PACS. By deactivating this option, results will be regarded as automatically confirmed and sent to the PACS without prior manual review. Lung Parenchyma Detection of Lung Parenchyma Send Results for Confirmation SIEMENS Intern Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 Job Aid | Results Configuration Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 2. Enable the Create Structured Report option to save the measurement results in a DICOM structured report. Create Structured Report 3. Define the threshold values for the four ranges and the regarding categories. Range Value [%] Green Yellow Label Show findings label Orange Label 0 Show findings label Red Label :100 Show findings label 4. Select one of the Show findings label checkboxes to display the desired findings labels in the Worklist view. 5. Activate the Show Volume Rendering of Lung Parenchyma option to display VRT data in the 3D segment of the Results Preview. If required, you can define the Rendering Quality as Good or Excellent and you can adapt the Number of Rotated Images per 360 Degrees from one to ten. Show Volume Rendering of Lung Parenchyma Rendering Quality Excellent Number of Rotated Images per 360 De ... CO 2.3. Pulmonary Density * 1. Click on the Lung tab. Activate the Assessment of Pulmonary Densities option to enable the calculation of results. The result settings are displayed and can be configured. By deactivating the Assessment of Pulmonary Densities option, you can exclude the Assessment of Pulmonary Densities from the results calculation. Assessment of Pulmonary Densities Send Results for Confirmation SIEMENS Intern Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 Job Aid | Results Configuration Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 2. Enable the Create Structured Report option to save the measurement results in a DICOM structured report. Create Structured Report 3. In the MPR Series Parameters section enable the Show High Opacity Segmentation Contours option to display opacity segmentation contours in the axial segment and adapt the Thickness of segmentation contour [pixels] from one to five. MPR Series Parameters Show High Opacity Segmentation Contours Thickness of segmentation contour [pixels] 2 4. In the VRT Series Parameters section, enable the Show Volume Rendering of Pulmonary Densities option to display VRT data in the 3D segment of the Results Preview. If required, you can define the Rendering Quality as Good or Excellent and adapt the Number of Rotated Images per 360 Degrees from one to ten. VRT Series Parameters Show Volume Rendering of Pulmonary Densities Rendering Quality Excellent Number of Rotated Images per 360 Degrees * The Pulmonary Density feature is new in VA12A without FDA Clearance. According to FDA policy “Enforcement Policy for Imaging Systems During the Coronavirus Disease 2019 (COVID-19) Public Health Emergency” issued in April 2020, the manufacturer is allowed to market this feature without FDA-clearance. This policy is intended to remain in effect only for the duration of the public health emergency related to COVID-19 declared by the HHS, including any renewals made by the HHS Secretary in accordance with section 319(a)(2) of the Public Health Services Act (42 U.S.C. 247d(a)(2)). Pulmonary Density results are not indicated for the diagnosis of COVID-19. Only in vitro diagnostic testing is currently the definitive method to diagnose COVID-19. SIEMENS Intern Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 Job Aid | Results Configuration Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 3. Cardio Settings 1. Click on the Cardio tab. Activate the Heart and Coronary Calcium Analysis option to enable the calculation of results. By activating the Send Results for Confirmation option, you can review and individually send images to the PACS. By deactivating this option, results will be sent to the PACS without review. Cardio Heart and Coronary Calcium Analysis Send Results for Confirmation 2. Enable the Create Structured Report option to save the measurement results in a DICOM structured report. Create Structured Report 3. Define the threshold values for the four ranges and the regarding categories. Range Value [mm3] Yellow Show findings label Drange Show findings label Red 1999 [] Show findings label 4. Select one of the Show findings label checkboxes to display the desired finding labels in the Worklist view. SIEMENS Intern Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 Job Aid | Results Configuration Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 5. Activate the Show Volume Rendering of the Heart option to display VRT data in the 3D segment of the Results Preview. If required, you can define the Rendering Quality as Good or Excellent and you can adapt the Number of Rotated Images per 360 Degrees from one to ten. Show Volume Rendering of the Heart Rendering Quality Excellent Number of Rotated Images per 360 Degrees 8 4. Vascular Settings 1. Click on the Vascular tab. Activate the Aorta Analysis option to enable the calculation of results. By activating the Send Results for Confirmation option, you can review and individually send images to the PACS. By deactivating this option, results will be sent to the PACS without review. Vascular Aorta Analysis Send Results for Confirmation 2. Enable the Create Structured Report option to save the measurement results in a DICOM structured report. Create Structured Report SIEMENS Intern Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 Job Aid | Results Configuration Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 3. On the right side you can see a table containing the nine locations for the nine aortic landmarks, showing the mean value and standard deviation (std) factor for each. Applied Ranges Ranges Green x Mean + x 510. D Show findings label x Mean + STO. [ show findings label Show findings label The Lower Limits for the Range Yellow and Range Orange are calculated based on the following formula: LL = Mean factor * Mean + std factor * std Ranges are calculated as follows: Range Yellow: 1 x Mean + 2 x std • • Range Orange: 1.5 x Mean The formulas, factors and values are fixed and cannot be changed. Table of Values [mm] Location Diaphragm Descending Aorta Celiac Artery Origin Aorta at AHA - Aortic Arch Mid Ascending Aorta Mid Aortic Descending Valsalva Proximal Sinuses of Proxima Aorta Sinotubular Junction Mid Aorta at Arch Mean " 37.7 33.2 28.6 27.7 27.3 26.9 25.6 26.1 STD. 3.8 3.7 3.6 3.5 3.3 3.2 3.1 3.4 Lower Limit o Lower Limit 43 41 35 34 34 33 32 32 Lower Limit (57) 50 43 42 142 40 38 39 Lower Limit 55 55 55 55 155 55 55 55 55 The mean value (mean) and standard deviation (std) and the resulting lower value for the yellow range and orange range is calculated for the chosen mean factor and std factor based on | Mean Factor x Mean + STD, Factor x STD). 2010 ACCFIAHAIAATS/ACRIASAISCASCAISIRISTS/SVM Guidelines for the Diagnosis and Management of Patients With Thoracic Aortic Disease. SIEMENS Intern Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 Job Aid | Results Configuration Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 The application of the formula might lead to overlapping segments: For the Sinuses of Valsalva the lower limit of the Range Orange (57 mm) is greater than the lower limit of the Range Red (55 mm). Thus, the Range Orange does not exist for this landmark. In the table this is indicated by brackets. Reference: 2010 ACCF/AHA/AATS/ACR/ASA/SCA/SCAI/SIR/STS/SVM Guidelines for the Diagnosis and Management of Patients with Thoracic Aortic Disease. 4. Select one of the Show findings label checkboxes to display the desired finding labels in the Worklist view. 5. Activate the Show Volume Rendering of Aorta option to display VRT data in the 3D segment of the Results Preview. If required, you can define the Rendering Quality as Good or Excellent and you can adapt the Number of Rotated Images per 360 Degrees from one to ten. Show Volume Rendering of Aorta Rendering Quality Excellent Number of Rotated Images per 360 Degrees 5. Musculoskeletal Settings 1. Click on the Musculoskeletal tab. Activate the Spine Measurement option to enable the calculation of results. By activating the Send Results for Confirmation option, you can review and individually send images to the PACS. By deactivating this option, results will be sent to the PACS without review. Spine Measurement Send Results for Confirmation SIEMENS Intern Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 Job Aid | Results Configuration Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 2. Enable the Create Structured Report option to save the measurement results in a DICOM structured report. Create Structured Report 3. Define the threshold values for the four ranges. The default thresholds are 0- 20%, 20%-25%, 25%-40%, 40%-100%. For the calculation of the ranges, the height of corresponding measurements of neighboring vertebrae are compared. For example, if the anterior height of T7 is 22% smaller than the anterior height of its neighbor T6, the measurement is dedicated to the Range Yellow. Range Value [%] < 20 Tellow 20 < 25 O show findings label Orange 25 show findings label TV : 100 Show findings label 4. Select one of the Show findings label checkboxes to display the desired findings labels in the Worklist view. 5. In the Windowing section, adapt the windowing values for Window Center of Sagittal MPRs (value range: -1000-3071) and Window Width of Sagittal MPRs (value range: 1-2000). Windowing Window Center of Sagittal MPRs [HU] 450 Window Width of Sagittal MPRs [HU] 1500 SIEMENS Intern Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 Job Aid | Results Configuration Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 6. Activate the Show Volume Rendering of the Spine option to display VRT data in the 3D segment of the Results Preview. If required, you can define the Rendering Quality as Good or Excellent and you can adapt the Number of Rotated Images per 360 Degrees from one to ten. Show Volume Rendering of the Spine Rendering Quality Excellent Number of Rotated Images per 360 Degrees SIEMENS Intern Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 Job Aid | Results Configuration Workflow Job Aid Effective Date: 05 AUG 2020 | HOOD05162003115348 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. 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