Biograph™ mCT and Biograph™ mCT Flow VG70A Upgrade Introduction

SIEMENS Healthineers ... BIOGRAPH mCT SIEMENS Healthineers Biograph mCT and Biograph mCT Flow VG70A Upgrade Introduction SIEMENS siemens.com/healthineers Healthineers Effective Date: 03/28/2018 HOOD05162002851598 Biograph mCT and Biograph mCT Flow | VG70A Upgrade Introduction Healthineers BIOGRAPH mCT SIEMENS Healthineers Contents Introduction 3 Standard Features 6 New computer hardware (MARS and AWP) 6 PET Dose Report 6 TeamViewer 8 SMART Mobile Connect 9 Whole-body Scatter 9 CT Low Dose Protocols 9 PET Image Order 10 PHS Maximum Clearance Mode 10 OncoFreeze 10 CardioFreeze 11 Optional Features 13 QualityGuard 13 FlowMotion Multiparametric PET Suite 14 2 VG70A Upgrade Introduction | Biograph mCT and Biograph mCT Flow Effective Date: 03/28/2018 HOOD05162002851598 Introduction Welcome to your new Biograph mCT and Biograph mCT Flow VG70A upgrade. Your system will soon be upgraded to a new software platform and this introduction will familiarize you with some of the changes and prepare you to utilize new features. Standard Features The following features will come standard with the VG70A upgrade New computer hardware (MARS and AWP) • PET Dose Report • TeamViewer • SMART Mobile Connect • Whole-body Scatter • CT Low Dose Protocols • PET Image Order • PHS Maximum Clearance Mode • OncoFreeze¹ • CardioFreeze¹ • Optional Features QualityGuard2 • FlowMotion Multiparametric PET Suite2 • 1 These features are standard provided you are licensed for HD•Chest and/or HD•Cardiac. Contact your local Siemens Sales Representative for more details. 2 These features are purchasable options and will require additional licensing. Contact your local Siemens Sales Representative for more details. 3 Biograph mCT and Biograph mCT Flow | VG70A Upgrade Introduction Introduction New and Noteworthy PET Quality Check – PET Quality Check is still located under the “Setup” dropdown on the main menu. It will look somewhat different from before: PET Quality Check Days until next Full Setup: 89 Days until next Partial Setup: 6 Phantom QC Only v Partial Setup Full Setup O Time Alignment Start View Close Help To configure the underlying settings, navigate to the Options/Configuration Menu and choose PET QC Configuration: PET PET PET QC Examination Configuration 4 VG70A Upgrade Introduction | Biograph mCT and Biograph mCT Flow Effective Date: 03/28/2018 HOOD05162002851598 Introduction Here you can input phantom information as well as configure Automatic QC or QualityGuard (optional feature) PET QC Configuration × Phantom Automatic QC Phantom Volume 8407 (cc) Isotope Ge-68 Assay Activity 1.52 mCi Assay Time 16:56:38 Assay Date 18-Oct-17 Cross Calibration 1 OK Apply Cancel Help PET QC Configuration Phantom Automatic QC QualityGuard Auto QC with Phantom QC Schedule Day Mon Tue Wed Thu Fri Sat Sun Auto QC Start 13:30:30 Auto QC End 21:30:30 OK Apply Cancel Help 5 Biograph mCT and Biograph mCT Flow | VG70A Upgrade Introduction Standard Features New computer hardware (MARS and AWP) The VG70 upgrade introduces a combined PET molecular acquisition and reconstruction system (MARS) as well as a new acquisition workplace (AWP) computer. As an added benefit, you now have the capability to perform parallel PET reconstructions (PET AC and NAC at the same time). PET Dose Report: DICOM compatible “black images/secondary captures” that provide Injection information • Effective whole-body dose • Organ dose • Compliments existing CT dose report • To activate or deactivate PET Dose Report, navigate to Options/Configuration/PET Examination and select the PET Dose Report tab: PET Examination Configuration X Units Pharmaceuticals |PET Recon Pri-Export Series T. |ImageStatistics PET DoseRepor Viewing Filming Study Layout Dose Report Create Auto Transfer Multi Monitor Screen Saver Configuration View & Print White Background/ Black Text Black Background/ White Text Regional and SR Viewer Language ... VEMA P NEMA PET Examination OK Apply Default Settings Cancel Help 6 VG70A Upgrade Introduction | Biograph mCT and Biograph mCT Flow Effective Date: 03/28/2018 HOOD05162002851598 Standard Features After completion of the examination, the PET Dose Report series will be available in the Patient Browser: Patient Browser Patient Applications Transfer Edit PET View Filter Evaluation Sort Options Help X 11111 / OPEN Test201612120023 (501] Patient Protocol 11111 / OPEN Local Database Test20161212000€ PET Brain (Adult [6] PET Dose Report 11/11 / OPEN 1111 / OPEN 11111 1 Scheduler Test201612111700 [5] PET Statistics RIS_EMULATOR 11111 / OPEN The PET Dose Report can be loaded into the Viewing task card for review and can be transferred to PACS and other viewing stations: PET Dose Report Parameter SI units English units Radiopharmaceutical Fluorodeoxyglucose Fluorodeoxyglucose Radioisotope F-18 F-18 Radionuclide Half Life(s) 6586.2 6586.2 Injected Dose 185.00 MBq 5.00 mCi Injection Date(DD-MM-YYYY) 02-09-2016 02-09-2016 Injection Time(HH:MM:SS) 17:06:35 17:06:35 Weight 54.43 Kg 120.00 lbs Height N/A N/A Blood Glucose N/A N/A Effective Dose 7.52 mSv 751.54 mrem PET Organ Dose Organ mSv mrem Adrenals 5.33 532.8 Bone surfaces 4.88 488.4 Brain 16.87 1687.2 Breast 3.91 390.72 Gallbladder wall 5.77 577.2 Stomach wall 4.88 488.4 Small intestine wall 5.33 532.8 Colon wall 5.77 577.2 Upper large intestine wall 5.33 532.8 Lower large intestine wall 6.22 29.75 621.6 Heart wall 2974.8 Kidneys 7.55 754.8 Liver 9.32 932.4 Lungs 8.88 888 Muscles 4.44 444 Oesophagus 5.33 532.8 Pancreas 5.77 577.2 Red marrow 4.88 488.4 Skin 3.46 346.32 Spleen 4.88 4.88 488.4 Testes 488.4 Thymus 5.33 532.8 Thyroid 4.44 444 Urinary bladder wall 57.72 5772 Remaining organs 5.33 532.8 7 Biograph mCT and Biograph mCT Flow | VG70A Upgrade Introduction Standard Features Important and Noteworthy When either the PET Image Statistics or PET Dose Report is enabled during the use of Study Split for examinations with multiple accession numbers, the PET Image Statistics and/or PET Dose Report will not be assigned an accession number. To avoid this situation, ensure that the PET Image Statistics and PET Dose Report are disabled when utilizing the Study Split feature. TeamViewer TeamViewer replaces Netviewer for remote assistance, training, and troubleshooting. The functionality and behavior is the same while the user interface differs. We recommend you contact your Customer Care Center (CCC) or local service entity to gain real-time familiarity with this new tool. netviewer SIEMENS TeamViewer × Remote control cm on/ OFF Session » Session: 887366 Password: (not set) > Audio (none) Voice over IP Phone Moderators Please connect Speakers @ Marco Manchinu a microphone O v Chat Application selection customer (09:57): Monitor ILCE hgg [-] hellol Send www.teamviewer.com Teamviewer My video Whiteboard Con OFF Notes About Session list 8 VG70A Upgrade Introduction | Biograph mCT and Biograph mCT Flow Effective Date: 03/28/2018 HOOD05162002851598 Standard Features SMART Mobile Connect: Streamlining connectivity for our Mobile users Smart Mobile Connect allows the user to quickly select an individual site upon startup which will automatically configure the scanner IT settings to the specific site. Benefits: Can decrease errors by having various transfer settings pre-configured • Improves usability and decreases start-up times • Please contact your Siemens Local Service representative for implementation and configuration Site A Site B Site C Site D + + + ........ + Whole-body Scatter Whole-body Scatter offers the potential to reduce halo artifacts that may appear in the presence of high contrast-to-background ratios. Only post-acquisition reprocessing for whole body scatter is supported. CT Low Dose Protocols In VG70A, we have added two new protocols that utilize very low CT dose for attenuation correction (AC). These protocols are not meant for diagnostic CT imaging. WholeBody_LowDose • WholeBodyCBM_LowDose • RespiratoryGatedCBM Wholebody Wholebody_LowDose WholebodyCBM WholebodyCBM_LowDose WholebodyDynamic 9 Biograph mCT and Biograph mCT Flow | VG70A Upgrade Introduction Standard Features PET Image Order In VG70A, you now have the possibility to arrange the PET image order in a direction to better match the CT images. Prior to VG70, the PET image order was determined based on patient orientation and scan direction. Image Order can be accessed in the Auto Tasking subtask card. WholebodyCBM (Adult) test, rh 801.0 mm 999 sec 8 mCi Topogram L Recon job 1 2 3 Series description PET WB CT WB Auto recon Pause Auto Display TrueD Image Order Caudocranial PET WB Caudocranial Craniocaudal Auto transfer None Requested Procedure PET WholebodyCBM (, None Body part examined INone Load Recon Routine Scan Recon Auto Tasking PHS Maximum Clearance Mode PHS Maximum Clearance Mode provides you with the capability to expand the scan field of view for radiation therapy planning. This can be particularly useful during challenging planning situations due to implemented accessories or the body habitus of the patient. Please note that the scan range will be reduced to compensate for the lowered table height. For more information, contact your local Uptime/Customer Care Center. OncoFreeze1 Next generation HD•Chest HD•Chest is an automated solution for PET amplitude-based gating that analyzes each patient’s individual breathing pattern and identifies the portion of the respi¬ratory cycle with the least motion. This area of the cycle is where the most data can be collected, without motion, in the shortest amount of time. Using the list-mode data that synchro- nizes with the optimum area of the respira¬tory curve, a virtually motion-frozen image is reconstructed. Using only selected information from a specific section of the respiratory cycle and “discarding” the rest of the data, conventional respiratory-gated imaging requires longer acquisition times to collect additional statistics, limiting its use as part of clinical routine. 1 This feature is standard provided you are licensed for HD•Chest. Contact your local Siemens Sales Representative for more details. 10 VG70A Upgrade Introduction | Biograph mCT and Biograph mCT Flow Effective Date: 03/28/2018 HOOD05162002851598 Standard Features With OncoFreeze, an optical flow algorithm enables the use of all counts acquired during the acquisition. This allows for images that are virtually free of motion in the same amount of time as a conventional static image. This functionality is embedded in the default protocols as well as your current and existing user-defined protocols. No additional user interaction is required. However, you may want to consider adjusting your current protocol(s) to reduce the previous scan time over the chest and abdomen. Key benefits of OncoFreeze Provides images virtually free of respiratory motion in the same time as a regular • whole-body scan Helps improve delineation and quantification of small lesions, increasing physician • confidence Adapts to each individual’s unique breathing pattern to deliver the best possible image • Simple acquisition with no changes to current workflow • OncoFreeze is an extension of the iterative reconstruction algorithm and is not available for Backprojection reconstructions. Auto statistics Recovery for HD. Chest Auto motion correction Resp. Gating Physio Device HD. Chest Optical Flow (MPOF) CardioFreeze1 Next generation HD•Cardiac CardioFreeze improves upon our existing HD•Cardiac solution by utilizing all statistics acquired during acquisition. It also allows for the acquisition of motion frozen data at the same time as static acquisition. Cardiac images are subject to motion from both the beating heart and breathing. While we can correct the heart motion by acquiring the ECG signal and gating, respiratory motion is not corrected, and can lead to difficulty in precise evaluation of cardiac pathology. CardioFreeze reduces image blur from both cardiac and respiratory motion using only the ECG trigger for gating. Decreasing the blur may improve visualization of myocardial tracer distribution, wall thickness and defect definition. Using optical flow technique, CardioFreeze enables each individual frame to have 100% of the counts up to 24x more in each individual frame than conventional dual gating.1 This improves the signal-to-noise ratio and the image quality. 1 This feature is standard provided you are licensed for HD•Cardiac. Contact your local Siemens Sales Representative for more details. 11 Biograph mCT and Biograph mCT Flow | VG70A Upgrade Introduction Standard Features Key benefits of CardioFreeze Minimizes both cardiac and respiratory motion, utilizing 100% of the information • in each cardiac gate Avoids poor image quality due to cardiac and respiratory motion • Improves signal to noise ratio and image quality • Does not require an external respiratory device • Offers the potential for research on vulnerable plaque • This functionality is embedded in the default protocols as well as your current and existing user-defined protocols. No additional user interaction is required. CardioFreeze is an extension of the iterative reconstruction algorithm and is not available for Backprojection reconstructions. Data Driven Auto respiratory resp. gating motion correction Auto respiratory Optical Flow motion detection (MPOF) Cardiac trigger (ECG) 12 VG70A Upgrade Introduction | Biograph mCT and Biograph mCT Flow Effective Date: 03/28/2018 HOOD05162002851598 Optional Features QualityGuard² Daily quality control is a necessary part of every PET/CT lab routine, but manual quality control consumes your staff’s time and exposes them to radioactive sources. QualityGuard runs PET daily and weekly quality control procedures automatically overnight to: Save up to 30 minutes a day and open additional scan slots¹ • Reduce occupational dose exposure from calibration sources by up to 98%1 • Improve your staff satisfaction by eliminating a tedious routine task, reducing the • need to lift heavy phantoms and allowing your staff to spend more time with patients 12 kg A Uses a heavy phantom Self Calibrating Technologist Tasks Technologists Tasks Daily Daily Daily quality check Automated Weekly Weekly Partial setup Automated Quarterly Quarterly Full setup Full setup Key benefits of QualityGuard Maximizes workflow and increases operational efficiencies • Eliminates need for daily and weekly manual calibration setup • Reduces staff exposure to radiation sources.1 • Reduces risk of work-related injury • Saves up to 30 minutes per day.1 • To utilize this optional feature, navigate to PET QC Configuration (see page 3 above), select QualityGuard, and enter the desired schedule information. Ensure that nothing is in the scan field of view during the time of the scheduled procedure. 1 Based on internal measurements at time of publication. Data on file. 2 This feature is a purchasable option and will require additional licensing. Contact your local Siemens Sales Representative for more details. 13 Biograph mCT and Biograph mCT Flow | VG70A Upgrade Introduction Optional Features PET QC Configuration Phantom Automatic QC QualityGuard Auto QC with Phantom QC Schedule Day Mon Tue Wed Thu Fri Sat Sun Auto QC Start 13:30:30 Auto QC End 21:30:30 OK Apply Cancel Help FlowMotion MultiParametric PET Suite² Going beyond SUVs One the most important aspects of PET imaging is the ability to quantify the uptake of tracer in a specific tissue, and the Implementation of Standard Uptake Values (SUV) based on static images was a key milestone to facilitate the utilization of semi-quantita- tive metrics in the clinic. However, PET tracer distribution – a dynamic process altered by a number of factors specific to each organ and region of interest – cannot always be accurately accounted for with SUV. FlowMotion Multiparametric PET Suite introduces an end-to-end clinical solution to provide multiparametric PET images outside of the research setting. The solution is completely automated and integrated into the PET/CT workflow, allowing users to obtain images of SUV, metabolic glucose rate (Ki) and distribution volume (DV) all at once, allowing for: More efficient information for planning and therapy strategy • Acquisitions based on continuous bed motion for a more complete picture • Fast reproduction from original data • Flexible, fully automated acquisition protocol • Whole-body dynamic acquisitions for more complete images • 2 This feature is a purchasable option and will require additional licensing. This feature also requires onsite applications training. Contact your local Siemens Sales Representative for more details 14 VG70A Upgrade Introduction | Biograph mCT and Biograph mCT Flow Effective Date: 03/28/2018 HOOD05162002851598 Optional Features Key benefits of FlowMotion Multiparametric PET Suite Fully automated solution obtains whole-body images of metabolic glucose rate and • distribution volume, in addition to SUV images Flexible acquisition protocols enable use in clinical research settings • Reduces the variability of quantitative measurements due to differences in uptake time, • patient body size and blood glucose levels, leading to better characterization of tracer uptake compared to SUV alone Provides additional information to evaluate therapy effectiveness based on metabolic • glucose rates compared to SUV alone Unique Technologies for FlowMotion MultiParametric PET Imaging FlowMotion – continuous bed motion • Seamless wholebody workflow Whole-body Dynamic – large axial FOV dynamic • Whole-body images, at multiple time points Alpha – anatomy expert system • Automated ROI placement and TAC recovery Direct Recon – direct parametric reconstruction • Less noise compared to image-based reconstruction syngo.via – • view and measure SUV, Ki and DV images simultaneously with dedicated layouts FlowMotion Whole-body Dynamic syngo.via Parametric PET Siemens Technologies for Parametric Imaging NEW! NEW! Direct ALPHA Recon FlowMotion Multiparametric PET Suite reduces the variability of quantitative measure- ments due to differences in uptake time, patient body size and blood glucose levels, lead- ing to better characterization of tracer uptake compared to SUV alone. 15 The syngo.via functionality mentioned herein is pending 510(k) clearance, and is not yet commercially available in the United States. The products/features (mentioned herein) are not commercially available in all countries. Their future availability cannot be guaranteed. Siemens reserves the right to make changes in configuration and specification of features shown herein, or discontinue the product described at any time without notice or obligation. Please contact your local Siemens Sales Representative for the most current information. Please note that the learning material is for training purposes only! For service-related issues, please always use the official service documentation. This training is meant as study material only! All the documents and information used in this training are not updated frequently and are only exemplary of the software and hardware version available during development of the training! The reproduction, transmission or use of this training or its contents is not permitted without express written authority. Offenders will be liable for damages. All rights, including rights created by patent grant or registration of a utility model or design, are reserved. Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH · Order No. 10751542-AND-000-01 · 6013 0418.x · ©Siemens Healthcare GmbH, 2018 Effective Date: 03/28/2018 HOOD05162002851598