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Biograph VG80A FAST Dual Energy Results Improvements

Biograph VG80A upgrade Dual Energy Improvements Job Aid Document

SIEMENS Healthineers Biograph mCT and Biograph Vision VG80 Upgrade FAST Dual Energy Results Improvements Job Aid Template Effective Date: 05/27/2019 | HOOD05162003010284 Job Aid Effective Date: 3/3/2020|HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 Unrestricted VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements FAST DE Results: Recon job 1 2 3 4 5 6 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 FAST DE Results allows automated post-processing of Auto recon reconstructed dual energy images. Auto filming every 1 - image Auto viewing With this new release, FAST DE Results have been reworked. No. of filmed images Auto postprocessing None C For a single dual energy recon job it is now possible to select up FAST DE Results to three different dual energy application classes for “on- Application class Output type Output series description scanner” post processing via the Auto-tasking tab. None None FAST DE Results jobs from previous software versions will be None None converted and show up on this card. However, redundant None None reconstructions or auto transfer settings have to be modified Output: Original settings Slice 1.5 mm Increment 1.0 manually. Auto transfer None Routine Scan Recon Auto Tasking 2 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements Recon job 3 4 5 b 8 Recon Pre-Requisites: Series description TB_Abdomen 5.0 Br38 Slice 5.0 mm Recon job type o Axial 3D “L+H” must be selected in the Series drop-down list of the Recon ADMIRE Recon region: Narrow Wide o tab (orange box) to be able to use FAST DE Results. Kernel Br38 None FAST Window Abdomen Begin position -1213.0 mm 2: Series L+H End position -1413.0 mm 2| HD FOV FoV 300 mm Image order Craniocaudal Center X 0 mm Increment 5.0 mm Overview Center Y 0 mm No. of images 41 Mirroring None Comments Extended CT scale Routine Scan Recon Auto Tasking 3 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements Application Classes: Recon job 1 2 3 4 5 6 8 Series description #PP DE_Thorax 1.5 Qr40 2 Check the box next to FAST DE Results (orange box) to activate FAST Auto recon DE post processing. Auto filming every 1 _image Auto viewing No. of filmed images 0 Auto postprocessing None To configure application classes left click on the button in the FAST DE Results ... - same row. Application class Output type Output series description None This will open the menu for selection of the application classes and None its associated output types. Up to three application classes can be None None selected for one recon job. None None Output: Original settings Slice 1.5 mm Increment 1.0 FAST DE Results jobs from previous software versions will be Auto transfer None converted and show up on this card. However, redundant reconstructions or auto-transfer settings have to be modified Routine Scan Recon Auto Tasking manually. For this, former separate Recon jobs solely for FAST DE Results should be combined into one or more Recon jobs with multiple active FAST DE Application classes. 4 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements Labeling FAST DE Results Series: Recon job 1 2 3 4 5 6 8 Series description #PP DE_Thorax 1.5 Qr40 2 It is now also possible to manually label a FAST DE Results series Auto recon created by an application class by entering the information in the Auto filming every 1 _ image Auto viewing corresponding text field (orange box). No. of filmed images 0 Auto postprocessing None FAST DE Results ... If FAST DE Results were converted from an earlier software version as Application class Output type Output series description described on the previous page, please check, if the series None None description is still valid (especially for slice thickness). None None None None Output: Original settings Slice 1.5 mm Increment 1.0 Auto transfer None Routine Scan Recon Auto Tasking NOTE: If the Output series description is left empty, the same automatically generated series description will be used as in previous software versions (please also refer to your system’s Instructions of Use for further information). 5 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements Slice Thickness: Recon job 1 2 3 4 5 6 8 Series description #PP DE_Thorax 1.5 Qr40 2 By checking the “Originals settings” box (small orange box) slice Auto recon thickness and increment set in the recon tab will be used for Auto filming every 1 _image Auto viewing reconstruction of FAST DE Results images. If this box is left unchecked: No. of filmed images 0 Auto postprocessing None FAST DE Results ... • Select predefined slice thickness via the drop down (large orange Application class Output type Output series description box) None None Manually enter increment in corresponding box None None • None None For good image quality, the default thin-slice low/high energy reconstruction of the default scan protocol should be used. If thicker Output: Original settings Slice 1.5 mm Increment 1.0 slices are needed for the PACS reading, they should be generated by Auto transfer None setting the required output in FAST DE Results. Routine Scan Recon Auto Tasking Furthermore, if thicker slices are created please make sure the series is adequately labeled by entering the necessary information in the output series description field. If previously configured, a DICOM node can be chosen from the auto transfer drop-down to auto send images to that node. NOTE: It is not possible to reconstruct FAST DE slices that are thinner than the original input slices. This will yield in an error message. 6 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements Application Classes Overview: Recon job 1 2 34 5 6 7 8 Series description #PP TB_Thorax 2.0 Qr40 3 The Application Classes are available via a drop-down menu (orange box). Auto recon Auto filming every image Auto viewing With this release, the following application classes will be available No. of filmed images Auto postprocessing None for systems with the TwinBeam Dual Energy option: FAST DE Results [ ... Monoenergetic Plus Application class Output type Output series description • None None • Mixed None None • Optimum Contrast Monoenergetic Plus Mixed None • Virtual Unenhanced Virtual Unenhanced Liver VNC Optimum Contrast Slice 2.0 mm Increment 14 • Liver VNC Lung PBV Rho/Z Auto transfer None • • Rho/Z Routine Scan Recon Auto Tasking 7 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements Monoenergetic Plus: Recon job 2 3 4 5 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 O) Through this application class, monoenergetic images for a range of 40 Auto recon 190 keV can be reconstructed. With Monoenergetic Plus, tissue Auto filming every 1 - image Auto viewing – contrast may be increased, and faintly enhancing lesions may be No. of filmed images 0 Auto postprocessing None detected with higher sensitivity. FAST DE Results ... Application class Output type Output series description With Monoenergetic Plus, different energy levels can be reconstructed Monoenergetic Plus None by ticking the appropriate check box in the output type drop-down None 40keV menu (orange box). 45keV None 50keV 55keV Output: Original settings 60keV 70keV Increment 1.0 = 80keV ptransfer None 90key Routine Scan 100keV Recon Auto Tasking 8 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements Mixed: Recon job 1 2 3 4 5 6 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 “Mixed” blends the low and high kV datasets in the image space. Slice 1.5 mm ] DE Composition: ADMIRE Strength 2 For TBDE this value is fixed at 0.8 with regards to the low spectrum Kernel Qr40 B A image. XH Window Mediastinum Optimum Contrast: Series A+B+M DE Comp 0.6 -1.0 0.5 +0.0 +0.5 +1.0 Optimum Contrast blends the low and high kV datasets depending on FoV 300 mm = Image order Craniocaudal the level of attenuation to achieve the best contrast-to-noise ratio Center X 0 mm : Increment 1.0 mm= (orange box). Overview Center Y 0 mm 2: No. of images 301 Mirroring None Comments Extended CT scale Matrix size 512 Routine Scan Recon Auto Tasking 9 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements Recon job 1 2 3 4 5 6 8 Virtual Unenhanced and Liver VNC: Series description #PP DE_Thorax 1.5 Qr40 2 Auto recon Virtual Unenhanced and Liver VNC assists you in visualizing the contrast Auto filming even _ image Auto viewing No. of filmed images 0 Auto postprocessing None agent concentration in abdominal organs and liver, respectively. The FAST DE Results ... basis for this approach is a material decomposition into iodine contrast Application class Output type Output series description agent and organ / liver tissue. Virtual Unenhanced None None lodine VNC None None The assessment of iodine uptake of an abdominal lesion can, for Output: Original settings Slice 1.5 mm Increment 1.0 example, be used as an indicator whether a lesion is benign or Auto transfer None malignant. Routine Scan Recon Auto Tasking For both virtual unenhanced and Liver VNC, iodine maps and/or virtual Recon job 1 2 3 4 5 6 7 8 Series description #PP DE_Thorax 1.5 Qr40 2 non-contrast series can be reconstructed by ticking the checkbox for Auto recon Iodine and/or VNC respectively in the Output type drop-down menu Auto filming ever 1_image Auto viewing No. of filmed images 0 Auto postprocessing None (orange box). FAST DE Results 1 ... Application class Output type Output series description Liver VNC Jone None lodine VNC None None Output: Original settings Slice 1.5 mm Increment 1.0 Auto transfer None Routine Scan NOTE: Iodine maps will be displayed in greyscale. Recon Auto Tasking 10 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements Lung PBV: Recon job 2 3 4 5 b 8 Series description #PP DE_Thorax 1.5 Qr40 2 This application class allows for direct visualization of the local iodine Auto recon concentration in the lung parenchyma, which is a measure of the local Auto filming even 1 image Auto viewing blood volume. It may help you in the assessment of hemodynamically No. of filmed images Auto postprocessing None relevant perfusion defects e.g. caused by pulmonary emboli. FAST DE Results ... Application class Output type Output series description Lung PBV None None lodine Mixed None None Output Original settings Slice 1.5 mm Increment 1.0 Auto transfer None Routine Scan Recon Auto Tasking 11 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements Rho/Z: Recon job 1 2 3 4 5 6 7. 8 Series description #PP DE_Thorax 1.5 Qr40 2 The attenuation of X-ray mainly depends on the electron density and Auto recon the effective atomic number. Auto filming every 1 image Auto viewing No. of filmed images 0 Auto postprocessing None Both parameters are characteristic for different materials and may be FAST DE Results ... used for evaluation of beam attenuation for radiation oncology Application class Output type Output series description procedures. Rho/Z None None Rho With FAST DE Results, Rho/Z you have access to electron density maps Z None None and effective Z maps from dual energy scans. Output: ~Original settings Slice 1.5 mm Increment 1.0 Auto transfer None Routine Scan Recon Auto Tasking 12 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements FAST DE Results Configuration X Global Settings FAST DE Results Configuration: M Display Boundary of Analyzed Area Calculate iodine concentration [100ug/cm3] If necessary, FAST DE Results can be configured in: (instead of enhancement maps [HU]) Dual Energy Algorithm: Liver VNC Options → Configuration → FAST DE Results Used for: DE Liver VNC Voltage Combination: 80/140 kV With this release, it is now also possible to obtain iodine concentration maps instead of HU measurements maps, which allow for easy measurements with Algorithm Parameters Material Definitions standard ROI tools in an image viewer/PACS. Iodine concentration maps can be calculated in the following application classes: Minimum [HU] -300 Maximum [HU] 3071 • Virtual Unenhanced Range 2 CM Cutoff [HU] -100 • Lung PBV • Liver VNC Organ Contour Enhancement To switch to iodine concentration maps check the box in the FAST DE Results Resolution Enhancement configuration window (orange box). Please note that this is a global setting and will affect all application classes producing iodine maps (see above). Siemens Default *Continued onto next page. OK Apply Cancel Help 13 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 VG80 Software Upgrade – CT Focused Job Aid SIEMENS Healthineers FAST DE Results Improvements Iodine Concentration Conversion Table Iodine Concentration Maps: Roi value µg/cm³ mg/ml 0 0 0 For interpretation of iodine concentration maps (see iodine concentration 5 500 0,5 conversion table): 10 1000 1 15 1500 1,5 A measurement value of 1 in a ROI stands for 100 µg/cm³, Respectively a 20 2000 2 • 25 2500 measurement of 10 would be equal to 1000 µg/cm³ or 1 mg/ml. 2,5 30 3000 3 35 3500 3,5 40 4000 4 45 4500 4,5 50 5000 5 55 5500 5,5 60 6000 6 65 6500 6,5 70 7000 7 75 7500 7,5 80 8000 8 85 8500 8,5 90 9000 9 95 9500 9,5 100 10000 10 14 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020 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 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 15 Effective Date: 3/3/2020| HOOD05162003072637 Unrestricted © Siemens Healthineers, 2020

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