PEPconnect

Calcium Scoring Job Aid

Calcium Scoring Job Aid SOMATOM go. VA20 CT View&GO In 2 easy steps, this document guides you through the Calcium Scoring workflow of CT View&GO for the SOMATOM go. VA20 software version. Please note: The following workflow describes one possible way out of various to perform it. Step 1: Load CT Calcium Scoring patient data into CT CaScoring Select Calcium Scoring series (1), right mouse click and Open with CT CaScoring (2). meduser ? ni RE Scan 1 = Recon 0 Patient Browser Local Data Search by Name, ID. Date, Description and Modality (Ctrl+F) Q More Filters View&GO Print Open Open with DICOM Import Export Correct Delete Manage OR Raw Data Results (71 results, 6:54:51 PM) Series Patient Modality Study Date and T ... Study Descript Series Number Series Descrip Modality # Instances in. Series Archived Exported Calcium, Scoring m 0 CT *10/21/1939. F 1 rin. CT b 8a986b3c-c7e2-46fa-9925-ec5f5292fa59 CT Calcium Scor › go_cardiac CT CTA Coronar. CT Open *5/16/1969, F d8a1c71f-e55a-4d6e-a7f8-ea3b574573b7 502 Patient Protocol CT View as Read-Only 503 Dose Report SR Open with Favorites go_ cardica CTA, Devon 19 CTA Coronar ... CT View as Read-Only with *6/6/1965, M 20 CT View&GO CTA Coronar. CT lc9a18ea-3608-4793-acec-1459dd9cdbcf 1,001 2 VesselCenter. CT Set Delete Protection sta Suggested , go_CCTA 33 CTA Coronar. CT Set Archive state CT CaScoring *3/14/1981, M 32 CTA Coronar. CT 504 Correct CT Dental eb5d6117-cb62-43d7-b5a6-2d87c854285b Examination SR Cut CT Neuro Perfusion * - go_HeadAngio2 Paste CT View&GO 11/9/1968, M Instances @ Delete Del MM RT Image Suite * HeadAngio2 Manage Raw Data > More CT 3/30/2017 12:03:56. Angio Cerebr go_NeckHeadAngio *11/22/1943, F NeckHeadAngio go_HeadAngio *9/18/1995, F 44 HeadAngio go_LombariMAR *10/17/1937. F LombariMAR SIEMENS siemens.com/healthineers Healthineers . CaScoring Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 09/04/2018 | HOOD 05162002943934 Step2 : Calcified lesions (<130HU) are highlighted with a pink overlay. Scroll through the axial dataset and score by clicking or contouring the lesion with the corresponding label . For example: Scroll to the level of the LAD (1), select label LAD (2), and either click in each leasion or draw a ROI contour around the lesions. The score is updated in the score table (3). SIEMENS . Healthineers E Scan 1 = Recon 0 O Calcium, Scoring 10/21/1939 F 8a986b3c-c7e2-46fa-9925-e. CT CaScoring A + CT CaScoring Standard Scoring LM . Basic Scoring -it Reset Marker LAD R CX- RCA U1 - 50m Show All Show Scored Original SP F776.5 F LM MIP THIN SL 20.0 LAD 600 1 C 200 CX RCA II R U1 LAD U2 H x LAD R CX RCA F 2 SP A125.0 A MPR SL 0.0 Findings Navigator 600 200 Name Value Source Cx UT U2 X CaTotalSc. 0 CaSc CT Artery Lesions Voly hm Equiv. Mass / mg Score Patient Age: 78 Y Coron ... LM 0 0.0 0.00 0.0 No Identifiable Calcifice LAD 0 0. 0 0.00 Score CX 0. 0 10.0 100 0 0.00 10.0 RCA 0.0 0.00 90% Tools Total O 0.0 0.00 0.0 0.0 75% U1 0 0.00 0.0 1 00 02 0 3 0.00 0.0 50% Synch Alien Full Text Hide Reset 10 Graphics Hide imepo Edit Snapshot Layout Print Export Undo Redo Settings Score Type: Agats on equivalent, Threshold: 130 HU (98.8 mg/cm2 CaHA) 25% Mass calibration factor: 0.76 35 45 55 65 75 85 Helpful hint: To delete a lesion, enable the Delete Lesion Marker and click on the lesion you wish to delete. In summary: Assessment of coronary artery clacium burden can be used as a prognostic indicator of a patient's risk of a cardiac event. CT Calcium Scoring allows accurate visualization and quick quantification of calcified coronary lesions by highlighting the lesions with a pink overlay of a non contrast enhanced scan. Scoring is easily performed for the main cornary branches by clicking or contouring around the lesions with the corresponding label. The score table is automtically updated and provides a comprehensive analysis of the number of lesions, the calcium volume, calcium mass and Agatston equivaqlent score. Siemens Healthineers Services Page 2 of 4 CaScoring Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 09/04/2018 | HOOD 05162002943934 Additional step: Exporting scoring table: Right-click on the table (1), choose one of the available options (2), then the format of interst (3). Once it opens, paste the scoring information from the clipboard to the application. Artery Lesions Volume / mm Equiv. Mass / mg Score Patient Age: 78 Y Y Coron ... LM 0.0 0.00 0.0 Minimal Identifiable Calcitid LAD 8.1 Score 1.28 4.8 CX 000 0.0 0.00 0.0 RCA 10.0 0.00 0.0 90% Total 8.1 1.28 4.8 75% NOONE U1 U2 Copy score table to clipboard Copy in text format 3 Copy detailed score table to clipboard > Copy in table format 1 2 Copy in HTML format Settings Score Type: Agalston equivalent, Threshold: 130 HU (98.8 mg/cm2 CaHA) Mass calibration factor: 0.76 85 45 55 65 75 98 Additional step: Documenting scoring results: Two findings are created in the Findings Navigator (1): CaTotalScore represents the complete scoring table in the report. You can add images which wil be printed in the report. CaPercentile contains the percentile chart. Findings Navigator 1 Both findings cannot be deleted or edited. Name Value Source CaTotalSc ... 4.80 CaSc CT [1] Marker CaSc GT S1 Snaps ... CaSc CT ------ Additional step: CaScoring result configuration: you can configure the saving options for the documentation images and settings of the percentile chart. Click on the Configuration wheel and check mark appropiate entries on the Result tab. CT CaScoring Configuration Standard Scoring Basic Scoring FIT Marker Score . Results Documentation Images Show All Show Show Scored Original Save the original volume with all colored overlays Save a range (from the first scored lesion to the last scored one) Save a collection (only slices with scored lesions) Save the scoring table as a DICOM image Save the percentile curve as a DICOM image Reference Data (for percentile) Raggi, Circulation, 2000 (USA, 9730 patients) Show Coronary Age Siemens Healthineers Services OK Cancel Page 3 of 4 CaScoring Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 09/04/2018 | HOOD 05162002943934 Disclaimer 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 Func- tionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales repre- sentative 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, 2018 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Siemens Healthineers Services Page 4 of 4