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Cedars-Sinai 2017 Update Training Video

This video will present the new features available in the 2017 version of the Cedars-Sinai Cardiac Suite.

Cedar Sinai 2017 update training. This video will present the new features available in this version of the Cedar Sinai cardiac Sweet Cedar Sinai, 2017. Contains many new functional, clinical and enhanced existing features. Each feature will be discussed in detail. Application defaults. The application defaults window allows you to load, modify, reset and save the most frequently used Q jcink parameters. This change simplifies the process of saving user default references. It's as easy as setting the controls to the users references on the applicable pages and clicking the copy from a button within the default editor. This captures the current state of the controls and saves it as a defaults reference. All pages now have the tooltips button which displays brief descriptions for select application controls. When the mouse pointer hovers over them. The fast data set selector allows for custom data views to be created for any page using the defaults tab. The user can set a default data view for each page. The data views are specific to each page, default user and data set type. PET and CT Maps are now automatically generated. the Mets are generated using the reconstructed images and therefore not useful for assessing motion. Q G + Q. Huge San QPS are combined into a single application. This allows for both profusion an function analysis within one application. In addition, features such as lung heart ratio and TD ratio are now available within this application. For the lung heart ratio, the raw page displays projection data sets and lung hard ratio analysis regions. Manual adjustments to the ROI's for lung heart ratio can be made by clicking manual. The right ventricle or RV quantification feature allows for automated right ventricular quantification. An analysis right ventricular quantification provides both our volumes and ejection fractions by clicking process the RV contours and quantitative results are generated. The same patient processing or allows for simultaneous solving of LV geometry for all the available data sets for the loaded study when group is on, data sets belonging to the same patient are processed as a pair. The result is less operator intervention, leading to increased reproducibility for all quantitative numbers. The new color scale manager allows for the importing, exporting, hiding, an editing of color scales. Selecting the edit button will bring up the Colorscale Manager dialog. But dialog displays a list of available color scales. There is also a small text label showing the full path of the index file and several buttons to add, remove, export or reorder color scales. The smart defect editor can be used to manually add, remove or modify defects in the extent or blackout polar Maps. Manual edits will also affect the quantitative results such as defect extent, TDE, segmental visual scores and some scores. A mask indicator will appear in the top right hand corner of the viewport. If the polar map is manually masked. The peak option allows users to look at the underlying raw counts for a defect when polar map is set to blackout extent mode. The quality page displays projection images and contains several quality control tools to help users identify potential problems such as motion artifacts, poor count density, and gating errors. If available, additional information is displayed in the header, such as gated counts per projection, some counts per gating interval, beat acceptance per projection, nominal heart rate per projection, and a beat length histogram. For phase analysis, modifications have been made to exclude Basel count variations that do not correspond to actual myocardial thickening, but instead are caused by valve plane motion between diastole and systole. The splash page now has a dimensions option to take advantage of widescreen displays. The user can adjust horizontal an vertical viewports on the splash page, as well as configure the splash dimensions in the default setting for each number of data sets loaded. The latter ality labels have now been added to comply with ACR requirements. When the user activates the Orient button, the splash page displays the order of slices. Apex to base for essay septal to lateral for VLA and inferior to anterior on HLA. New custom measurement tools are now available which include a probe ruler, circle, Polygon and profile option. These tools, along with the annotation tools, can be accessed by right clicking on screen to display a menu. The annotation tools include call out and label. The call out Button produces a free text label with pointer, while the label option enables a free text label. The functionality of the Skip feature has changed now. If enabled, Skip will minimize the visible slices to 80% of the LV slices and 60% of the LA slices. The new elvie cover feature is an automated toggle that dynamically adjusts the slice thickness such that the specific fraction of the LV is covered and displayed on the splash page. This feature is similar to skip, however, it adjust slice thickness automatically and will show slice thickness based on dimensions. The LV raw counts detected within the myocardium contours are now displayed in the quant panel. For each reconstructed data set, this option is displayed next to wall volume and can be useful for comparing counts between stress and rest. The slice display now uses a try cubic interpolation or 8 neighboring pixels instead of by linear or four neighboring pixels to minimize grid like display on 2D slices. The new Align option in manual processing allows users to adjust the reorientation angles for reconstructed data sets. Previously, this feature was only available for reconstructed data sets saved in transverse format. The clone tool allows users to copy the contours from one data set to another. The blur and smear feature has been updated with the addition of a one to five scale. The Blur button toggles temporal or Inter frame smoothing. The level of temporal smoothing varies between one to five, where one is no temporal smoothing and five is maximum temporal smoothing. The smear button, toggle spatial or Inter slice. Smoothing the level of spatial smoothing ranges from one to five where one is no spatial smoothing and five is maximum spatial smoothing. It should be noted that blur and smear do not impact quantifications. They were only for visual assessment. The kinetic analysis feature for dynamic PET and SPECT studies allows for automated quantification of absolute stress and rest blood flow within the myocardium using algorithms specifically developed for pet rubidium 82 and nitrogen 13 labeled ammonia tracers as well as technetium. 99 M based racers for dynamic spec data sets. This allows for noninvasive determination of absolute myocardial flow reserve or MEF are. Calcium scoring. The calcium scoring feature for noncontrast CT images allows for the quantification of coronary artery calcium lesions. But calcium page is divided into 3 main sections. The left side contains the sidebar showing a graph of calcium lesions. For each slice, a magnified view of the area around the mouse cursor and a triangulated saggital an Corona views. The main viewport displays a transverse view of the. See T data set the transverse slice number and the pixel density information is displayed in the top left area of the viewport. The information panel on the right displays the calcium scoring quantitative details. Cubes. Finally, in cubes there is a new manga page specifically designed for manually processing planar manga images.

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Please contact your local Siemens Healthineers sales representative for the Label Stress Rest : Delayed Rest [Recon - AC J Label Crient Lies Gate Rcck Label Orient Lies arn SunAI Gate Sm Rcrk *ore tntaøetation Label orient ED ES smear Label Gate Oblique Sccre Interpretati:n Cover Gate Sccge Absolute Sccre Interpretatem Absoh_lte Sccre Interpretaten Absolute Sccre Interpretaten Scan scan step4 L•vE at Re-st at Rest Stress AC Scan Findings scan Findings Stan Findings stress IQ_CC o stress IQ_CC o m Stress - AC ] 66 69 70 74 Rest [Recon - AC Supine : Prcne (Perfusi:n, Stress) Stress AC stress 26 stress 12 stress 22 Lined 2016-04-13 Extent zoom 5 " Y Scan Findings stress status Status Stress LVSize 0.78 0.75[E«] 2016-04-13 105600 2016-04-13 status C:/ProgarnDatafCS'.E C:/PrcgarnDatafCS'.E Perfusion Qrface 80th Al stan_s 21% Cet«tcrs status 60 status 5 Rate Supine Perfus Colder _ rgb Rest [Recon - 11 (16%) —l _J SSS 16 (24%) Oat sss 13 (19%) SRS SOS 10 C 11 (16%) sss 16 (24%) 11 (16%) Phase Shape 0.78 [SO, 0.78 tsn. —J SRS 11 (16%) sys sss 16 (24%) SsS 16 (24%) SRS 11 (16%) SDS Rate 144 scale 1.04> Rate 14 Rate 144 y The reproduction, transmission or distribution of this training or its contents is not Study 136rnl. 4.012e+6k 136ml. 4.012e+6k 136mnl. 4.012e+6k 136rn1, 4.012e+6k TIO:1.16 2016-04-13 2016-04- 13 scan Fi TIO:I .16 .16 13 TIO:1.17 84mI SSS SRS 11 (16%) .16 Orientati INF cefect Defect fect 16- 12 permitted without express written authority. 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S tress Rest fusion FemaleRestMB-AC Defect snapshot QGS*QPS: splash 74 Rest [Recon - AC 4.012e+6k Extent Resect stress olurne Naurne 84 ml 2016-04-13 0.75 0.75 Extent 0.76 0.73 [Eccl Rev* Rest (%) (08) Reverståty Extent (%) Per fusan (%) Per fusel (%) Perfuse-I (%) Extent (%) Rest (%) Databaset INF 136m'1, 4.012e•6k 136m', 4.012e•6k 136rnl. 4.012e+6k QC-2.22, IR-o.oo 23-456 16% fictional and examples only. cefect Defect Resect Oefadt 2 Iml Stress Databaset FemaleRestMB-AC 11% Phase Stress Rest (%) 0.73[Ecc] 0.7B [SO, Reversbåt•,' Perfusion (%) Extent rpt' Perfusion (%) sss 16 Rest - AC Rest (%) Rest -%) Rest ] - AC Rest - Extent 16% Volurne 97ml 0 00 0 0 0 All rights, including rights created by patent grant or registration Of a utility model or design, Rest - AC INF 21% 11 11% 47 46 V) V) V) sc) V) C) .5 136m1. 4.012e+6k 53 63 10.4 Funcation St' Rst at Rest Auto Rst-st, 63 I 0.73 [Eccl 63 Perfusen (%) 66 1.60 o.sg 0.31 2.49 20.32 OSI Reversbity Perfusion (%) Reverser,' Perfusion (%) Reversbity Perfuskon (%) Rest - AC Rest perfusion Interpretation Funcbon Interpretation Functsion Interpretation scan Fi Perfusion Interpretation Scan Findings shape 2.40 O .34 2.40 Stress 0.79 9.8 10.2 020 048121620 24 2832 Scan Findings O .74 0.74 0.279 0627 perfusion Interpretation 7.3 Functi 24 16 27 27% 11.2 21.0 20.9 20.7 Ext TPO Rev«t Rev* Revt Rev 0.76 [SO, 2.10 0.32 2.31 Copyright O Siemens Healthcare GmbH 2020 21.0 21 n Perfusion (0,6) Reverseity Perfusicn (%) Reversbity Perfusicn (%) O Stress Sep -i Lat•Gated 0.279 g SS 47 SS 15 11.2 perfusion Interpretation D) Stress Septal Motionrmckening D Stress Septal Motionrmckening DJ Stress Septal Motionrmckening scan Fi LJ Rest Septal MotioThickening Discorc Function CJ Stress Septal Motionrmcker.ing LJ Stress Septal Motionrmcker.ing Stress Septal Motionrmcker.ing D Stress Septal Motionrmcker.ing DJ Stress Septal Motionrrtucker.ing Stress Extent Discord TOT Discordance Pcsiti:n LV Physician ALL Discordan 55 10.27 10.2 20.2 Auto _4 Discordance LV Discordance Discudance Discurdance Cmfiqcraticn Function Funcation Loncation TPO Rev L) Stress Septal MotionlThicken1 mask mask of 10.2 Funcation stress SMS 42 (49%) Rest SMS 44 ( Status 4. SeEectLrraKze Cimits such mauk) and Prrress. 4. SeEectu:raKze Cimits such mask) and Prrress. 4. SeEectu:raKze (limits nitialLV such auk) and Funcation Function Loncation 69 Discordance Rest • AC ] 5. If Of (bcks LV 5. If Of LV Reset Rest ] Rest Rest - Rest (%) Revet Rest - AC Rest (% Resect Rest AC Reset 23 21.0 10.2 Stress SMS 11 (13%) Rest

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