CTO Guidance Job Aid

Job Aid CTO Guidance Job Aid 1. Open the Patient Search and search for correct patient in PACS. 2. Load CTA into the Active C-Arm folder within 4D tab, “Assign to existing” Examination Patient Review Patient onding Different patient demographics! Use 'Load to Review to close the current review patient and load the selected images for review. If the images belong to the patient "15.08.24-07:54:23-DST", you can load and add them to this patient by selecting 'Assign to Existing'. Enable the checkbox for confirmation before. 3I confirm that the data belongs to patient "15.08.24-07:54:23-DST- Assign to Existing Load to Review Cancel Loading 3. Select CTO Guidance from 4D workflow 4. The coronary vessel tree is automatically segmented A warped vessel view (COROwave) shows all the coronary arteries making up the segmented coronary tree.  The centerlines are color coded.  Green = vessels are parallel to image plane  Red = vessels are not parallel to image plane Review and Processing CTO Guidance X Guidance Compare Live image to CT volume side-by-side. 2D3D Registration is recommended to increase the accuracy. Show Object RCA LE LAD CX SIEMENS siemens.com/healthineers Healthineers . Job Aid | Title Effective Date: XX/XX/XXXX | Quality HOODxxxxxxx Identify Vessels ? X Check the segmentation result. If necessary, segment additional vessels and/or edit vessel centerlines. 5. Select Identify Vessels Selection To create new vessel – define by two clicks –start and end point LAD  Show Vessel Color  Add to existing branch – define by one click distal to the branch LAD 2 LAD 1  Edit existing centerline – drag centerline to reposition  Prune – right click on vessel segment and select prune in menu Close Help LAH 10 cm VRT LAO 178 / CRANJE 78,0% 07 CPAN 90 6. Coronary Analysis (optional) 2D measurements can be performed Siemens Healthineers Services Page 2 of 4 © Siemens Healthcare GmbH, 2017 Job Aid | Title Effective Date: XX/XX/XXXX | Quality HOODxxxxxxx 7. Perform 2D3D Fusion (optional) Move C-arm into area of interest  Utilized by injection of target artery  Acquire two angiograms – Recommendation ~45° RAO + ~45° LAO  When satisfied with alignment select “ACCEPT” 8. Select Overlay objects on Live screen or 3D Roadmap on 4D screen (optional) Live NOTE:  If overlay is not utilized the 2D angiogram will be compared to the 3D CT volume side by side for guidance.  Syngo CTO Guidance is not used to detect a CTO, it is only used to provide guidance during a recanalization procedure.  Inaccurate coronary artery centerline detection may occur due to the vessel detection tool's inability to accu- rately identify the centerlines of the coronary arteries. Siemens Healthineers Services Page 3 of 4 © Siemens Healthcare GmbH, 2017 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 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2017