Neuro Stent Visualization (VD1xx-VD2xx)

Neuro Stent Visualization (VD1xx-VD2xx) Job Aid Advanced Therapies – Application Software VD1xx to VD2xx. **There is an additional job aid available on PEPconnect to determine SW version of the system. 1. Perform a DynaCT Head spin with diluted contrast. The images will automatically transfer to the 4D taskcard. 2. Select the Reconstruction menu and click on Interactive… (Interactive Reconstruction) Reconstruction Show Refine Volume Interactive 3. The Interactive Reconstruction box will display. 20.01.21 Interactive Reconstruction x Define job list, Jobs, parameters, and series name Start Interactive 3D reconstruction. Body Region Head & Neck Job List 3D DSA Head VOI Size Manual Num VOI Slice Matrix: 512x 512 Define VOI in 2D view . 3D view Voxel Size: 0.46 mm Number of Slices: 400 SMART Series Neme Viewing Preset VascHead Reconstruction Job Image Cheracteristics Normal Motion Correction Sub Rigid ¥ 3D Head Nat Fill Kernel Type HU Image Characteristics Motion Correction Nat Auto 3D Head Net Mask Close Help Ranges Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 09/29/2020 | HOOD05162003126118 Healthineers Job Aid | Neuro Stent Visualization Effective Date: 09/29/2020 | HOOD05162003126118 4. Change VOI Size to Small and determine the area to be reconstructed with Define VOI. 5. Define VOI can be done in 2D or 3D view. a. 3D View (shown) - After changing the VOI size to SMALL, center the green box over the area of interest. Be sure to visualize in both AP and Lateral by ro- tating volume or using Orientation Block/Orientation menu to confirm area of interest remains in VOI box in all orientations. b. 2D View - After changing the VOI size to SMALL, center the green box over the area of interest in both AP and Lateral (upper and lower) segments. Use the image play buttons, at the bottom of the Interactive Reconstruction box, to make sure the area of interest stays in the center of the green box. 6. Change the Image Characteristics to Sharp. nteractive Reconstruction ? X Define job list, jobs, parameters, and series name. Start interactive 3D reconstruction. Body Region lead & Neck Job List DCT Head Clear VOI Size: Small Num VOI . See Step #4 Slice Matrix: 512 x 512 Define VOI in 2D view . 3D view See Step #5 Voxel Size: 0.14 mm Number of Slices: 373 SMART Off Series Name Viewing Preset DynaCTHead Reconstruction Job DCT Head Clear Nat ... Kernel Type HU Image Characteristics Sharp See Step #6 Motion Correction Nat Close Help Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 09/29/2020 | HOOD05162003126118 Healthineers Page 2 of 6 Job Aid | Neuro Stent Visualization Effective Date: 09/29/2020 | HOOD05162003126118 7. Select the reconstruction icon and the new reconstruction will automatically display in the 4D taskcard. Note: If the area of interest is not centered or cutoff, re-open the Interactive Reconstruction box (see Step 2) and adjust the area of interest by re-centering the green box over the stent (see Steps 5a and 5b). 8. After the newly created reconstruction loads into 4D taskcard, right click on an MPR im- age. This will open the context menu and then select MIP Thin Manipulate Rotate Zoom/Pan Auto Pan VRT MIP MIP Thin MPR MPR Thick Reset MPR Orientation Home Preset Home Zoom/Pan Show View Full-Screen MPR Reference Lines Record Movie ... Play Movie ... Reset all Orientations Delete all Objects Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 09/29/2020 | HOOD05162003126118 Healthineers Page 3 of 6 Job Aid | Neuro Stent Visualization Effective Date: 09/29/2020 | HOOD05162003126118 9. Under the Image tab, change the slice thickness to desired thickness in mm. Image Tools Meas ... X-Ray Slice Thickness (mm) 2.0 Aneurysm Analysis_NR . JUNTENDO UNY HP Aneurysm_Analysis_NR. HAY JUNTENDO UNYAH DynaCT Head Nat Fill HU, AXIOM-Artis VD10E 140821-2 HFS DynaCT Head Nat Fill HU. 1/1/1954 VDIOE 140321-2 12:38:52 PM XA 6/9/2015 12:30:52 PM Aneurysm_Analysis_NR Aneurysm_Analysis_NR. JUNTENDO UNY HP 306 1306 DynaCT Head Nat Fill HU. DynaCT Head Nat Fill HU. VD10E 140321-2 1/1/1964 *1/1/1954 XA XA 6/9/2015 6/9/2015 12:38:62 PM 12:38:52 PM TTTTTTTT PAG Hab / CAUD 47 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 09/29/2020 | HOOD05162003126118 Healthineers Page 4 of 6 Job Aid | Neuro Stent Visualization Effective Date: 09/29/2020 | HOOD05162003126118 10. Window the image to better visualize the stent. This can be performed by using the mid- dle mouse button/wheel or by adjusting the histogram in the Preset Gallery. Acquisition Patient, Firstna Preset Gallery 2 X NR zee PURE MCA stroke 3D Type Head & Neck Review and Processing Viewing ? HH Review volumes loaded from the patient browser AneurysmA ... Carotids DualVolume 2 4D No bookmarks available Bone Vessel Dual Volume Dyna3DHead locc Chadina Table Light Volume Opacity Overlay -O Volume Opacity Image | Tools |Meas ... | X-Ray 150 259 369 478 587 696 805 Slice Thickness (mm) 5.0 Color Bar linked Auto Window Close Cancel Help Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 09/29/2020 | HOOD05162003126118 Healthineers Page 5 of 6 Job Aid | Neuro Stent Visualization Effective Date: 09/29/2020 | HOOD05162003126118 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 co llectively “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 auth ority. 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 Phone: +49 9131 84-0 siemens-healthineers.com Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 09/29/2020 | HOOD05162003126118 Healthineers Page 6 of 6