nexaris Angio-CT syngo EVAR Guidance Job Aid

syngo EVAR Guidance Job Aid nexaris Angio-CT Use pre-op CTA data for planning Use nexaris Angio-CT or DynaCT intra-operatively • Load the CTA data • Acquire a contrasted DynaCT or nexaris Angio-CT • Start syngo EVAR Guidance Create Vessel Tree  The vessel tree is automatically  With nexaris Angio-CT the vessel tree is detected automatically detected If auto segmentation result is not • If auto segmentation result • is not satisfactory, mark the satisfactory, mark the vessels manually vessels manually • With DynaCT, identify vessels manually Define Landmarks  Landmarks of the segmented vessel branches are created autmatically o • Check the position of the landmarks on MPR, edit landmarks, if necessary KI • Check the angulation of the landmarks on VRT, adapt and save the landmarks, if necessary • Add landmarks, adjust the VRT, and save the landmarks, if necessary 0 + SIEMENS Effective Date: 04/19/2018 | HOOD05162002840055 Healthineers siemens.com/healthineers syngo EVAR Guidance Job Aid | nexaris Angio-CT Effective Date: 04/19/2018 | HOOD05162002840055 Overlay • Perform 2D/3D or 3D/3D registration. (3D/3D registration here is an EVAR dedicated algorithm) • Select a landmark from the list/submenu of Adjust to Landmark in VRT Onscreen menu. The corresponding projection angulation is sent to C-arm automatically • Deflect the joystick to drive C-arm to the defined angulation • Select syngo3D Roadmap to overlay 3D graphics on fluoroscopy for guidance • Change the visualization settings (display cetterline, contour, curface) via Onscreen menu. • Repeat the process for each of the landmarks Optional • Perform a contrasted control scan and cancel the automatic registration • Go directly to the Viewing step of Review and Processing to check the result Siemens Healthineers Services Page 2 of 3 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 2018 ………………………………………………………… 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, 2018