PURE EmboGuidance

Embolization Guidance for PURE Interventional Radiography: Cardiac 1. A 3D volume has been loaded or acquired into the 4D task card. 2. From the workflow drop down select Embolization Guidance. 3. Identify vessel by left clicking on at least 2 points within the vessel in any of the four views. These seed points will display in all views. To verify positioning, scroll through the  MPR's or rotate VRT. Review and Processing Embolization Guidance X Auto Check Volume Segmentation Mark Vessel ?. Mark vessel by setting two or more seed points. Select 'Calculate'. Show Object V Group Overlay SIEMENS siemens.com/healthineers Healthineers Job Aid | Embolization Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270008 09 38.08 09.88 83 AX AX After seed points are dropped, select to calculate vessel tree. 09:38:06 AX Siemens Healthineers Services Page 2 of 8 Job Aid | Embolization Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270008 4. Click on Overlay to bring up your next menu with all your overlay options. Review and Processing Embolization Guidance X Auto Check Volume Segmentation Mark Vessel Overlay Overlay segmentation and vessel results for guidance. To modify planning results go to previous steps. Show Object ... Group Seed Points Vessel Overlay Show Volume Data in VRT Show Vessel Branches Live 5. Overlay functions can now be performed. 6. NOTE: If using an outside CT/MRI please refer to the steps for fusion. 7. Important! If you have done vessel mapping before the segmentation steps, your vessel map will disappear. It WILL return after leaving the segmentation menu. Siemens Healthineers Services Page 3 of 8 Job Aid | Embolization Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270008 8. Segmentation Tab  This menu allows for the marking of a VOI such as tumor or aneurysm. It requires strokes in the interior and exterior of the volume in at least two MPR segments. Review and Processing Embolization Guidance x Auto Check Volume Segmentation Select a segmentation result. Draw at least one (+) stroke and one (-) stroke in the image. Select 'Calculate'. Check result. Selection New + Mark Vessel Overlay 9. Segmentation Workflow + 10. Mark VOI interior: Object strokes Siemens Healthineers Services Page 4 of 8 Job Aid | Embolization Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270008 11. Mark VOI exterior: Background strokes 12. Start Segmentation I Siemens Healthineers Services Page 5 of 8 Job Aid | Embolization Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270008 Review and Processing Embolization Guidance X Auto Check Volume Segmentation Select a segmentation result. Draw at least one (+) stroke and one (-) stroke in the image. Select 'Calculate'. Check result. Selection SEG1 + Mark Vessel Overlay Siemens Healthineers Services Page 6 of 8 Job Aid | Embolization Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270008 13. Once completed, you may go back to the Overlay menu Review and Processing Embolization Guidance × Auto Check Volume Segmentation Mark Vessel Overlay Overlay segmentation and vessel results for guidance. To modify planning results go to previous steps. Show Object ... Group Seed Points V Vessel Overlay Show Volume Data in VRT Show Vessel Branches Live Siemens Healthineers Services Page 7 of 8 Job Aid | Embolization Guidance for PURE Effective Date: 09/06/2016 | Quality HOOD05162002270008 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 Siemens Healthineers Services Page 8 of 8