Scenium for VB22 Job Aid

Scenium for VB22 SPECT & SPECT/CT Description: This document provides an overview of the enhancements and improvements for Scenium VE30 which is available in the VB22 version of MI Applications. The following additions have been added: 1. Multi Frame Secondary Capture (MFSC) 2. Threshold Statistics for Database Comparison a. Filtering for statistical values b. Fused statistical images on MR and CT 3. DaTscan and F-Dopa factory databases for Striatal Analysis Multi Frame Secondary Capture (MFSC) functionality is available in all Scenium workflows (Database Comparison, Striatal Analysis, and Subtraction). This allows for fused or non-fused image ranges to be exported and saved. Instead of a snapshot of a single image, a snapshot of the whole stack can be taken. MFSC can be found in the toolbar at the top of the screen. File View Annotations Tools Databases Help abc + Database Comparison SPECT [RECON] 99m Technetium ECD Scenium_DB_Compare_ECD1 A Scale: 0.39 - Scenium_DB_Compare_ECD1 S Fusion to MR F 017Y 01-Jan-1987 FoV: 21.1x28.6cm F 017Y 01-Jan-1987 UNKNOWN NM: W 118.4 L 88.8 UNKNOWN Tc-99m ECD Tc-99m ECD Fusion to Template Analysis Anatomical Review Color Maps NM R LR SIEMENS Published by Siemens Healthcare GmbH @ Siemens Healthcare GmbH, 2019 Job Aid Effective Date: 02/28/2020 | HOOD05162003068276 Healthineers Job Aid | Insert Title of Job Aid Effective Date: 02/28/2020 | HOOD05162003068276 Within the Database Comparison workflow, improved visualization of the results is possible with the new color-coded Threshold Statistics found in the toolbar on the left side of the screen. The statistical images use the color coding to display how the uptake in the patient's brain varies statistically from the normal database. In addition, the Filter Statistics checkbox can be turned on so only the standard deviation values of concern are visible on the statistics images. Eile View Annotations Tools Databases Help abc Database Comparison SPECT [RECON] 99m Technetium ECD Scenium_DB_Compare_ECD1 A Scale: 0.39 Scenium_DE_Compare_ECD1 S Scale: 0.39 - Scenium_DB_Compare_ECD1_S Scale: 0.39 FoV: 21.8x28.6cm Fusion to MR F 017Y 01-Jan-1987 FoV: 21.1x28.6cm F 017Y 01-Jan-1987 FoV: 21.2x28.6cm F 017Y 01-Jan-1987 NM: W 118.4 L 88.8 UNKNOWN NM: W 118.4 L 88.8 UNKNOWN NM: W 118.4 L 88.8 UNKNOWN Tc-99m ECD Tc-99m ECD Tc-99m ECD Fusion to Template nalysis Anatomical Review Color Maps NM MR R -8 -6 4 6 Statistics (#Std Dev) Stereotactic Surface Projection 3D Volume Effect Filter Statistics Transparency Axial Coronal Sagittal SD - MR NM:16-Jan-2004 12:55:0 Slice 48/91 NM:16-Jan-2004 12:55:02 Slice 63/109 NM:16-Jan-2004 12:55:02 Slice 76/91 HMP1A: HMPAO-SPECT Flash3D (CTAC) Age Range: 64 - 86 Normalization: Brainstem Scenium_DE_Compare_ECD1 A Scale: 0.39 Scenium_DE_Compare_ECD1 S Scale: 0.39 - Scenium_DB_Compare_ECD1_S Scale: 0.39 FoV: 21.8x28.6on F 017Y 01-Jan-1987 FoV: 21.1x28.6cm F 017Y 01-Jan-1987 FoV: 21.2x28.6cm F 017Y 01-Jan-1987 UNKNOWN UNKNOWN UNKNOWN Tc-99m ECD Tc-99m ECD Tc-99m ECD R Export NM:16-Jan-2004 12:55:02 Axial NM: 16-Jan-2004 12:55:02 Coronal NM: 16-Jan-2004 12:55:02 Sagit al MR:27-Jan-2004 10:20:36 P 1 MR:27-Jan-2004 10:20:36 Slice 63/109 MR:27-Jan-2004 10:20:36 Slice 7641 Published by Siemens Healthcare GmbH @ Siemens Healthcare GmbH, 2019 Page 2 of 5 Job Aid | Insert Title of Job Aid Effective Date: 02/28/2020 | HOOD05162003068276 With the feature Fused Statistical Images on MR and CT, anatomical images of the patient can be shown with an overlay of the statistics image. When controlling the transparency and/or fil- tering, this allows the user to see the statistics overlay on the MR and CT images enabling easy visualization of abnormal ROI statistics on the anatomy. Scenium_DB_Compare_ECD1 A Scale: 0.39 F 017Y 01-Jan-1987 FoV: 21.1x27.2cm UNKNOWN Tc-99m ECD R NM:16-Jan-2004 12:55:02 Axial MR: 27-Jan-2004 10:20:36 P Slice 48/91 MR t2_tse_tra_512 HMP1A: HMPAO-SPECT Flash3D (CTAC) Age Range: 64 - 86 Normalization: Brainstem Published by Siemens Healthcare GmbH @ Siemens Healthcare GmbH, 2019 Page 3 of 5 Job Aid | Insert Title of Job Aid Effective Date: 02/28/2020 | HOOD05162003068276 The reworked Striatal Analysis workflow provides new factory databases of normal subjects for SPECT-loflupane (DaTscan®) or F-Dopa. In addition, the application includes tools to create us- er-specific normal databases for these radiopharmaceuticals. When the database is selected for analysis, the Analysis workflow step shows an additional graph tab. This graph displays the pa- tient's left and right values for the selected Normal Values Plotted along with the plots of all the subjects present in the database. In the results summary table segment, the uptake ratios are displayed for anterior and posterior putamen and also include normal reference values and Z- scores when a database is used for analysis. DaTScan Imaging [Reoriented] 123 lodine DaTScan ABNORMAL Scenium_DATSCAA Scale: 0.39 ABNORMAL Scenium_DATSCASScale: 0.39 Fov: 21.1x29.7cm ABNORMAL Scenium_DATSCAMS Scale: 0.39 FoV: 21.8x29.7cm M 076Y 10-Jan-1936 FoV: 21.1x29.7cm M 076Y 10-Jan-1936 NM: W 58.4 L 43.8 M 076Y 10-Jan-1936 NM: W 58.4 L 43.8 NM: W 58.4 L 43.8 11 23 11 23 1123 R LR Axial Coronal Sagittal NM:27-Jun-2012 15:00:13 Slice 29/91 NM: 27-Jun-2012 15:00:13 Slice 43/109 NM:27-Jun-2012 15:00:13 Slice 57/91 0.8- 5.6 Database Patients Database: FPCIT1A_SPECT_Flash3D_(CTAC) (16 - 88 Y) Patient: M, 76 Y 5.4- Patient Left Normalization region: Occipital lobe 5.2. Plotted values: Caudate 5- Patient Right Patient Values Referer 4.8- Mean + 2 SE Ratio to Normalization Region Left Right Mean + 4.6 Striatum 2.95 2.90 3.83 + 4.4- - Reference Mean Caudate 3.14 3.00 3.94 + ( 84.2 Putamen 2.70 2.78 3.68 + [ 4- .- Mean - 2 SE Anterior Putamen 2.87 2.92 3.85 + [ 3.8- Posterior Putamen 2.39 2.59 3.45 + [ 3.6 Asymmetry Measures 3.4- Striatum Asymmetry 1.62 % 3.17 + 6 3.2- Caudate Asymmetry 4.57 % 3.75 t 6 13- Ratio and asymmetry calculated using mean of the brightest 2.8- 75% of voxels in striatal regions. 50 Age Copy Export Results Published by Siemens Healthcare GmbH @ Siemens Healthcare GmbH, 2019 Page 4 of 5 Job Aid | Insert Title of Job Aid Effective Date: 02/28/2020 | HOOD05162003068276 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 (herein- after 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 2019 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, 2019 Page 5 of 5