Segmentation for Tissue Volume (VC21 - VD2xx) Job Aid

Segmentation for Tissue Volume (VC21-VD2xx) Job Aid Advanced Therapies - Application Software VC21 to VD2xx. **There is an additional job aid available on PEPconnect to determine SW version of the system. XA, CT, MR, or PET volumes can be used with Segmentation. Stroke based segmentation is optimized for (soft tissue) XA data sets, i.e. 3D volumes acquired on Artis systems, and for CT/MR scans only. However, stroke based segmentation can be performed on any volume that can be loaded into the 4D task card. 1. Perform a DynaCT spin or load a previously acquired dataset into the 4D Taskcard. Patient Applications Reconstruction Show Mode View Orientation Tools Measure Volumes Options Help IST LIVER_EMBOGUIDE H AXIOM Artis IST LIVER_EMBOGUIDE H 1082677 1092677 Viewing DynaCT Nat Fill HU Homm VC140 090923 DynaCT Nat Fill HU Norm VC1 45 090925 Segmentation ^4/29/1963 # 2026460 HES $4/29/1963 XA # 2020468 XA 1/26/2010 11:22:06 AM 1/25/2010 11-22:05 AM Review and Processing Viewing Review loaded or acquired volumes. New acquisitions will replace existing Filming volumes 1/26/2010 AN Occlusion, Permanent With A ... 2/18/2020 4D LI SL 2.0 Reysw MPR Thick LA0 9070 MPATRICK 9:54:22 PM IST_LIVER_EMBOGUIDE 1082677 TOGLIVEREMBOG DynaCT Mat Fill HU Homm Sony Hat Fill HU Nom Angio # 2028468 XA 1/28/2010 11:22:06 AM Overlay -O- ume Opacity Image | Tools |Meas |X-Ray Segmentation 3D Tools F Ranges Review 2. Select the Segmentation icon from the Tools tab. Image Tools Meas ... | X-Ray Segmentation 3D Tools 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: 06/11/2020| HOOD05162003096967 Healthineers Job Aid | Segmentation for Tissue Volume Effective Date: 06/11/2020 | HOOD05162003096967 3. Segmentation Tools box opens. Select the Stroke Based Segmentation icon. Segmentation Tools X Close Help ..................................... 4. Stroke Based Segmentation dialogue box opens. Select New from the drop down menu to start a new segmentation or choose an existing segmentation to edit. Stroke Based Segmentation X Select a segmentation result. Draw at least one (+) stroke and one (-) stroke in the image. Select 'Calculate'. Check result. Selection SEG ... SEG1 New + Sculpting Undo/Redo 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: 06/11/2020| HOOD05162003096967 Healthineers Page 2 of 8 Job Aid | Segmentation for Tissue Volume Effective Date: 06/11/2020 | HOOD05162003096967 5. Center the VOI in all three MPRs. Quickzoom can be used within the segmentation workflow. Select the + icon (VOI interior) and mark the inside by left click and hold and drag to create red strokes within the volume of interest, i.e. tumor, whole liver, etc. + SL 2.0 MPR Thick LAO 90 / 0 IBT LIVER EMBOGUIDE. MBOGUIDE 1082677 DynaCT INEt Fili HU Nom ... U Norm 4/29/1953 # 2028468 Placing strokes in all three MPRs is recommended. In order to specify complex anatomy in the most advantageous views, you may adjust MPR slice position (scrolling) or orientations to draw additional strokes. All existing strokes will be maintained. If the reference lines “get in the way” of marking the VOI, uncheck Show Reference Lines from the Show menu and they will be hidden. Patient Applications Reconstruction Show Mode View Orientation Tools Measure Volumes Options Help ction Show Mode View Orientation To IBT LIVER EMBOGUIDE ... Frame Rate [f/s] Clip Plane Outlines ER EMBOGUIDE ... 1082577 DynaCT [ at Fill HU Norm. Wat FillHU Norm VC1 *4/29/1953 MPR Reference Lines 153 # 2028468 Frame Rate [f/s] XA Ghost Cursor 1/26/2010 ER_EMI 11:22:06 AM 3D Reference Point 6 AM C-Arm Clip Plane Outlines Objects V Object Labels MPR Reference Lines Nat Fil Ghost Cursor 3D Reference Point 10 15 AM C-Arm A Objects SL 2.0 MPR Thick LAO 90/0 Object Labels IBT LIVER EMBOGUIDE ... 1082677 DynaCT Nat Fill HU Norm .. .4/29/1953 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/11/2020| HOOD05162003096967 Healthineers Page 3 of 8 Job Aid | Segmentation for Tissue Volume Effective Date: 06/11/2020 | HOOD05162003096967 6. Then select the – icon (VOI exterior) and mark the outside (background) by left click and hold and drag to create blue strokes outside the volume of interest. SL 2.0 Review> MPR Thick 1159 SL 2.0 0 / CAUD 90 435 MPR Thick ₩ 1159 Sculpting from the outside Sculpting from the inside Pynach C140 090923 : DynaCT Nat Fill HU Norm ... VC14D 090923 HFS *4/29/1953 F 2028468 # 2028468 1/26/2010 XA 11:22:06 AM 1/26/2010 11:22:06 AM RFA 11 t1 updated sculpting results . . . . . . . . . . . . . . . . . . . . . . . ..... F ..... . . . .... Post sculpting results Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/11/2020| HOOD05162003096967 Healthineers Page 5 of 8 Job Aid | Segmentation for Tissue Volume Effective Date: 06/11/2020 | HOOD05162003096967 9. After the segmentation is performed and all sculpting completed, the volume value of the segmentation result is calculated and can be displayed by selecting Properties in the context menu. Right mouse clicking on a segmentation result will open the context menu. 1082577 AXIOM-Artis DynaCT Nat Fill HU Norm VC14D 090923 SEG2 Properties X *4/29/1953 # 2028468 XA Color 1/26/2010 1:22:06 AM Show Name Show on 4D Show on Live Values Review> SL 2.0 MPR Thick Volume 1.42 ml Min / Max: 1145/ 2043 BT LIVER EMBOGI Mean / SD: 1654/ 151 082577 Display in Current Layout DynaCT Nat Fill HU 4/29/1 953 Visualization Group 2028468 VRT Contour Obiect List /26/2010 1:22:06 AM Properties Export Close Help Delete Object 303 Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/11/2020| HOOD05162003096967 Healthineers Page 6 of 8 Job Aid | Segmentation for Tissue Volume Effective Date: 06/11/2020 | HOOD05162003096967 10. Additionally, the Properties box allows user to change the visualization of the VRT and edit other properties of the segmented result. The visualizations will ONLY apply to the VRT. MPRs will always show as a Contour. Visualization Visualization VRT Surface VRT Wireframe Close Help Close Help 06 AM 2:06 AM Surface Wireframe 11. Segmentation results are automatically saved into the Local Database and can be sent to archive from here. Patient Browser X Patient Applications Transfer Edit View Filter Sort Private Applications Options Help × 3D IBT ADV_DCT_PBV_ Mo FUSION AX_CT [5] 3D_Segmentation_Object Local Database IBT LIVER EMBOGUIDE AN Occlusion, Perman! [980] Bookmark 11 leist 1 DVD IBT LIVER Multi_Meta_El [5] DynaCT Nat Fill HU Normal [InSpace3D] R/// / /S/ /M /// /E/S/ / DVDR 3D_IBT_A_Inspace_ICA_ Unrestricted 0 Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/11/2020| HOOD05162003096967 Healthineers Page 7 of 8 Job Aid | Segmentation for Tissue Volume Effective Date: 06/11/2020 | HOOD05162003096967 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 comme rcially 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 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: 06/11/2020| HOOD05162003096967 Healthineers Page 8 of 8