SOMATOM go. platform Neuro DSA Job Aid (VA20)

Neuro DSA Job Aid SOMATOM go. VA20 CT View&GO In 6 easy steps, this document guides you through the Neuro DSA workflow of CT View&GO for the SOMATOM go. VA20 software version. Please note: The following workflow describes one possible way out of various to perform it. Step 1: Load Neuro DSA patient data into CT View&GO ( 1 and 2 ). SIEMENS Healthineers adminUser E Scan 4 = Recon 1 O Patient Browser Local Data 2 Search by Name, ID, Date, Description and Modality (Ctrl+F) Q More Filters Open Open with DICOM Export Conect Raw Data Recon Results (41 results, 10:52:24 AM) Series Open with View&GO Patient Name Date of Birth Patient ID Modality Study Date and Time Study Description Delete Protect ... + Series Number Series Description Modality # Instances + MEP_China_03_2017_00003_Scott 1/1/1953 837c3b4aa0 CT, SR 2/23/2017 10:24:0 02_GZ_Abdomen( 1 Topogram 0.6 T20s CT MEP_China_03_2017_00003_Scott 1/1/1953 837c3b4aa0 CT, SR 2/23/2017 10:21:4. 02_GZ_Thorax(Ad. 5 Non contrast CCT CT 50 MEP_China_03_2017_00003_Scott 1/1/1985 837c3b4aa0 CT, SR 2/23/2017 9:59:49 01_CN_Abdomen( 7 Head CTA CT 50 MEP_China_03_2017_00003_Scott 1/1/1985 837c3b4aa0 CT, SR 2/23/2017 9:57:59 01_CN_Thorax(Ad 502 patient protocol CT MEP_China_03_2017_00003_Scott 1/1/1956 837c3b4aa0 CT, SR 2/23/2017 9:53:56 02_GZ_Abdomen(. MEP_China_03_2017_00003_Scott 1/1/1956 837c3b4aa0 CT, SR 2/23/2017 9:50:41 02_GZ_Thorax(Ad Osteo Spiral 1 4/12/1951 Osteo Spiral 1 CT 10/14/2015 12:36 CT Osteodensitom. Osteo Spiral 2 2/18/1956 Osteo Spiral 2 CT 10/12/2015 9:51:5. CT Osteodensitom Osteo_Anke_LWS 4/12/1951 Anke_LWS CT 10/14/2015 12:36: Abdomen^Osteod Osteo_SPI_01_L2L3L4L5 4/12/1951 Osteo_SPI_O CT 10/14/2015 12:36 Abdomen^Osteod Osteo_SPI_01_L3L4L5 4/12/1951 Osteo SPI 0 CT 10/14/2015 12:36 Abdomen^Osteod OsteoSpine_SpiralTilt 1/28/1955 123 CT 1/28/2015 12:28:5. Abdomen^Abdom. OsteoU_Sequ_PhantDetect_Failed 1/1/1940 OsteoU_Seq CT 4/10/2014 10:38:4. Spezial^07_Osteo OsteoU_Sequ_PhantDetect_Failed OsteoU_Seq. CT 6/27/2013 2:51:13. OsteoU_Sequ_PhantDetect_Failed_2 2/18/1939 OsteoU_Seq CT 12/18/1995 11:40 Instances PEP_AbdominalMass_Onco 12/5/1946 CT 3/14/2007 12:47:3 Abdomen 01_Abd. PEP_AorticCoarctation_AVA 9/8/1968 CC CT 5/7/2007 11:25:55 ThoraxAngio_%_# PEP_CT_Colonography_2 1 1/1/1975 123 CT 9/27/2005 10:17:1 Colonography PEP_CT_LungCare, Followup 1/11/1939 454 CT 2/5/2003 9:40:09 AM 05-Feb-2003 @ 22 Oct 2002 PEP_NeuroDSA_Carotids 1/26/1931 Cc CT 3/7/2007 10:21:40 Brain Scan & # PEP ThoraxADOO_CTA_TOR Ross, Haley 1/24/1967 dc3cd7 a8-32 CT, SR 4/27/2018 3:44:53 Thorax(Adult) ThoraxHead_00001_Aaron 1/1/1973 d32c673f42 CT 10/29/2015 8:31:2 Thorax^01_Thorax. ThoraxHead_00001_Aaron 1/1/1973 d32c673f42 CT 10/29/2015 8:30:0 Head^001_HeadS Tyson, Kurtis 11/17/1979 8699b58c-7f CT, SR 4/27/2018 3:55:04 Thorax(Adult) WholeBody_Angio_BR_AVA 9/16/1946 CC CT 5/10/2006 11:08:4 Abdomen % # The selected data opened 10:52 AM SIEMENS siemens.com/healthineers Healthineers . Neuro DSA Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905856 Step 2: Select the Neuro DSA tool from the Tool Gallery ( 1 and 2 ) or from the Favorite Tools. Healthineers> adminUser E Scan 4 = Recon 1 O PEP_NeuroDSA_Carotids 1/26/1931 M cc CT View&GO Series Viewing SIMA 289 SP F 302.2 SPF302.2 Day Distin THE x 3x2 Stack 4x4 Follo 27% UP MPR VRT Current Tool Gallery MPR MIP MPR Stack 2x2 Vessel Compare Marker Arrow Text Ranges on contrast CCT Printing Image Visualization Distribution SL06 KV T26 1 300 CT_SOM5 SPI 50 KV 120 Fit to Fit to Acq Hide V Segment Size Graphics patient protocol Favorite Tools PEP_NeuroDSA_Carotids Windowing *1/26/1 931, M, 75Y CT 2006A Windowing Reset Distance ROI Circle Parallel Windowing Line Ranges 21-Nov-2006 09:29 Médecin practicien: 3D F Export 2 Image Show in Remove Table mas total 15770 POL total 4114 Scan mAS / réf. CTDIvol POL TI CSL Region Punch Clip Box Clip Plane Remove Growing Visualizer Table position du patient H-SP Topogramme 120 5.0 Bone Removal based on an 0.5 0.6 Cerebral Blanc 350 2028 0.6 Print & Export additional non-enhanced PreMonitoring 120 120 20 54.67 5.50 A Please drag data from Series Navigator. Bolus I.V. Monitoring 120 20 16.50 16 0.5 0.6 Solid AngioCrane Poursuite de l'examen H.SP 120 200 31.41 1247 0.5 Lesion Snapshot Series Topogramme 100 28 0.6 Export Crane 100 500 1.0 0.6 Image Diameter Postprocessing Show in Endance ROL HU 10:58 AM Step 3: If not already preselected, select the non-contrasted ( 1 ) and the contrasted dataset ( 2 ) in the dialog box. Click OK ( 3 ) and wait for the calculation to finish. Healthineers› adminUser 1 E Scan 4 = Recon 1 O PEP_NeuroDSA_Carotids 1/26/1931 M cc CT View&GO Series Viewing SP F302.2 7 IMA 289 SP F302.2 Dista Stack 3x2 Stack 4x4 Follow Up MPR VP Current Series Selection ? CT, 3/7/2007 MPR MIP PCMPR Stack 22 V Brain Scan_&_# Series non-contrasted CT @- Non contrast CCT Non contrast CCT Series CT Angiography Printing Head CIA Distribution 2 26 5 SPI Sso Head CTA [7] patient protocol 88 6 L Favorite Tools 3 OK Cancel M. 75Y Distance ROI Circle Parallel Line Ranges 21-Nov-2006 09:29 Médecin practicien K Export Show in Remove Image mas total 15770 POL total 4114 MAS / ret. CTDIMol POL position du patient H-SP Topogramme 120 5.0 0.6 Cerebral Blanc 120 350 54.67 5.50 2028 PreMonitoring 0.5 0.5 0.6 120 20 0.6 A Please drag data from Series Navigator. Please drag data from Series Navigator. Bolus I.V. Monitoring 120 20 16.50 0.5 0.6 AngioCrane 120 Poursuite de l'examen H.SP 200 31.41 1247 0.5 0.6 Topogramme 100 2.8 1.0 0.6 Crane 100 500 47.12 818 0.6 T Diameter ROI HU Zoom/Par Edit Result Threshold + 11:00 AM Siemens Healthineers Services Page 2 of 6 Neuro DSA Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905856 Step 4: A dataset containing the calculation of the Bone Removal is automatically added to the Results section( 1 ) on the Series Panel and loaded into one of the empty segments ( 2 ). Healthineers adminUser 1 E Scan 4 = Recon 1 O PEP_NeuroDSA_Carotids 1/26/1931 M cc CT View&GO Series Viewing PEP_NeuroDSA_Carotids Sensation 64 PEP_NeuroDSA_Carotids CC CT 2006A CC *1/26/1931, M, 75Y HFS SPF302. by Distin CURRENT HFS *1/26/1931, M, 75Y CT 2006A CURRENT 11/21/2006 11/21/2006 Stack 3x2 Slack 4x4 For Follow Up MPR VRT Topogram 0.6 T20s [1] Non contrast CCT [5] Current 9.24.16:37 AM 9:26:10.81 AM CT, 3/7/2007 MPR MIP TOP 1 SPI 2 Stack 22 Vessel Brain Scan_&_# P COMPR Stad 1 IMA 1 5 MA 289 SP. 0.0 ...... SP F302.2 R 10cm T209 (1) Non contrast CCT Printing KV 120 kV 120 mA 40 eff.mAs 350 TI 5.05 TI 0.5 Distribution GT 0.0 GT 0.0 SL 0.6 500 SL 1.0/0 6/p0.55 512 0/0 50 250 0/0 T20s H221 Head CTA [] V II patient protocol Favorite Tools Results 502 IMA O Distance ROI Circle Line Ranges 21-Nov-2006 09:29 L Service: 1 Médecin practicien: Opérateur. Export Image Show in Remove 30 Table MAs total 15770 PDL total 4114 TODSA_CTAT Scan KV MAS / ref. CTDIvol PDL TI ESL Endosco position du patient H-SP Viere Coronary Topogramme 120 Cerebral Blanc 0.6 PreMonitoring 120 5.0 34.67 0.5 0.6 Bolus I.V. 5.50 2028 0.5 0.6 Please drag data from Series Navigator. Monit 120 20 16.50 16 31.41 0.5 0.6 Solid woctane 5cm Poursuite de l'examen H.SP 120 200 1247 0.6 Lung CAD Osteo Lesion Series Topogramme 100 Crane . 100 500 47:12 2.8 0.6 818 1.0 0.6 * T Windowing Vascular Diameter F WHO SL 1.0 ROI HU 550 CT_SOM5 PROT 100 200 + 11:07 AM Step 5: Switch the image type of the newly generated dataset to suit your visualization purposes (VRT, MIP). In our example, we switch to VRT by right-clicking the segment ( 1 )and selecting Show in 3D ( 2 ). Healthineers> adminUser v E Scan 4 = Recon 1 O PEP_NeuroDSA_Carotids 1/26/1931 M cc CT View&GO Series PEP_NeuroDSA_Carotids PEP_NeuroDSA_Carotids Viewing Sensation 64 sensation 64 CC *1/26/1931, M, 75Y CT 2006A CO HFS *1/26/1931, M, 75Y HFS 7 IMA 289 SP F302.2 Add Study Distinti CURRENT CURRENT Stack 3xd 11/21/2006 11/21/2006 Follow Up MPR VRT Topogram 0.6 T20s [1] Non contrast CCT [5] Current 9.24.16:37 AM 9:26:10.81 AM CT, 3/7/2007 MPR MIP TOP 1 SPI 2 "Brain Scan_&_# IP MPR Stack 212 Ves Vessel 1 IMA 1 5 MA 289 SP. 0.0 SP F302.2 A R 10cm Non contrast CCT Printing KV 120 KV 120 mA 40 ef.mAs 350 TI 5.05 TI 0.5 Distribution GT 0.0 GT 0.0 SL 0.6 SL 1.0/0 6/p0.55 512 0/0 500 700 . 58P 50 250 0/0 T20s H221 Head CTA [7] [502] Favorite Tools Results O. 7 IMA Text Distance ROI Circle Parallel Snapshot SP F3 Line Ranges Clip Box 2006 09:29 Fit to Segment Médecin practicien Export Image Show in 30 Remove Table O ... ROI Circle MAS total 15770 PDL total 4114 NE.CTIS1 0705 Scan KV mAs / ref. CTDIvol POL TI CSL Endosco. position du patient H-SP Viese Coronary 3D Reference Point Topogramme 120 5.0 0.6 Cerebral Blanc 120 350 2028 0.5 0.6 A Distance Line PreMonitoring 120 20 0.5 0.6 Please drag data from Series Navigator. Bolus I.V. Monitoring 120 20 16 0.5 0.6 Solid AngioCrane Lung CAD Osteo Poursuite de l'examen H.SP 120 200 1247 0.5 0.6 Lesion Series Windowing - Marker 5cm Topogramme 100 2.8 100 500 47.12 818 1.0 0.6 0.6 * T +Show in 3D 2 Windowing Vascular Diameter WHO F SL 1.0 POI HU BOOTA 550 CT_SOM5 PROT 2.68 100 11:09 AM Siemens Healthineers Services Page 3 of 6 Neuro DSA Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905856 The layout automatically changes to MPR VRT ( 1 ). Double-click the VRT segment ( 2 ) to max- imize it ( 3 ): Healthineers adminUser 1 E Scan 4 = Recon 1 O PEP_NeuroDSA_Carotids 1/26/1931 M cc CT View&GO Series Viewing 7 IMAn.a. FRM n.a. by Distin Stack 3x2 Stack 4x4 Follow MPR VERT 1 Current - 8 CT, 3/7/2007 MPR MIP MPR Slack Stack 22 Brain Scan & # R 5cm Topogrami Non contrast CCT 10cm Printing F A Distribution SL 0.5 CQ ! MPR THICK SL 0.5 KV 120 550 100 KV 120 550 100 V lead CTA [7] patient protocol Izos! Favorite Tools Results O ... Distance ROI Circle Parallel Snapshot 7 IMAn.a. FRM n.a. SP LO.O SP A158.0 Line Ranges x 1/x 1 Export Show in Image NE.CTIS1 070522 Solid Lesion Lung CAD Osteo Series Windowi .O. * T Windowing Vascular Diameter L A CO! WE THICK SL 0.5 550 URT FOI HU + 11:10 AM Healthineers> adminUser mf R = Scan 4 # Recon 1 O PEP_NeuroDSA_Carotids * 1/26/1931 M cc CT View&GO H 3 Viewing Add Study Diaton SP A158.0 Stack 3x2 Stack 4x4 Follow Up MPR VRT Current 2TP - 61, 3/7/2007 MPR MIP MPR Stac Stack 22 Vessel Brain Scan_& # TOPODa Non contrast CCT Printing Distribution Head CTA [] patient protocol R Favorite Tools X Results Distance ROI Circle Line Parallel Snapshot Export Image Show in NeuroDSA_CTAM 30 NE CT[51 07052 .. Endosco. 10cm Solid Lung CAD Osteo A Lesion Series Windowing * T CQ I Windowing Vascular Diameter VRT WHO kV 120 550 ROI HU + 11:11 AM Siemens Healthineers Services Page 4 of 6 Neuro DSA Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905856 Step 6: Evaluate the vasculature of the head and neck area in the VRT and/or MPR segments, and document the findings. Healthineers adminUser 1 1 E Scan 4 = Recon 1 O PEP_NeuroDSA_C 1/26/1931 M cc CT View&GO Series Viewing 7 IMAn.a. FRM n.a. SPA171.4 Dicti Stack 3x2 Stack 4x4 Follow Up MPR VRT 1 Current CT, 3/7/2007 MPR MIP MPR Stack Stack 22 Vessel Brain Scan & # Topogram .o Non contrast CCT Printing LA Distribution W 120 SL0.5 MPR TH SL0.5 kV 120 SSO Head CTA [7] patient protocol (502) Favorite Tools MPRS Results 7 IMAn.a. FRM n.a. SPA158.0 New Freehand Editing Distance ROI Circle Line Range Export Image Show in 30 RTable NeuroDSA CTATI Endosco Define View Vessels CL RH Windowin * T Dumete A COI MPR THICK SL 0.5 CQ! CQI SLOO ROI MI Theshell Edit Rese KV 120 550 VRT 100 KV 120 550 MPR 100 KV 120 100 + 11:20 AM Healthineers> adminUser n à ¡ = Scan 4 E Recon 1 O PEP_NeuroDSA_Carotids 1/26/1931 M cc CT View&GO Series Viewing Dista Stack 3x2 Stack 4x4 Follow Up MPR VRT 7 IMA n.a. SP R13.4 Current CT, 3/7/2007 Brain Scan & # MPR MIP MPR Stack 2x2 Vessel Compare Topogran Non contrast CCT Printing Distribution Head CTA [7] patient protocol Favorite Tools Results D Distance ROI Circle Line Randes Export Show in NeuroDSA CTA[T] Image Solid Lung CAD Osteo Lesion Series Windowing * T X cal Windowing Dumeter MPR CV V 120 ROI HU + 11:25 AM Please note: The generated Neuro DSA dataset is a DICOM compatible dataset, which you can further process by using additional tools available (vascular tools  see Vascular Job Aid, vir- tual endoscopic tools  see Endoscopic View Job Aid for SOMATOM go. VA20 CT View&GO). Siemens Healthineers Services Page 5 of 6 Neuro DSA Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905856 Disclaimer 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 Func- tionalities in any specific country is not guaranteed. Please contact your local Siemens Healthineers sales repre- sentative 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 Siemens Healthineers Services Page 6 of 6