PEPconnect

SOMATOM go. Platform: VA30 Improvements

VA30 Improvements for scanning, recon, Patient Browser, Tablet, CT View&GO, Guide&GO, Cardiac and others.

SIEMENS Healthineers SOMATOM go. platform VA30 Improvements Job Aid Template Effective Date: 05/27/2019 | HOOD05162003010284 Job Aid Effective Date: 06/01/2020| USA - HOOD05162003062244 Unrestricted © Siemens Healthcare GmbH, 2019 VA30 Improvements – SIEMENS Healthineers Table of Contents Scan Improvements 3 Recon Improvements 17 Patient Browser Improvements 27 Tablet Improvements 28 CT View&GO Improvements 30 SOMATOM go Tup Guide&GO Improvements 44 Cardiac Improvements 54 Other Improvements 60 2 Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Unrestricted © Siemens Healthcare GmbH, 2019 VA30 Scan Improvements SIEMENS Healthineers Support up to 3 tablets (More interaction points with the Mobile Workflow) Waiting room Examination room Control room SIEMENS Healthineers OMATOM go.Up 13:43 al March VA30 3 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers Check&GO Metal detection Doe, John X C 2/23/1933 Motivation Coronary CTA (Adult) @ Head First - Supine Patient Orientation Monitor image quality and correct pitfalls on the fly 3.32 SPR (32 cm) 0.01 0.5 60 Sn 100 • Scan Time [s] CTDIvol SPR [mGy) DLP [mGy"cm] mA KV 11-STD-Trama 1X9PR-7XXYA-4E11N-VXDYT-76QRF -.. 20016.02. 10-12:48:11-STD. Trama-1.312.2.1107.5.99 3 SOMATOMP81B 11/18/ 1858, D Metal detected, remove if possible. DAD NT C1 201 605 18HFS 8/2/2016 Benefits 1:29: 14:52 PM 1 IMA 1 TOP O SP-1.289.0 • Better image quality by automatic detection of metal that can be removed on topogram, to avoid artifacts • Visual alert on both the tablet and console i MA 35 L TrãO.FO .. S.PO.11 B 500 3.3s 6s 3.3s 3:39 bs 3s 10s Thorax CTA Repeat Topogram Back GO -750.0 100.0 4 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers Check&GO Metal detection Healthineers "< • Detects any metal objects on or near the patient which  ¡ ¡ = Scan 42 = Recon 0 2019.06.21-12:25:20-DST-Trauma * 11/18/1858 (160) O 2019.06.21-12:25:20 -... should be removed to avoid artefacts, including objects min max Thorax and Abdome ... 540 2019.06.21-12:25:20-DST-Trauma H 2019.06.21-12:25:20-DST-1.3.12.2.1107.5.1.7 mAs *11/18/1858, 0, 160Y syngo CT VA30A required for the examination, for example, ECG wires. Topogram #AC_a4283a1e7db84 HFS 6/21/2019 2:28:05.22 PM TP1 -1,535.5 2 IMA 1 TP2 -1,545.5 TOP 100 LEN 10.0 TP -1,028.5 FOV 300x300 HF supine HF prone HF right HF left • Yellow boxes on the topogram image highlight the areas where metal has been detected FF supine FF prone FF right FF left Length 768 mm .......... • The CT system does not detect metal objects inside the CTDIvol SPR (32 cm) 0.02 mGy DLP 1.1 mGy*cm 10cm patient, for example, screws or metal plates MA 80 KV Sn 100 Exposure Time 2.89 s Check metal detection Metal detected. Please check. KV Sn100 mA 80 A TI 4.6 5121 513 0/0 50 Mark Metal Tr20fA.n1 .:00000:0At.CU1agA Filter Sr HU 150 120 Timing 50 Check&GO 10 15 25 35 40 45 50 55 60 65 70 75 80 Metal Detection Scan Start 2.5 ml/s 2.51 On Start Button A 2.9s 0.5s 6 II 5 10 O O 5 10 15 20 25 30 O 5 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers Check&GO Metal detection • If metal has been detected, in the Topogram task, click the Mark Metal button to hide or display the detected areas on the topogram image. Check metal detection • Remove all metal objects from the patient that are not required for the examination before starting the scan, for example, keys or zippers. Metal detected. Please check. • Proceed with the examination r Mark Metal 6 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers Tilted Spiral (go.Up/All/Top) • Gantry Tilt is now also available for Spiral Scan modes 2019 07 03-11:18:14-DST-1.3.12.2.1107.5.99.3 MAS .7/3/1988, M. 31Y syngo CT VA30A 7/3/2019 11:20:03.10 AM 1 MA 1 TP1 -806.8 Possibility to combine with Inline Results and Fix Axial TOP 100 TP2 -746.0 • TP -750.0 LEN 148.7 FOV 211>211 GT -21 Recons • The maximum FOV (Field of View) for tilted spiral scans is 40 cm • Not available for the following scans TwinBeam Dual Energy - Cardiac quick spiral - 10cm Respiratory spiral - Cardiac sequence - Respiratory sequence - KV Sn1 40 L MA 80 TI 2.04 SL 512 0/0 500 Tr20fA n ... 0000A:1At.CUlogA 50 -..................................................................................................................................................... Fiter Sn Scan/Recon Scan Mode Tilt ["] KV Eff. mAs Brain RoutineSpiralAdultHead -21 120 310 7 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers CARE kV and CARE Dose4D: kV Grouping (go.All/Top) meduser › • VA30 implements CARE kV grouping mechanism 1 7 ? = Scan 3 = Recon 0 Ci 8/12/1932 (85) M 526b5fdd-c/bb 4dia-bad .... COce0039 6293. CT View&GO known from Som7 Abdomen Multi Phas ... Recon Ranges Topogram Topogram • CARE kV selects the same kV for all ranges within the CARE kV Group Non Contrast Liver FF supme FF prone FF right FF let kV optimization criterion: Length 512 • CiDival SPR (32 cm) 0.01 may Premonitoring 0,5 mgy cm lowest sum of DLP values of the individual scan 60 XV Sn 100 171 Time 3.32 Monitoring ranges .Non Contrast Liver Premonitoring . Monitoring Arterial Phase Abdomen - Arterial Phase Abdomen . Venous Phase Abdomen Venous Phase Abdomen Confirm patient position 5 mlb Confirm OK Cancel 3.3s 4.1 10.55 1s 5.7s 21 16 6 12 E 10 0 1:23 PM CARE kV Group 8 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers CARE kV and CARE Dose4D: kV Grouping (go.All/Top) SIEMENS • The CARE kV license must be available Healthineers x = Scan 2 = Recon 1 10/30/1922 (96) M b52b24a8-34f4-4833-b ... CT View&GO • The CARE Dose4D & CARE kV is set to Full Abdomen Multi Phas .. Topogram Preconditions • All scan ranges that are added to a CARE kV group are scanned Non Contrast Liver with the same kV value while the other settings are retained KV 120 Exposure Time 4.06 s Premonitoring • For scans within a CARE kV group with different limits, CARE kV Monitoring ... selects the kV values within the defined limits for all scans of this .Arterial Phase Abdomen CARE kV group Venous Phase Abdomen Reconstruction Close • Only one group can be created in one study Scan Favorites General Scan Dose Timing - • It can be used for abdomen multiphase scan to ensure the same Scan/Recon CARE Dose4D CARE KV CARE KV Quality & CARE KV CARE KV Grouping optimized for ref. mAs @120 kV ky kV is used for all the phase Arterial Phase Abdomen Full On oft Tissue with C ... 129 i+ Confirm patient position 2.5 ml /s 2.5 ml/s Confirm OK Cancel 11 15 20 30 35 40 45 50 9 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers CARE kV and CARE Dose4D: FAST Window ‘Non-Contrast‘ ‘Vascular’ • VA30 implements FAST Window mechanism 140 kV 2.6 mGy 80 kV 2.7 mGy 80 kV 0.94 known from Som7 21 eff.mAs 102 eff.mAs 36 eff.mAs mGy • Automatic adaptation of viewing window to visually maintain image impression σ=11.1HU σ=11.9HU σ=23.5HU W=400 W=400 80 kV 2.7 mGy 80 kV 0.94 102 eff.mAs 36 eff.mAs mGy FAST Window W=430 W=780 10 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers Flex Dose Profile SIEMENS • VA30 implements ‘adaptive dose profile’ mechanism Healthineers X = Scan 2 = Recon 0 known from Som7 · 4/23/1944 (74) M 59d239e7-a1ef-4508-83. CT View&GO ............................................................. Thorax and Abdome ... 59d23907-a1ef-4508-8360-c03445d0988c +4/23/1944, M, 74Y syngo CT VAA30A HFS Allows defining two areas with different image Topogram 3/25/2019 • 3:17:19.62 PM 1 IMA 1 Premonitoring TOP 100 qualities within a single scan range TP -750.0 O Monitoring Preconditions • Available for Thorax-Abdomen and Thorax and Abdomen Thorax Coronary CTA CTDIvol (32 cm) 0.62 mGy DLP 38,7 mGy cm Ell MAS 8 KV 120 The standard dose area of the Flex Dose Profile can Exposure Time 10.65 5 • Check image quality be defined on the topogram Reconstruction 10cm Close • In contrast to Som7 systems, it is independent of the associated recon jobs BY Sn1.00 SL 513 0/0 350 T120IS.no.:0000A 1ALCUIagA Filter Sn 50 Activate Premonitoring scan 5 ml/s 5 ml/s Confini GO Cancel 4.6s 0.55 30 1s 16 2 60 1 O 10 15 20 25 65 11 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers Flex Dose Profile Thorax (5) Vascular Thorax (5) Go.All/Top Thorax [factory] Thorax CTA [factory] OPTIONAL E Thorax Dynamic [factory] Thorax and Abdomen [factory] Thorax Dynamic CTA [factory] Thorax and Abdomen Multi Ph. Thorax Coronary CTA [factory] Lung Low Dose [factory] Pulmonary CTA [factory] lower dose, decrease by lower dose, decrease by 40% of the normal dose 50% of the normal dose normal dose, 100% normal dose = 100% - ---- 12 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers API VA20 New in VA30 Arabic • 21 additional new API languages are provided in VA30 Afrikaans Bulgarian Bengali Chinese Czech Dutch Danish English Farsi French Finnish German Croatian Greek Hungarian Hindi Indonesian Italian Korean Japanese Malay Polish Burmese Portuguese Hokkien Portuguese (Brazil) Norwegian Romanian Slovak Russian Serbian Swahili Thai Urdu Vietnamese Cantonese 13 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers API • Short Inspiration: Language Ony 3.9 seconds, for the contrast scans require short - scan delay when using Bolus Tracking, i.e. Pulmonary Dose Timing Patient Instruction Text Before S CTA Time Patient Instruction Absolute Start Delay [s] Do not swallow 6.4 s Expiration • TwinSpiral Dual Energy: 7.4 s 37 Inspiration 115.1 10.6 seconds, dedicated for the new developed Inspiration None 5.3 s - TwinSpiral DE scan mode Expiration Cardiac 9.9 s Inspiration This informs the patient that there is a pause in the Do not swallow Perfusion 14.1 s - middle of the examination, patient should keep Cardiac Perfusion Twin Spiral Dual Energy 10.6 s holding the breath Twin Spiral Dual Energy Short Inspiration Short Inspiration 3.9 5 New Entry 11 French German 40 45 50 Greek 14 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers CARE Contrast III OPTIONAL • Contrast protocols can be defined and managed on the scanner console and transferred to the injector Download • Combine scan and contrast protocols into integrated examination protocols and export them to other scanners SYNC. START • NEW: Default contrast protocols delivered with the scanner* Synchronize • Scan and injection start with just one button (Control Box, RSC or Footswitch). CT scan can NOT be triggered by the injector Define, manage, combine • Systems with CARE Contrast II will get this for free * The contrast protocol can be exported to other scanners using the teamplay protocol Basic 15 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Scan Improvements SIEMENS Healthineers CARE Contrast III Manufacturer Model Medtron Accutron CT-D Guerbet (former Mallinckrodt) OptiVantage DH CT Bayer (former Medrad) Stellant D Classic Stellant D Certegra WS Bracco (former Acist) Empower CTA + CT Exprès Nemoto Dual Shot Alpha 7 Ulrich CT motion Class 4 16 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Recon Improvements SIEMENS Healthineers Recon&GO: Separate column for Multi Recons • All recon types can be found in the Recon&GO Tab Recon Favori ... | General Recon Recon&GO Image Impres. Inline Results - Scan/Recon Spectral Spectral Inline Multi Recons Recon Recon keV Results Multi Recons Fix Axial - Fix-axial 1.50 Qr40 A3 Monoenerget ... 70 None - None On Spectral Recon - Spectral Recon keV - Scan/Recon Inline Results Multi Recons • Orientation multi (2) to define 2 orientations only Thorax 3.00 Br60 A3 axial • Parallel Ranges and Spine Ranges can be combined with Multi Thorax 3.00 Br60 A3 coronal Parallel Ranges Orientation Multi Rer None recons, e.g. Spine ranges in 3 Orientations Orientation Multi Recons (2) Orientation Multi Recons (3) Scan/Recon Inline Results Multi Recons Thorax 3.00 Br36 A3 axial Spine Thorax 3.00 Br48 A3 axial Spine Spine Ranges Impression Multi Rer Thorax 3.00 Br68 A3 axial Spine None Orientation Multi Recons (2) Orientation Multi Recons (3) 17 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Recon Improvements SIEMENS Healthineers Recon&GO: Structure of Inline Results • Improved structure of Inline Results selections: Inline Results Inline Results Inline Results Parallel Ranges - Radial Ranges Parallel Ranges Impre Parallel Ranges Impr Parallel Ranges Impr - Applications None None None - Parallel Ranges > Parallel Ranges Parallel Ranges Parallel Ranges - Radial Ranges + Radial Ranges Parallel Vascular Ranges Radial Ranges - Applications * Parallel Rib Ranges Radial Vascular Ranges Lung CAD Spine Ranges Radial Rib Ranges Radial Ranges Applications RT Automatic Contouring Applications RT Automatic Contouring RT Automatic Contouring * Lung CAD currently unavailable on SOMATOM go.Open Pro, go.Sim 18 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Recon Improvements SIEMENS Healthineers Recon&GO: Inline Options • The tab Inline Options contains all parameters which are dedicated for the selected Inline result X Recon Favori ... | General Recon& Recon&GO | Image Impres .. Recon Box Physio Recon | Auto Tasking Inline Options Scan/Recon Inline Results Thorax 0.80 Br60 A3 None Recon Favori ... | General Recon Recon&GO | Image Impres .. Recon Box Physio Recon Auto Tasking Inline Options Scan/Recon Inline Results Organ Viewing Direction High Resolution Thorax 3.00 Br60 A3 axial Parallel Ranges No Organ Feet to Head Off Recon Favori ... | General Recon Recon&GO | Image Impres .. Recon Box Physio Recon Auto Tasking Inline Options Scan/Recon Inline Results CPR Type Vessel Vessel Label Angle Between Images [o] High Resolution Thorax 3.00 Br60 A3 Radial Vascular Radial Vascular Ranges Curved Aorta (Auto) 10 Off 19 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Recon Improvements SIEMENS Healthineers Recon&GO: New Inline Results options OPTIONAL • Calcium Scoring only available for Scan Mode Keywords – Cardiac and not Angio Recon Favorites | General Recon Recon&GO (go.All/Top only) Scan/Recon Inline Results Multi Recons • RT Automatic Contouring: for RO Brain 5.00 Hr40 A3 axial Brain 5.00 Hr60 A3 axial Parallel Ranges Impression Multi Recon ... None + Parallel Ranges + Radial Ranges Applications Lung CAD * CH RT Automatic Contouring 2s 7.7s 2 2 0 10 O * Lung CAD currently unavailable on SOMATOM go.Open Pro, go.Sim 20 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Recon Improvements SIEMENS Healthineers Recon&GO: Improved Organ selections in Inline Options General Recon Recon&GO | Image Imp General Recon Recon&GO Image Impr Physio Recon Auto Tas Inline Results Organ Vi Inline Results Organ Vie Inline Results Vessel Parallel Ranges Kidney Artery R Parallel Ranges Kidney Artery RY - Cardiac Parallel Vascular R ... A Carotis L Int Head/Neck Heart Aorta Head Orhitomeatal Line Shoulder A. Carotis L Int Head AC-PC Line Shoulder Glenoid R A. Carotis R Int. Head Orbital Bone R Runoff L Head Orbital Bone L Shoulder Glenoid L Runoff R Head Temporal Bone R + Abdomen 4 ml/s Head Temporal Bone L Kidney Artery R Head Sinus Kidney Artery L Head & Neck Abdomen A. Carotis COW Pelvis 32 6 6 10 10 10 10 25 30 O O • Head AC-PC Line* • Shoulders • Carotid Arteries • Kidney Arteries * The anterior commissure - posterior commissure line (AC-PC line), also referred as the bicommissural line, has been adopted as a convenient standard by the neuroimaging community 21 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Recon Improvements SIEMENS Healthineers FAST Planning improvements • Extremities Recon Favorites General Recon Recon&GO Imag Scan/Recon Image Orientation FAST Planning FAST 3D Ma Siz Arm or Wrist 2.00 Br60 A3 cor R Coronal Arm or Wrist 2.00 Br60 A3 sag R Sagittal None On Arm or Wrist 2.00 Br60 A3 ax R Axial Whole Body y Extremities Left Hand Right Hand Left Elbow CH Right Elbow Left Foot Right Foot Left Knee 2s 5.9s Right Knee 2 2 5 O O 22 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Recon Improvements SIEMENS Healthineers Recon kernel Improvements • New Vascular kernel in sharpness Image Impression R Image Impression R 40 and 56 - DW Kernel ADMIRE OW Kernel ADMIRE • New Special kernels Artificial120 40 ₸ On 40 On - • the voltage-independent CaSoring kernels › All All Body - Body eDDensity › Regular › Regular - • sharpness 36 and 40 - Vascular Vascular • electron density images only for radio therapy planning 36 › Head 40 Quantitative 44 mDDensity Special 48 - Artificial 120 • sharpness 36 and 40 mass density images only for radio therapy 56 eDDensity • planning Head › mDDensity 23 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Recon Improvements SIEMENS Healthineers Multi-Study and Study splitting 675 Multi, Study 2019 07 04-13 09 33-DST-1 3:12 2 1107 5 99 3 • It enables the grouping of several procedures to one examination. MAS .7/4/1988, O, 31Y Syngo CT VA30A 7/4/2019 HFS 1:1202.54 PM After the examinations the procedures are separated again. 1 MA 1 TOP 100 TP -1,162.5 • It works even with only one scan range. Each Recon Range can be R assigned to one procedure 10cm • On the Patient browser, each study will get a copy of the topogram kV Sn100 mA 80 A TI 3.32 and the dose values on the Patient Protocol will refer to the 512 0/0 350 Tr 201A n .. 00004:1At CUIagA Fiter Sn SO reconstructed volume Recon Favori ... | General Recon& Recon&GO Scan/Recon Auto Recon Recon Ref. Lines Requested Procedure Body Abdomen 5.00 Br40 A3 ... Off • Raw data to be found only under one study Abdomen 5.00 Br40 A3 ... On Off Abdomen Abdomen Pelvis 3.3s 8.9s 16 6 10 26 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Patient Browser Improvements SIEMENS Healthineers Raw data icon is unhidden in Patient Browser by default Series • Raw data icon is unhidden in Patient Browser by default Remove Delete Protection • Select a patient or a study to delete, the Raw data CT Raw data Topogram 0.60 Tr20 Topogram 0.60 Tr20 Topogram 0.60 Tr20 cor cor cor will be deleted together when it is not protected i Delete protection could not be removed from one or more selected Series due to pending Recons. • If there is pending recon, the raw data will be Please perform or remove all pending recons for the selected Series and try to remove protected from deletion. To remove this protection, delete protection again. you have to use Manage Raw Data Hint: To remove pending recon protection: select Study -> Manage Raw Data -> Delete -> Remove Protection • You can also manually protect the raw data on a series level OK Open w data View as Read-Only 5.00 Hr60 A3 Brain 5.00 Hr40 A3 Topogram 0.60 T axial ASPECT cor @ Open with View as Read-Only with Set Delete Protection state Protect from Deletion Set Archive state Remove Delete Protection Brain 3.00 Hr40 A3 Correct ram 0.60 Tr20 Abdomen 5.00 Br40 Abdomen 5.00 B 27 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Tablet Improvements SIEMENS Healthineers Scan&GO: Change API language on Scan&GO Patient registered X C • Change of language and mute on/off Thorax [factory] (Adult) Head First - Supine Patient Orientation Audio Control Audio Language Danish Dutch Visuals English Farsi Finnish French 512 mm Topogram Length German Audio Control Greek Hindi Hokkien Back GO -887.5 125.0 -8º 28 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Tablet Improvements SIEMENS Healthineers Scan&GO: Connecting info SIEMENS . Healthineers • Cyber Security Measures Customer can encrypt communication between Scan&GO and Scanner by importing an - SSL certificate In case the communication is not encrypted, it is reported on the connecting screen with - each boot up, Requirement by APPROVAL • Troubleshooting Infos on Connecting Screen for Service Network is not working - Connected to a wrong Wi-Fi Access Point or configuration was changed - License server is down - Failed to acquire License - License count reached - SSL Certificate is not available Connecting to the system ... ! The communication is not encrypted - 29 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 View&Go SIEMENS Healthineers Printing and Distribution • Printing & Distribution removed SIEMENS Healthineers meduser E Scan 4 = Recon 0 O * 5/13/1929 F c96df8f7-0a12-46bd-aac0-248 ... from the Viewing tab CT View&GO X Series CT View&GO Stack 3x2 Stack 4x4 Follow Up Add Study Send and 2TP Archive • Printing is now a lamella docked MPR VRT MPR MIP MPR Compare on the left hand side Favorite Tools Please drag data from Series Navigator. Please drag data from Series Navigator. Please drag data from Series Navigator. • Distribution was renamed and is now Send and Archive on the Series series navigator Favorite Tools X O Distance ROI Circle Line Printing 3D Snapshot Export Image Please drag data from Series Navigator Please drag data from Series Navigator. Please drag data from Series Navigator. + HO EN 5:07 PM 30 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Send & Archive ? H • Send is now available at any time administrator Recon 0 O Exam Designer X * 9/1/1997 M 961b15b1-cc26-46b1-a756-bc ... HPR Series x : Oleen Jarrett Olean larraff 961b15b1-cc26-46b1-a756-bcb093dd4826 Selectable series and DICOM *9/1/1997, M, 21Y Send and Archive HFS • Add Study Send and CURRENT Archive 5/13/2019 Topogram 0.60 Tr20 cor [1] nodes to send 1:33:36.37 PM Current Num .. Preview Description # Images PACS 1 IMA 1 SP A125.0 CT, 5/13/2019 Thorax Intervention [factory](Adult) 2 4 27 Planning Spiral Thorax 5.00 Br40 A3 52 Seim Topogram 0.60 Tr20 cor [1] [1] Planning Spiral Thorax 5.00 ... kV 100 mA 80 TI 3.32 GT 0.0 6 4 18 Brain 5.00 Hr40 A3 axial 34 512 Tr 20fA.n .. :0000A:1At.CU1agA Brain 5.00 Brain 5.00 Hr40 A3 axia ... Hr60 A3 axia .. H 961b15b1-cc26-46b1-a756-bcb093dd4826- ^9/1/1997-M, 21.Y 4 18 Brain 5.00 Hr60 A3 axial 34 IFS CURRENT. 5/16/2019 Brain 5.00 Brain 5.00 Brain-5:00-Hr60-A3-axial [7] Hr40 A3 axia ... Hr60 A3 axia ... 11:59:55.79 AM MPR THICK 300 7 IMAO --- SP P429:4 8 4 18 Brain 5.00 Hr40 A3 axial 34 RA Patient Protocol Send [502] [502] Close Sem KV 120 kV 120 KV 120 H Distance between Images: 5.0 mm A SL 5.0 Slice Thickness: 5.0 mm SL 5.0 eThickness Distance between Images: 5.0 mm SL 5.0 Slice Thickness: 5.0 mm 1500 40 1500 M 512x481 M 512x481 M 512x481 450 Automatic Result Automatic Result Automatic Result EN 11:26 AM 31 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Print sheet SIEMENS • Drag and Drop from the series Healthineers meduser » ? M * = HERE Scan 4 = Recon O O X : 5/13/1929 F d6427eh9-a210-409d-9216-4e navigator to the print sheet CT View&GO X Printing ¢ × Series X CT View&GO d6427eb9-a210-4c9d-9216-4e55e5dc1542 Stack 3x2 Stack 4x4 Follow Up *5/13/1929, F, 89Y T Printer Copies 1 4 HFS OTP CURRENT Zoom/Par Drag & Text Arrow Add Study Send and Layout Print Save Archive 5/3/2019 Drop Paper Size Number of Print-o ... 0 Gallery Topogram 0.60 Tr20 sag [1] MPR VRT MPR MIP MPR 8:07:54.24 AM Current Compare TOP 100 1 IMA 1 CT. 5/2/2019 SP 0.0 Brain [factory](Adult) 51X2019 Vessel Favorite Tools I1124.33 AM A MAR THICH 200 MAR THICH 200 GRAD 40cm Topogram 0.60 Tr20 sag [1] [4] Brain 3.00 1140 A3 axia .. kV 140 mA 80 TI 2.04 LA F F Series Tr20f.A.n. :0000A:1 At.CUlage 512 TAAMIGLA F BOY Filt Brain 3.00 Patient SIECKIS 513 2019 SLX 2019 Hr60 A3 axia. Brain 300 Hrto AS mis Brain 3DO HrCo A5 min Protocol [502 .- Favorite Tools X MPARE THICH SDO MPRE THICH SDO GIAS GIAS O d6427eb9-a210-4c9d-9216-4e55e5dc1542 Distance ROI Circle *5/13/1929, F, 89Y Line 5/6/2019 3:34 PM CURRENT 3D VSTUDY 5/2/2019 Printing Physician (Patient Protocol [502] Snapshol Export Image Total mAs: 631 Total DLP: 234 Scan Qret.mAs 502 IMA 1 2120KV Patient Position HF'S Topogram Brain 200 257 Navigator. Drain 3.00 Hrto ¿ mabel SIECKIS CT_SOM PROT + L - 32c EN 5:41 PM 32 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Print sheet SIEMENS Healthineers ? H • Scroll with the keys PgUp and administrator X = Scan 4 = Recon 0 Printing * X PgDn through the print sheet CT View&GO ............................................... T Printer Copies 1 - HPR Serie Zoom/Pan Drag & Text Arrow Print Save CT View&GO 961b15b1-cc26-46b1-a756-bcb09 Drop Paper Size Number of Print-o. Layout Gallery Image idd4826 FS pages Stack 3x2 Stac Follow Up *9/1/1997, M, 21Y Add Study Send and 2TP CURRENT Archive 5/13/2019 Topogram 0.60 Tr20 cor [1] MPR VRT MPR MIP Current MPR Compare 1:33:36.37 PM TOP 100 Poring Bpirai Therm EDO Dr.D A 1 IMA 1 13416:37 PM CT, 5/13/2019 SP A125.0 Thorax Intervention [factory](Adult) Vessel Favorite Tools F LF Topogram 0.60 Tr20 cor [1] [1] fanning Spiral Thorax 5.00 ... kV 100 421 mA 80 TI 3.32 GT00 Paween 512 Series Tr20fA.n .. :0000A:1 At.CU1agA Planning Spiral Thoras EDO BriD A II Automatic Result Brain 5.00 Hr40 A3 axia ... Brain 5.00 4r60 A3 axia .. Favorite Tools X HPR O 961b15b1-cc26-46b1-a756-bcb09 idd4826 Distance ROI Circle ^9/1/1-997, M, 21-Y- IF S Line CURRENT 5/16/2019 Brain 5.00 Brain 5.00 Printing 3D Brain-5:00-Hr60-A3 axial [7] Hr40 A3 axia ... Hr60 A3 axia ... Snapshot O Fort Show in Tage 3D 11:59:55.79 AM MPR THICK 300 7 IMAO WIABOT, M, 21Y SP P429:4 124.06.20 PM MARO RA IPPIDIOS IPPINGS 5021 1502 KV 120 Distan ce between Images: 5.0 mm SL 5.0 :lice Thickness: 5.0 mm 1500 M 512x481 450 Automatic Result Automatic Result Automatic Result EN 11:56 AM 33 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Print every nth image - Smart Print SIEMENS • RMB on the print sheet image Healthineers administrator ? HO # = Scan 4 = Recon 0 O Printing X ................... segment CT View&GO X T Printer Copies HPR Series X Zoom/Pan Drag & Text Arrow Layout Save CT View&GO 961b15b1-cc26-46b1-a756-bcb09 Drop Paper Size *9/1/1997, M, 21Y Number of Print-o ... 0 Gallery Image dd4826 HFS Stack 3x2 Stack 4x4 Follow Up Add Study Send and TP CURRENT Archive 5/13/2019 Topogram 0.60 Tr20 cor [1] • Select Smart Print MPR VRT MPR MIP MPR Current Compare 1:33:36.37 PM TOP 100 Pouring Bigini Therms GDO DAD AS 1 IMA 1 13414:36 PM 13414:37 PM CT, 5/13/2019 SP A125.0 T Thorax Intervention [factory](Adult) Vessel Text Favorite Tools Arrow • Retain every nth image Select Series Reverse Series Topogram 0.60 Tr20 cor [1] [1] Planning Spiral Smart Print Thorax 5.00 ... MA SU Cut (Ctrl+X) 25.0 mm MIALET MARIY 512 Copy (Ctrl+C) $11312019 200 Parving Bipirai Theras, EDO DrÃO à Planning Spiral Thoras. EDO DriD à Series Tr20fA.n .. :0000A:1At.CU1agA 11 2 IAA Paste (Ctrl+V) Automatic Result Brain 5.00 Brain 5.00 Hr40 A3 axila ... 1r60 A3 axia ... Favorite Tools X Smart Print ? X O 961b1.5b1-cc26-46b1-a756-bcb09 Distance ROI Circle Parallel ^9/1/1-997- M, 21-Y- HFS Line Ranges CURRENT 5/16/2019 Printing TO 3D Brain 5.00 Brain 5.00 Brain-5:00-Hr60-A3-axial [7] 3 - Snapshot Export 11:59:55.79 AM . Retain Every Hr40 A3 axia ... Hr60 A3 axia ... Show in Image Image 3D MPR THICK 300 7 IMA O SP P429:4 Planing Spiral Thoras EDO Dr&D &G . Use Factory settings to Obtain layout and max allowed sheets to retain Nth image 134.00.48 PM RA Patient Protocol [502] [502] OK Cancel kV 12 Distan ce between Images: 5.0 mm A SL 5.0 alice Thickness: 5.0 mm W 1500 M 512x481 450 Automatic Result Automatic Result Automatic Result DEN 1:46 PM 34 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Series Navigator administrator ? H . • Series on List view signer x * 9/1/1997 M 961b15b1-cc26-46b1-a756-bc ... HPR Serie x 4826 syngo CT VA30A 961615b1-cc26-46b1-a756-bcb093dd4826- • Series Number & Series Name in a tabular HFS *9/1/1997, M, 21-Y HFS CURRENT. Add Study Send and Archive 5/16/2019 Brain-5:00-Hr40-A3-axial [6] # Seriec Mama format Series Number (#) 11:59:55.79 AM MPR THICK 300 Currer Series Name SP P429:4 CT, 5/13/2019 Thorax Intervention [factory](A. RA 1 Topogram 0.60 Tr20 cor [1] • Table Size adjustable 10cm 2 Planning Spiral Thorax 5 .... 6 Brain 5.00 Hr40 A3 axial ... -10cm 7 Brain 5.00 Hr60 A3 axial ... F KV 120 8 Brain 5.00 Hr40 A3 axial ... 5.0 mr • RMB on the table header to Hide the Series 425 SL 5.0 200 Brain 5.00 Hr60 A3 axial ... 50 M 512x481 40 502 Patient Protocol [502] Number Automatic Result HPR HPR 14826 FS 961H15h1-cc26-46b1-a756-bcb093dd4826 19/1 /1997-M, 21-Y- HFS CURRENT. 5/16/2019 Brain-5:00-Hr60-A3 axial [9] 11:59:55.79AM MPR THICK 300 9 IMAO SP P429:4 RA 10cm 10cm $ 5.0 mm (V 120 Sickness .... Distance between Images: 5.0 mm Slice Thickness: 5.0 mm 200 SL 5.0 1500 40 M 512x481 omatic Result Automatic Result EN 2:24 PM 35 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Series Navigator ? H . • Results Section was removed administrator signer X * 9/1/1997 M 961b15b1-cc26-46b1-a756-bc ... AF H Series cdd4826 961b15b1-cc26-46b1-a756-bcb093dd4826 *9/1/1997, M, 21Y syngo CT VA30A • Results make now part of the Current Study in the Series navigator syngo CT VA30A CURRENT Add Study Send and Archive 5/13/2019 Com A3 [2] 01 Planning Spiral Thorax 5 00 Br40 A3 [2] Series Name 2 IMAn.a. FRM n.a. 1:34:09.32 PM Current SP 0.0 Results generated by the user are marked with _CT, 5/13/2019 • Thorax Intervention [factory](A. 10cm 10 cm Topogram 0.60 Tr20 cor [1] LLLLLIN Planning Spiral Thorax 5 .... L Brain 5.00 Hr40 A3 axial [6] • Possibility to Merge results into one Series 83.0 mm Brain 5.00 Hr60 A3 axial [7] 425 So KV 80 MPR so Brain 5.00 Hr40 A3 axial [8] Brain 5.00 Hr60 A3 axial [9] Patient Protocol [502] Parallel Radial Curved (The series must obey some conditions, please see IFU for a detailed list) Spine * Vascular . Results CT View&GO [1016] M /A30A Complete ParaCor Export Series Preset Print Series Image Thickness 3.0 mm Merge Distance between Images 3.0 mm Delete Number of Images 91 Rename Field of View 260.0 x 421.0 ¢ mm Presets Orientation Image Series Range Series Name MPR 3mm Range[2] Image Comment Include Reference Image BL 3.0 425 Start Accept Close EN 3:01 PM 36 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Save Windowing administrator • Same feature as in Somaris 5/7 Recon 1 O X * 2/27/1964 F a8f1780d-b460-4574-8146-64. Series 08/1780d-b460-4674-8:45-6-1679c182608 • Windowing values will be saved in the DICOM Data 2/27/196-1. F. 55Y WWW22 CT VA30A *2/27/1964, F. 55Y SYngo CT VA30A Add Study Send CURRENT CURRENT Arch Planning Spiral Abdomen 5.00 Br40 A3 (2) Tool Gallery × 5:21:50.74 PM Marker Arrow Text SPI 200 2 IMA 1 SPF1181.2 Save changes when closing the viewer, otherwise Ranges factory] • R * Parabel Radial Radial Curved Spine Vascular new window values will be lost (even after clicking Ranges Ranges Slice .. Ranges Ranges Ranges Image Visualization Save Windowing) RV 80 EHt mAs 125 Qualty ref.mas 474 0.5 F Fit lo Fit to Acq. Hide Hide Lines |Full Text 30 Ref. OT 0.0 Segment Graphics SL 5.0.64x0.6/p06 354 .4.50 Br 40dA3n.:0268E: 1 AhAAS5MA Windowing • New Window values to be seen in the DICOM 1502 ... Windowing Hese Save Window ag Windowing Header 0811760d-b460-4674-8145-64679c162606 30 Editing *2/27/1 964, F. 55Y syn99 CT VA30A CURRENT 5/10/2019 Cho Plane Remove Sequence Abdomen 5.00 Bm40 [4] DSA Table Removal 5:22 16.83 PM SEQ 300 Print & Export 4 IMA 3 SP F1201 0 Snapshot Save as Image Series Export Postprocessing 3D KY 120 Show in Endosco Osteo Define 30 View Vessels F GT 0.0 SL 5.03x5.0 512 512 354 -4.50 SO Er403A.n.:0200A:04b.8A2934 40 CT_SOM PROT 200 L - 32cm 5 - 16cm DEN 1:55 P 37 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Save Windowing • Same feature as in Somaris 5/7 More Filters Q hand Modality (Ctrl+F) Q View&GO Print Open Open with DICOM Import Export Q/R Display DICOM Header ? X • Windowing values will be saved in the DICOM Data Baldwin, Allie (2/27/1964) MED, 11) "O" (1) Sequence Abdomen Patient Protocol Dose Report Examination Report Samples per (0028.0002) US Segmental 5.00 Br40 View& Save changes when closing the viewer, Pixel • Photometric (0028,0004) CS "MONOCHROME2" (" Interpretation otherwise new window values will be Rows (0028.0010) US 512 Columns (0028,0011) US 1 512 lost (even after clicking Save Windowing) (0028,0030) "0.69140625" (10) Open Pixel Spacing DS 2 2 "0.69140625" (10) View as Read-Only Bits Allocated (0028.0100) US 1 1 16 @ Open with Bits Stored (0028.0101) US 1 1 16 View as Read-Only with • New Window values to be seen in the High Bit (0028,0102) US 1 1 15 Set Archive state Pixel (0028.0103) US 1 DICOM Header Representation Correct Smallest Image (0028.0106) US 1 7168 Split to New Series Pixel Value Del Largest Image (0028.0107) Delete US 9367 Pixel Value Display DICOM Header Burned In (0028,0301) CS 1 "NO" (2) Annotation 4 6 Window Center (0028,1050) DS 2 2 "90" (2) 45" (2) Window Width (0028,1051) DS 2 12 "190" (3) "315" (3) Rescale Intercept (0028.1052) DS 8192" (5) 38 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Save as Series administrator ? MO # • Easier way to generate Ranges exactly as they = Recon 3 Exam Designer 2019.09_12-15:48:10-DST-Trauma X 7b152fae-edd8-4e5f-9a7e-7761fdca868c * 11/18/1858 (160) O 2019.09.12-15:48:10 -.. CT View&GO are viewed H Series X CURRENT CURRENT 9/1 2/2019 9/1 2/2019 4:28 PM 3:52:57.50 PM 501 IMA 1 Add Study Send and 1 IMA 1 Ward. Archive SP A125.0 Physician • Configured settings on the viewing segment Total MAS: 670 Total DLP: 32 Curren Scan Q.ref.mAs kV Gret. eff, CTDIvol" DLP Trot. @120kV mas DAS mGy mGycm CT, 9/12/2019 will be kept for the new Series (Window, Thorax [factory](Adult) Topogra FS 100 Sn100 60 mA 0.01 L R Thorax 200 60 70 218 60 1.04 L 31 0.33 Zoom, Slice thickness, Increment…) Topogram 0:50 120 cor [1] [1] Patient Protocol [501 .. A SL • ≈ to Range tool but ≠ because no need to SL 350 50 CT_SOMS TOP 50 CT_SOM PROT insert the parameters Filter Sn Thorax 2.00 L = 32cm( S = 16cm Thorax 5.00 Br60 A3 ax [ ... ARF Zoom/Pan ARF CURRENT O. Windowing 9/1 2/2019 3:53:15.72 PM 19 IMA 41 Rotate Save changes when closing the viewer, SP F1203.3 Thorax 2.00 • Scroll 8160 A3 ax n ... otherwise new Series will be lost Il Movie 3D Reference Point RPF Ranges Scm Save as Series Fit to Segment Create a new series out of the data currently displayed in segment. 5cm SL 5.0 SL 20 525 1200 CT_SOMS MPR 85 =600 EN 1:15 PM 39 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Activation of Bone Removal/Vessel Definition on 2D filter type SIEMENS • Bone Removal and Vessel Healthineers administrator ? H = = Scan 4 = Recon 1 O * 2/27/1964 F a8f1780d-b460-4b74-8f46-64 ... Definition tools are available also CT View&GO X Series CT View&GO a8f1780d-b460-4b74-8146-64b79cf62606 a8f1780d-b460-4b74-8146-64b79cf62606 on 2D filter type *2/27/1964, F, 55Y syngo CT VA30A Stack 3x2 Stack 4x4 Follow Up *2/27/1964, F, 55Y Syngo CT VA30A HFS Add Study Send and 2TP CURRENT CURRENT Archive 5/10/2019 5/10/2019 Topogram 0.60 Tr20 cor [1] Planning Spiral Abdomen 5.00 Br40 A3 [2] MPR VRT MPR MIP Current MPR Compare 5:21:22.90 PM 5:21:50.74 PM TOP 100 SPI 200 1 IMA 1 2 IMA 1 CT, 5/10/2019 SP A125.0 SP F1181.2 Abdomen Intervention [factory](Adult) • Once Bone Removal or Vessel Vessel Favorite Tools R R Definition tool is selected, the VRT 10cm MinIP Thin 10cm Topogram 0.60 Planning Spiral filter type automatically changes MIP r20 cor [1] [1] Abdomen 5.0 ... MA 80 A MPR/MPR F GT 0.0 to MPR Thick -SL- 512 MPR Thick 400 Series Tr20fA.n .. :0000A:1 At.CU1agA C 40 Filter Sn 2D i-Sequence Patient ................................................................ Abdomen 5.0. Protocol [502 ... Favorite Tools X Show original 2D images [1] O a8f1780d-b460-4b74-8f46-64b79cf62606 syngo CT VA30A a8f1780d-b460-4b74-8f46-64b79cf62606 Distance ROI Circle Parallel *2/27/1964, F, 55Y Line HFS *2/27/1 964, F. 55Y 5/13/2019 10:36 AM Ranges CURRENT 5/10/2019 CURRENT Ward 3D STUDY 5/10/2019 Physician: Lung WindowZo Printing Operator: m Thick [10131. Snapshot Export O i-Sequence Abdomen 5.00 Br40 [4] Patient Protocol [502] Show in Image 5:22:16.83 PM Total mAs: 912 Total DLP. 47 SEQ 300 Scan Q.ref.mAs kV Q.ref. eff. CTDIvol' DLP T rot. 4 IMA 3 502 IMA 1 @120kV MAS MAS may maycm SP F1201.0 Patient Position HFS Define Bone Save Topogram 200 Sn100 Vessels Removal Windowing 80 mA 0.13L Planning Spiral Abdomen 129 80 474 201 4.74 L 0.50 i-Sequence Abdomen 120 59 3.66 L 0.5 10 cm kV 120 mAs 59 F Zoom 0.95 TI 0.5 SL GT 0.0 SL 5.0/3x5.0 400 512*512 354 -4.5/0 50 Br40sA.n .. :0200A:0Ab.B.A2agA 40 CT_SOM PROT 200 . L = 32cm; S = 16cm EN 2:49 PM 40 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Fusion functionality SIEMENS ? H . • RMB drag and drop to fuse series / Healthineers administrator R Scan 4 = Recon 1 O X 2/13/2018 M #goTop_40 Select two series and choose CT View&GO X Zoom/Pan A Series × CT View&GO Windowing Fused Display Type on the left Stack 3x2 Stack 4x4 Follow Up Add Study Send and 2TP Rotate Archive SOMATOM go. Top lower corner Scroll Series Name MPR VRT MPR MIP MPR Compare CURRENT Movie 18 Current Vessel Visual Alignment 1,50 Qr40 S3 (1121) | Venose Phase Abdomen 1,50 Qr40_S3 (1121) jj Input/L_Au120kV [18] CT 2/9/2018 Head Thx Abd DECT OCT Favorite Tools 3D Refer > Manual registration of two data sets Topogramm 0,60 Tr20 ko. • Visual Alignement Ranges Premonitoring 10,00 Br36 [2] Monitoring 10,00 Br36 [4] Save as Series Topogramm 0,60 Tr20 sag. Fit to Segment 6 Kopf KM 5,00 Hr40 S3 ax. 8 Kopf KM 5,00 Hr60 S3 ax • Mini Tool Bar Kopf KM 1,00 Hr40 S3 [10] Series 11 Kopf KM 1,00 Hr60 S3 [11] R Favorite Tools X 12 Venöse Phase Abdomen 5 Possibility to choose between O 14 Venöse Phase Abdomen 5 • 16 Venöse Phase Abdomen 5 Distance ROI Circle Parallel Line Ranges 5 Patientenprotokoll [502] 3D Printing Geometric, Identity or User O 10cm Venose Phase Abdomen 1, Snapshot Export Show in Image 3D › Derived Defined Input 18 L_Au120kV [18] 19 H_Sn120kV [19] 20 Venöse Phase Abdomen 5 a 50.00% SL min 22 Venöse Phase Abdomen 3, SPC 0.8 1. Results CT Dual Energy [1105] AC 400 40 W 300 MPR FUSION 40 *User Defined Save Save As Delete .................................................................... EN 3:44 PM 41 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Multiphase data support (in 3D layouts and in Series navigator) • Splitted and non-splitted multiphase Series Series can be created at the Scanner • At the viewer both types of data will be CT Raw data Topogram 0.60 Tr20 Calcium Scoring 3.00 Sa36 BestDi .... Calcium Scoring 3.00 Sa36 BestSy ... AutoCaScoreSegme CT CaScoring Scored Volume [2] CT CaScoring AutoCaScoreSegme CT CaScoring cor ntation Segmentati .. Results [2] ntation Segmentati ... Scored Volume [7] handled the same way • They will be grouped under a 4D node on the CT CaScoring CTA Coronary 0.80 Bv40 A3 20% - 80% Patient Protocol Dose Report Examination Report CTA Coronary 0.80 CTA Coronary 0.80 Results [7] Bv40 A3 20% CTA Coronary 0.80 Bv40 A3 40% Bv40 A3 60% CTA Coronary 0.80 Series Navigator 10 A3 80% Navigate through the different phases also in Instances • a 3D layout (MPR/MIP, MPR/VRT, etc.)  With the Keyboard and  Press and hold RMB, move the mouse left and right 42 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 CT View&GO Improvements SIEMENS Healthineers Multiphase data support (in 3D layouts and in Series navigator) • Splitted and non-splitted multiphase Series meduser › ? M * = = Recon 1 O * 6/7/1948 M ff121566-424a-4d90-899e-a6e ... can be created at the Scanner Series X ff121566-424a-4d90-899e-a6e2fe721650 *6/7/1948, M, 70Y syngo CT VA30A ff121566-424a-4d90-899e-a6e2fe721650 *6/7/1948, M, 70Y syngo CT VA30A Add Study Send and CURRENT CURRENT Archive 5/27/2019 5127/2019 CTA Coronary 0.80 Bv40 A3 20% - 80% [P29] At the viewer both types of data will be 1.2 CTA Coronary 0.80 Bv40 A3 20% - 80% [P29] # Series Name 512/20 • 512/20 29 IMA ~124 29 IMA n.a. FRM n.a. 4:12:06.15 PM 4:12:06.15 PM Current SP F1167.7 SP A120.0 handled the same way CT, 5/27/2019 Coronary CTA [factory](Adult) 29 CTA Coronary 0.80 Bv40 A3 20% - 80% - 512 5cm 5cm 20 • They will be grouped under a 4D node on F A 40 HR 60 BPM P +20% SL 0.5 HR 60 BPM P +20% SL 0.5 60 kV 70 SPC 0.5 kV 70 SPC 0.5 the Series Navigator 80 MPR THICK 990 MPR THICK W 990 345 +C 345 CTA Coronary 0.80 Bv40 A3 % 60bpm, 20%, 150ms 60bpm, 20%, 150ms 512 .................................................................................................................................................................................................................................... H 30 20 31 40 • Navigate through the different phases also ff121566-424a-4d90-899e-a6e2fe721650 syngo CT VA30A ff121566-424a-4d90-899e-a6e2fe721650 *6/7/1948, M, 70Y *6/7/1948, M, 70Y syngo CT VA30A 32 60 CURRENT CURRENT 33 80 5/27/2019 5/27/2019 in a 3D layout (MPR/MIP, MPR/VRT, etc.) CTA Coronary 0.80 Bv40 A3 20% - 80% [P29] 1. 2 CTA Coronary 0.80 Bv40 A3 20% - 80% [P29] 512/20 512/20 2 29 IMA n.a. FRM n.a. With the Keyboard and 4:12:06.15 PM 4:12:06.15 PM SP L30.4 SP A120.0   Press and hold RMB, move the mouse left and right 5cm 5cm HR 60 BPM SL 0.5 HR 60 BPM P +20% SPC 0.5 P +20% kV 70 kV 70 A MPR THICK 990 345 Manip VRT +C +C 50bpm, 20%, 150ms 60bpm, 20%, 150ms 0 EN 9:59 AM 43 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Guide&GO Improvements OPTIONAL SIEMENS Healthineers Settings No patient registered C • In the Intervention configuration tab you can now additionally General Radiotherapy Intervention User Position Enable angle measurements Position of Physician Left or Right Side of the Table - Show distance lines everywhere Image Information - Image Text Show text in image comers Angle Measurements For distance lines, display the angle to the vertical Show Distance Lines Everywhere Show distance lines in all other slices and scans Angle Measurements For distance lines, display the angle to the vertical Show Distance Lines Everywhere Show distance lines in all other slices and scans -1110.5 120.0 44 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Guide&GO Improvements OPTIONAL SIEMENS Healthineers Scan Interface • Save key images function: X Last/Next 3.43 CTDIvol (32 cm) [mGY] 5.14 25.0 196 DLP [mGY*cm] Accumulated CTDIvol (32 cm) [mGY] DLP [mGY*cm] In the toolbar you can find the new „save key images“ ff1e34f2-6347-4e02-bf41-ff6745d3901f SOMATOM go. Top - *2/22/1938, M. 80Y Key image has been saved syngo CT VA30A 12/20/2018 HFS (= Snapshot) icon: 8:51:10.52 AM 4 IMA 12 SPI 400 SP -1,114.0 After you pressed the icon a message pops up at the - upper part of the tablet: 4kV 80 Eff. mAs 50 Quality ref. mAs 404 F TI 0.5 GT 0.0 Key image has been saved SL 5:0/64x0,6/p0.8 354 -5/0 Planning 300 Br40.f3 .. S3CO.A10. Activate scan or finalize intervention Finalize GO Possible in both layouts. The saved images are - immediately visible in View&GO -1289.0 100.0 Multiple scans at the same position 45 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Guide&GO Improvements OPTIONAL SIEMENS Healthineers Angle measurements 0° • Angle measurements functionality: Last/Next 1.55 CTDIvol (32 cm) [mGY] 1.39 DLP [mGY"cm] Accumulated 12.5 CTDIvol (32 cm) [mGY] 108 DLP [mGY*cm] In VA30 angle measurements are available, if the function is @1d7/19-8645-1464-00:1 3:262610 7-1 SOMATCM DO Top - 12/20/2018 9 16:24 57 AM enabled in the settings page: 4IMA 2 SEQ 400 SP-1 4795 30" Angle Measurements For distance lines, display the angle to the vertical 40 mm | 31º The vertical line (= 0°) is not displayed. It is used to measure - the angle between the distance line and the vertical line 10cm 0° kV 50130 Elf. MAS 154 110.5 GT 0.0 The angle between the distance line and the vertical line is F 287 07-23 - Er60.10 S.TO ., 10 ... Fiter Si measured and displayed next to the distance 5 Feet Center Head The degree value is always positive! - 70 mm 30 Continue scanning or finalize intervention Finalize GO -1479.5 100.0 Press START Feed = 0 46 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Guide&GO Improvements OPTIONAL SIEMENS Healthineers Collimation • iSequence slice with 3mm and 5mm thickness is available. It can be selected directly O C. on the tablet in the upper right corner where you can find the other scan parameters Last/Next 3.43 5.14 7.42 83.6 CTDIvol (32 cm) [mGY] DLP [mGY*cm) Accumulated CTDIvol (32 cm) [mGV] DLP [mGY*cm] Abdomen Intervention (Adult) Head First - Supine Patient Orientation • The slice thickness selection replaced the kernel selection drop down 0.50 50. Exposure Time [s] ElM. mAs KV 3 × 3.0 3 × 5.0 • Changed values need to be confirmed with “GO” • Available for all systems except SOMATOM go.Now – 3 mm only! 10cm KV 125 Eff. MAS 50 F 1105 GT 0.0 SL 5.00/6x5.0 300 - 14/0 Br40.10. S.TC .. 10 .. A 1 Feet Center Head Continue scanning or finalize intervention Finalize GO -1246.0 100.0 Press START Feed = 0 47 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Guide&GO Improvements OPTIONAL SIEMENS Healthineers Collimation Basic Tablet CT Intervention i-Sequence mode only 3 slices SOMATOM.go Now 3 x 3 mm O O SOMATOM.go Up 3 x 3 mm 3 x 5 mm SOMATOM.go All 3 x 3 mm 3 x 5 mm SOMATOM.go Top 3 x 3 mm 3 x 5 mm 48 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Guide&GO Improvements OPTIONAL SIEMENS Healthineers Distance Lines • Show distance line can be configured in the settings menu: O × x C Show Distance Lines Everywhere Last/Next 3.43 5.14 Accumulated 3.99 78 4 Last/Next 3.43 5 14 Accumulated 3.99 78.4 CTDIvol (32 cm) [mGY] DLP [mGY"cm] CTDIvol (32 cm) [mGY] DLP [mGY*cm] CTDIvol (32 cm) [mGY] DLP [mGY"cm] CTDIvol (32 cm) [mGY] DLP [mGY*cm] Show distance lines in all other slices and scans TAN ce8271eb-a4ca-4c14-8a1a-ea62170d4bf5 SOMATOM go. Top *4/15/1928, F. 90Y syngo CT VA30A ce8271eb-a4cp *4/15/1928 90Y Ba1a-ea62170d4bf5 SOMATOM go. Top syngo CT VA30A HFS 12/20/2018 12/20/201 HFS • A distance measurement will be shown as a straight white 9:24:09.06 AM 9:24:09.6 AM 3 IMA 14 3 IMA 21 SPI 300 SPI 300 SP -1,246.1 SP -1,28 line in a slice. 18 • If you scroll now through the available slices, the distance 93 mm line will be propagated to all other slices and displayed as a dashed white line. kV. 80 kV 80 Eff. mAs 96 11213 Eff. MAs 96 Quality ref, mAs 404 Quality ref. mAs 404 TI 0.5 TI 0.5 GT 0.0 GT 0.0 SL 5.0/64x0.6/p0.8 Planning SL 5.0/64x0.6/p0.8 300 -14/0 O 300 -14/0 Planning Br40.f3 .. S3CO,A1o ... Br40.f3 .. S3CO,A1o ... C 40 O Activate scan or finalize Activate scan or finalize intervention intervention Finalize GO Finalize GO -1361.5 100.0 0 Multiple scans at the same position -1361.5 100.0 0º Multiple scans at the same position 49 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Guide&GO Improvements OPTIONAL SIEMENS Healthineers Distance Lines • Straight line vs dashed line: O x C ce8271eb-a4ca-4c14-8a1a-ea62170d4bf5 ce8271eb-a4ca-4c14-8a1a-ea62170d4bf5 Last/Next 3.43 5.14 Accumulated 7.42 3.43 5 14 3.99 78.4 *4/15/1928. F. 90Y *4/15/1928. F. 90Y CTDIvol (32 cm) [mGY] DLP [mGY*cm] CTDIvol (32 cm) [mGY] 83.6 Last/Next DLP [mGY*cm] CTDIvol (32 cm) [mGY] DLP [mGY"cm] Accumulated CTDIvol (32 cm) [mGY] DLP [mGY*cm] TAN 12/20/2018 12/20/2018 ces271eb 24ca-4c 14-8a18-867 70046f5 SOMATCMO:.Top 4/15/1928 F, 90Y SyT40 CT VAROA ce8271eb-a4cp 90Y Ba1a-ea62170d4bf5 SOMATOM go. Top *4/15/1928 syngo CT VA30A 9:24:09.06 AM 9:24:09.63 AM 12/20/2018 9: 26:06.24 AM 12/20/201 HFS 3 IMA 14 3 IMA 21 4 MA 2 SEQ 400 9:24:09.6 AM SPI 300 SF-12460 3 IMA 21 SPI 300 SPI 300 SP -1,246.1 SP - 1,281.1 SP -1,28 93 mm | 18º 10cm kV 120 EMf. MAN 50 F 110.5 GT 0.0 SL 5.06x5.0 300-14/0 Er40.10 S.TO .. 10 ... • This is possible in both layouts. kV 80 Eff. MAs 96 Quality ref. mAs 404 TI 0.5 GT 0.0 Feet Center Head SL 5.0/64x0.6/p0.8 300 -14/0 Planning Br40.f3 .. S3CO,A1o ... C 40 O Continue scanning or finalize Activate scan or finalize intervention intervention Finalize GO Finalize GO - - 1246.0 100.0 Press START -1361.5 100.0 0º Feed = 0 Multiple scans at the same position O 50 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Guide&GO Improvements OPTIONAL SIEMENS Healthineers Laser Crosshair • Laser Crosshair button O Last/Next 3.43 5.14 CTDIvol (32 cm) [mGY] DLP [mGY*cm] Accumulated 7.42 83.6 CTDivol (32 cm) [mGY] DLP [mGY*cm] The laser crosshair button moved now to the first level in ces271eb-24ca-4c 4-8ala- ea62170c4615 SOMATCMQ: Top - 4/15/1928. F. 90Y EynCe CT VASCA 12/20/2018 9 26 06 24 AM 4 IMA 3 the UI SEQ 400 SP-12410 By clicking the new icon you can toggle the red laser - crosshair over the image kV 125 Eff. MAS 50 GT 0.0 SL 5.0/3x5.0 300 -14/0 Br40.10 S.TC .. To ... 1 Feet Center Head Continue scanning or finalize intervention Finalize GO -1246.0 100.0 0º Press START @ Feed = 0 51 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Guide&GO Improvements OPTIONAL SIEMENS Healthineers New tilt behaviour “As a clinical user I want to have a tilt workflow that X 9/6/1931 recognizes the change of the system tilt and applies it to Last/Next 2.06 3.08 CIDNol (32 am) ImGr] Accumulated 2.05 47.3 CTDIval (32 om) [m(311 DLF ImGY"By the next i-Sequence range to be performed.“ e8d:8558-0927-4114-bdb6-001f259d497c SOMATOM go.Top "Br8/1931, M. 87Y syngo CT VA3DA 5/29/2019 HES B: 14:46.11 AM 3 IMA 16 SPI 200 Workflow: TP 92318 Scan protocol contains any unperformed intervention Ranges - Gantry tilt is changed via Positioning UI or tablet - New system tilt value is automatically applied to all unperformed - intervention Ranges in the protocol Table/Gantry Position Note: Gantry tilt operations at any other time in the workflow are ignored, Actual Position -1126.0 100.0 -1.50 e.g. if the system is tilted and afterwards an iSeq range is added via append. Table Position Table Height Titt Save as A Save as B Table Presets A: -400.0 150.0 Table Position Table Heighil Move to A B: -800.0 150.0 Table Position Move tool Table Height -1126 0 100 0 -15º Press MOVE >> to tilt. 52 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Guide&GO Improvements OPTIONAL SIEMENS Healthineers Others New in VA30: • API support for i-Sequence 53 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Cardiac Improvements OPTIONAL SIEMENS Healthineers CaScoring Kernel (go.Up/All/Top) • Freedom of patient specific selection of tube voltage 80 kV 100 kV Any kV CaScoring 120 kV 140 KV Special reconstruction kernel (Sa36) providing material - corrected images corresponding to a 120 kV equivalent spectra Lookup based correction in raw data space - Original [HU] Applicable to 70 kV – 140 kV - Artificial 120 [HU] 54 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Cardiac Improvements OPTIONAL SIEMENS Healthineers Recon&GO Inline CaScoring (go.All/Top) Calcium Scoring • Scan mode key words: Cardiac NOT Angio Scan Mode • Inline results  Application  CT CaScoring CardiacSequenceAdult Ca • Image with comment 2 shows Agatston Score auto • Both BestDiast and BestSyst phase series are saved Scan/Recon Inline Results Reference Database Calcium Scoring 3.00 Sa36 BestDiast CT CaScoring Raggi, Circulation, 2000 (USA, 9730 patients) HNR, Schmermund, Atheroscl, 2006 (Germany, 4275 patients Hoff, Am J Cardiol, 2001 (USA, 35246 patients) Raggi, Circulation, 2000 (USA, 9730 patients) 60 60 60 60 60 MESA, McClelland, Circulation, 2006 (USA, 6110 patients) Rumberger, Mayo Clin Proc, 1999 (USA, 1898 patients) * If you are interested in trying out this option, please contact your local SIEMENS Healthineers sales representative to get more information on the trial license CaScoring Package which includes CaScoring application and its requirements. 55 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Cardiac Improvements OPTIONAL SIEMENS Healthineers Recon&GO Inline CaScoring (go.All/Top) • Automated CaScoring result series Series Series Number A Series Description Modality # Instances in ... Series Archiv 1 Topogram 0.60 Tr20 cor CT 1 2 Calcium Scoring 3.00 Sa36 BestDiast 70% CT 91 4 CT CaScoring Scored Volume [2] CT 91 5 CT CaScoring Results [2] CT 2 6 Calcium Scoring 3.00 Sa36 BestSyst 300ms CT 91 CT CaScoring Scored Volume [6] CT 91 8 CT CaScoring Results [6] CT 2 Instances 1 2 56 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Cardiac Improvements OPTIONAL SIEMENS Healthineers Long/short Axis under image orientation (go.All/Top) • Prerequisites: Parallel Range SIEMENS Healthingers = Scan 1 = Recon 1 · 3/25/1967 (52) F c0272017-3708-4653-bd3. Exam Designer Heart (Organ) DO Bv36 A3 BestDiast heart long axis HAL Coronary CTA [factor ... ma HAR C0272017-$700-4653-bd31-959005495721 YA30A C0272017-876 DO Bv36 A3 BestDiast heart short axis mas -3250907, F, SZY HS *3/26/1 967. F. 52Y VA30A 6/2/2019 6:22/2019 • This can be combined with myLogix Compass 11-52:01.06 PM 11:52:01.86 PM DO Bv36 A3 BestDiast heart four chamber 14 MAQ 13 MA 14 Topogram MP THIN 400 MP THIN 400 multi recons Premonitoring arallel Ranges Monitoring RAF Preconditions · CTA Coronary Auto Tasking Inline Options CTDivo (32 cm) 2.47 mGy V 70 KV 70 - DLP 28.1 m/3y"om EN: MAS 22 SL 5.0 50 600 70 Autonac Resut, Gobom, 250ms S, 150mb Automatic Result: 06pm) 250ms S, 150ms 200 KV Exposure Tiche 5.60 Image Orientation Organ Reconstruction Recon Favorites | General Recon Recon&GO [ Image Impression Recon Box Physio Recon Scan/Recon Inline Results Organ Remove Remove Viewing High Close Direction Heart Long Axis Table Bones Resolution CIA Coronary 5.00 Bv36 A3 BestSyst heart long axis Lett to Right CTA Coronary 5.00 Bv36 A3 BestSyst heart short axis Parallel Ranges Heart Short Axis Heart On Off Front to B. Heart CTA Coronary 5.00 Bv36 A3 BestSyst heart four chamber Feet to He ... Heart Four Chamber No Organ 60 60 60 60 60 60 60 60 60 Head/Neck 60 60 60 Thorax 60 Cardiac Switch to Close Heart Shoulder Next Cance Abdomen 3.3s 10.3s 1.3s 5.1s 2 12 10 22.3 Pelvis 10 20 Lower Extremiti 57 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Cardiac Improvements OPTIONAL SIEMENS Healthineers New Organ: Coronary Tree/Heart (isolation) (go.All/Top) • Prerequisites: Scan mode keywords: Cardiac and Angio VA30 Fabert Age. 63 Y Coronary Age > 70 Y Score: 878.9 Significant Calcification - con 1000 100 Inline results: 10 • Radial Ranges - 35 55 Image type MIP or VRT - Equv. Mitk/mg O CO Ca 30 701.7 157.29 Total 705.7 157.29 CH Scan Favorites General Scan Dose Timing Config - - - Scan/Recon Scan Mode KV Eff. mAs CTDIvol [mGy] DLP Short Time Agestion eouvalent, Thestelt: 130 HU (1232 roem C++64) [mGy*cm] CTA Coronary CardiacSpiralAdultAngio 70 22 (32 cm) 2.47 28.1 Recon Favori ... | General Recon | Recon&GO | Image Impres .. Recon Box Physio Recon Scan/Recon Inline Results Organ Angle Between Remove Remove Viewing High Images [*] Table Bones Direction Resolution CTA Coronary 3.00 Bv40 A3 BestSyst sagit ... Radial Ranges Coronary Tree 10 On Off Left to Right Off 1 The selected organ is not available for the selected image type. Please set image type to VRT or MIP, or change the selected organ. Automatic Result 60 60 60 60 60 60 60 160 09 09 58 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Cardiac Improvements OPTIONAL SIEMENS Healthineers Multi phase reconstruction (go.All/Top) • Inline Results and max H Recon Re 15410365-478c-4611-3598-328541611248 [email protected] Multi Recons have to Ph MAS *10/25/1927. M. 919 syngo CT VA30A FFS $10/25/1927, M, 91Y syngo CT VA304 HFS ep Phase(s) 6/25/2019 6/25/2019 0:00 31 62 FIX 0: 11:50:55 PM 1 MA1 TP1-842 1 be set to “None” TOP 101 -- TP2 -053 B 102 IMA 25 RTD SCO TP-750.0 LEN 1110 FOV 100x109 TP -944.1 0%; 5 ... ¥ 0% R R 5% ¥ 10% --------- 100m TOCH kV 70 60 15% k'y Smo0 Eff. MAs 335 M.4 80 Quality ref. mAs 153 TI 3.32 TI 0.3 F ¥ 20% BT 0.0 SL SL 4.0/128x0.6 (z-sharp)p0.23 512000 350 421 00 990 ¥ 25% Tr201A.n.:0000A:1At.CUlage Fiter Sn 50 Dv36cl4 n.:0242A-1AHLBSSagA 345 ¥ 30% Recon Favorites | General Recon Recon&GO | Image Impression Recon Box Physio Recon AL ¥ 35% Scan/Recon Recon Type Recon Recon Recon True Temporal 40% Phase Step Phase(S) Phase Unit Stack Resolution [ms] ¥ 45% CTA Coronary 0.80 Bv40 .. Multi Phase 50 Oms; 50m ... ms Off 150 ¥ 50% Single Phase 55% Multi Phase BestPhase (diastolic) ¥ 60% 60 60 60 BestPhase (systolic) 50 60 60 60 60 60 60 60 60 ¥ 65% 70% 59 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Other Improvements SIEMENS Healthineers Scan Protocols Naming philosophy: Lower Extremities (9) Vascular Thorax (3) • 1. organ Foot [factory] Thorax CTA [factory] E 2. contrast phase Foot DE Gout |factory] Thorax Coronary CTA factory] 3. info for differentiation Foot DE Bone Marrow [factory] Pulmonary CTA [factory] Leg or Ankle [factory] E • Suffix [factory] to keep the “good” names T- and L-Spine disc or bone |[factory] for the customers Pelvis soft tissue or bone [factory] • Delete “[factory]” for customer protocols Whole Body soft tissue or bone [factory] E E Thorax routine or screening [factory] E Brain and Neck CTA [factory] CTA [factory] Pulmonary CTA factory] Coronary CTA [factory] Brain Perfusion | factory] LEEEE 60 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Other Improvements SIEMENS Healthineers Scan Protocols (go.All/Top) • Dynamic: Head (9) Vascular Thorax (5) Dynamic folder deleted - Brain [factory] Thorax CTA [factory] Scan protocols now in the E - Brain Multi Phase [factory] Thorax Dynamic CTA [factory] according anatomy and vascular Brain DE Hemorrhage Post Int ... Thorax Coronary CTA [factory] E folder Brain Perfusion [factory] Pulmonary CTA [factory] Brain Perfusion Prolonged [fac ... Inner Ear [factory] E • Flex 4D Spiral* for: Head (2) Thorax (1) Perfusion Brain Perfusion [factory] Vascular Thorax (1) - Dynamic CTA Brain Perfusion Prolonged [fac ... Thorax Dynamic [factory] Thorax Dynamic CTA [factory] - Dynamic - Abdomen (1) Vascular Head (1) Vascular Extremities (1) | Liver Perfusion [factory] Brain Dynamic CTA [factory] Extremity Dynamic CTA [factory] * If you are interested in trying out this option, please contact your local SIEMENS Healthineers sales representative to get more information on the feature and its requirements. 61 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement VA30 Other Improvements SIEMENS Healthineers syngo.via and Scanner compatibility Scanner Scanner Software Version Specification Compatible syngo.via Software Version Platform Som/7 VA48 and higher TBDE; syngo.via CT Dual Energy syngo.via VB10 and higher is needed Som/X VA20 TBDE; syngo.via CT Dual Energy syngo.via VB20A_HF06 or syngo.via VB30 (and higher) is needed Som/X VA30 TSDE (all scanners) and TBDE (go.Top only) syngo.via VB40 (and higher) is needed Som/X VA20 (and VA30) Cardiac – syngo.via CT Coronary Analysis syngo.via VB20A_HF06, syngo.via VB30_HF02 (and higher) is needed Som/X VA20 (and VA30) Cardiac – syngo.via CT Cardiac Function syngo.via VB20A_HF_07* syngo.via VB30_HF05* (and higher) is needed Som/X VA10 and VA20 Colon – syngo.via CT Colonography syngo.via VB20_HF07* syngo.via VB30_HF04 (and higher) is needed 62 Scan Recon Patient Tablet CT View&GO Guide&GO Cardiac Others Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Improvement Improvement Browser Improvement Improvement Improvement Improvement Unrestricted © Siemens Healthcare GmbH, 2019 Improvement SIEMENS Healthineers 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 2019 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 63 Job Aid Effective Date: 06/01/2020|USA - HOOD05162003062244 Unrestricted © Siemens Healthcare GmbH, 2019

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