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SOMATOM go. platform Vascular Job Aid (VA20)

This Job Aid guides you through the Vascular workflow of CT View&GO for the SOMATOM go. VA20 software version in 8 easy steps.

Vascular Job Aid SOMATOM go. VA20 CT View&GO In 8 easy steps, this document guides you through the Vascular 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 CT Vascular patient data into CT View&GO (1 and 2). SIEMENS Healthineers adminUser R = 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 Delete be Recon Results (41 results, 9:36:45 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( 6 Aorta_CM 0.75 B25f CT 91 MEP_China_03_2017_00003_Scott 1/1/1953 837c3b4aa0 CT, SR 2/23/2017 10:21:4 02_GZ_Thorax(Ad. 603 CT MEP_China_03_2017_00003_Scott 1/1/1985 837c3b4aa0 CT, SR 2/23/2017 9:59:49 01_CN_Abdomen(. MEP_China_03_2017_00003_Scott 1/1/1985 837c3b4aa0 CT, SR 2/23/2017 9:57:59 01_CN_Thorax(Ad 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 0 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 1/1940 OsteoU_Seq CT 4/10/2014 10:38:4 Spezial^07_Osteo OsteoU_Sequ_PhantDetect_Failed 1 OsteoU_Seq CT 6/27/2013 2:51:13. OsteoU_Sequ_PhantDetect_Failed_2 2416/1939 OsteoU_Seq CT 12/18/1995 11:40: ... Abdomen Q1 Abcd Instances CT PEP_AorticCoarctation_AVA 9/8/1968 CC CT 5/7/2007 11:25:55. ThoraxAngio_%_# PEP_CT_Colonography_z PEP_CT_LungCare, Followup 1/11/1939 454 CT 2/5/2003 9:40:09 AM 05-Feb-2003 @ PEP_CT_LungCare, Followup 1/11/1939 454 CT 10/23/2002 8:41:4 23-Oct-2002 @ PEP_NeuroDSA_Carotids 1/26/1931 CC CT 3/7/2007 10:21:40 Brain Scan & # PEP_ThoraxAbdo_CTA_IDR_NOZ 7/7/1940 007 CT 10/23/2007 10:49: Specials^Thoracal. 4 457 Ross, Haley 1/24/1967 dc3cd7a8-32 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 8699658c-7f CT, SR 4/27/2018 3:55:04 Thorax(Adult) WholeBody_Angio_BR_AVA 9/16/1946 CT 5/10/2006 11:08:4 Abdomen % # The selected data opened 9:36 AM SIEMENS siemens.com/healthineers Healthineers . Vascular Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905845 Step 2: Select the segment of interest ( 1 ) and Show in 3D by right-clicking ( 2 ) or selecting it from the Tool Gallery ( 3 and 4 ). Healthineers adminUser O PEP_AorticCoarctation_AVA con 1 9/8/1968 M cc CT View&GO Series Viewing SIMA1 SP H1554.5 6031MA1 ---- SP L70.6 603 INMA.3 SP L20.4 Stack 3x2 Stack 4x4 Follow Up MPR VRT T Text 2 Current CT, 5/7/2007 MPR MIPMPR, Slack ThoraxAngio_%_# Slack 22 Vessel Clip Box Aorta_CM 0.75 B25f [6] Fit to Segment AR ool Gallery ROI Circle Marker Arrow Text 3D Reference Point Ranges Printing Distance Line -!= Marker Parallel Radial CT SOMS SPI Curved Spine Ranges Ranges Distribution ref.MAS 120 200 ALSL 5.0 978 CSAMIP Show in 3D Image Visualization 11 Favorite Tools x Segment 94ª @Hide. Hide Lines| Cyalom PEP_AorticCoarctation_AVA CC Defence ROI Circle Parallel "9/8/1968, M. 38Y CURRENT 5/7/2007 Windowing Reset Export Show in Remove Image 30 Table HIP THING GAR THIN D 3D Editing SPH1476.4 Endosco ... Delme Coronary View Tree Please drag data from Series Navigator. y Punch Growing Visualizer Solid Lung CAD Osteo Print & Export Lesion Series Windowing X Windowing Var Diameter 4 R WHO W ROI HU M 484x484 OU 941AM The layout automatically changes to MPR VRT ( 1 ). Double-click the VRT segment to maximize it ( 2 ): Healthineers > adminUser mf = Scan 4 # Recon 1 O PEP_AorticCoarctation_AVA * 9/8/1968 M cc CT View&GO Series Viewing 6 IMAn.a. FRM n.a. SP A1 20.5 Stack 3x2 Stack 4x4 Follow MPR VPRT 1 Current CT, 5/7/2007 MPR MIP M ThoraxAngio_% # IP Compare Stac lack 22 Vessel Aorta_CM 0.75 B25f [6] R [603] [603]_01 5cm [603]_02 SuAAAAAAAA Printing A Distribution WR2THICK ter.120 120 SL 0.5 MPR THICK 700 KV 120 SL 0.5 700 80 ref.mAs 120 V II Favorite Tools Distance ROI Circle 6 IMAn.a. FRM n.a. SP L17.0 SPA120.5 Fx 1/x R Table Bones Coronary Tree R Solid Lesion Lung CAD Series 10cm 10cm T Windowing Vascular Text * Ranges WHO A MPR THICK ret.mas 120 SL 0.5 VRT 700 KV 120 ROI HU 80 ref.mAs 120 700 + 9:47 AM Siemens Healthineers Services Page 2 of 7 Vascular Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905845 Step 3: Perform Remove Table ( 1 ) and Remove Bones ( 2 ) to enhance visualization of vasculature by selecting them from the Favorite Tools or from the Tool Gallery. lealthingers> adminUser E Scan 4 = Recon 1 O PEP_AorticCoarctation_AVA * 9/8/1968 M cc CT View&GO Series Viewing lack 3x2 Stack 4x4 Follow Up MPR VRT P A120.5 Current CT, 5/7/2007 MPR MIP MPR S Stack 22 vessel ThoraxAngio_%_# Aorta_CM 0.75 B25f [6] [603] [603]_01 [603]_02 Printing Distribution V Favorite Tools Distance ROI Circle Line Parallel Snapshot Ranges 2 10cm 1 End View he Isolate Vessels Coronary Tree Heart A Solid Osteo Lesion Lung CAD Series Windowing * T Manip VRT Windowing Vascular Diameter kV 120 WHO ref.mAs 120 700 80 ROI HU Zoom/Pan Edit Resul Threshold 9:48 AM Step 4: Select Define Vessels from the Tool Gallery to define and isolate the Aorta ( 1 and 2 ). Please note: You can also perform Vessel Definition in the MPR segments. SIEMENS Healthineers adminUser E Scan 4 = Recon 1 O PEP_AorticCoarctation_AVA * 9/8/1968 M cc CT View&GO X Series Viewing 6 IMA ~457 SP H1 326.5 6 IMAn.a. FRM n.a. SP A1 20.5 Add Stud Stack 3x2 Stack 4x4 Follow Up Current - B Tool Gallery MPR MIP X % # Compare Stack 2x2 Vessel Marker Arrow Text 0.75 B25f [6] R Collection> [603] Ranges Collection> [603]_01 Collection> [603]_02 5cm Parallel Radial Radial Curved Ranges Ranges Slice .. Ranges Printing F Distribution SL 0.5 MPR THICK Image Visualization ref.mas 120 700 KV 120 80 ref.mAs 120 Scoment Graphics Hide Lines| C Lines 30 Ret. Favorite Tools Windowing Windowing Reset Distance ROI Circle 6 IMAn.a. FRM n.a. Parallel Snapshot SPL17.0 SPA120.5 Windowing Line Ranges Export Image Show in Remove Remove 30 Table Bones 1/x Growing Clip Pia Remove Ppprove E X Neur Endosco ... Define Coronary Isolate View Vessels Tree Heart Print & Export R Solid Lesion Lung CAD Osteo Reset Snapshot Print Export Series Windowing 10cm Image Image Dumete Postprocessing R 2 MPR THICK SL 0.5 Manip VRT KV 120 Osteo ROI HU 700 Define 80 ref.mAs 120 Enable Vessel Definition Mode 9:54 AM Siemens Healthineers Services Page 3 of 7 Vascular Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905845 Step 5: In the segment of interest, select New Vessel ( 1 ) and choose two (or more) points to define a vessel. Double-click the last point to finish Vessel Definition. leatenineens> adminUser ERRORE Scan 4 = Recon 1 O PEP_AorticCoarctation_AVA . 9/8/1968 M cc CT View&GO Series Viewing 6 IMA ~457 SP H1326.5 6 IMAn.a. FRM n.a. SPA1 20.5 lack 3x2 Stack 4x4 Follow Up MPR VRT Current CT, 5/7/2007 MPR MIP MPR Stack 2x2 Vessel ThoraxAngio_% # Aorta_CM 0.75 B25f [6] [603] [603]_01 5cm [603]_02 Printing F LA Distribution MPR THICK SL 0.5 MPR THICK ref.mas 120 SL 0.5 700 KV 120 700 80 ref.mAs 120 1 Freehand Editing Favorite Tools Distance ROI Circle Parallel Snapshot 6 IMAn.a. FRM n.a Ranges SP L17.0 SPA1 20.5 Line Export Image Show in Remove Remove 3D Table Bones Coronary Tree Heart R Solid Lesion Lung CAD Osteo Reset Series Windowing 10cm T & Windowing Vascular Diameter A WHO KV 120 Manip VRT fer 120 120 SL 0.5 700 KV 120 ROI HU ref.mAs 120 700 80 9:56 AM Step 6: Once the vessel is defined, the layout automatically changes to a Vessel Layout Mode. Using the in-segment tool bar in the CPR segment ( 1 , or in the VRT segment), you can edit the defined vessels ( 2 ), if necessary. Click Close Editing ( 3 ) before proceeding to the next step. Healthineens> adminUser E Scan 4 = Recon 1 O PEP_AorticCoarctation_AVA * 9/8/1968 M cc CT View&GO 1 Series Viewing gran a. FRM n.a. SIMAn.a. lack 3x2 Stack 4x4 Follow Up MPR VRT Current CT, 5/7/2007 MPR MIP MPR Stack Stack 22 Vessel ThoraxAngio_%_# Aorta_CM 0.75 B25f [6] [603] [603]_01 [603]_02 Printing A Distribution SL 0.4 WR THICK SL 0.4 700 ef mas 120 700 80 2 Favorite Tools 120 iMan.a. FRM n.a. SPA1 20.5 New 3 Distance ROI Circle Parallel Snapshot Line Ranges AHL Export Show in Remove Image 30 Table Endosco. Coronary Heart View Tree CL Solid Lesion Lung CAD Osteo Reset Series Windowing * T Windowing Vascular Diameter WHO A APR THICK SL 0.4 Manip VRT kV 120 SL 0.0 ROI HU ref.mas 120 700 80 ref.mAs 120 700 88 10:01 AM Siemens Healthineers Services Page 4 of 7 Vascular Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905845 Step 7: Once you have completed the centerline editing, the in-segment tool bar changes to dis- play evaluation tools. You can now perform Measure Length ( 1 )and Measure Diameter ( 2 ) of the vessel. Using the Create Finding button ( 3 ), you can display the length or diameter of find- ings in a text box ( 4 ). COMERMENS adminUser E Scan 4 = Recon 1 O PEP_AorticCoarctation_AVA * 9/8/1968 M cc CT View&GO Series Viewing PH14946 BIMAn.a. FRM.n.a SP A123.5 SP H1 384.1 lack 3x2 Slack 4x4 Follow Up MPF rrent 4 - B 1, 5/7/2007 MPR MIP MPRS Stack 22 Ve ThoraxAngio_% # Aorta CM 0.75 Collectionsh Printing A Distribution SLO.A MPR THICK SL 0.4 700 KV 120 700 30 ref.mAs 120 V 11 1 Collection> (6031 01 Collection> [6031_02 Favorite Tools 3 KV 120 Distance ROI Circle aMan.a. FRM.n. SP L18.0 SPA1 20.5 ne > Create Finding [Alt + W] Parallel Snapshot Line Ranges Export Show in Remove Remove Image 3D Table Bones Endosco ... Coronary Heart View Tree CL Solid Lesion Lung CAD Osteo Series Windowing RH * T Windowing Vascular 1cm Diameter WHO A MER CHICK SL 0.4 Manip VRT ROI HU ef.MAS 120 KV 120 W 700 ref.mAs 120 700 SLOO 80 + 10:28 AM Healthingers> adminUser i = Scan 4 = Recon 1 O PEP_AorticCoarctation_AVA 9/8/1968 M cc CT View&GO Series Viewing 6 IMAn.a. FRM n.a. SPA134.9 SIMAn.a. Add Shud lack 3x2 Stack 4x4 Follow Up MPR VRT 1 Current CT, 5/7/2007 MPR MIP MPR Stack Stack 22 Vessel ThoraxAngio_%_# 4 Por32CM 0.75 Collection> [603] Printing A Distribution SL 0.4 700 WE THICK SL 0.4 ref mAS 120 et mas 120 W 700 80 Collection> [603)_01 Collection> [6031 02 Favorite Tools 3 Long 120.9 mm 80 2 Measure Measure Define Create Distance ROI Circle SPL171 SP A1 20.5 Diameter Length Vessels Findin Create Finding [Alt+W] 1 AHL Table Remove 6 IMAn.a. FRM n.a. SP H1242.5 Endosco Coronary Tree Solid Lung CAD Lesion Osteo 4 Series Windowing 10cm RH T X Diameter WHO LI A MER THICK SL 0.4 Manip VRT MAR ROI HU ref.MAS 120 W 700 KV 120 K920 80 ref.mAs 120 W 700 80 ref.mAS 120 10:28 AM Siemens Healthineers Services Page 5 of 7 Vascular Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905845 Step 8: In order to document results, you can create Vascular Ranges (radial in our example, 1 and 2 ) and Snapshots ( 3 ). Their results get documented in the Series Panel ( 4 ). Please note: Yon can create Ranges by using the in-segment tool bar in the CPR segment ( 1 ), the upper left in-segment corner menu, the Tool Gallery or by using the Favorite Tools. Healthineers adminUser v ? @ # 1 = Scan 4 = Recon 1 O PEP_AorticCoarctation_AVA 9/8/1968 M cc CT View&GO Series Viewing 6 IMAn.a. FRM n.a. SPA1 34.9 6 IMAn.a. SP H1 384.1 Stack 3x2 Stack 4x4 Follow Up MPR VRT Current CT, 5/7/2007 ThoraxAngio % # MPR MIP Compare Stack 22 Vessel : 14.1 mm Aorta CM 0.75 Collection> [603] Printing Radial CPR Ranges X Distribution ef MAS 120 2 Degree Steps 60 Degree High Resolution Collections 16031 01 Collections (6031 02 Favorite Tools Image comment 1 Range series name CL Curved Range Radial MPR_CURVED Define Distance ROI Circle Line Parallel Snapshot 6 IMAn.a. FRM n.a. Ranges Radial CPR Start Cancel AHL Parallel CPR Export Image Show in Remove Remove 3D Table Bones 6 IMAn.a. FRM n.a. Combined Snapshot SP H1242.5 Create Finding Coronary pokale CL Solid Lung CAD Osteo W Roselos Lesion Series 0cm RH T 1 cm Diameter WHO A F MPR THICK KV 120 SL 0.4 Manip VRT ref.mas 120 SLO.O in Rest W 700 KV 120 700 80 ref.mAs 120 W C 700 80 + 10:28 AM Please note: For documentation purposes, you can create Snapshots at any time while perform- ing the relevant workflow steps. Healthineers adminUser ? = Scan 4 = Recon 1 O PEP_AorticCoarctation_AVA * 9/8/1968 M cc CT View&GO Series Viewing 6 UMA - 210 PH1 445.3 6 IMAn.a. FRM n.a. SP A114.7 6 IMAn.a. SPH1384. Add Stux y Distri stack 3x2 Stack 4x4 Follow Up MPR VRT Current Goingth: 132.1 CT, 5/7/2007 APR MIP ThoraxAngio % # Compare Stª Vessel 147 mm Aorta_CM 0.75 Collection> [603) Printing LAJ Distribution WER THICK SL 0.4 790 ref.mas 120 700 Collection> (6031 01 Collections (6031 02 3 Favorite Tools KV 120 ref.mas 1 700 Results O. Min: 14.1 mm Drifance ROI Circle naps Create Snapshots [S] SP A1 20.5 Max: 14.7 mm Min: 22:29Am -163.9 mm2 itin-44-4 mm Max: 22.9 mm AFL Area: 397.4 mm2 Export Image Show in Remove Remove Are a: 163.9 mm2 CL CHNER Rappe 3D Table Bones View&GO [1014) Endosco. Define Coronary Isolate Vessels Tree Heart CL 4 Solid Lesion Lung CAD Series HD Windowins T 1cm Vascular Diameter WHO MPR THICK ROI HU Zoom ref.MAS 120 SL 0.4 KV 120 700 ref.MAS 120 Gel mas 180 SL 0.0 700 + 10:34 AM Siemens Healthineers Services Page 6 of 7 Vascular Job Aid | SOMATOM go. VA20 CT View&GO Effective Date: 06/29/2018 | HOOD05162002905845 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 7 of 7