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SOMATOM go.Sim & SOMATOM go.Open Pro DirectORGANS Job Aid

This job aid introduces DirectORGANS, an embedded auto-contouring solution provided for SOMATOM go.Sim and SOMATOM go.Open Pro.

DirectORGANS Job Aid SOMATOM go.Sim SOMATOM go.Open Pro This document provides an introduction to DirectORGANS and guides you through the workflows for creating a DirectORGANS structure template and assigning the template to a scan protocol for SOMATOM go.Sim and SOMATOM go.Open Pro. Please Note: This Job Aid reflects software version VA30. DirectORGANS Directly at the scanner, Optimized Reconstruction, Trained by Deep Learning (GANS1 ) DirectORGANS is an embedded auto-contouring solution. It uses optimized and standardized reconstruction parameters as well as AI-powered deep learning to provide consistent OAR contours. O Input for RT professional (images) Input for algorithm (Optimized recon) Output: consistent OAR contours AI AI-powered Deep Learning Metal artifact reduction contours trained by GANS Optimized Z-resolution Optimized reconstruction kV standardization Streak artifact reduction With DirectORGANS you can save time and reduce unwarranted variations with high-quality contours. 1 GANS : Generative Adversarial Networks Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 08/22/2017 | HOOD05162002647849 Healthineers Job Aid Effective Date: 07/31/2020 | HOOD05162003102312 Job Aid | DirectORGANS Effective Date: 07/31/2020 | HOOD05162003102312 Creating a DirectORGANS Structure Template Step 1: Go to the Configuration Panel (1). Click the Advanced Visualization tab (2), select RT Automatic Contouring Configuration (3), then select Add Template (4) to create a new structure template. sunineens administrator - ? M 2 = Scan 10 = Recor Configuration Panel 2 1 Client Settings Advanced Visualization Display And Behavior Export E Inline Results RT Automatic Contouring Configuration 3 Structure Configuration Organ Database RT Structure Template Configuration 4 Show All Search 11.0 Favorites Auto Type Coding Scheme Code Code Meaning Name Last Modified Name User Remarks Contour Scheme Version Value Abdomen Body Cardiac Head and Neck Limb Other Pelvis Thorax OK Apply Cancel Step 2: Rename the template (1) and add organs to the template by using the search function (2). Configuration Panel Client Settings Advanced Visualization Display And Behavior Export DE Inline Results RT Automatic Contouring Configuration Structure Configuration Organ Database RT Structure @ Configuration 2 1 Show All Search Brain Template Name Brain Remarks Search by Structure Name in the Name Favorites Auto Type Co Organ Database Code Meaning Organs Auto Tasking Contour Scheme Version Value Name Type Method Head and Neck Brain Available AVOIDAN FMA 3.2 50801 Brain Brainstem Available AVOIDAN FMA 3.2 79876 Brainste Save Cancel Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 2 of 9 Job Aid | DirectORGANS Effective Date: 07/31/2020 | HOOD05162003102312 Step 3: Select organs (1) and move them to the structure template by using the arrow (2). Healthineens> administrator = Scan 10 = Recon 1 O Configuration Panel Client Settings Advanced Visualization Display And Behavior Export DE Inline Results RT Automatic Contouring Configuration Structure Configuration Organ Database RT Structure Template Configuration Show All Search Brain Template Name Brain Remarks Name Favorites Auto Type Coding Scheme Scheme Code Code Meaning Organs Auto Tasking Version Name Type Method Head and Neck Brain Available AVOIDAF - FM Brain Brainstem ailable AVOIDAN FMA 79876 Brainstem 1 2 Save Cancel OK Apply Cancel Step 4: Repeat the previous step until you have all organs in the template, then click Save (1). As soon as all organs are added to the template, click Apply (2). Healthinets> administrator = Scan 10 = Recon 1 O Configuration Panel Client Settings Advanced Visualization Display And Behavior Export DE Inline Results RT Automatic Contouring Configuration Structure Configuration Organ Database RT Structure Template Configuration Show All Search eye Template Name Brain Remarks Name Favorites Con Type Coding Scheme Code Code Meaning Organs Auto Tasking Delete Scheme Name Type Method Head and Neck Brain AVOIDANCE Model Eye Globe Left Available AVOIDAN FMA 12515 Left eyeball Body EXTERNAL Eye Globe Right Available AVOIDAI Y FMA Right eyeball Eye Globe Left AVOIDANCE Atlas Eye Globes NA AVOIDANY FMA 264089 Set of eyeballs Eye Globe Right AVOIDANCE Atlas 1 Save Cancel 2 OK Apply Cancel Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 3 of 9 Job Aid | DirectORGANS Effective Date: 07/31/2020 | HOOD05162003102312 Step 5: A pop-up message appears recommending a restart to the application (the restart is not necessary). Click OK (1) to close the pop-up window. Healthineers administrator ? = Scan 10 = Recon 1 O Configuration Panel Client Settings Advanced Visualization Display And Behavior Export DE Inline Results RT Automatic Contouring Configuration Structure Configuration Organ Database RT Structure Template Configuration Show All Search eye P 1.0 Favorites Auto Type Coding Code Hint AF X Last Modified User Remarks Name 8/26/2019 administrator Head and Neck Eye Globe Left Avallable AVOIDAN 12515 i Please restart the workflow to apply your FMA changes to the MM RT Image Suite Eye Globe Right Available AVOIDANY FMA Configuration. Eye Globes NA AVOIDAN FMA 264089 1 OK Apply Cancel Step 6: Click OK at the bottom of the window and start assigning the template to a scan protocol. atenineens administrator E Scan 10 # Recon 1 O Configuration Panel Client Settings Advanced Visualization Display And Behavior Export DE Inline Results RT Automatic Contouring Configuration Structure Configuration Organ Database RT Structure Template Configuration Show All Search eye Name Name Favorites Auto Coding Scheme Code Code Meaning Last Modified Contour Type Scheme User Remarks Version Value Brain 8/26/2019 administrator Head and Neck Eye Globe Left Avallable AVOIDAN FMA 12515 Left eyeball Eye Globe Right Available AVOIDAN FMA Right eyeball Eye Globes NA AVOIDAL FMA 264089 Set of eyeballs 1 Apply Cancel Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 4 of 9 Job Aid | DirectORGANS Effective Date: 07/31/2020 | HOOD05162003102312 Assigning the DirectORGANS Structure Template to a Scan Protocol Step 1: From the Settings menu (1), choose Exam Designer, then click the Scan Protocols tile (2). Healthineers = Scan 7 = Recon 2 administrator ? 1 0 = O Exam Designer 1 Exam Designer 2 Scan Protocols Examination Configuration Contrast Protocols Step 2: In the global filter area, select Factory Protocols (3). This helps you to find the scan protocol you want to change. 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Factory Protocols (135) Customer Protocols (7) Adult Child 1 All Head (13) Thorax (5) Head (5) Abdomen (3) Brain [factory] Thorax [factory] Brain [factory] Abdomen [factory] Brain Multi Phase [factory] Thorax Dynamic [factory] Brain Multi Phase [factory] Abdomen Multi Phase [factor Patient Type all Brain DE Hemorrhage Post Int. Thorax and Abdomen [factor Inner Ear [factory] Whole Body [factory] Brain Perfusion (factory] Thorax and Abdomen Multi F Sinus (factory] Contrast Protocol all Brain Perfusion Prolonged [fac. Lung Low Dose [factory] Orbit [factory] Pelvis (2) syngo.via all Inner Ear [factory] Pelvis [factory] Sinus [factory] Abdomen (7) Neck (1) Hip [factory] Orbit [factory] Abdomen [factory] Neck [factory] Dental (factory] Abdomen Multi Phase [facto Spine (2) RTP Head Abdomen DE Virtual Non Cc Shoulder (1) C-Spine [factory] RTP Head DE Liver Perfusion [factory] @ _/ Shoulder [factory] @ | | T- or L-Spine [factory] RTP Head and Neck Trauma Trauma Kidney DE Stones [factory] RTP Head and Neck DE Colon Low Dose [factory] Thorax (2) Upper Extremities (3) RTP RTP Whole Body (factory] Neck (1) Thorax [factory] Hand [factory] Pelvis (3) Thorax and Abdomen [factory] Arm or Wrist [factory] Specials Spocials Neck [factory] Elbow [factory] Pelvis [factory] Intervention Shoulder (1) Pelvis DE Bone Marrow [fact > G ml Shoulder [factory] Hip [factory] Hide Delete Export Import Modify Protocols Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 5 of 9 Job Aid | DirectORGANS Effective Date: 07/31/2020 | HOOD05162003102312 Step 3: Open the RTP folder (1), select the desired protocol (e.g. RTP Head) (2) and click on Modify Protocols (3). Healthinees = Scan 7 = Recon 2 O Exam Designer Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Factory Protocols (135) Customer Protocols (7) Adult Child All RTP (13) Breast Protocol with Conoturs Thorax with Contours Pelvis with Contours Patient Type all 2 RTP Head [factory] Contrast Protocol all RTP Head DE [factory] syngo.via all RTP Head and Neck [factory] RTP Head and Neck DE [factory] RTP Thorax [factory] GM RTP Respiratory Motion Mana. RTP Abdomen [factory] RTP Abdomen DE [factory] RTP Pelvis [factory] Trauma Trauma RTP Extremity [factory] RTP 1 RTP Specials Specials Intervention Hide Delete Export Import 3 Modify Protocols 3 Step 4: To assign the DirectORGANS structure template to your scan protocol, open the Inline Options (1) and set the Inline Results to RT Automatic Contouring (2). Healthineers CTAdmin - ? DE Scan 0 = Recon 0 O Exam Designe Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes CT Protocol Scan Favorites General Scan Dose Timing Config Physio Scan Contrast Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon Auto Tasking Inline Options Find/Replace 1 Scan/Recon Inline Options x Scan/Recon Results RTP Head (Adult) Topogram Head Head 1.50 Qr40 A2 None None › Parallel Ranges Radial Ranges Applications RT Automatic Contouring 2 Select Protocols Validate Scan Mode Confirm Changes Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 6 of 9 Job Aid | DirectORGANS Effective Date: 07/31/2020 | HOOD05162003102312 Upon selection of RT Automatic Contouring, new tabs will appear in the Inline Options column. Select the template you want to assign for the Structure Templates parameter (1). Healthineers> CTAdmin - ? M & # ₼ im R = scan 0 = Recon O Exam Designer Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Protocol Scan Favorites General Scan Dose Timing Config Physio Scan Contrast Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon Auto Tasking Inline Options O Find/Replace Scan/Recon Inline Options Scan/Recon Inline Results -Structur Structure RTP Head [factory] (Adult) Topogram Head Head 1.50 Qr40 A2 T Automati ... | MANUAL Head 1 Select Protocols Validate Scan Mode Confirm Changes› Step 5: Before you confirm the changes, you need to change the name of the scan protocol (1). Healthincers> CTAdmin > ? M # # = Scan 0 = Recon 0 O Exam Designer Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes CH Protocol Scan Favorites General Scan Dose Timing Config Physio Scan Contrast Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon Auto Tasking Inline Options Find/Replace Scan/Recon Inline Options Scan/ Recon Inline Structure Structure Tempi ... Templates RTP Head [factory] 1 Topogram Head Head 1.50 Qr40 A2 RT Automati ... MANUAL Select Protocols Validate Scan Mode Confirm Changes Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 7 of 9 Job Aid | DirectORGANS Effective Date: 07/31/2020 | HOOD05162003102312 Step 6: Finally, select Confirm Changes (1)… Healthineens> CTAdmin = Scan 0 = Recon 0 O Exam Designe Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Ch Protocol Scan Favorites General Scan Dose Timing Config Physio Scan Contrast Recon Favorites General Recon Recon&GO Image Impression Recon Box Physio Recon Auto Tasking Inline Options Find/Replace Scan/Recon Inline Options X Scan/Recon Inline Structure Structure Results Templ ... Templates RTP Head with contours (Adult) Topogram Head Head 1.50 Qr40 A2 RT Automati ... MANUAL Head 1 Select Protocols Validate Scan Mode Confirm Changes …and click Save Protocols (1). The protocol is now ready for use. Healthineers CTAdmin ~ ? = Scan 0 = Recon 0 O Exam Designer Exam Designer Scan Protocols 1. Select Protocols 2. Modify Protocols 3. Confirm Changes Save Name Old Value New Value RTP Head with contours (Modified) Protocol Name RTP Head [factory] RTP Head with contours Head (Modified) CTDIvol (16 cm) 46.46 (16 cm) 41.81 DLP 759.3 683.3 CARE Dose4D & CARE KV Off Manual kV Head 1.50 Qr40 A2 (Modified) Inline Results None RT Automatic Contouring Structure Template Selection Mode MANUAL Structure Templates Head 1 Modify Protocols Validate Strategy Validate Scan Mod Save Protocols Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 8 of 9 Job Aid | DirectORGANS Effective Date: 07/31/2020 | HOOD05162003102312 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 2020 ………………………………………………………… Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers Published by Siemens Healthcare GmbH © Siemens Healthcare GmbH, 2020 Page 9 of 9