syngo Application Software VE20: syngo 3D Roadmap Job Aid

SIEMENS Healthineers syngo Application Software VE20 syngo 3D Roadmap Effective Date: 05.29.2020| HOOD05162003097073 Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted Siemens © Healthcare GmbH, 2020 Unrestricted © Siemens Healthcare GmbH, 2020 syngo 3D Roadmap SIEMENS Healthineers Table of Contents Introduction 3 syngo 3D Roadmap workflow overview 4 syngo 3D Roadmap workflow steps 5 Load the planning volume 7 syngo 3D/3D Fusion 9 syngo 2D/3D Fusion 10 00 0 2 Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo 3D Roadmap SIEMENS Healthineers Introduction syngo 3D Roadmap is an overlay technique that combines 2D image information e.g. fluoroscopy images, with 3D volume information. Overlay techniques can be used for comparison, guidance and treatment. Overlay may be started automatically as part of a workflow, or you can start Overlay manually. 3D volume information can be from the current examination, or from another examination of the same patient e.g. a previously acquired XA, CT, MR or PET 3D volume. When using a 3D volume from another examination, the 3D volume must be aligned to the current examination by performing a 2D/3D or 3D/3D registration using syngo 3D Registration. Introduction 3 Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo 3D Roadmap SIEMENS Healthineers Workflow Overview 1 2 3 Preparation Registration: Overlay A 3D volume is loaded and displayed. The 3D The following Overlay techniques are possible: • If required, use syngo 3D registration to volume can be: register the 3D planning volume with the • syngo 3D Roadmap: Combines 2D information with 3D volume information. • A newly acquired 3D volume acquisition. examination patient so that it can be used A 3D volume from another examination, e.g. for overlay. Overlay objects on Live: Displays • • a previously acquired XA, CT, MR or PET 3D • Registration can be a 2D/3D volume graphical objects from the 3D volume on volume. registration (syngo 2D/3D Fusion) or a the 2D live image. 3D/3D volume registration (syngo 3D/3D • Overlay contour on Live: Displays contour Fusion). information from the 3D volume on the 2D live image. Registration is required when using a 3D volume other than the most recent 3D acquisition. Workflow 4 Overview Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo 3D Roadmap SIEMENS Healthineers Workflow steps Using an in-procedure 3D volume Using a pre-procedure 3D volume Acquire a 3D volume acquisition: Load the 3D volume: Load a previously acquired 3D volume to 3D Sharing (see • Select a Dyna3D/DynaCT acquisition program. • pages 7 and 8). • Images must be from the same patient. • The images may be a previously acquired XA, CT, MR or PET volume. Application Control 3D Sharing ? @ Application Aortic Valve Guidance × Select Overlay: Close Object List Application • Within an Application workflow: Select the Overlay workflow step in the Application control. e aorta to find optimal view. Adjust implantation height, if needed. Adjust C-arm to volume. Planning • Outside of a workflow: Select Overlay in the Workflow Header (when docked) or in the Overlay Tools Bookmarks Layouts Application Control (when undocked). 3D Sharing Q Source Browser Images Viewing Review loa Review and Processing New acqui Viewing Overlay Active Workflows Workflow 5 steps Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo 3D Roadmap SIEMENS Healthineers Workflow steps syngo 3D Registration: • Registration of an existing volume to the examination patient so that it can be used for overlay. • Select the syngo 3D Registration icon. • Registration can be a 3D/3D registration (syngo 3D/3D Fusion) or a 2D/3D registration (syngo 2D/3D Fusion) (see pages 9, 10 and 11). Overlay: Overlay is possible with one of the following techniques: -3D syngo 3D Roadmap: Overlay the live image to a 3D Overlay objects on Live: Overlay contour on live: volume. Display graphical objects from the Display contour information from 3D volume on the 2D live image. the 3D volume on the 2D live image. Workflow 6 steps Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo 3D Roadmap SIEMENS Healthineers Load the planning volume 1 3D Sharing Q If you are using a pre-procedure 3D volume for planning, Source Browser Images Settings Menu Close Im ... Save Bo. Snapsho ... 3D Polyli ... Interacti. Export t .. Viewing Review loaded or acquired volumes import the data to the patient browser before starting Review and Processing New acquisitions will replace existing volumes. Bookma .. Layouts Overlay. Image Directory 3D Sharing ? x X V Send To Select All Deselect ... Multiple. Load the planning volume to the 3D Sharing segment All Scenes + 3D 3D REF/ Bookmarks Key Images Custom If the patient is the currently registered examination: September 04, 2018, ++TAVI 1. Open the Image Directory in 3D Sharing. Today, 3/20/2019 2 September 04, 2018, ++TAVI 2. Select the exam data, when the 3D volume was CT VOLUME AN created. 1/1: AO+KM Load the 7 planning Effective Date: 05.29.2020| HOOD05162003097073 volume Unrestricted © Siemens Healthcare GmbH, 2020 syngo 3D Roadmap SIEMENS Healthineers Load the planning volume If the 3D volume data is not under the current examination, 1 T. 3D Sharing for example if the data is from another hospital and not Images ettings Annotati Measure Averagin Replace Native Images Settings Menu Close Im Save Bo Snapsho .. 3D Palyli Interacti .. Export t Viewing Review loaded or acquired volumes. Review and Processing New acquisitions will replace existing volumes. Bookma ... Layouts matched to the current patient: 1. Select the Patient Browser in 3D Sharing. 2. Double click on the required volume to open the Patient Browser Local Data test 2 (0) Test 1 (0) volume in 3D Sharing and confirm that the data is for Q More Filters 2 DICOM Import Export Correct Delete - Results (1 results, 7:21:32 PM) Series the current patient. Patient Study Description Study Date and Time Series Number + Series Description Modality Series Date and Time Series Archived Guidance, Aortic Valve AO+KM CT 9/4/2008 9:29:20 AM *1/1/1900, F 2222 ++TAVI 9/4/2008 9:15:53 AM Instances - 111 Search successfully completed Load the 8 planning Effective Date: 05.29.2020| HOOD05162003097073 volume Unrestricted © Siemens Healthcare GmbH, 2020 syngo 3D Roadmap SIEMENS Healthineers syngo 3D/3D Fusion Application Control 3D Sharing ? @ Application Select 3D/3D Fusion. E Review and Processing X • Close Object List • If only one volume was loaded, an additional volume must be Application acquired or a current DynaCT volume must be loaded. Acquire a volume. Alternatively, close the registration and load a new volume registered to the exam patient. Performing an automatic alignment: Viewing • A manual pre-alignment will improve the result of the automatic Overlay 2D3D 3D3D Layouts registration. syngo 3D Regist .. Automatic • Select the Automatic Registration icon in the Application Control Alignment Registra .. dialog box. Manual Hide Undo last Alignment Registra .. Punching Reset • Automatic alignment is performed so that the images match to change each other. Visualization Performing a manual alignment: Inital Data Registra. Data Manual • Select the Manual Alignment icon in the Application Control Alignment dialog box. • Align the images so that they match to each other. Save • Select the registration layout on the Layouts tab, if necessary. • Adjust volume blending, if necessary. Accept 3D3D Cancel 3D/3D Fusion 9 Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo 3D Roadmap SIEMENS Healthineers syngo 2D/3D Fusion Application Control 3D Sharing Application • Select 2D/3D Fusion. Review and Processing X Close Object List • Acquire scenes for 2D/3D alignment. Two images with an angle Application difference of at least 30 degrees. An angle difference of 90 degree Acquire the first 2D image for 2D/3D registration. Alternatively is optimal. you can switch to 3D/3D registration by acquiring a volume. 1. Position the C-arm for the first position, e.g. for a coronal Viewing view. Overlay 2D3D 3D3D Layouts 2. Perform fluoroscopy. For improved image quality, perform syngo 3D Regist ... an acquisition. Select image 3. Position the C-arm for the second position, e.g. for a K Next frame sagittal view. Previous Pictect 2D tramo imagos 4. Perform fluoroscopy briefly. Alignment 5. The volume is displayed merged with the two 2D images in a side-by-side layout. Manual Automatic Hide Undo last Reset Alignment Regista .. Punching change Select the Protect 2D images icon in the Application Control dialog Visualization box to protect the two views from being overwritten by new X-ray Show 2D Show 2D acquisitions. imago d ... Imago d .... Accept 2D3D Cancel 2D/3D Fusion 10 Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo 3D Roadmap SIEMENS Healthineers syngo 2D/3D Fusion Application Control 3D Sharing Application Performing a Automatic alignment: Review and Processing X Close Object List Application • A manual pre-alignment will improve the result of the automatic registration. Acquire the first 2D image for 2D/3D registration. Alternatively you can switch to 3D/3D registration by acquiring a volume. Automatic • Select the Automatic Registration icon in the Application Control Registra ... dialog box. Viewing • Automatic alignment is performed so that the images match to Overlay 2D3D 3D3D Layouts each other. syngo 3D Regist ... Select image Performing a manual alignment: K Previous Next frame Pictect 2D In order to align the volume with two 2D images of different frame images projections, you can move and/or rotate the volume. Alignment • Select the Manual Alignment icon in the Application Control Manual Automatic Hide Undo last Reset Manual Alignment Alignment Regista .. Punching change dialog box. Visualization • Select the registration layout on the Layouts tab, if necessary. • Adjust volume blending, if necessary. Show 2D Show 2D To select an image from any of the two acquired scenes, click imago d ... Imago d .... • Previous frame or Next frame icons or press the ← or → key on the keyboard. Accept 2D3D Cancel 2D/3D Fusion 11 Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 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 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. The information in this material contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases. Certain products, product related claims or functionalities described in the material (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 12 Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020