syngo Application Software VE20: syngo Aortic Valve Guidance Job Aid

SIEMENS Healthineers CT HA HFS syngo Application Software VE20 syngo Aortic Valve Guidance RA 5 cm Impl. Height (mm): 10.0 VRT LAO 17 / CAUD 4 W C 1361 1435 Effective date: 05.29.2020 | HOOD05162003097073 Effective date: 05.29.2020 | HOOD05162003097073 Unrestricted © Siemens Healthcare, 2020 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Aortic Valve Guidance SIEMENS Healthineers Table of Contents 3D Sharing Q Introduction 3 seings Snancho F-sport 1 CT HLA HFS OT HRP HFS syngo Aortic Valve Guidance workflow overview 4 syngo Aortic Valve Guidance workflow steps 5 Load the planning volume to 3D Sharing 8 ARH LHA Select the syngo Aortic Valve Guidance workflow 10 Impl. Height (mm): 10.0 RAD 92 / CAUD 49 3144 419 VRT 1361 LAO 17 / CAUD 4 1435 2 Effective date: 05.29.2020 | HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Aortic Valve Guidance SIEMENS Healthineers Introduction The syngo Aortic Valve Guidance (AVG) application provides automatic Livo A Q 3D Sharing Hi E Scdnos Closcim ... Save Eo ., Shastho. 3D PorL ., mereci ... Exportt ... Penaist segmentation of the aortic root for visualization to support aortic valve -LA implantation procedures. Application Control 30 Sharing Application Aortic Value Guidance X Anatomic landmarks are displayed on the segmented aortic root in the Rolate aorta to find optimal view. Adjust implantation height, if needed. Adjust C-arm to volume, Planing VRT view, for example; cusp nadirs, coronary ostia markers, commissure Overlay Took Bookmarks Layouts Show Objects Contour Plan> cPlan? lines and the perpendicularity circle. Centerline SLO8 MPR LAO 79 / CAUD 43 419 WER LA0 36 : CRAN 10 Commissura Linas CT AIH HF8 HFS Coronary Dalla Indeators lirplantation Height (mm) syngo Aortic Valve Guidance can be performed on a 3D volume that 100 has just been acquired (non-subtracted), or on a 3D volume of the same FLA RFA patient from another examination, a former XA volume or a CT volume. 5 cm Plans mpl. Height (mm): 10 C LAG 147 ; ORAN 28 C 119 37 CRAN 13 Using syngo 3D Roadmap, the live image can be overlaid to the 3D segmentation result. Introduction 3 Effective date: 05.29.2020 | HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Aortic Valve Guidance SIEMENS Healthineers Workflow Overview 1 2 3 Planning: Registration: Overlay: • Segmentation: The aortic root is segmented • Select the Overlay workflow step. • Using syngo 3D Roadmap the live image automatically. The system automatically • If required, use syngo 3D registration to can be overlaid to the 3D segmentation aligns the planar image segments to the register the 3D planning volume with the result. annulus base plane. The slice thickness is examination patient so that it can be used for • You may adjust the C-arm position reduced to a minimal value. overlay. according to the image display. • Detect Landmarks: Landmarks are • You may adjust the volume view according automatically detected. Verify the accuracy Registration is required when using a 3D volume to the C-arm position. and adjust if required. from another examination. • Measure: the valve annulus diameter and area. Workflow 4 Overview Effective date: 05.29.2020 | HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Aortic Valve Guidance SIEMENS Healthineers Workflow steps Using an in-procedure DynaCT volume for planning Using a pre-procedure 3D volume for planning Acquire a 3D volume acquisition: Load the 3D volume: • • Select a specific Dyna3D/DynaCT acquisition program Load the planning volume to the 3D Sharing segment (see pages 8 optimized for Aortic Valve Guidance which contains the auto and 9). start trigger. After the 3D acquisition, syngo Aortic Valve Guidance is Start Aortic Valve Guidance: • • started automatically. Select the Aortic Valve Guidance workflow from the Workflow Header or from the Application Control window (see pages 10 and 11). Application Control 30 starre Planning: Application • The Planning workflow step is active. Aortic Www Caufases X • The aortic root is segmented automatically and marked with important anatomical landmarks. Switch between landmarks. Verify positioning of graphics and analysis results. • A segmentation algorithm extracts the lumen of the aortic root, the ascending aorta and the coronary ostia Parring Overlay Tools Backrarts of the right and left coronary arteries. • In the Planning workflow step, the system aligns the planar image segments relative to the annulus base AmAn Chow Landruk plane. LCO ACO • Verify the accuracy and if required adjust the overlay graphics, coronary ostia indicators, cusp points etc. N • Select the Landmark in the list or select Next Landmark to toggle through the landmarks. • Measure the valve annulus diameter and area. Workflow 5 Steps Effective date: 05.29.2020 | HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Aortic Valve Guidance SIEMENS Healthineers Workflow steps Planning Select the Overlay workflow step Overlay Using a pre-procedure 3D volume for planning Perform syngo 3D Registration: • Select the syngo 3D Registration icon. • Select 3D/3D Registration (syngo 3D Fusion) or select 2D/3D registration syngo (2D/3D Fusion). Overlay Planning Rotating the aortic root Overlay Tools Bookmarks Layouts • Click the Rotate Clockwise icon. Show Objects • Click the Rotate counterclockwise icon. Contour Centerline Commissure Lines Adjusting the implantation height Coronary Ostia Indicators • You can adjust the position of the perpendicularity circle and thus the implantation height by positive and also negative values. Rotate Rotate Clockwise counter .... • Enter the Implantation Height in millimeters and press the Return key on the keyboard or Implantation Height (mm) click the - or + button to change a value. 10.0 + 3D - 10.0 + C-arm to Live on 3D 3D 3D Registra. Workflow 6 Steps Effective date: 05.29.2020 | HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Aortic Valve Guidance SIEMENS Healthineers Workflow steps Overlay The cross-sectional views are aligned such that: • The upper left slice provides a luminal view of the aorta, i.e. orthogonal to • the centerline. • The upper right slice is the view along the centerline, i.e. axial projection. • The lower left slice shows the view lateral to the centerline. Overlay the live image on 3D -30 • Select the Live on 3D icon in the workflow header in the Segment Menu or in the Application Control dialog box. «Pan> • To adjust 2D/3D blending, drag the slider. LRO VRT • To select another frame from the scene, press the ← or → key on the keyboard. • To invert the grayscale of the 2D image, click the Invert 2D icon. Workflow 7 Steps Effective date: 05.29.2020 | HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Aortic Valve Guidance SIEMENS Healthineers Load the planning volume 1 If you are using a pre-procedure 3D volume for planning, 3D Sharing Source Browser Images Settings Menu Close Im ... Save Bo .. Snapsho ... 3D Polyli ... Interacti ... Exportt. 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 3D Sharing Overlay. Image Directory ? X x Send To Select All Deselect Multiple. All Scenes + 3D 3D REF/ Bookmarks Key Images Custom Load the planning volume to the 3D Sharing segment September 04, 2018, ++TAVI If the patient is the currently registered examination: Today, 3/20/2019 2 September 04, 2018, ++TAVI 1. Open the Image Directory in 3D Sharing. CT VOLUME AN 2. Select the exam data, when the 3D volume was created. 1/1: AO+KM Load the 8 planning Effective date: 05.29.2020 | HOOD05162003097073 volume Unrestricted © Siemens Healthcare GmbH, 2020 syngo Aortic Valve Guidance SIEMENS Healthineers Load the planning volume 1 If the 3D volume data is not under the current examination, ive A T4 D Sharing = Sellings Close Im ... Sewe Bo. Suspelo .. 30 Polyl ... Viewing Review loaded or acquired volumes. New acquisitions will replace existing volumes. Lockms ... Layouts IR for example if the data is from another hospital and not matched to the current patient: Patient Browser 1. Select the Patient Browser in 3D Sharing. Local Data test 2 (0) Test 1 (0) 2 Q More Filters 2. Double click on the required volume to open the Results (1 results, 7:21:32 PM) Series Patient Study Description Study Date and Time| + er + Series Description Modality Series Archived Guidance, Aortic Valve 1 40+KM eries Date and Time CT 3/4/2008 8.28:20 AM *1/1/1900, F volume in 3D Sharing and confirm that the data is for 2222 ++ TAVI B/4/2008 9.15.53 AM the current patient. Instances Search successfully completed Load the 9 planning Effective date: 05.29.2020 | HOOD05162003097073 volume Unrestricted © Siemens Healthcare GmbH, 2020 syngo Aortic Valve Guidance SIEMENS Healthineers Select the Aortic Valve Guidance workflow syngo Aortic Valve Guidance starts automatically after 3D Sharing Images Settings Menu Close Im. Save Bo Save Bo ... Snapsho. 30 Polyli. Interacti Export t. Viewing Review loaded or acquired volumes. Review and Processing New acquisitions will replace existing volumes, Hookma R performing a Dyna3D/DynaCT acquisition program optimized Layouts Viewing HFS CT HFS Overlay for Aortic Valve Guidance. Active Workflows Review and Processing Aneurysm Analysis Aortic Valve Guidance If you are using a pre-procedure 3D volume for planning, open Congenital Heart Disease Guidance the Aortic Valve Guidance workflow manually. 10 cm 10 cm The Application control may be docked (fixed) in the workflow A Review> W 2327 SL 2.0 header or undocked. You can undock the application control MPR Thick 1042 MPR Thick 0 /0 1842 CT HFS CT HFS in the top right corner of the 3D Sharing segment. 10 cm SL 2.0 MPR Thick 2327 0 / CAUD 90 1042 VRT 0 / 0 Select the 10 workflow Effective date: 05.29.2020 | HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Aortic Valve Guidance SIEMENS Healthineers Select the Aortic Valve Guidance workflow 1. When the Application control is docked: Select the 2. When undocked: Select the Aortic Valve Guidance in the Aortic Valve Guidance workflow step in the Workflow application workflow step in the Application control. Header. 3D Sharing Q CUIDANCE, Aortic Valve 1 1.CARD program (15 0s) - 6.DSA program (VER) 5 AUDIO normal ( 15 pts ) 217 mGy 403.30 uGym 20 000.1 Io 000.0 32 cm 8 235 cm rale. 1/1/1900 (115), ID 2222. 1 CARD Exam Set * 211 mGy 70.35 Gym 25 cm 1 235 cm Detector calibration needed plane B. SC Coca in Snapsro Exportt Viewing Review loaded or acquired volumes. New acquitions will replace existing volumes, Hooks Vicwort A Q 3D Sharing Q = Layouts HFS - Ferilli Viewing HFS CT CT HFS CT Overlay Active Worintous Review and Processing Application Control Aneurysm Analysis Application Review and Forastero Aortic Valve Guidance Review and Pracessieu Congenital Heart Disease Guidance Anourysis Analysis Acrtis Valve Guidance volumos. Congenital Heart Disease Guidance CTO Guidance TrueFusion Layouts EP Planning 10 cm PVAR Chudanza 10 cm Needle Guidance Spine Guidance No Da LAO 9070 SL 20 2327 SL 2.0 UPR Thick 1042 MPR Thick 1842 No bookmarks stored CT HFS CT 0/0 HFS CT HFS 10 cm 10 cm MPCAUS SO EL 26 0 7 CAUD 90 1822 YRT Select the 11 workflow 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