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syngo Application Software VE20: syngo Embolization Guidance Job Aid

This PDF Job Aid will demonstrate the workflow for performing syngo Embolization Guidance on syngo Application Software VE20.

SIEMENS Healthineers syngo Application Software VE20 syngo Embolization Guidance RP 10 cm A Effective Date: 05.29.2020| HOOD05162003097073 Effective date: 05.29.2020 | HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 Unrestricted © Siemens Healthcare, 2020 syngo Embolization Guidance SIEMENS Healthineers Table of Contents 3D Sharing Cose im .. Save bo .... Snapshe ... Laportt .... Introduction 3 XA HFS XA HFS syngo Embolization Guidance workflow overview 4 syngo Embolization Guidance workflow steps 5 Select the syngo Embolization Guidance workflow 9 10 cm 10 cm Load the planning volume to 3D Sharing 11 SL 6.0 MIP Thin 1935 MIP hin 1515 LAO 90 / 0 XA HFS XA HFS RP 10 cm 10 cm SL 6.0 MIP Thin 1515 VRT 1827 0 / CAUD 90 633 RAO 14 / CRAN 5 753 2 Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Embolization Guidance SIEMENS Healthineers Introduction Live A Q 3D Sharing E H3 syngo Embolization Guidance provides the ability to add colored vessel -FS XA overlay graphics to user-defined vessel segments as centerlines, Application Control 30 Shines outlines, or surface. In addition, a segmentation can be performed in Application Erboleston Guitares Add/Refine vessel tree(s) using automatic feeder vessel order to measure and visualize anatomic structures like tumors, lesions, detection. Alternatively, define vessels manually. Segmentation Bookmarks Layouts Ownlay fibroids or the prostate. vassal Tred N.M ... 9.6.0 MIP Thin 4 1515 1 A0 9070 XA FFS XA Iran Show Vassal Color syngo Embolization Guidance can be used for treatment planning. It 6 can be performed on a 3D volume that has just been acquired, or on a 3D volume of the same patient from another examination, for example, an XA, CT or MR volume. Plans O/ LAUB BD 635 5A0 4/ CRAN 5 Introduction 3 Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Embolization Guidance SIEMENS Healthineers Workflow Overview 1 2 3 Planning: Registration: Overlay: Segmentation: Define a graphical overlay Select the Overlay workflow step. • Using syngo 3D Roadmap the live image • • that represents an anatomy of interest • If required, use syngo 3D registration to can be overlaid to the 3D image or the 3D (optional). register the 3D planning volume with the graphical objects can be overlaid on the • Identify vessel: Define a vascular structure of examination patient so that it can be used for live image. interest which can be later used for overlay. • You may adjust the C-arm position navigation when overlaid with live X-ray according to the image display. during the Overlay workflow step. Registration is required when using a 3D volume • You may adjust the volume view according from another examination. to the C-arm position. Workflow 4 Overview Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Embolization Guidance SIEMENS Healthineers Workflow steps Using an in-procedure DynaCT volume for planning Using an pre-procedure 3D volume for planning Start Embolization Guidance: • Segmentation Select the Embolization Guidance workflow from the Workflow Header or from the Application Control window (see pages 9 and 10). Identify Vessel • The Identify Vessel workflow step is displayed and requests you to load or acquire a 3D volume. Overlay Acquire a 3D volume acquisition: Load the 3D volume: • Select a Dyna3D/DynaCT acquisition program. • Load the planning volume to the 3D Sharing segment (see • Perform the acquisition. pages 11 and 12). • The images are automatically loaded to 3D Sharing. Workflow 5 steps Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Embolization Guidance SIEMENS Healthineers Workflow steps Segmentation Segmentation: Identify Vessel Tools Bookmarks • This optional step allows you to overlay items of interest on the live image, for example tumors, Overlay fibroids and lesions. + Segmentation • Select the Segmentation workflow step from the Application window. Add Segmen + • To add a segmentation, select the Add Segmentation icon or select a vessel tree segment in the Segmentation list. Mark Mark Calculate Sculpt Object Backgro .. Segmen result Marking the VOI interior: Object Strokes • Select the Mark Object icon. + • Mark the interior of the volume of interest via short stokes into the anatomical structure in at least two MPR segments. Marking the VOI exterior: Background Strokes • Select the Mark Background icon. • Mark the exterior of the volume of interest via surrounding the exterior of the anatomical structure in at least two MPR segments. Calculate the segmentation result Examples • Select the Calculate Segmentation icon. FEED Workflow 6 steps Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Embolization Guidance SIEMENS Healthineers Workflow steps Identify Vessel: Adding and detecting Vessel Trees automatically Segmentation • Select Identify Vessel from the Application Control. Identify Vessel Tools Bookmarks + • To add a vessel tree select the Add Vessel Tree icon or select a vessel tree segment in the Overlay Vessels list. Vessel Tree • If the proximal point could not be detected, select the Mark Prox. Point icon. + Add • Click into the most proximal end of the branching vessel for automatic segmentation. The vessel Vessel T. segment will be automatically detected. • Select the Mark Lesion icon. Mark Prox. Mark Calculate Point Lesion Vessel • Click into the lesion. To correct the position of the seed point, move the mouse pointer to the center of the dot or circle, press the left mouse button and drag the dot or circle to the correct position. • Select the Calculate Vessel icon. Workflow 7 steps Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Embolization Guidance SIEMENS Healthineers Workflow steps Identify Vessel: Manual vessel tree detection Segmentation Adding vessel segments Identify Vessel Tools Bookmarks • Select the Add Vessel icon. Overlay • Mark a vessel by placing a proximal seed point and a distal seed point. The vessel segment will + Vessel Tree be automatically detected, if possible. Add Vessel T Pruning vessel segments • Select the Prune Vessel icon. Mark Prox. Mark Point Calculate Lesion Vessel • Click on the vessel to be pruned at the required position. Workflow 8 steps Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Embolization Guidance SIEMENS Healthineers Workflow Planning Select the Overlay workflow step Overlay Using an 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). Segmentation Overlay: Identify Vessel Tools Bookmarks Layouts Overlay the live image on 3D Overlay Show Objects • Select the Live on 3D icon in the workflow header in the Segment Menu or in the Vessels Application Control dialog box. Proximal Point • To adjust 2D/3D blending, drag the slider. Y VT1 1 2 • To select another frame from the scene, press the ← or → key on the keyboard. 3 • To invert the grayscale of the 2D image, click the Invert 2D icon. Show Volume Data in VRT Overlay the volume graphics to the live image Show Vessel Branches • Select the Objects on Live icon. Objects on Live on 3D • The 3D objects are projected to the perspective of the C-arm position. 3D Live Registra Workflow 9 steps Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Embolization Guidance SIEMENS Healthineers Select the Embolization Guidance workflow If you are using a pre-procedure 3D volume for planning, open 3D Sharing Source Browser Images Settings Menu Close Im ... Save Bo .... Snapsho ... 3D Polyli ... Interacti ... Exportt .. Parallel. Viewing Review loaded or acquired volumes. the Embolization Guidance workflow manually from the Review and Processing New acquisitions will replace existing volumes. Bookma. Layouts click Viewing HFS XA HFS Overlay Application Control. Active Workflows CIO Guidance TrueFusion EP Planning The Application Control may be docked (fixed) in the Embolization Guidance Workflow Header or undocked. You can undock the application control in the top right corner of the 3D Sharing 10 cm segment. LA SL 2.0 SL 2.0 MPR Thick 797 MPR Thick 797 LAO 90 / 0 0 /0 30 nE OE XA HFS XA HFS 10 cm F SL 2.0 MPR Thick 797 1774 0 / CAUD 90 30 VRT 1946 Select the 10 workflow Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Embolization Guidance SIEMENS Healthineers Select the Embolization Guidance workflow 1. When the Application control is docked: Select the 2. When undocked: Select the Embolization Guidance in the Embolization Guidance workflow step in the Workflow application workflow step in the Application control. Header. BD Sharing Q AmesAr SAIS FO 30 Polyli Live A a iii 3D Sharing = Viewing Review loaded or acquired volumes Ithurt itswow and Procarang New acquisitions will replace existing volumes. Regime LAyouts XA H HFS XA Viewing HFS XA Overlay Active Workfews CTO Guidance Application Control TrueFusion Application EP Planning Review and Processing Review and Processno Embolization Guidance Aneurysm Analysis Aortic Valva Ourarce volumes Congerital Heart Disease Guidance CTO Guidance TrueFuibion Layouts EP Planning Embolization Guidance EVAR Olildance Needle Guidance Spre Guidance SL 2.0 SL 2.0 SianoNis Analysla MPR Thick 797 MPR Thick LAO 80 / 0 30 C/0 SL 2.0 St 20 Na backmarks stared IXA HFS XA MPR Thick LAO 90 / 0 797 MPR Thick XA HFS XA SL 30 Reviews 57 CAUD 93 SL 20 Review 0 7 CAUD 90 nx Select the 11 workflow Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020 syngo Embolization Guidance SIEMENS Healthineers Load the planning volume 1 3D Sharing If you are using a pre-procedure 3D volume for planning, Source Q = Browser Images Settings Menu Close Im ... Save Bo ... Snapsho ... 3D PoMl ... Interacti ... Exportt ... Parallel .. Viewing Review loaded or acquired volumes. Review and Processing New acquisitions will replace existing volumes. Bookma ... Layouts Undock import the data to the patient browser before starting Image Directory 3D Sharing ? X Overlay. Send to Select All Deselect ... Multiple ... All Scenes + 3D 3D REF/ Bookmarks Key Images Custom 2 August 24, 2017, TACE -Transarterielle Chemoembolisation Load the planning volume to the 3D Sharing segment VOLUME If the patient is the currently registered examination: AN 1. Open the Image Directory in 3D Sharing. 2. Select the exam data, when the 3D volume was 7/1: DCT Body Nat Fill Full .. created. Load the 12 planning Effective Date: 05.29.2020| HOOD05162003097073 volume Unrestricted © Siemens Healthcare GmbH, 2020 syngo Embolization Guidance SIEMENS Healthineers Load the planning volume 1 If the 3D volume data is not under the current examination, Live A 3D Sharing Tiwwenr Viewing Review kiaded ar acquired volumes New accuisitions will replace existing volumes. for example if the data is from another hospital and not Patient Browser Taal 1 (0 ) matched to the current patient: 2 patient X Q Mare Filters Results 11/ rccuts, 1:28:04 AM) Series Patient Study Description Study Date and Ima| + Series Number A Soras Description Modality Sortes Date and Time Scrles Art Select the Patient Browser in 3D Sharing. Embolization Guidance, Patient DCT Body Nat Fill Ful HJ Normal JAX3D] XA 8/24/2017 8.53 29 AM 1. *1/1/1957, MA TACE -Trerwsartoriale Chernvembolication 8/24/2017 7-16: 17 AM Patient, Cardiac 2. Double click on the required volume to open the 513/12/1911. M Patient, Cardiac "2/12/1959, F 2345678 volume in 3D Sharing and confirm that the data is for · Patient, Healtineers *11/10/1660. M 2019.02.12-20:48.41-STD-1,3.12.2.1107.5.89.3 Patient, Neuro Instances the current patient. '2'12/1934, M 577889000-0 Patient, Neuro Examination 11115678 Patient, New 54 179 72/12/1974, M 487769386 Patient, New_2 *2112/1974. M Search ausceashilly somplated Load the 13 planning Effective Date: 05.29.2020| HOOD05162003097073 volume 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 14 Effective Date: 05.29.2020| HOOD05162003097073 Unrestricted © Siemens Healthcare GmbH, 2020

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