syngo CT VB10 Software Update - Changes in Radiation Therapy

SIEMENS Healthineers syngo CT VB10 Software Update Changes in Radiation Therapy Job Aid Effective Date: 06/16/2018 | HOOD05162002863499 Unrestricted © Siemens Healthcare GmbH, 2018 Radiation Therapy – SIEMENS Healthineers Table of Contents Feature Overview 3 SIEMENS withineers ? FAST 4D Overview 4 Workflow 5 Workflow à Automatic data processing 6 HD FoV Pro 7 DirectDensityTM Improvements 8 Touch Panels ... Overview 9 Patient Positioning 10 Settings 11 Workflow à Automated table zeroing at CT Laser 12 Workflow à Automated table zeroing at the RT Laser 13 Workflow à Patient positioning for radiotherapy w/o automated zeroing 14 DirectDensity™ reconstruction is designed for use in Radiation Therapy Planning (RTP) only. DirectDensity™ reconstruction is not intended to be used for diagnostic imaging. 2 Effective Date: 06/16/2018 | HOOD05162002863499 Unrestricted © Siemens Healthcare GmbH, 2018 Radiation Therapy – SIEMENS Healthineers Feature Overview up to the bore size RT_Resp (Adult) RTIS 123456 Total mAs: 66 STOP Topogram Respiration rate (rpm) Min: 12 Max: 12 Avg: 12 Var. 0.0 A, Resp 12 12 50 cm auto Phase Start Unit % ........ Est. Respiration rat Original RESP < Hold FAST Average CT M Load Recor 4D Routine Scan Recon Auto Tasking Trigger FAST 4D HDFoV Pro and DirectDensityTM 1 Touch Panels Speed and efficiency for daily RTP Personalized routines care also for Get in-touch with your patients challenging cases with dedicated RT functionalities DirectDensity™ reconstruction is designed for use in Radiation Therapy Planning (RTP) only. DirectDensity™ reconstruction is not intended to be used for diagnostic imaging. Feature 3 Overview Effective Date: 06/16/2018 | HOOD05162002863499 Unrestricted © Siemens Healthcare GmbH, 2018 Radiation Therapy – SIEMENS Healthineers FAST 4D* overview Respiratory Gating provides respiration correlated scans for radiation therapy evaluation. These scans enable you to create tumor contours according to the tumor motion. Therefore, you can plan the radiation therapy more reliably. As usual, the respiratory curve and the CT raw data are recorded simultaneously during a retrospective Gating acquisition. This allows image reconstruction at any given phase of the respiratory cycle. The FAST 4D* workflow provides a protocol that automatically selects the rotation time and pitch for the scan based on the actual patient breathing rate. The FAST 4D* workflow is not available for an Open Interface respiratory gating system. *optional FAST 4D – 4 Overview Effective Date: 06/16/2018 | HOOD05162002863499 Unrestricted © Siemens Healthcare GmbH, 2018 Radiation Therapy – SIEMENS Healthineers FAST 4D Workflow 1. Connect a compatible gating device to the system (e. g. VARIAN RGSC, RT_Resp (Adult) RTIS 123456 Total mAs: 66 Topogram Respiration rate (rpm) Min: 12 Max: 12 Avg: 12 Var. 0.0 Anzai). Resp 12 RT 2. Position the patient on the table and register the patient for the examination. Phase Start 3. Select a retrospective gating scan protocol. If necessary, set Est. Unit % Est. Respiration rate auto Original RESP < Respiration Rate parameter to auto (for example RT_Resp factory FAST Average CT Load gold Recor 4D Routine Scan Recor Auto Tasking Trigger protocol). 4. After scanning the topogram, the breathing curve will be displayed in the Trigger card. The FAST 4D button is active and the load button inactive. 5. By clicking the FAST 4D button, the evaluation of the breathing curve is started. As soon the breathing curve is stable and reproducible, the scan parameters are automatically adjusted and the Load button will be active. 6. Click on the Load button and perform the scan. If the patient's breathing rate is faster than 30 RPM or slower than 6 RPM, the breathing rate is not considered as suitable and the system will not be able to calculate the scan parameters. A message will be displayed accordingly: “Please consider coaching the patient and repeating FAST 4D.” FAST 4D – 5 Workflow Effective Date: 06/16/2018 | HOOD05162002863499 Unrestricted © Siemens Healthcare GmbH, 2018 Radiation Therapy – SIEMENS Healthineers FAST 4D – Automatic data processing PT(20.10n. UOPO .. 1m .. 50 1. Splitting up multiphase series RT_Resp (Adult) RTIS 123456 Topogram Recon job 2 3 4 5 6 7 8 The system can perform an automatically series splitting of the Series de ™ Resp RT Slice 3.0 mm ¥ multiphase series into single phase series. In the RT_Resp factory ADMIRE Reco Kernel Sd40 None protocol, the Series Splitting check box is selected by default on FAST Window Mediastinum Series splitting the Recon parameter card to indicate that automatic splitting will Extended FoV FoV 500 mm be performed. Center X 0 mm 2 Overview Center Y 0 mm Mirroring None Cd Hold FAST Extended CT scale Load Recon 4D Routine Scan Recon Auto 2. Generating t-MaxIP or t-MinIP series Auto recon The system can generate automatically the t-MaxIP or t-MinIP for =image Auto viewing 0 Auto postprocessing None a given reconstruction job. You can select this option in the Auto None t-MinIP Postprocessing field located in the Auto Tasking card*. t-MaxIP Requested procedure RT RT_Resp (Adult) * t-MaxIP and t-MinIP can be transferred to a configured DICOM node via the Patient Browser functionality. Body part examined Chest Recon Auto Tasking Trigger FAST 4D 6 Effective Date: 06/16/2018 | HOOD05162002863499 Unrestricted © Siemens Healthcare GmbH, 2018 Radiation Therapy – SIEMENS Healthineers Enable visualization up to the bore size with HD FoV Pro 50 cm scan Field of View up to the bore size Full reconstruction 50 cm HD Field of View Pro up to the bore size Designed to enable visualization of the human body parts and skin line located outside of the standard field of view with high HU accuracy and an excellent skin line accuracy High HU Accuracy 1 O Scans of a Gammex tissue characterization phantom show HU accuracy of +/-20 HU and a skin line accuracy of +/- 2 mm up to the bore size1 50 cm 1 Based on Gammex phantom measurements with water inserts. Data on file. 80 cm Courtesy of Radiologische Allianz, Hamburg, Germany Effective Date: 06/16/2018 | HOOD05162002863499 Unrestricted © Siemens Healthcare GmbH, 2018 Radiation Therapy – SIEMENS Healthineers DirectDensityTM improvements Reconstructions with the DirectDensityTM algorithm generate CT images that Kernel Sd40 ... Window Body show the electron density of a material relative to the electron density of Head eries split a Quantitative water, independently of the tube voltage. B- Special xtended Artificial120 The electron density ratio is mapped to gray scale values in the same way as Body BeDDensity attenuation ratios are mapped in the Hounsfield Unit (HU) scale. ew 40 @-Head Mirroring - All ded CT s For more information, see the DirectDensityTM White paper. 1. To generate DirectDensityTM images, select Recon job 1 2 3 4 15 6 7 8 Series description Thorax 3.0 HD_Fov the Sd40 Kernel Slice 3.0 mm Recon job type o Axial 3D 1 ADMIRE Stronath 3 Recon region: Narrow . Wide 2. The DirectDensityTM algorithm is compatible Kernel Sd40 None with the following functionalities: FAST Window Mediastinum Begin position -1312.5 mm End position 1612.5 mm HD FoV Pro • HD FOV FoV Iterative reconstructions (SAFIRE/ADMIRE) 800 mm 2: Image order Craniocaudal • Center X 0 mm Increment 3.0 mm iMAR Overview Center Y No. of images 101 • Mirroring None Comments Respiratory gating • Extended CT scale DirectDensity™ reconstruction is designed for use in Radiation Therapy Planning (RTP) Routine Scan Recon Auto Tasking only. DirectDensity™ reconstruction is not intended to be used for diagnostic imaging. DirectDensity TM - 8 improvements Effective Date: 06/16/2018 | HOOD05162002863499 Unrestricted © Siemens Healthcare GmbH, 2018 Touch Panels – SIEMENS Healthineers Get in-touch with your patients The future of patient positioning is at the touch of a button. Improve your workflow and get closer to the patient with our highly integrated touch panels. Benefits • Dedicated Radiation Therapy simplified patient positioning by John Doe enabling one click table movement between external RT Laser and internal CT Laser • New flexibility to either zero at the external RT Laser plane or internal CT Laser plane (scan plane) • Support easy patient marking and accessibility outside the gantry • Respiratory breathing curve monitoring at patient level • Rear panel1 for better patient interaction 1 Optional Touch Panels 9 9 Unrestricted © Siemens Healthcare GmbH, 2018 Effective Date: 06/16/2018 | HOOD05162002863499 Unrestricted © Siemens Healthcare GmbH, 2018 Radiation Therapy – SIEMENS Healthineers Patient positioning New functionalities for patient-centric and efficient workflow, enable easily moving the patient in and out of the gantry by exactly the distance between the external RT Laser and the internal CT Laser (scan plane). These functionalities are visible for all scanners with the VB10 software version and Touch panel after activating the RT Function in the configuration John Doe of the touch panel With the radiotherapy functions you have the choice of three workflows to position the patient for RTP: 1. Automated table zeroing at the internal CT Laser 2. Automated table zeroing at the external RT Laser 3. Positioning the patient for radiotherapy without automated zeroing Touch Panels 10 Patient Effective Date: 06/16/2018 | HOOD05162002863499 – Positioning Unrestricted © Siemens Healthcare GmbH, 2018 Radiation Therapy functions in the touch panel SIEMENS Healthineers Intended positioning workflow defines parameter settings 1. Turns the Radiotherapy function on or off (only available for patient General Radiotherapy positioning without 3D camera). When switched on, layout in the touch panel changes to RT with laser bridge 1 Radiotherapy Functions Offset : 500 mm 4 2. Turns the automated table zeroing on or off. When switched off, 2 Automated Table Zeroing CT Laser RT Laser 3 follow “Positioning the patient for radiotherapy without automated Table is automatically zeroed once the reference position is zeroing” lined up with the CT Laser. The table can be moved back to the RT Laser position. 3. CT/RT Laser: defines where automated zeroing is performed 1. Internal CT Laser : follow workflow “Automated table zeroing at the CT Laser” 2. External RT Laser : follow workflow “Automated table zeroing at the RT Laser” 2 º ֏ 0.0 100.0 0.0º 4. Offset (Display only): distance between the external RT Laser and the internal CT Laser. Measured during installation, it can be defined in the service UI only Touch Panels 11 Settings Effective Date: 06/16/2018 | HOOD05162002863499 - Unrestricted © Siemens Healthcare GmbH, 2018 Automated table zeroing at the CT Laser SIEMENS Healthineers Workflow description 1. Position the patient based on the RT Laser (patient external markers coincide with RT Laser). 2. Press Zero at CT Laser. The current table position will be saved and a 1 move request will be shown. 2 3 4 3. Press the Move key until the table movement has stopped. The patient external markers shall coincide with the CT Laser. The table position has (1) Patient model been zeroed automatically at this position. 4. Use the Table In/Out keys on the gantry operator panel to move the (2) Zero at CT Laser patient to the scan start position. (3) Move to RT Laser 5. After the scan, press the Move to RT Laser icon to activate the move request. (4) RT Laser 6. Press the Move key until the patient table has reached the saved position at the RT Laser and the marker on the patient lines up with the RT Laser. Move key Table In/Out Touch Panels 12 Workflow Effective Date: 06/16/2018 | HOOD05162002863499 - Unrestricted © Siemens Healthcare GmbH, 2018 Automated table zeroing at the RT Laser SIEMENS Healthineers Workflow description 1. Position the patient based on the RT Laser (patient external markers coincide with RT Laser). 2. Press Zero and save at RT Laser. The current table position will be 1 saved and set to zero. 2 3 4 3. Move the patient by using the Table In/Out key to the scan start position and start the scan. (1) Patient model 4. After the scan, select the Move to RT Laser icon to activate the move request. (2) Zero and save at RT Laser 5. Press the Move key until the patient table has reached the saved position at the RT Laser and the marker on the patient lines up with (3) Move to RT Laser the RT Laser. (4) RT Laser Move key G Table In/Out Touch Panels 13 Workflow Effective Date: 06/16/2018 | HOOD05162002863499 - Unrestricted © Siemens Healthcare GmbH, 2018 Patient positioning for radiotherapy w/o automated zeroing SIEMENS Healthineers Workflow description 1. Position the patient based on the RT Laser (patient external markers coincide with RT Laser). 2. Press Save at RT Laser. The current table position will be saved but 1 table will not be zeroed. 2 3 4 3. Optional: Press and hold the Move key until movement stops, table is moved to the CT Laser. (1) Patient model 4. Optional: Zero the table at the CT Laser by holding the zero icon. 5. Move the table to start scan position by using the Table In/Out and (2) Save at RT Laser perform the scan. (3) Move to RT Laser 6. After scan, press the Move to RT Laser and hold the Move key until the patient has reached the saved position at the RT Laser. (4) RT Laser Move key Table In/Out Touch Panels 14 Workflow Effective Date: 06/16/2018 | HOOD05162002863499 - Unrestricted © Siemens Healthcare GmbH, 2018 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'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, 2018 Global Siemens Healthineers Headquarters Henkestr. 127 91052 Erlangen, Germany Phone: +49 9131 84 0 siemens.com/healthineers 15 Effective Date: 06/16/2018 | HOOD05162002863499 Unrestricted © Siemens Healthcare GmbH, 2018