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syngo.via - CT Bone Reading

syngo.via - CT Bone Reading  step by step

syngo.via® CT Bone Reading The syngo.via CT Bone Reading workflow is designed to aid in the diagnostic evaluation of the bony structures of the thorax. It provides dedicated layouts of the ribs and spine that help support the detection of bone lesions, metastases, and fractures in oncologic examinations and trauma evaluations. 1. From the Patient Worklist, load an appropriate data set into the CT Bone Reading workflow: • If the examination has been correctly mapped, double click to load • If manual mapping is required, right-click the examination and select Open With > CT Bone Read- ing. 2. Various layouts are available for both single- and two-monitor viewing which can display paraxial MPRs of the thorax, “un- CT Bone Reading Q + folded” views of the ribs and spine, and cross-sectional images. The segmentation and labeling of the ribs and spine are auto- CT Bone Reading matically performed during pre-processing -iT Vertebra CAD Label Marker Zoom Add Delete Extend Edit The unfolded view segment displays a planar reconstruction of the ribcage with each rib “un- folded” along automatically calculated center- lines. Green triangles mark the currently se- R2 lected part of the rib, and dragging the triangles updates the images in the corresponding seg- R7 ments in real time R8 R9 R10 R11 R12 The Long/Short Rib Axis toggles the rib dis- Axial play between 0° and 90° Axial Scroll Uniform The Rib Rotation/Rib Scrolling toggles the rib display between rotation – where ribs can be ro- tated around their axis, and scrolling – where scrolling occurs anteriorly-posteriorly through the Scroll volume Uniform Background masks out all voxels below a given threshold to emphasize ribs Uniform SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 Healthineers Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 06/26/17| HRTHOOD05162002613570 Job Aid | syngo.via CT Bone Reading Effective Date: 06/26/17| HRTHOOD05162002613570 3. The spine is displayed in sagittal, coronal, and axial planes. Dragging the yellow lines over the sag- gital or coronal images will update the images in the corresponding segments in real time 4. During pre-processing, the spine and ribs are automatically segmented. Depending on the quality of the study and the patient’s anatomy, some ribs may not be detected or segmented correctly. + • Click the Add Rib icon. In the unfolded view, click the rib next to the missing rib to localize the general area. In an MPR segment, double click the missing rib to add, or drop Add multiple points if necessary. • Click the Delete Rib icon. In the unfolded view, click the desired rib to delete. Delete • In the unfolded view, click the desired rib. Click the Extend Rib icon. In an MPR segment, navigate to the outer end of the rib that is not visible in the unfolded view. Click Extend to extend the rib to this point. 5. During pre-processing, anatomic labels are added to the ribs and vertebrae that were automatically segmented. Depending on the quality of the study and the patient’s anatomy, these labels can be cor- rected, if necessary. Activate the Add Spine Labels icon, or right-click an existing label in any segment Vertebra • Choose Label and Propagate to rename this label and update all other labels in this group accordingly abel and Propagate T3 • Choose Label Single to rename only the selected label Label Single 15 Delete and Propagate C Delete Single • Choose Delete and Propagate to remove this label and update all L other labels in this group accordingly • Choose Delete Single to remove only the selected label SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 06/26/17| HRTHOOD05162002613570 Page 2 of 4 Job Aid | syngo.via CT Bone Reading Effective Date: 06/26/17| HRTHOOD05162002613570 6. On the Visualization tab of the Configuration window, Configuration global changes can be made to the default appearance of the loaded data sets. Visualization Results Bone CAD Auto Zoom Factor (50-200): 100 % Starting Angle for Rib Rotation Mode: 90 • Spine Visualization defines the initial default presenta- Step Angle for Rib Rotation Mode: 3 tion of spine images in either a curved (CPR) view or Show Centerlines straightened (stretched) view. Uniform Background Threshold -40 HU Replacement: 76 HU Spine Visualization Usc CPR Vicw Use Stretched View Restore Default Settings OK Cancel O O T12 T12 Freepppppop CPR View Stretched View SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 06/26/17| HRTHOOD05162002613570 Page 3 of 4 Job Aid | syngo.via CT Bone Reading Effective Date: 06/26/17| HRTHOOD05162002613570 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 ŶOperator Manualŷ) 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 ŶFunctionalityŷ) 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 Phone: +49 9131 84-0 siemens-healthineers.com SIEMENS Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Healthineers Job Aid Effective Date: 06/26/17| HRTHOOD05162002613570 Page 4 of 4