syngo.via - CT Calcium Scoring

syngo.via® CT Calcium Scoring syngo.via CT CaScoring is used in the evaluation of calcified plaques in the coronary arteries. The software supports the calculation of the Agatston equivalent score, the volume score, calcium mass, and the number of calcified lesions. 1. From the Patient Worklist, load an appropriate data set into the CT Calcium Scoring Work- flow: • 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 CaScoring 2. Before lesions can be scored, the scoring table must be initialized. Click the scoring table or – in the mini toolbar – click a vessel scoring icon. The scoring table is automatically filled with zeros, and calcified structures are highlighted in pink. Artery Lesions Volume / mm3 Equiv. Mass / mg^ Score LM LAD CX Total A U2 Click here to set the Calcium Score to 0. 1,2 Settings Score Type: Agatston equivalent, Threshold: 130 HU * The dataset does not contain a mass calibration factor; it is not possible to calculate the Equiv. Mass. Cx RCA Artery Lesions Volume / mm3 Equiv. Mass / mg^ U2 LM 0.0 LAD 0.0 CX 0.0 0.0 Total 0.0 0.0 U2 0.0 ---* Settings Score Type: Agatston equivalent, Threshold: 130 HU * The dataset does not contain a mass calibration factor; it is not possible to calculate the Equiv. Mass. 3. Choose between Standard Scoring and Basic Scoring: CT CaScoring • Standard Scoring – calcium score is calculated indi- Standard Scoring vidually for each coronary artery and added to the to- Basic Scoring -IT Reset Marker tal score of the patient • Basic Scoring – coronary arteries are not differenti- ated. All lesions are added to the total score of the Show All Show Show Scored Original patient. 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: 05/04/2017 | HOOD05162002591118 Job Aid | syngo.via CT Calcium Scoring Effective Date: 05/04/2017 | HOOD05162002591118 4. From the mini toolbar at the bottom of the scoring segment, select a coronary artery or user-defined lesion type. • Standard Scoring: LM LAD CX RCA U1 U2 • Basic Scoring: Ca 5. Scroll through the images until you find a coronary calcification. With the desired lesion type selected, click on the lesion or draw a region of interest (ROI) around the lesion. Ad- jacent voxels in neighboring slices are also included. Lesions can be allocated to two dif- ferent vessels if desired. 1,2 6. Findings based on the Agatston score are automatically populated to the table as well as the Findings Navigator, and they are automatically saved. Additional details can be found and edited in the Finding Details. Individual findings can be selected and copied to the clipboard using CTRL + C. Findings details RCA Cx an +m Findings Navigator Name Value Source CaScore Results Percentiles Markers (3) Omere (0) Artery Lesions Volume / mmª Equiv. Mass / mg Score Comment 22 7 40 23.9 LAD 34 0.61 19 28 0.52 2.5 37.8 5.7 25.8 A6 7 11.32 51.1 20 5.64 35.5 4 0.51 29 Score Type Agotiton id: 130 HU (103.2 mg/cm" CsHA), Mas Mase calibration factor: 0.794 CATOANSCON Summary Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 05/04/2017 | HOOD05162002591118 Healthineers Page 2 of 3 Job Aid | syngo.via CT Calcium Scoring Effective Date: 05/04/2017 | HOOD05162002591118 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 Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 05/04/2017 | HOOD05162002591118 Healthineers Page 3 of 3