syngo.via - CT Pulmo 3D Step by Step

syngo.via® CT Pulmo3D syngo.via CT Pulmo 3D is an image analysis software for CT volume data sets. It analyzes the lung, either com-pletely or in parts, identifying areas with lower or higher Hounsfield values in comparison to a predefined threshold. These areas are evaluated using statistical methods such as histograms and percentiles. With syngo.CT Pulmo 3D, you can assess airways and lung parenchyma as part of a comprehensive evaluation of possible lung disease. 1. From the Patient Worklist, load an appropriate data set into the CT Pulmo 3D 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 Pulmo 3D. 2. Default layouts provide tools specific to the evalua- tion of the parenchyma or to the airways. Select the desired layout from the Layout Gallery. Segmentation of the lung lobes or airways is per- formed and preliminary quantitative information is calculated and displayed in tables and graphs. CT Pulmo 3D 3. For lung lobe evaluation, the default Left/Right segmentation can be further defined using Thirds, Core/Peel, or Lobes seg- K mentation. Choose the desired segmentation from the availa- Left Right Edit Marker ble options. Left Right Thirds Manual editing of the segmentation can be initiated using the P'centile Cluster Airways Core Peel Edit icon, if necessary. Lobes ully included 4. The Evaluation Index method quantifies the areas of the segmented CT Pulmo 3D lung below the Low Attenuation Value (LAV) and above the High At- tenuation Value (HAV) which are specified in Hounsfield unit (HU) FIT values. Click the Evaluate icon to display the findings. LAV ≤ -950 Left Right Edit Marker HU is displayed in blue; HAV ≥ -200 HU is displayed in red. Evaluate Subrange P'centile Cluster Airways LAV (HU) -950 HAV -200 ........ 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: 05/25/17 | HOOD05162002591651 Job Aid | syngo.via CT Pulmo3D Effective Date: 05/25/17 | HOOD05162002591651 5. The Subrange analysis calculates and displays lung densities rela- CT Pulmo 3D tive to configurable Hounsfield unit intervals, e.g. the relative fre- quency of lung tissue that has density values within specified HU in- IT Left Right Edit tervals. Marker Evaluate | Subrange| P'centile Cluster Airways Subrange -1000 - - 800 (4) HU CT Pulmo 3D 6. The Percentile analysis calculates and displays lung densities rela- tive to configurable frequency classes, e.g. the HU value intervals for FIT the specified percentage share of the lung area Left Right Edit Marker Evaluate Subrange P'centile Cluster Airways Percentile 0 - 100 (4) % 7. The Cluster analysis calculates the volume size of defined clusters, CT Pulmo 3D taking into account severity (bullae size) and extent (% of lung vol- ume). The average value of all classes is the Bullae Index. FIT Left Right Edit Marker Evaluate Subrange P'centile Cluster Airways Cluster -C1 -- C2 -- C3 -- C4 . .. CT Pulmo 3D * IT Left Right Edit Marker 8. The Airways icon enables for dedicated eval- uation of the airways, including lumen diameters, wall thickness, and tapering. Evaluate Subrange P'centile Cluster Airways Lumen Lumen Wall Thickness Tapering Wall Thickness/Outer Di ... Lumen 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: 05/25/17 | HOOD05162002591651 Page 2 of 3 Job Aid | syngo.via CT Pulmo3D Effective Date: 05/25/17 | HOOD05162002591651 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: 05/25/17 | HOOD05162002591651 Page 3 of 3