syngo.via CT VB30-VB50 Delta Job Aid

SIEMENS Healthineers syngo.via CT VB30-VB50 News & Improvements Version 2021 Template Effective Date: 05/27/2019 | HOOD05162003010284 Job Aid Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 syngo.via CT VB30-VB50 News & Improvements SIEMENS Healthineers Table of Contents Interactive Spectral Imaging in MM Reading 3 MM Reading Empowerment 8 CT Application 11 Dual Energy in MM Oncology 16 Rapid Results Technology 22 ASPECT Score with Rapid Results Technology 39 Rapid Results Technology (Rule-Based Configuration) 43 2 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements Interactive Spectral Imaging in MM Reading 3 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Interactive Spectral Imaging in MM Reading SIEMENS Healthineers A new Image Format for DE – SPP1 (Spectral Post-Processing) Spectral Post-Processing (SPP dataformat) • The Interactive Spectral Imaging features uses a single post processing series in the file format Spectral Post-Processing (SPP) that contains all the necessary information. Thus separate high and low kV datasets are no longer needed. • Improve your clinical workflow by bundling the spectral low and high kV series into one Spectral Post-Processing (SPP) data series. Conventional CT • Interactive Spectral Imaging gives you the possibility to interactively change different monoenergetic energy levels and evaluate certain dual energy representations such as Virtual Non-Contrast (VNC) or Iodine in MM Reading. • The SPP series shows a conventional CT Image or a generated Monoenergetic Plus Image, readable in your PACS system. VNC 4 Effective Date: 05/03/2021 | HOOD05162003188705 1 – Functionality is provided by syngo.CT Dual Energy and syngo.CT Extended Functionality Unrestricted © Siemens Healthineers, 2021 Dual Energy goes Routine with syngo.via VB40 SIEMENS Healthineers Interactive Spectral Imaging – as Easy as Windowing Interactive Spectral Imaging (ISI) is a new and simplified way of visualizing Dual Energy data. Healthineers Server. MS-CT.APPVIA03.wurmlechalemera.de adminUser Viewing CT general Viewing • Instead of calculating multiple series like VNC or Mono+, Stack 3x2 MPR VRT Stack 2-2 Results 22 syngo.via now creates a single series called Spectral Post- Mono+ VNC Favorite Tools Processing (SPP) data that contains all the necessary post processing information. Series • Only these Spectral Post-Processing (SPP) data needs to be loaded to MM Reading in order to have access to the new Favorite Tools % Reset Rotate Synch Layout features and functionalities. Iodine Mixed sQuipu! Assisted: Distance ROI Circle Perpend ... Line Snapshot • On patient follow up, high and low kV data is no longer Bupulld needed. + 5 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 MM Reading SIEMENS Healthineers Interactive Spectral Imaging • Switch the most common Dual Energy application classes by one button click using the interactive image text: Server MSGTAPPVLAG3.munleon sievers.de . adminUser Mono+ Viewing • CT general Viewing Virtual Non Contrast (VNC)* Stack 3x2 MPR VRT Stack 2:22 Results 22 • Mono+ VNC Favorite Tools • Mixed Iodine* • Series • Easily change the keV level of your Monoenergetic Plus image by: Favorite Tools Reset Rotate Synch • Mouse movement (left/ right or up/ down) Layout Iodine Mixed Assisted Distance ROI Circle • Entering a value using the keyboard Snapshot Export Full Text Hide Lines • Using the slider in the Dual Energy Mono Plus properties box Bupund > x auto Bone Vestels Remo Mono+ Dual Energy Mono+ Properties keV 70 70keV OK Cancel * VNC and Iodine representations are not available for Dual Spiral Dual Energy and TwinSpiral Dual Energy 6 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 syngo.via VB30-VB60 News & Improvements SIEMENS Healthineers MM Reading: Interactive Spectral Imaging • ROI or VOI measurements can be performed on any representation. [1] ROI Circle [1] ROI Circle Min / Max: 45 HU/282 HU Mono+ 70keV Mean/SD: 80 HU/19 HU Min / Max: 45 HU/282 HU Area: 1,96 cm2 Mean/SD: 80 HU/19 HU Area: 1,96 cm2 • ROI Measurement Details are explicitly informing you on which representation the measurement was performed. • The Findings Assistant reflects as well on which representation the measurement has been performed. • Spectral Post-Processing (SPP) data can also be used with CT Extended Functionality in MM Reading such as: Mono+ 70keV VNC • Define vessel • Table- and Bone Removal Define Remove Bone Heart Isolation Vessels Table Remo • • Coronary Tree View • cPR Ranges Isolate Coronary Heart Tree 7 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements MM Reading Empowerment 8 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 MM Reading Empowerment SIEMENS Healthineers Basic Onco Tool • Enhancing routine tools in MM Reading – no matter which modality you read. Viewing Q . Series X CT general Viewing Add Study MPR VRT Stack 2x2 CURRENT • No more switch workflow. Current [N30348] ICT, 1/1/2000 Unknown study description SP F189.2 Favorite Tools • Assisted perpendicular tool – two lines auto aligned 2Results Viewin 130353) with 90°. Series R Favorite Tools X Findings Findings Rotate Synch Finding 1 [1] Assisted. 55.81. Findings MPR ?! 30 Ref. Assisted 10cm Point Perpend. oude O Distance ROI Circle Snapshot Print Export Printing Image Image Hide Lines 1600 -600 kV 120 Reset Auto Layout Views + Courtesy of Ludwig-Maximilians-University Munich, Munich, Germany 9 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 syngo.via VB30-VB60 News & Improvements SIEMENS Healthineers MM Reading: Clinical Tools – CT Lung Change Tool In MM Reading, the CT Lung Change tool displays changes in density across different time points. CT Lung Change ? X Compare following Series 10/6/2014 -Lung 1.0 17OF 3 LCAD [3] • Current and prior series are automatically registered. &/19/2014 -Lung 1.0 17Of 3 LCAD [3] 8/19/2014 -Lung 1.0 17Of 3LCAD [3] 6/10/2014 -Lung 1.0. 170f 3 LCAD [3] • If the automatically selected series from the prior time point is not adequate, you can Show Restrict to Lung Hide Evalots Change select another suitable series from the drop-down menu. Density: CT Lung Change ? X • Changes in HU values are displayed as a colour overlay on MPR/ MPR Thick: Decreased Compare following Series • Decreased HU values are indicated by blue colour. 10/6/2014 -Lung 1.0 17Of 3 LCAD [3] • Increased HU values are indicated by orange colour. X Lung Change for 6/10/2014 -Lung 1.0 170f 3 ... • The evaluate change functionality activates a lens, displaying original series without Showl Evaluate M Restrict to Lung colour overlay. The toggle functionality allows to change the time point visualized in Hide Change the lens to evaluate a dedicated region. .................. ... ... .. The CT Lung Change tool can be The CT Lung Change tool can be • A progress bar is displayed to provide feedback on how long the comparison will CT Lung take. invoked from the tool gallery. Change invoked from the tool gallery. ... 10 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements CT Application 11 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Automated Vessel Specific Calcium Scoring syngo.CT CaScoring • Calculates the Agatston equivalent score, the SIEMENS .. Xcite_233 x Healthineers * 1/1/1966 M Xcite_233 mass score, and the volume score of each CT CaScoring coronary artery as well as the corresponding CT CaScoring 1,2 Reset X total scores across coronary main branches Scarica 1,2 LAD Cx Ca Show Show Scored (LAD, LCX, RCA, LM). Original U1 U2 LM MM Reading LAD Cx x RCA • Clear Scoring button to start scoring from Automated Automated scratch. calculated Volume calculated Mass score of each score of each LAD Cx Ca coronary artery coronary artery 32 • The Recon&GO* and Rapid Results Technology (RRT) results are still total score-only in this Artery Lesions Volume / mm3 quiv. Mass / mg Score 2.1 0.54 1.5 LAD 136.0 26.57 140.8 version! CX 0 0.0 0.00 0.0 RCA 0.0 0.00 0.0 Ca 0.0 0.00 0.0 Total 8 138.0 27.10 142.3 U1 O 0.0 0.0 U2 0.0 0.00 0.0 Automated calculated Agatston equivalent score of each coronary Settings Score Type: Agatston equivalent, Threshold: 130 HU (105.3 mg/cm3 CaHA) artery Mass calibration factor: 0.81 * This is available on the SOMATOM X.cite and the SOMATOM go. Family scanners with software version VA30 12 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Standardize Dual Energy Reading with syngo.via by Supporting DICOM Supplement 188 syngo.via VB50 supports the new DICOM supplement Standardized display 188 : of DE parameters • Automatically store Dual Energy acquisition parameters and image content in a standardized and Works with transparent way. any scanner • Correctly display images and Dual Energy Support right parameters on all PACS systems supporting the new from the start standard. 13 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 syngo.CT Coronary and syngo.CT Vascular VB50 Vascular Ranges Improvements The radial and parallel vascular ranges result generation has been Black borders Zooming improved for RRT and Recon&GO regarding the following aspects: RCA VB40 VB50 Before VB50 RCA • Less black borders are shown in parallel and radial vascular ranges results. VB50 • Excessive zooming in cross-sections is avoided in parallel TLYU 2120500 RCA 12.5 vascular ranges results. STUDY 4/19/2019 FICACHOSESALMONE MER 1030 1.0.28 • Sort order of images in a parallel vascular range series is always from proximal to distal direction. MPR CV MPR CV Do not manterre on left sd- of the regel 14 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Support of Larger Matrix Sizes in Dedicated syngo.via Applications syngo.CT Vascular and the CT Vessel Extension have SIEMENS Healthineers 5 ª Lan Ann . 9/7/1928 M 1005593883 x been extended to support processing of large matrix WF_CT Vascular_85d34e ... @ + CT Vascular CarotidAngio 6 CarotidAnglo 5.0 8307 H5000 6 (06) ALFA A. carotis r int. sized datasets: P R29.9 SPA1 51.3 • Loading and processing of CT angiography Vessel Definition Manual Multiple reconstructions of up to 1024x1024 square O Vessel Evaluation Rapid Results MPR and non-square matrix sizes. LA0 90 Not for Em Topical user Lan_Ann etsklinikurn Erlangen Radiologisches instatut 1005593883 Ref.: pet mady CarotidAngio 5.0 930f H501 0.6 (0 3)4,0 Display of image data in native image resolution. *9/7/1928, M. 1Y SOMATOM DefinitIn Edge SP A152.0 • @ Findings Navigat CarotidAngio 5.0 B301 H5010.6(0.48 2 Name Value Source 1/30/2012 12:39:04 PM SP H232.8 A • Centerline tracing and bone removal operate on A carotis r ext A. carotis r int. A carotis.rint; A. carotis | int normalized image resolution to ensure a consistent Tools 5cm MPR KV 100 MAS 161 quality amongst all resolutions. F MPR CV nical usel MPR KV 100 mAs 161 H50f O CAUD 90 M 1024x1024 Not for clinical use! PR 15 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements Dual Energy in MM Oncology 16 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 MM Oncology SIEMENS Healthineers DE Layouts • Depending on the loaded data, the layout is displayed as follows: CT Lung CT Lung CT MPR 2TP DECT 4TP VRT Liver • Only Dual Energy scans are loaded: The corresponding Dual Energy layouts are displayed. Liver 3D DECT Liver 3D 2TP Liver 4TP DECT • CT scans and Dual Energy scans are loaded: A CT layout is displayed but a mixed image is displayed. DECT 3D DECT 3D DECT CT 4TP Arterial Enhance ... • The Dual Energy layout is applied according to the following Layout Liver VNC Virtual Unenhanced criteria: DECT Liver x • Fused segments display virtual non-contrast (VNC) and DECT Liver 3D iodine images. × DECT Liver 3D 2TP × • Non-fused segments display mixed images. DECT Liver 4TP x DECT x Hint: DECT 3D x In general, Virtual Unenhanced should be used for all tumor DECT 3D 2TP x evaluations. Optionally, Liver VNC can be used for the assessment DECT 4TP x of liver tumors. Depending on the selected layout Liver VNC or Virtual Unenhanced will be applied. 17 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 MM Oncology SIEMENS Healthineers Lesion Segmentation (1/2) • Dual Energy information is now also provided within a lesion segmentation. • Dual Energy information like the iodine uptake of a lesion can Solid Liver Lymph Generic be measured. Lesion Node • The change of the Dual Energy information over multiple time points is often used to check the progress of a disease or a specific therapy response. Therefore, the Dual Energy information can be investigated over several time points. • For iodine images, it is strongly recommended to use the generic segmentation algorithm. • In virtual non contrast (VNC) and mixed images, the dedicated segmentation algorithms (liver, lung, lymph) work as usual. 18 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 MM Oncology SIEMENS Healthineers Lesion Segmentation (2/2) • Mean HMI for Liver VNC Layout Liver VNC Virtual Unenhanced • H: Hepatic DECT Liver X • M: Mixed Image DECT Liver 3D x • I: Iodine Image DECT Liver 3D 2TP X DECT Liver 4TP X • Mean NMI for Virtual Unenhanced DECT X • N: Unenhanced DECT 3D X • M: Mixed Image DECT 3D 2TP X • I: Iodine Image DECT 4TP x • Density in mg/ml • Iodine Uptake in mg 6VOM1 CT 2 L5VOI2 CT 2 RECIST 1.1 Diam.: 30.0 mm RECIST 1.1 Diam.: 36.8 mm Max. Orth. Diam.: 20.8 mm Max. Orth. Diam.: 29.2 mm Volume 7 166 ml Mean HMI: 37.7/ 73.8/ 36.5 HU Mean NMI: 46.6/ 80.3/ 33.9 HU lodine Density: 1.4 mg/ml lodine Density: 1.3 mg/ml lodine Uptake: 10.3 mg lodine Uptake: 33.0 mg Liver VNC Virtual Unenhanced 19 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 MM Oncology SIEMENS Healthineers Trending with DE Data Sets (1/2) Load Baseline and Follow-Up • Select both timepoints and assign them to MM Oncology. LAVOR CT 2 • Switch from default DECT 3D 2TP layout to e.g. DECT Liver DECT 3D 2TP. Liver 3D 2TP • Define a lesion segmenation in the baseline data set and link it to the defined lesion segmenation of the follow-up R R data set. 10cm L9VON1 CT 2 10cm LOVOM CT 2 REVIDIN T uIam.: 36.1 mm REVISUN.1 viam : 29.0 mm Max. Orth. Diam.: 32.7 mm Max.\Orth. Diam.: 24.8 mm Volume: 14.286 ml Volume: 5.798 ml Mean HMI: 46:8/ 79-2/ 32-2-HU Mean HMI: 60 4/ 108:7/ 47 3 HU Solid Liver Lymph Generic lodine Density: _1.2 mg/ml lodine Density 1.6 mg/ml Lesion Node lodine Uptake: 17 0 mg lodine Uptake. 9.4 mg F Follow-Up Baseline L9VOI2 L9VOI1 → Same lesion number but different VOI 20 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 MM Oncology SIEMENS Healthineers Trending with DE Data Sets (2/2) Trending graph: Findings details ? x • In the metric dropdown list, in addition to the geometric measurements, the Dual Energy information can be found. Series Details Trending Patient Name FO_490_05.12.18 ... Graph of . Selected Lesion Modality CT Baseline Prior 01, 12/5/2018 Tumor Burden Metric Max HU Add Print Copy Export to Snapshot CSV • Select one of the following entries for the graphical . Hottest Lesions Max HU RECIST 1.1 representation of its change: Max Orthog. Diam Volume Trend for L9 Mean HU SD HU % Change Baseline Min HU WHO Area ml 210 Volume • Hepatic (H) mean HU or Max. 3D Diam. 17.98 Vol. - equiv. Sphere Diam. Virtual Unenhanced (N) mean HU 180 Elongation 16.24 Hepatic (H) mean HU (depending on the used layout) Mixed mean HU 150 lodine mean HU 14.50 lodine Density (mg/ml) lodine Uptake (mg) • Mixed mean HU 120 12.76 • Iodine mean HU 90 11.02 • Iodine Density (mg/ml) 60 9.28 • Iodine Uptake (mg) 30 7.54 5.80 -30 4.06 Prior 01 CURRENT Date 12/5/2018 1/30/2019 M/D/YYYY 21 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements syngo.via Rapid Results Technology 22 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Rapid Results Technology SIEMENS Healthineers General Information Rapid Results Technology (RRT) provides automatically generated result series that can be prepared and archived in the PACS, without the need to open the workflow in syngo.via. There are two configurable options in the context of using this technology: • Automatic Preparation without Archiving: This option enables the automatic preparation of the results during the processing of the case. These result series are then available in the list of series in the browser, allowing you to verify the results before they are archived. • Automatic Preparation AND Archiving: After receiving the series with the configured RRT data role from the scanner, syngo.via will generate the result series and automatically send it to the default archive, without the need to interact with syngo.via. In RRT connecting with scanner, a secure connection is supported for the transfer of data roles. 23 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Rapid Results Technology SIEMENS Healthineers Your Winning Combination ... With Tech performs syngo.via Rapid Radiologist uses results for standard thorax scan pre-processes Results data diagnosis and distribution in PACS 24 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Rapid Results - Package SIEMENS Healthineers Complete Portfolio for CT with syngo.via VB40 Routine Results Advanced Results AI-based Results Automatic Anatomical Range Creation Unfolded Rib Ranges Lung CAD Series | new features Spine Ranges Vessel Ranges Neuro Perfusion | improved | improved Algorithm enhanced Volume Renderings Dual Energy | new features Result Ranges ASPECT score* | NEW Quality Control and Edit of automatic Automatic Calcium Scoring Results (total CaSco) | NEW * syngo.via ASPECT Score is not commercially available in the US. Its future availability cannot be guaranteed. 25 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 New with syngo.via VB40 for CT SIEMENS Healthineers Rapid Results Technology Overcome workflow bottlenecks with Rapid Results Technology and focus on what matters: • New Rapid Results available: VRT/MIP ranges for coronary tree and heart visualization; CPR ranges for carotid arteries; total Calcium Score • Anatomical Intelligence of Rapid Results enhanced with Dual Energy data • Improved configuration of RRT including job failure notification 26 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Radial Ranges SIEMENS Healthineers Radial VRT Ranges for Cardiac Gated Scans Radial VRT and MIP Range series are possible for visualization of PHP PHR Heart, Herbert SOMATOM Force Heart, Herbert Heart, Herbert 12345678 Yngo CT VASOS 12345678 12345678 syngo via VB40A '4/26/2018, M. 68Y Syngo vis.VB40A the isolated heart or coronary tree. *4/25/2018, M, 68Y #4/26/2018, M, 68Y CURRENT CURRENT 4/25/2018 STUDY 4/25/2018 CURRENT STUDY 4/25/2018 CorCTA 0.6 Bv40 [P5] 3D Heert Radial VRT 3D Coronaries Radial VRT [1 11:49: 42:08 AM TF SPIDS 12 1024 IMA 10 5 IMA 104 FRM 1 SPF658.3 Duplicate the selected RRT result type with all currently used RAF RAF parameters, e.g. Heart VRT LAO Cran, and only change the 5cm RY 100/100 mAswot 291 Manip VRT Manip VRT ref.mA: 288 11 0.25 differences according to your needs: GTOO SL 0.6/192x0 6.pp3.2 160 14/0 AC 12 747.747 AC 12 747 747 Bv40 d3n 51 bom, 67 %, 65 ms Automatic Result Automatic Rosa Rapid Results Technology • Isolate Heart General Settings • Isolate Coronary Tree Enable automatic preparation with Rapid Results Technology at syngo.via Available Result Types Configured Results ? • Display Type Parallel Ranges Sinus Coronal 3.0mm Radial Ranges Liver VNC Range • VRT Preset Spine Ranges Aligned Range CT ASPECT Score Heart VRT LAO Cran RT Auto Contouring Coronaries VRT LAO Cran CT Neuro Perfusion Radial VRT Range • CT CaScoring Spine MPR 2.0mm …. Parallel Vascular Ranges Aspect Score Radial Vascular Ranges RT Auto Contouring Lung CAD Stroke Perfusion Rib Ranges CT CaScoring Inn nos Properties of Heart VRT LAO Cran Visualisation Table Removal Isolate Heart 1 Bone Removal Isolate Coronary Tree 1 Image Resolution Normal Output Output Type Conventional CT (including DE) 1 This parameter describes the output of Rapid Results Technology. You can choose between conventional CT or Dual Energy Results. Phase Auto % Phase selection is only supported for multiphase cardiac gated CT scans. The setting does not have an effect on other scans. 27 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 New with syngo.via VB40 for CT SIEMENS Healthineers PACS-Ready Heart Visualization “I want to have visualizations of the heart and coronaries prepared when I read my case.” Powered by Rapid Results Courtesy of Medscan Barangaroo, Barangaroo, Australia 28 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 New with syngo.via VB40 for CT SIEMENS Healthineers PACS-Ready CPR Ranges for Carotid Arteries “ I’d like to have curved reformations of the carotid arteries automatically prepared by the system.” Powered by Rapid Results Courtesy of Medscan Barangaroo, Barangaroo, Australia 29 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 New with syngo.via VB40 for CT SIEMENS Healthineers PACS-Ready Total CaScoring “I want to read my CaScoring Patient Age: 69 Y Coronary Age: > 84 Y scans pre-scored at my reading Score Score : 146.7 Moderate Calcification 10000 workplace and easily correct the 1000 95% 90% scoring if necessary.” 75% 100 50% 10 25% 1 45 55 65 75 85 Percentile Ranking: MESA-Study (chinese, male) Age Powered by Rapid Results Courtesy of Medscan Barangaroo, Barangaroo, Australia 30 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges Rapid Results Auto Archiving (AA) – New with VB40 (1/8) With VB40, all Dual Energy RRT results are now also workflow Requested Procedere Workflo Recon Data role Dual Energy / DE Abdomen VNC IR (Adult independent: R DE_Abdomen 5.0 8638 3 #PP DE_Abdomen 1.5 Qr40 2 Lung Analysis Monoenergetic+ On the scanner side: Rho/Z Dual Energy LLLLLLLLLLLLLLLLLLL Body Bone Removal (Strong) No need to map the protocol with the CT Dual Energy workflow Head Bone Removal (Strong) Lung Analysis (Dense Lung) Lung Analysis Bone Marrow (AA) in the Scan Protocol Assistant. Head Bone Removal (AA) Body Bone Removal (AA) Brain Hemorrhage (AA) The available Data Roles depend on the selected Workflow. Virt. Unenhanced (AA) Gout (AA) Hard Plaques (AA) Heart PBV (AA) Kidney Stones (AA) Sequenceiscars Spiral scans 1 Mutiscans Interventional scans Liver VNC (AA) Lung PBV (-3) obs 3D recon jobs ADMIRE I Sequence Lung Vessels (AA) Mixed (AA) Monoenergetic (AA) Monoenergetic+ (AA) Monoenergetic+ 40 (AA) CT Duar Workflow Data role [-] 31 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges Rapid Results Auto Archiving (AA) – New with VB40 (2/8) With VB40, all Dual Energy RRT results are now also workflow independent: • On the syngo.via side: Dual Energy RRT are calculated automatically, there is no need to adapt the syngo.via configuration or map workflows. • The CT Dual Energy configuration provides new options with which you can specify the availability of Dual Energy RRT results: • In Workflows Using Dual Energy (default). • In Dual Energy only. CT Dual Energy Configuration • In all workflows. Application Profiles Rapid Results Techonology will be available Workflow Bone Reading in Dual Energy Only Body Region Cardiac Function in Dual Energy Only DualEnergy plus Vascular Bone Reading in Workflow Using Dual Energy Oncology in All Workflows Coronary Vascular Dual Energy DE Using Workflows 32 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges SIEMENS Healthineers Rapid Results Auto Archiving (AA) – New with VB40 (3/8) For each parallel range, the Display Type, the Orientation, the Slice Thickness [mm], and the Increment [mm] can be defined. Parallel Range 1 Display Type MPR Thick • Display Type: Parallel Ranges: Radial Ranges: Orientation Coronal MPR Thick VB30 Sli Coronal • • MIP Sagittal Axial • MIP Thin • VRT Dataset 1 /Dataset 2 • Orientation: v Dataset 1+2 • Axial Parallel Range 1 High Resolution • Sagittal Display Type MPR Thick Include Referer • Coronal Orientation Axial, Sagittal, Coronal VB40 Sli Coronal • Axial, Sagittal, Coronal (parallel range only) Sagittal Axial → will create a parallel range in each of the three orientations V VNC Axial, Sagittal, Coronal (new with VB40) lodine Fused High Resolution Include Reference Image 33 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges SIEMENS Healthineers Rapid Results Auto Archiving (AA) – New with VB40 (4/8) The description of the possible generated series changed with Parallel Range 1 VB40. Display Type MPR Thick E.g. for Liver VNC: Orientation Axial Slice Thickness [mm] 5.0 + VNC Increment [mm] 5.0 4 • Windowing and measurements possible. ¥ Dataset 1 ¥ Dataset 2 VB30 v Dataset 1+2 • Iodine High F Parallel Range 1 Windowing and measurements possible Include Display Type MPR Thick display with greyscale only at PACS. Orientation Axial Slice Thickness [mm] 5.0 ¢ 5.0 + • Fused Increment [mm] ¥ VNC Secondary capture: lodine Colors are available but VB40 Fused NO windowing and NO measurements possible. High Resolution Include Reference Image 34 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges SIEMENS Healthineers Rapid Results Auto Archiving (AA) – New with VB40 (5/8) The description of the possible generated series has been Parallel Range 1 improved with VB40. Display Type MPR Thick E.g. for Kidney Stone: Orientation Axial Slice Thickness [mm] 1.5 ¢ Mixed Increment [mm] 1.0 • ¥ Dataset 1 Windowing and measurements possible. ¥ Dataset 2 VB30 v Dataset 1+2 High Re • Classified (Gray) Parallel Range 1 Windowing and measurements possible Include Display Type MPR Thick display with greyscale only at PACS. Orientation Axial Slice Thickness [mm] 1.5 + Increment [mm] 1.0 + • Fused Mixed Secondary capture: Classified (Gray) Colors are available but VB40 Fused NO windowing and NO measurements possible. High Resolution Include Reference Image 35 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges Rapid Results Auto Archiving (AA) – New with VB40 (6/8) SPR Images (Stopping Power Ratio Images) Application Class Rho/Z Base Application Class Rho/Z • Not available in DE workflow only as Rapid Results Create New Delete Only selectable as data role at SPA of Dual Source and Dual Spiral Application Subclasses Rho/Z • scanners: Dual Energy Spectra Drive/Flash/DS ... 80/140KV • SPR SPR (AA) Visualization Algorithm Parameters Material Definitions Presets Preprocessing ROI Properties Automatic • Options Parallel Ranges Automatic Archiving of Thin Slice (Original) • In DE configuration, use the Application Class Rho/Z and Parallel Range 1 change the data role scope to in All Workflows to combine SPR Parallel Range 2 Display Type MPR Thick Display Type MPR Thick images with RT Image Suite. Orientation Axial Orientation Axial Slice Thickness [mm] 3.0 + Slice Thickness [mm] 1.5 Increment [mm] 3.0 + Increment [mm] 1.0 + Rho Rho • SPR images can be used for: Z Material characterization similar to electron density images Fused Fused High Resolution High Resolution could be used for particle therapy (mainly research). Include Reference Image Include Reference Image No marketing claim for this application! Rapid Results Techonology will be available in All Workflows The same parameters will also be used for the calculation of SPR images 36 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges Rapid Results Auto Archiving (AA) – New with VB40 (7/8) Spectral Post Processing (SPP) for Interactive Spectral Imaging Spectral Post Processing (SPP) • As already introduced in chapter DE in MMReading Interactive Spectral Post Processing (SPP) for Interactive Spectral Imaging Spectral Imaging, the interactive Spectral Imaging features uses Create as Conventional CT mixed (default) Create as Monoenergetic+ with keV defined for the body region a single post processing series in the file format Spectral Post- always for slice thickness up to 2mm (may result in high system load, default) Processing (SPP) that contains all the necessary information. only for quantitative kernel (Qr, Q, or D) and slice thickness of exactly 1.5mm (limited number of series) only if datarole SPP was explicitly set at the scanner (Scan Protocol Assistant) Thus high and low kV data is no longer needed. never (do not even use datarole SPP) Should only be used temporarily if a large amount of data is imported to syngo.via • SPP is automatically created on syngo.via with Rapid Results Exclude air from calculation. This check box is selected by default to reduce calculation time. Technology and will be shown as a single series e.g. in the Optimized for structures with: normal contrast (default, suitable for most patients) Patient Browser. • On the Spectral Post Processing (SPP) tab of the DE Configuration, you can define settings for the creation of SPP data sets with Rapid Results Technology. 37 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Dual Energy Result Ranges Rapid Results Auto Archiving (AA) – New with VB40 (8/8) Spectral Post Processing (SPP) for Interactive Spectral Imaging Spectral Post Processing (SPP) for Interactive Spectral Imaging 1. Depending on the selection, either Conv. CT or Mono+ 1 Create as Conventional CT mixed (default) Create as Monoenergetic+ with keV defined for the body region is used as the main representation for Interactive Spectral Imaging. 2 always for slice thickness up to 2mm (may result in high system load, default) only for quantitative kernel (Qr, Q, or D) and slice thickness of exactly 1.5mm (limited number of series) only if datarole SPP was explicitly set at the scanner (Scan Protocol Assistant) never (do not even use datarole SPP) Should only be used temporarily if a large amount of data is imported to syngo.via 2. By default, preprocessing always creates SPP data sets for incoming low and high energy series, 3 Exclude air from calculation. This check box is selected by default to reduce calculation time. except when the slice thickness is more than 2 mm. 4 Optimized for structures with: normal contrast (default, suitable for most patients) 3. If the Exclude air from calculation check box is selected, only HU values above -950 HU are considered for calculating the SPP data set; this will reduce calculation time. 4. Select the predominant structures in the SPP data sets. The calculation of the SPP data sets is globally optimized accordingly. 38 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements ASPECT Score with Rapid Results Technology 39 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 New with syngo.via VB40 for CT SIEMENS Healthineers PACS-Ready ASPECT Score1 (1/2) • The Alberta stroke program early CT score Affected area (X) (ASPECTS) provides a score from 0 (most severe) to 10 (least severe)2 . • Support assessment and severity of ischemic 37.9 C 38.3 changes on non-contrast CT head scans. C IC 35.9 IC 36.0 INS 30.8 X INS 32.9 L 36.7 L 38.1 M1 33.8 X M1 36.2 Automatically calculated ASPECT Score. M2 35.4 M2 36.4 • M3 38.6 M3 38.7 M4 34.5 M4 35.3 M5 33.4 X M5 35.5 M6 35.7 M6 36.4 automated ASPECT Score 7 automatic Results Powered by syngo.via ASPECTS1 highlights the affected brain regions (bold) Rapid Results and provides the average HU value in each of the 10 regions. Courtesy of Ludwig-Maximilians-University Munich, Munich, Germany. 40 1) syngo.via ASPECT Score is not commercially available in the US. Its future availability cannot be guaranteed. Effective Date: 05/03/2021 | HOOD05162003188705 2) http://www.aspectsinstroke.com/. Unrestricted © Siemens Healthineers, 2021 New with syngo.via VB40 for CT SIEMENS Healthineers PACS-Ready ASPECT Score1 (2/2) ASPECT Score Explanation (Example Case) MI MI M4 M4 37.8 35.9 IC 38.3 36.0 INS 30.9 X INS 32.9 M2 M2 MS MS 36.7 L 38.1 M1 33.8 X M1 36.2 MS M2 M6 M2 35.4 36.4 M3 M3 38.6 M3 38.7 144 34.5 M4 35.3 MS M6 33.4 X 35.5 35.7 36.4 X / Bold Surroundings: Region with lower HU values compared to other hemisphere (e.g. M4) automated WM: Only white matter may be affected ASPECT Score 7 Boldface text: Region that is visible in the current image (left: C, IC, INS, L, M1-M3 / right: M4-M6) automatic Results • Easy access of full analysed ASPECT Score series • Last image in series contains an explanation in PACS2 image • Full window/level capability available • Toggle ASPECT Score overlay on/off syngo.CT ASPECT1 provides automatic results and • Powered by Rapid Results is non-editable Courtesy of Ludwig-Maximilians-University Munich, Munich, Germany. 41 1 – syngo.via ASPECT Score is not commercially available in the US. Its future availability cannot be guaranteed. Effective Date: 05/03/2021 | HOOD05162003188705 2 – PACS needs to support DICOM 6000. Unrestricted © Siemens Healthineers, 2021 PEPconnect – Your Smart Connection to Knowledge SIEMENS Healthineers syngo.via VB40 xBL Content Available • Explore the complete multi modality online training portfolio for syngo.via VB40 any time on PEPconnect. • With VB40, a new structure is available to facilitate the access to the syngo.via learning activities. PEP connect • Content is available in 5 languages. SHILS fon experience wilt options la cuitage and performance garnich. PEP connect Go to: www.siemens.com/pepconnect 42 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 SIEMENS Healthineers CT - News & Improvements syngo.via Rapid Results Technology (Rule-Based Configuration) 43 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 syngo.via Rapid Results Technology Workflow SIEMENS Healthineers Automation & Fleet Management  syngo.via VB10 syngo.via VB20 Start of RRT RRT became task flow syngo.via VB40 syngo.via VB50 RRT becomes vendor independent Holistic Portfolio of RRT independent ROUTINE RESULTS ADVANCED RESULTS CLINICAL RESULTS Automatic Spine Ranges Unfolded Lung CAD Series Neuro Perfusion Anatomical Rib Ranges Range Creation Algorithm enhanced Quality Control Dual Energy Volume Renderings and Edit of automatic Vessel Ranges Result Ranges ASPECT score* Automatic Calcium Scoring Results (total Casco) 44 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Automated Clinical Results for your Vendor Independent* SIEMENS Healthineers CT Fleet Vendor- Automated results independent* through rule-based configuration SOMATOM CT scanner SOMATOM CT scanner New with syngo.via server PACS syngo.via VB50 Non Siemens syngo.via configuration only, potentially skip the scanner part configuration. CT scanner * Optional. As a prerequisite the dedicated syngo.via CT Application is able to handle the vendor specific CT DICOM data. 45 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 syngo.via Rapid Results Technology SIEMENS Healthineers Rule-Based Configuration • As a clinical administrator, you can configure and manage rules in the syngo.via configuration panel by using keywords or conditions that are part of the DICOM image header. • License-protected, it works for all Siemens Healthineers CT scanners and other vendors’ scanners with the license. Configure Rapid Results Technology Assignments ? X Set up rules to specify how incoming series trigger Rapid Results Technology calculations. + Add new Rule When Study Description is: AND when Series Description is: (AND Addit. Condition is:) (With Addit. Value:) Calculate this Result: Study Description Series Description Additional Condition Additional Value (Optional) (Optional) Rapid Results Technology Result *Lung* *Thorax' Kernel Lung CAD *Lung* RT Auto Contouring *Thorax* Scan protocol name *Thorax* RT Auto Contouring 46 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Configuring Results Based on Result Types • Configure the rule in the Configuration Panel. • Click Configure Scanner Assignment icon to create the rule. Configuration Panel Client Settings Advanced Visualization Display And Behavior Export Frontier Rapid Results Technology Activate Rapid Results Technology Configure Scanner Assignment Available Result Types Configured Results ? Parallel Ranges Aligned Range Radial Ranges Aspect Score Spine Ranges Coronaries VRT LAO Cran CT ASPECT Score * CT CaScoring RT Auto Contouring Curved Radial MPR LAD CT Neuro Perfusion Curved Radial MPR LOX CT CaScoring Curved Radial MPR RCA Parallel Vascular Ranges Heart VRT LAO Cran Radial Vascular Ranges Liver VNC Range Lung CAD Lung CAD Rib Ranges Parallel Ranges New1 *: CT ASPECT score is currently under development and is not for sale in the U.S.A. Its future availability cannot be guaranteed. 47 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Configure Rapid Results Assignments Click on the + icon to create a new rule. Configure Rapid Results Technology Assignments ? X Set up rules to specify how incoming series trigger Rapid Results Technology calculations. + And new Rule When Study Description is: AND when Series Description is: (AND Addit. Condition is:) (With Addit. Value:) Calculate this Result: Study Description Series Description Additional Condition (Optional) Additional Value (Optional) Rapid Results Technology Result 1 Use * as wildcard/ placeholder character (multiple use is possible). Examples OK Cancel 48 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Available Parameter for Configuration of Rules The following parameters are Configure Rapid Results Technology Assignments available to create rules: Set up rules to specify how incoming series trigger Rapid Results Technology calculations. • Study Description Add new Rule • Series Description + • Additional Condition (Optional) When Study Description is: AND when Series Description is: (AND Addit. Condition is:) (With Addit. Value:) Calculate this Result: Study Description • Additional Value (Optional) Series Description Additional Condition Additional Value (Optional) (Optional) Rapid Results Technology Result Rapid Results Technology Result *Thorax 3mm • Empty> Aligned Range Contrast media Aspect Score Kernel Coronaries VRT LAO Cran Scan protocol name CT CaScoring Scanner Manufacturer Curved Radial MPR LAD → All parameters are available in the Scanner name Curved Radial MPR LOX Curved Radial MPR RCA Patient Browser either on patient Heart VRT LAO Cran level or on series level. Liver VNC Range Lung CAD Radial VRT Range RibRangesDefault RT Auto Contouring Sinus Coronal 3.0mm Spine MPR 2.0mm Stroke Perfusion 49 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Example of the Rule • Text strings are context-sensitive, for example, Thorax and thorax will not lead to the same results. • You can use * as a wildcard character. Examples: Rule: Matching Recon Head*1.5*Coronal Head 1.5 Hr60 Coronal Yes Head 1.5 Coronal contrast No - “Contrast” at the end Head 1.5 coronal No - context-sensitive Head/Neck 1.5 Coronal Yes Head/Neck 1.5 Hr60 Coronal Yes 50 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Additional Condition (Optional) Additional Comments (AND Addit. Condition is:) (With Addit. Value:) Condition Additional Condition Additional Value (Optional) (Optional) Contrast Media Series level, Contrast media Yes value: yes/no Yes No Kernel Series level, value: text (AND Addit. Condition is:) (With Addit. Value:) Calculate this Result: Scan protocol Study level, Additional Condition Additional Value name value: Scan protocol name (Optional) (Optional) Rapid Results Technology Result e.g. Brain Perfusion Kernel *Bv38 Curved Radial MPR LAD Scan protocol name *Brain Perfusion Stroke Perfusion Manufacturer Study level, Lung CAD Name value: Manufacturer given scanner type e.g. SOMATOM Drive Contrast media Kernel Scanner Name Study level, Scan protocol name value: Customer given device name, e.g. Scanner Manufacturer Scanner name CT3 51 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 Rapid Result Technology Results In the last column Rapid Result Technology Results you can select the + Add new Rule available clinical results* of RRT for the When Study Description is: AND when Series Description is: (AND Addit. Condition is:) (With Addit. Value:) Calculate this Result: conditions. Study Description Series Description Additional Condition Additional Value (Optional) (Optional) Rapid Results Technology Result *Thorax *3mm Scanner Manufacturer Canon Aligned Range Aspect Score Coronaries VRT LAO Cran CT CaScoring Curved Radial MPR LAD Curved Radial MPR LOX Curved Radial MPR RCA Heart VRT LAO Cran Liver VNC Range Lung CAD Radial VRT Range RibRangesDefault RT Auto Contouring Sinus Coronal 3.0mm Spine MPR 2.0mm Stroke Perfusion *The dedicated clinical RRT results are part of the clinical Applications, e.g. Rapid Results Technology of total 52 CaScore is included in the syngo.CT CaScoring license. Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021 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 2021 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 53 Effective Date: 05/03/2021 | HOOD05162003188705 Unrestricted © Siemens Healthineers, 2021