syngo.via – MM Oncology

s yngo. via ® - MM Oncology The syngo.via MM Oncology workflow is designed to aid in the evaluation, diagnosis, and follow up of oncologic lesions in the body. Customizable layouts and tools help facilitate fast, efficient, and effective reading of complex oncology cases, including those with multiple lesions, multiple phases, and/or multiple time points. 1. From the Patient Worklist, load an appropriate data set into the MM Oncology 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 > MM Oncology. 2. The MM Oncology workflow is designed to pre-fetch prior/archived examinations across multiple modalities and arranges them in configurable layouts for both single- and two- monitor viewing. An automatic rigid registration synchronizes navigation across images and datasets, but manual alignment is also possible. 3. RECIST (Response Evaluation Criteria in Solid Tumors) is a published standard by which a patient ųs therapy response is defined as having improved, remained stable, or worsened. MM Oncology supports both RECIST 1.0 and the updated RECIST 1.1. Switching between the two will update any findings to that standard. 3D Reading 3D Reading RECIST 1.1 RECIST 1.1 PIPS Lyingin Generic RECIST Lesioni + VOI Solid Liver RECIST Mode + VOI Lung CAD AEF Auto Zoom Board Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 12/16/2020 | HOOD05162003155285 Healthineers Job Aid | syngo.via ũ MM Oncology Effective Date: 12/16/2020 | HOOD05162003155285 4. Dedicated algorithms are available for the segmentation of lung lesions, liver lesions, lymph nodes or generic lesions. Select the appropriate icon and drag a line across the longest diameter of the lesion in 3D, or click directly into the center of the lesion if it is small. Tools are available for manual editing of the segmentation if necessary. Tumor diameters and volumes are calculated and populated to the Findings Navigator. Hypo- and hyperdense regions can also be quantified using the Density icon. CURRENT 7/10/2014 11:12:48.28 AM 2 IMA~206 SP F674.0 Max. Orth Diam : 23.7 mm MPR arget Lesion 5. The Trending workflow step enables the evaluation of lesion changes over time. An identified lesion will be automatically color-coded. Red for progression, yellow for persistence, or green for regression, according to the currently active RECIST standard. Trending RECIST 1.1 CURRENT 7/10/2014 L3VOM (New) 11:12:48.28 AM 2 IMAn.3. SP A201.5 Color Trending Graph RECIST Change - 30 % R - 30 % 20 % 20 % Other 10om Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 12/16/2020 | HOOD05162003155285 Healthineers Page 2 of 3 Job Aid | syngo.via ũ MM Oncology Effective Date: 12/16/2020 | HOOD05162003155285 6. The corresponding lesion details for all time points are shown in the table. Activate the trending graph to display growth rate over time for the tumor burden or the selected lesion. Trending Findings details ? X Series Details 1 % Color Patient Name MI PETCT_Flow_3+ ... Graph of @ Selected Lesion Modality CT Bascine . Tumor Burden Metric RECIST ... Copy sport la .Hottest Lesions RECIST 1.1 Trend for Tumor Burden 35.00 30.00 25.00 20.00 16.00 10.00 7. For the dedicated evaluation of lung lesions, MM Oncology provides a Lung CAD (computer- aided detection) tool as a second reader to help expedite reading workflow and improve diagnostic confidence. The CAD calculation preprocesses automatically in the background for those series containing the keyword ŶLCADŷ, else the process can be started manually from the right upper segment corner menu. HamBis C1 CURRENT CURRENT 7/10/2014 7/10/2014 11:12:48.28 AM 11:12:48.28 94 Mana. FRMn a. 2 IMAn a. FRMn a. 2 IMÁn.3 SP R04.5 SP A201.5 A A A SL min MPR 1.200 -600 OOCT MPR Marip VRT CURRENT 7/10/2014 11:12:48.28 AM 2 IMA -238 SP F733.8 MPR Filtered Unrestricted 0 Published by Siemens Healthcare GmbH “ Siemens Healthcare GmbH, 2020 SIEMENS Master Template Effective Date: 3/5/2020 | HOOD05162003074494 Job Aid Effective Date: 12/16/2020 | HOOD05162003155285 Healthineers Page 3 of 3