syngo.via VB30 Delta - Nuclear Medicine (PET & SPECT) Online Training

Welcome to the syngo.via VB30 delta online training. In this training you will learn about new features and functionalities of the syngo.via VB30 software version that covers Molecular Imaging (MI) / Nuclear Medicine (PET & SPECT). Upon successful completion of this online training, you will know about new features and feature improvements in: MM Oncology for MI: Hybrid VRT/MIP, SUV lean body mass unit based on the JANMA Formula, Automation of Deauville Five Point Score, enhancements for Multi Foci Segmentation, Total Activity for SPECT and xQuant SPECT, Parametric Imaging, Lock Reference Lines, Layout Creation. MI Neurology: Split of Ratio Analysis workflow into Cortical Analysis and Striatal Analysis (SPECT and PET), enhancements of Striatal Analysis SPECT and PET.   MI Reading and Organ Processing: Gastric Retention, 2D Acquisition Bundles. Configuration Panel: Change in Findings Behavior.   MI Cardiology: New Version of Cardiac Application Corridor 4DM 2017. Congratulations. You have completed the syngo.via Delta Online Training - Nuclear Medicine (PET & SPECT). Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz. Select the link below to view and/or print your review material before proceeding to the final quiz. Download and print a copy of the Course Review. MM Oncology for MI Hybrid VRT/MIP is a visualization filter for CT VRT fused with PET or SPECT MIP providing a visual summary metabolic uptake with anatomical context. The SUV Lean Body Mass Unit based on the JANMA formula can be used to compensate low SUV values in very obese patients, specifically above 120 kg. The Automation of the Deauville Five Point Score is a new PET reporting criterion based on comparison of uptake in lesion, liver and descending aorta. A score from 2 to 5 is used. For Multi Foci Segmentation enhancements were made. You can now delete the segmentations in preview mode to eliminate lesions which are not clinically relevant. Total Activity for SPECT and xQuant SPECT is used to evaluate a patient’s therapeutic response. TA is the product of the mean Standardized Uptake Value (SUV) and the Molecular Tumor Volume (MTV), previously referred to as “volume” in syngo.via. For PET Parametric Imaging, a new dedicated layout is now implemented in the layout gallery to view the parametric PET images, called the Parametric PET layout. This layout displays Patlak Slope, Patlak Intercept and SUV images. The Lock Reference Lines feature now allows you to lock the reference lines in orthogonal Position in a synchronized segment, so that you can rotate them and still see three orthogonal views. ​Layout Creation: With the new feature Select Initial Layout Based on Number of Time Points, you can now configure a default layout based on the number of prior time points available for a given patient examination of up to 8 time points. MI Neurology Ratio Analysis has now been split into two independent applications, the Striatal Analysis and the Cortical Analysis. In Striatal Analysis, new features are introduced compared to the previous Striatal Analysis functionalities of Ratio Analysis. Enhancements for Striatal Analysis SPECT and PET: The Striatal Analysis workflow has been reworked and can now quantify scans for the SPECT DaTscan and the PET tracer. The workflow provides newly defined ROIs for anterior putamen and posterior putamen. A new menu is provided enabling you to create your own database of normal ratios, manage databases and add subjects to databases. MI Reading and MI Organ Processing MI Organ Processing now provides the ability to produce Gastric Retention results for multiple time points in static and dynamic examinations to better align with SNMMI guidelines in addition to the Gastric Emptying evaluation. In MI Reading, the 2D NM non-reconstructed bundles are now grouped based on the DICOM tags from the scanner in the Series Navigator as 2D Acquisition Bundles. Configuration Panel Change in Findings Behavior: With the feature Automatically Create Findings for Measurements and Snapshots the administrator is now able to predefine the findings behavior by selecting the appropriate configuration options in the Configuration Panel to automatically send measurements or snapshots to the findings tab. MI Cardiology New Features implementation and enhancements have been made in the new version of Cardiac Application Corridor 4DM 2017: New Inflammatory Screen: The new implemented Inflammatory Screen in CFR provides the brand new inflammatory workflow to measure inflammation and activity in the heart to identify the presence and extent of cardiac sarcoidosis. New Normals Databases for Myocardial Bloodflow: New Normals Databases are available for PET- CFR Rubidium-82 / PET-CFR Ammonia (N-13) and Spectrum Dynamics DSPECT. Coronary Flow Reserve Screen: For Coronary Flow Reserve (CFR) the SPECT-CFR Quantification was added to quantify and review SPECT Coronary Flow Reserve datasets as well as the Ottawa heart method (called FlowQuant) to enhance CFR Quantification. Muga Screen: The MUGA workflow now includes Regional Ejection Fraction quantification and the Threshold and Interpolation algorithm was updated. Fusion Screen: A two-study comparison layout was added to the Fusion Screen so that you can now efficiently review the co-registration utilized during image reconstruction of both Stress and Rest datasets at the same time. This chapter introduces the following enhancements and improvements for MM Oncology that are available with the syngo.via VB30 software version for Molecular Imaging / Nuclear Medicine: Hybrid VRT/MIP SUV Lean Body Mass Unit Based on the JANMA Formula Automation of Deauville Five Point Score Enhancements for Multi Foci Segmentation Total Activity for SPECT and xQuant SPECT PET Parametric Imaging Lock Reference Lines ​Layout Creation 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 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. The information in this material contains general technical descriptions of specifications and options as well as standard and optional features that do not always have to be present in individual cases. Certain products, product related claims or functionalities described in the material (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, 2018 This chapter introduces the following enhancements and improvements for MI Neurology that are available with the syngo.via VB30 software version: Split of Ratio Analysis Workflow in Cortical Analysis and Striatal Analysis (SPECT and PET) Enhancements for Striatal Analysis SPECT and PET This chapter introduces the following enhancements and improvements for MI Reading and Organ Processing that are available with the syngo.via VB30 software version: Gastric Retention 2D Acquisition Bundles This chapter introduces the following enhancements and improvements to the Configuration Panel that are available with the syngo.via VB30 software version: Change in Findings Behavior This chapter introduces the following  enhancements and improvements for MI Cardiology that are available with the  syngo.via VB30 software version:  New Version of Cardiac Application Corridor 4DM 2017 Hybrid VRT/MIP Fusion has been introduced for MM Oncology. Hybrid VRT/MIP provides a visual summary of patient’s current disease state, illustrating the distribution of functional uptake with the anatomical reference, in a single image. It is implemented as 2D Alpha blending of a 3D output image. Once fused, the VRT/MIP works as any 3D filter. Also multiple presets for a specific modality and body part are provided through the VRT Gallery.   To compensate low SUV values in very obese patients, specifically above 120 kg, an SUV lean body mass unit based on the JANMA (Janmahasatian) formula is now provided in MM Oncology. The SUV unit can be changed using the lower right corner menu. Patients' sex, height and weight are mandatory tags required by the system to support this unit.   Automation of Deauville Five Point Score is a PET reporting criterion based on the comparison of uptake in lesion, liver and descending aorta. The score is displayed for each lesion and also for the whole time point where the score for the time point is the score for the hottest lesion in each time point. It can be obtained using ROI/VOI Segmentation Tools. Note: MM Oncology does not report score number 1. It starts with 2 and goes up to 5: "2" stands for Lesion uptake < or = mediastinum "3" stands for Lesion uptake > mediastinum but < or = liver "4" stands for Lesion uptake moderately > liver "5" stands for Lesion uptake markedly > liver   The Multi Foci Segmentation tool allows the user to segment multiple lesions of interest in the patient’s body based on the selected threshold for any functional data that supports SUV. It is now possible to delete the segmentations in preview mode. Click the Delete VOI button on the MFS mini tool bar, then click within the segmentation that is not clinically relevant or press the Ctrl key and click the left mouse button within the potential segmentation.   Total Activity for SPECT and xQuant SPECT is used to evaluate a patient’s therapeutic response. TA is the product of the mean Standardized Uptake Value (SUV) and Molecular Tumor Volume (MTV), previously referred to as “volume” in syngo.via for Spect and xQuant Spect data. To visualize the TA on findings, enter the VOI Isocontour Properties under RECIST/WHO + VOI Isocontour and/or PET/SPECT Segmentation Properties under Automatic Segmentation and check the appropriate boxes. The MTV and TA burden are now also displayed in the Findings Details’ Series Details. If desired, the TA of a specific lesion can also be graphed on the Trending tab.   MM Oncology now provides a dedicated layout to view the parametric PET images, called the Parametric PET layout. This layout displays Patlak Slope, Patlak Intercept and SUV images. Intercept images are shown in percentage whereas Slope images are factored in the following units: ml/min/100ml µmol/min/100ml mg/min/100ml     The Lock Reference Lines feature allows you to lock the reference lines in orthogonal position in a synchronized Segment so that you can rotate them and still see three orthogonal views. You can activate this feature in the upper left corner menu.   With the new feature Select Initial Layout Based on Number of Timepoints you can now configure a default layout based on the number of prior time points available for a given patient examination of up to 8 time points.   Ratio Analysis has now been split into two independent applications, the Striatal Analysis and the Cortical Analysis. In Striatal Analysis, new features have been introduced when compared to the Striatal Analysis functionalities of Ratio Analysis before.   The Striatal Analysis workflow has been reworked and can now quantify scans for SPECT DaTscan and PET tracer. The workflow provides newly defined ROIs for anterior putamen and posterior putamen. A new menu is provided enabling you to create your own database of normal ratios, manage databases and add subjects to databases.  When a database is selected for analysis in the Striatal workflow, the Analysis workflow step shows an additional graph tab. This graph displays the patient's left and right values for the selected Normal Values Plotted along with the plots of all the subjects present in the database. In the results summary table segment, the uptake ratios are displayed for anterior and posterior putamen and also include normal reference values and Z-scores when a database is used for analysis.   MI Organ Processing now provides the ability to produce Gastric Retention results for multiple time points in static and dynamic examinations to better align with SNMMI guidelines in addition to the Gastric Emptying evaluation. A new result table displays multiple time points along the time activity curve. The feature Calculate at Standard Times allows interpolation of the time activity curve to present results at 0, 30, 60, 90, 120, and 240 minutes. Single or Dual isotope and Static or Dynamic protocols are supported.     In MI Reading, the 2D NM non-reconstructed bundles are now grouped based on the DICOM tags from the scanner in the Series Navigator in addition to the 3D Acquisition Bundles. With the feature Automatically Create Findings for Measurements and Snapshots, the Findings Behavior has changed. The administrator is now able to predefine the findings behavior by selecting the appropriate configuration options in the Configuration Panel to automatically send measurements or snapshots to the findings tab.   New Features implementation and enhancements have been made for Corridor 4DM 2017 (see also following pages): The new Inflammatory Screen  The new Inflammatory Screen provides the brand new inflammatory workflow used to measure inflammation and activity in the heart to identify the presence and extent of cardiac sarcoidosis. Regional and global results are provided to identify normal, infarct and mixed tissue versus inflamed tissue as well as quantification to compare perfusion and inflammation datasets.   New Normals Databases for Myocardial Bloodflow New Normals Databases are now available for: PET-CFR Rubidium-82 (Rb-82) PET-CFR Ammonia (N-13) Spectrum Dynamics DSPECT For the Coronary Flow Reserve Screen For Coronary Flow Reserve SPECT-CFR Quantification was added to quantify and review SPECT Coronary Flow Reserve (CFR) datasets as well as the Ottawa heart method (FlowQuant).  The new features of FlowQuant include: Ability to define quantification limits on Time Activity Curves Support for additional QC polar maps (Chi-Squared and FV) Dynamic Motion Correction Ability to define RV flow region Residual dose subtraction QA and Results modes now enable a clear process for reviewing CFR patient data. For the Muga Screen The MUGA workflow now includes Regional Ejection Fraction quantification and the Threshold and Interpolation algorithm was updated. For the Fusion Screen A two study comparison layout was added to the Fusion Screen so that the user can now efficiently review the co-registration utilized during image reconstruction of both Stress and Rest datasets at the same time. For all available features and if you would like to get more information, please search for and visit the Invia Solutions Corridor 4DM webpage on the internet.