syngo.via VB30 MM Oncology Tools e-clip

The icons on the lower left portion of the screen can be used for display manipulation. The alignment icons are used to adjust spatial alignment between time points or adjust spatial alignment within a time point. If the spatial alignment between time points is suboptimal to your needs, you can manipulate it by using the adjust spatial alignment between time points icon. To adjust the alignment between data sets, either click the icon or use the keyboard shortcut combination control shift A. The data sets are now unlocked across time points by clicking and dragging the mouse or down, you can scroll through the data set to determine an appropriate reference point that can be aligned to. In this example, the Carina. If the data set needs to be panned, click and drag the image to the desired location. Repeat the steps for each time point. Once the alignment is complete, either click the icon or use the keyboard shortcut combination control. Shift a. The data sets are now locked and scrolling is synchronized again. If you would like to create a faster alignment, activate a segment, press and hold the control shift keys and use the scroll wheel in the desired segment to align the data sets upon the release of Control, shift, the data sets are locked immediately. When working with fused data sets, you may feel that the PET data set is either too intense or not intense enough when overlaid on the seat data set. To modify the overlay, use the Alpha blend tool which is located on the bottom of each segment. Simply move the mouse pointer over the icon, click and hold the mouse to Alpha. Blend from 100% CT to 100% PET, which changes to an inverted grayscale or anywhere in between. Also, since this display only displays diffuse data sets in each plane, you can easily change between the fused CT and PET data sets. The keyboard shortcut F9 can be used to cycle between the see T pet and fuse data set. The upper left corner Menu provides access to tools used to manipulate the image. To access these tools, simply move your mouse over the icon and the list of tools opens. The tools highlighted in blue are currently active. If you need to adjust the registration of a pet CT data set, use visual alignment. A rotation wheel appears. The overlaid image can be panned by moving the mouse pointer over the rotation wheel and clicking and dragging the mouse. The overlaid image can also be rotated by clicking and dragging the mouse to the left or right on the rotation wheel. The lower left corner menu allows you to select the type of image displayed in the image segment again to access the tools, simply move your mouse pointer over the icon and the tools are displayed. The upper right corner menu provides access to tools that allow you to quantify and create measurements on your patient data set. Again to access these tools, simply move your mouse pointer over the icon and the tools are displayed. If you are using the PERSIST criteria, both the liver reference region and the blood pull reference region can be automatically placed if the patient has a healthy liver with no disease, deliver reference region can be used. If the liver is diseased, the blood pool reference region should be used. To create the region, click the reference void icon and the region is automatically placed on the image. The persist threshold for the data set is displayed. A finding with an SUV above this threshold could potentially be abnormal. The lower right corner menu provides access to the windowing units and preset tools. Simply move your mouse pointer over the icon and the tools are displayed. The SUV parameters allow you to view and edit the parameters used to calculate SUV values. If you would like the SUV based on lean body mass, you will need to verify that the height and weight have been entered into the workflow. An EQ filter can also be entered in the SUV parameters. By using the EQ filter studies with different reconstructions or from different scanners can now be quantified by harmonizing to a standard. To acquire the appropriate EQ filters and Nima like Phantom examination, needs to be performed on the scanner. For each reconstruction you are using, the Phantom is quantified and filters undetermined for the specific reconstruction on the individual system. Click OK to confirm. Different S UV units in DICOM standard are available for pet images. The measurement tools can also be used to quantify as UV. Expect quant images. An SUV, lean body mass unit based on the janmar formula, Janma Hasashi, and is now provided to compensate low SUV values in very obese patients. Specifically, above 120 kilograms. To change the SUV units, choose units, select the appropriate unit. The values are updated in the lesion dialog box. If you would like support in implementing E cupet into your facility, contact the local Siemens molecular image Ng Organization. The corner menus provide quick and efficient access to those tools needed to quantify your patient data. Set syngo via takes the efficiency one step further by providing a context menu, the context menu provides tools right at your mouse pointer. To access the context menu, simply right click in any image segment and the context menu appears. The context menu provides default tools that are routinely used in M. On Koleji you can add tools to the context menu that you use on a routine basis by sending them to the context menu from the corner menus. To remove a tool from the context menu, simply click and drag it out of the context menu. The contextmenu configuration is saved for any future login.

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I RECIST 1 _ 1 RECIST 1.1 'kg • 3 Q. Circle TP3 HeadNeckCa CURRENT 4/27/2007 | gmor2D07 gnor2007 gnor2D07 STUDY gnon007 Truex 6.7 3 321 (AO) 3D Readim 3D Readimg 4t27t2007 gmnc07 gmnc0J7 gmnc•J7 snor2007 gmr2D07 grnnc•J7 gmzor2D07 Trending : F-18FDG F-18 FOG Truex 6.7 3 321 (AO TrueX 6.7 3 (AC) 9/2012007 . F-18FDG True* 6.9 2 321 s4mm (AC) True* 6.7 3 321 (AC) SL min : 2 min SL min . 122604 122604 PM 12 18 7:20 PM 1:20 PM 1:22 PM PM RECIST 1 _ 1 MM Oncology 122720PM 1:22 PM 12:m20PM 1227:20PM 1227:220PM 122720 PM 1227:m20PM 4/272007 12:49 PM 12:27:20PM 12:27:20PM 1227:20PM 12:m20 PM 122720 PM 12:m20PM 4/2712007 12:27201PM 11:22 PM 4/272007 12:2720 PM 12:26:204M 12:720 PM 12:2720PM PM 2 -57 0 -57 CURRENT I CURRENT 3D Reference point RECIST 1.1 TP3 HeadNeckCa MM Oncology Reading 9/20f2007 PM SUV Parameters ROI Circle sp so sp sp 43 RECIST RECIST 1._ I RECIST 1. I RECIST I I CT TrueX 78 : CT 1 TrueX 67 : CT TrueX 67 RE-CIST 1 _ 1 RECIST 1 RECIST 1 _ 1 RECIST I. I RE-CIST 1.1 RECIST 1._ 1 RE-CIST _ 1 Marker o. 00 suv-bn s. 40 SUV-bw 0.040 SUV-bw: s . 40 SUV-ban 0. 00 SUV-bw: s . 40 SUV-bw 0. 00 suv-bv 5. 40 SUV-bwn s. 00 suv-bn 1100 S. 00 • F-18FDG STUDY gnon007 STUDY Distance Line : 9/20/2007 : gnon007 3D Reference Point Windowing SUV Parameters Liver Livter Lymph Lynvh 4/27/2007 gnon2007 solid 0.00 suv-bw 0.00 Suv- -457 1226104M 1226104 PMI Max:' Max: SUV-bw Max: SUV-bw • Q, ROI Circle Findings Navigator Q ROI Circle MM Oncology Reading Lesion 12:27:20 PM 12:0201PM 1:22 PM — Marker Automatic Regi STUDY 4/27/2007 Lung Liver Lymph 4/27/2007 | -S7 Distance Line Marker Windowing senes Marker TrueX 6.7 MBq/kg 3 min 3i21s4mm RECIST 1._ 1 RECIST 1.1 RECIST 1 _ 1 Series Description RE-CIST/WHO + RE-CIST/WHO + V SC min • SL min Marker 3D Reference Point Wue Source Name mage CAD AEF Series Date,'Ttrne Max: 12:m720PM S u V-bw S .00 S .40 S. 40 S .40 S .00 S. 00 s .40 s. 00 40 Lung Lesion Segmentation FUSION AEF 1 cm AEF 0.00 suv-&v Max: suv-bw s uv-bw -4S7 -457 —457 0.00 sug- 0.00 sug' 1100 .00 SUV- 0.00 Suv- 0.00 SUV-b 00 SUV- 02 SUV-bw 1.00 0. 00 0.00 O. 00 1100 s. 40 S. 00 0. 00 S. 40 s. 00 0.00 SUV-bw O SUV-bw Image Lung CAD Time AEF Onco undo Series DateJTme 9/20/2007 9/2012007 12:27:20PM 12:27:20 12:2720PM Lymph Scanner Alignment Lung Lesion Segmentation T! ending Rrending Board 5m CT MBq Distance Line Marker RECIST 5.00 SUV bwd L ung Liver Hide Lymph Generic Lung Trending Rreading RECIST 1M1 RECIST 1 _ 1 RECIST 1M RECIST 1._ 1 Visual Alignment MM Reading Reading 3D Reading Readinq VOI Sphere Lesion Auto Zoom Weight Height 18 I Prior Of MM Reading Trending Rreading MM Readinq 3D Reading • TP3 HeadNeckCa TP3 HeadNeckCa SL miri 50.00% a 50.00% Prior 01 Prior 02 Prior 02 prior 02 Prior 01 Prior 02 02 Angle Trending Lung Lesion Segmentation — Marker Marker 973.7 180 373.7 Paste Contour F-18 FDG F-18FDG Truex 2 Dose Dage MBq TrueX 2 3i21s4mm (.40 TrueX 2 3i21s4mm (.4C) TrueX 2 (.40 TrueX 7 321 TrueX 2 3i21s4mm Sex Height 109.7667 Minutes SL min : F-18FDG cm Onco 5m (11 11 Prior I prior prior 01 | Prior prior I prior prior 02 Prior 02 Prior 1 prior prior I Prior Prior 01 | Prior 02 prior I Prior 0-1 prior 01 | Prior 01 prior I1 | Prior prior 01 | prior Prior I1 1 Prior Align S .00 SUV-bw CT ALI names and data of patients, parameters and configuration dependent designations are fictional CT True CT min CT ( CT 3 min 2 min 2 min C) 2 min 3i21s4mm min •3i21s4mm (AC) min 3i21s4mm (AC) min3i21s4mm (AC) min•3i21s4mm (AC) s. 00 suv- 00 suv- s. 00 10.00% s. 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PM Man 1.47 SW-lbrn SL min Tools 0K Cancel Adjusts the alpna blending SUV Parameters 3D Reading MM Reading Navigation TrueX 6.9 2 min Mean: 1.35 SUV-Ibrrl Prior 02 reserved. s .00 SUV-b 1100 TP3_HeadNeckCa TP3 HeadNeckCa Prior Of Prior 01 SUV Parameters Findings Navigator Prior 01 | Prior 01 Injection Date Injection Tmte Injection Time VOI Sphere Lesion Auto Zoom om . SPF697.7 0.00 SUV-bw 8 FDG True* 6.9 2 321 s4mm (AC) 6.9 2 SL min 2 min o. oosuv-bw Reconstruction TC35 STUDY 4/27/2007 Val IR Findings Navigator Prior 01 | prior 01 Prior 01 | Prior 0-1 AEF Prior 01 | Prior 01 prior 01 | prior 01 Lung undo 5.40 suv-b s .40 suv-bv 0.040 suv-&v 5.40 suv-&m, 0 .400 suv-&v s. 400 suv-&v 0. 00 suv-bv S. 40 SUV-ban s. 00 suv-bv s .40 suv-&v s. 40 suv-bv s . 40 suv-&v SUV-bw s uv-bw RECIST/WHO + VOI RECIST 1 _ 1 RECIST/WHO + S. 40 SUV-ban 0.00 SUV-bw s. 00 SUV-ban o. 00 suv-bn 0.400 suv-bv S. 00 SUV-ban 0.00 Suv- 1100 5.40 0.00 O.00 1.00 s .40 S .00 0. 00 s. 00 S. 40 s .40 s. 40 S .00 S. 00 s. 00 suv-bw SUV-bw Units MPR FUSION FUSION Threshold: TrueX 7.5 3 (AC) 11 AM 0.00—SUV-b.v S u V-bw 0. 0.00—SUV-tm O. 00 CT 112929 AM Findings Navigator 15 STUDY 4272007 EQ Filter Injection Date Copyright C Siemens Healthcare GmbH, 2018 Isocontour STUDY 9/20/2007 STUDY 4/27/2007 Hide SUV Parameters Lesion Auto Zoom 4/27/2007 | Fit to Segment CT CT q'kg 3 min 3i21 s4mm (AC) 11 9/20/2007 4/27 "2007 4/27/2007 | Graphic Timepo... Liver co lcm 0.00 Hide Reset SUV-lbm SUV-bw PET Color LUT Align Hide *Enter the Size of the Gaussian kernel FWHM to be used for all equivalence values for this series enterthe size of the Gaussian kernel FWHM to be used for all equivalence values for this series Onco co sp Lung Lesion Segmentation 604 Rreading Trending PM O -57 Paste Contac lcm Text Graph is Graphic Liver Timepo.. 1.02.01 PM Prior 02 02 Prior 02 1 55 TrueX 'O om F-18FDG F-18 True* 7 S 3 321 True* 7 S 321 True* 87 321 True* 7 321 TrueX 6.7 3 (AC) True* 87 S 3 321 TrueX 7 S 3 TrueX 7 S 3 TrueX TrueX 7 S 3 (AC) True* 7 S 3 321 TrueX 8.7 3 (AC) TrueX 6.7 3 (AC) TrueX 7 321 TrueX 87 321 TrueX 7 S 3 (.40 21 0M Ctrl Shift Prior 02 Prior 02 Prior 02 | Prior 02 Prior 02 02 Prior Prior 02 Prior Prior 02 Prior 021 Prior 02 0K Findings Navigator the future availability of said Functionalities in any specific country is not guaranteed. Please contact your 0.00 3.30 SUV-lbm (Janma) Multi-foci Segmentation CT Color LUT 0. MM Reading 3D Reading CT SO True* CT True* 75S CT SO TrueX 78 CT TrueX 7 CT TrueX CT Truex 7. CT SO True* 78 CT True* 7E CT True* 76 CT TrueX 78 CT SO TrueX 7.s CT TrueX 7.s 3 min s4mm ( 321 ( CT OK Reset Cancel min co mm 5m Man 1 47 1 47 STI_OY STI_OY STUDOY STLOY STUDY STIOY cm lcm Paste mate Value Source 1:02:01 PM Mean: 1.35 3JWlbrn PM MiniP Thin 7/2812006 712812006 12sg:42PM11: 01 PM 1 PM PM Tools 007 so co so 007 s. 00 1:02 01 PM 122720 PM 1.0201 PM 12:2720 PM 1:0201 PM 12:m20 PM 1.02 01 PM PM 122720 PM 1:0201 PM 12020 PM 12:2720 PM 1:02.01 PM 12:27:201PM PM 60 Prior 01 | Prior 01 Multi-foci Segmentation SPF71T2 SPF717.2 SPF7123 SPF712.3 SPF7123 SPF7123 SPF712.3 SPF712.3 SPF723.1 sp 723.1 SPF717a sp 717.2 SPF717.2 sp 717.2 SPFsg77 7 SPF712.3 SPF7123 SPF712.3 sp 712.3 7270 Liver SUV-bsa SUV-bwa SUV-bw PET Presets Export oo undo PT Paste As s. 00 SUV-ban a 50.00% -457 Truex 7 S 3 FUSION PET Presets Reset 1.35 Align Hide Liver Imsge Edit Print Export Undo Undo Redo SL min 4/2712007 Mean: s. 40 suv-bn 0. 040 SUV-bw Findings Navigator print . MPR FUSION Reconstruction SUV-bw I mage mage Reset Layout Presentation CT Presets 1, Print MPR FUSION o.00 suv-bn o. 00 suv-bn s. oo suv-bw s .40 suv-bv 0.00 SUV-b : 0. 00 SUV-b n 0.00 SUV-bw: 0 .00 suv-bv: 100.00% 1100 s. 00 suv-&v s. 00 sun 5.00 sun 5.00 s .00 0. 00 s. 40 sUv- 0. 00 suv-bv: I mage 0. 00 suv-bv o. 00-suv-bw SUV-bw PT s. -457 0.00 SLP, Tools SL min SC min • Findings Navigator Aorta Reference Region Narne Value Source Expo" Export Redo undo Edit Print Undo undo 5.40 SUV-b 5.40 suv-b„, 5.40 suv-b„ s. 40 suv-b„, s. 00 suv-b„, 5.40 suv-bm, suv-bw s uv-bw SUV-bw 1100 0.00 0. 00 5.40 suv- 5.00 suv-&v s .40 suv-bv 00 suv- 0.00 Suv- 5. 40 suv- o. 40 suv-bn 5.40 s. 40 S. 40 S. 40 s .40 O. 00 0. 00 s. 00 S. 00 S. 40 s. 00 FUSION Hide I mage mage Image 5.40 suv-&m, 0.00 suv-b,• 0.00 suv-&v suv-bw suv-bw, s. 00 suv-bn o. 00 suv-bn 0. 00 suv-&v 0. 00 suv-bv 5. 40 SUV-ban s. 40 suv-bv S. 40 SUV-ban s. 00 SUV-ban s. 00 suv-&v s. 40 suv-bn 5. 40 suv-b„ 0.00 suv- s. 00 suv-bv 0.00 suv-b.v 5. 00 suv-bn 0.00 suv-&v s. 40 suv-bn, -4S7 —457 0.00 Suv- 0.00 suv- 0.00 SUV-bw 0.00 0. 00 1100 0. 00 50.00% O. 00 0.00 CT 1:16 PM 11:06 AM Il .06 AM 11:05 AM Prior 01 Tools 5mm CT 12:50 PM 12:51 PM 5mm C CT 12:20 PM 11:05 AM 11:06 AM 11:32 AM 1:22 PM 12:09 PM 12:720PM 1:21 PM 12020 PM 11:07 AM 12:720 PM 12:22 PM 12:m20PM 1:36 PM 12:49 PM 1:0201 PM 1:20 PM 1:35 PM 12:509 PM 122720 PM 1252 PM 12:2720PM 12:48 PM 7:20 PM 11:02 PM 11:05AM 1:16 PM 1:06 PM 1.34 PM 1:32 PM 1:2201 PM 1:02 PM 12:m2 PM