Biograph™ mCT and Biograph Vision™ VG80A Upgrade Introduction USA

Welcome to the Biograph™ mCT and Biograph Vision™ VG80A Upgrade Introduction online training. This online training will familiarize you with some of the changes in the new software upgrade and prepare you to utilize new features.  Identify and describe the new standard features of PET syngo VG80A Upon successful completion of this course, you will be able to: Identify and describe the new optional PET features of PET syngo VG80A Identify and describe the new optional CT features of PET syngo VG80A Congratulations. You have completed the Biograph™ mCT and Biograph Vision™ VG80A Upgrade Introduction Online Training course. Listed below are the key points that have been presented. Take time to review the material before you proceed to the final quiz. Identify and describe the new Standard Features of PET syngo VG80A Latest Windows 10 Software Platform Improved System Cleanup & Shutdown Improved PET QC Phantom Handling Auto Beat Histogram Export as JPEG PET Dose Structured Report Advanced WholeBody Scatter Correction HDFoV Pro (3.0) New CT Kernels New TrueD Visualization Windowing Defaults PET Injection Time Reminder Diagnostic CT Autoload to TrueD Improved Backprojection Reconstruction Identify and describe the new Optional PET Features of PET syngo VG80A FlowMotion AI (FlowMotion & FAST PET Planning) FAST PET Workflow AI QualityGuard OncoFreeze OncoFreeze AI (Data Driven Gating & OncoFreeze) CardioFreeze FlowMotion MultiParametric PET Suite AI Identify and describe the new Optional CT Features of PET syngo VG80A Direct Breathhold Respiratory Guided Workflow Direct Density Tin Filter Standard Features: Latest Windows 10 Software Platform Improved System Cleanup & Shutdown Improved PET QC Phantom Handling Auto Beat Histogram Export as JPEG PET Dose Structured Report Advanced WholeBody Scatter Correction HDFoV Pro (3.0) New CT Kernels New TrueD Visualization Windowing Defaults PET Injection Time Reminder Diagnostic CT Autoload to TrueD Improved Backprojection Reconstruction New Operating System Windows 7 was scheduled to go end of life in January 2020. The replacement platform for the Biograph™ mCT and Biograph Vision™ is Windows 10. Prior to the VG80A release, completion of a cardiac scan required the user to manually adjust the beat histogram to exclude outliers before submitting reconstructions. With VG80A, an automated function is performed to determine the optimal upper and lower thresholds based on individual patient data. The application automatically adjusts the beat histogram threshold to remove outliers. Note: Auto Beat Histogram also works similarly for respiratory gating. If you would like to manually adjust the beat histogram, you can turn off auto recon and adjust as desired. VG80A now supports the option to export images as JPEG. This may prove helpful for customers wanting to create presentations, marketing material, and obtaining various accreditations. Click the popup to learn how to configure this feature. Export Images as JPEG Learn more about configuring the Export as JPEG Feature.   Your previous software supported PET Dose Reports in a DICOM black image format. VG80A offers an additional PET Dose Report in SR (Structured Report) format: Provides individual Organ dose as well as Whole Body Effective Dose Series is displayed in the Patient Browser as PET Dose Report SR Can be exported/transferred as series with patient datasets Can be viewed in the SR Viewer & printed as PDF   This feature provides an improved, Advanced Relative scatter and Absolute scatter correction option, reducing artifacts and improving image quality. It offers the potential to reduce halo artifacts that may appear in the presence of high contrast-to-background ratios. This reconstruction will be performed offline once the acquisition is complete. Note: This feature is not supported for Summed Pass or Stitched Gating reconstructions. A new algorithm allows for reconstructions outside the standard FoV. CT HD FoV Pro 3.0 automatically replaces HD FoV 2.0 and no additional user interaction is required. VG80A implements the new kernel concept supported by CT. The kernel names are divided into three levels (EX: B r 62) The capital letter (B) represents the body region or the so-called Family The lowercase letter (r) indicates the subgroup within a body region/family: regular, vascular, lung, pediatric, crisp The number (62) at the end indicates the sharpness Kernels of former software versions are mapped to the new kernel concept to achieve comparable image quality Note: Your current user defined protocols will be imported during the upgrade and mapped to provide comparable image quality. No user interaction will be required.   A new feature in TrueD is the ability to set blending ratio defaults as well as a default CT W/L Fusion preset (see image). This can be accomplished by going to: Options → Configuration → TrueD and choosing the Visualization tab. In prior software versions, a dose reminder was highlighted in yellow to ensure the proper dose was entered prior to acquisition. In VG80A, a time reminder has been added to call attention to the need for inputting the proper injection time. Unlike the dose reminder however, the scan can be acquired with no changes made to this field. In VG80A, it is now possible to select any CT reconstruction to autoload to TrueD. For example, the second CT reconstruction with a diagnostic FoV can be chosen to display with the PET. Note: Auto Display to TrueD changed from a drop-down menu (TrueD or None) to a check box. 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 2020   Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens-healthineers.com Optional Features - PET: FlowMotion AI (FlowMotion & FAST PET Planning) FAST PET Workflow AI QualityGuard OncoFreeze OncoFreeze AI (Data Driven Gating & OncoFreeze) CardioFreeze FlowMotion Multiparametric PET Suite AI Note: These features are purchasable options and will require additional licensing. Contact your local Siemens Sales Representative for more details. Optional Features - CT:  Direct Breathhold Respiratory Guided Workflow Direct Density Tin Filter Note: ​These features are purchasable options and will require additional licensing.  In addition, the herein mentioned features and applications are not commercially available in all countries. Their future availability cannot be guaranteed. Please contact your local Siemens Healthineers organization for further details.   QualityGuard runs PET daily and weekly quality control procedures automatically overnight to: Save up to 30 minutes a day and open additional scan slots¹ Reduce occupational dose exposure from calibration sources by up to 98%¹ Reduces the need to lift heavy phantoms on a daily basis Note: QualityGuard was already a supported option for Biograph Vision customers running VG76, and Biograph mCT customers running VG70. ¹Based on internal measurements at time of publication. Data on file.   Utilizing Quality Guard Learn more about how to utilize the Quality Guard feature. To utilize this optional feature, navigate to the Options/Configuration Menu and choose PET QC Configuration: Select QualityGuard Enter the desired schedule information. Note: Ensure that nothing is in the scan field of view during the time of the scheduled procedure.   QualityGuard Technologists Tasks Learn more about the technologists tasks of QualityGuard. Tab TitleTextUses a Heavy Phantom Technologists Tasks: Daily Daily quality check Weekly Partial Setup Quarterly Full Setup Self Calibrating Technologists Tasks: Daily Automated Weekly Automated Quarterly Full Setup OncoFreeze is our next generation HD•Chest solution. With OncoFreeze, an optical flow algorithm enables the use of all counts acquired during the acquisition, which: Provides images virtually free of respiratory motion in the same time as a regular whole-body scan Helps improve delineation and quantification of small lesions Adapts to each individual’s unique breathing pattern to deliver the best possible image Simple acquisition with no changes to current workflow OncoFreeze is an extension of the iterative reconstruction algorithm and is not available for Backprojection reconstructions. Note: OncoFreeze was already a supported option for some of our Biograph customers. DirectBreathhold is a new RTP (Radiation Therapy Planning) option. DirectBreathhold simplifies DIBH (Deep Inspiration Breathhold) CT acquisitions by automatically triggering the prospective scan. It may help to reduce unwarranted variations in respiratory scans. Prerequisites for DirectBreathhold are Respiratory Motion Management as well as an external gating device that can trigger the scan (e.g. RGSC/ANZAI).   Guided 4D Workflow (FAST 4D): Provides an automated adjustment of scan parameters depending on the patient breathing pattern. (rot time, pitch according to rpm) Furthermore this workflow enables an automatic splitting of multiphase series to ensure compatibility with TPS (treatment planning system). An automatic generation of t-MIP datasets with no manual interaction needed.   The DirectDensity™ algorithm provides images in which the CT values can be interpreted as showing relative electron density. Currently, radiation therapy treatment planning systems require a kV-specific calibration curve to convert CT image values into relative electron density. A single linear relationship that does not depend on the tube voltage of CT acquisitions can unlock the unused potential of CT imaging in radiotherapy, as it removes the need for scan protocols with fixed tube voltage. DirectDensity™ images can be reconstructed with the Sd40 kernel and used for: Contouring and Dose calculation Disclaimer: DirectDensity™ reconstruction is designed for use in Radiation Therapy Planning (RTP) only. DirectDensity™ reconstruction is not intended to be used for diagnostic imaging.   Compared to X-ray, CT with Tin Filter provides: User independent protocol: No reliance on user experience to get the correct images More data for the same low dose: 3D data at X-ray series dose levels Allows up to 30% reduction of topogram dose whilst providing the equivalent dose profile and image quality calculations (with CAREDose 4D)* Tin Filter is only available on the Biograph mCT Edge and Biograph Vision Edge systems. *Based on Topogram Dose (CTDIvol) measured comparing CARE Dose 4D and CARE kV calculations with and without tin filtration. OncoFreeze AI combines OncoFreeze & Data Driven Gating, which allows motion management via automation & standardization. Key benefits of Data Driven Gating (DDG): Non-contact, equipment-free method to measure respiration Eliminates equipment setup time Reduces operator errors Reduces measurement artifacts Reduces complexity of clinical exams Note: Data Driven Gating is only supported if you have the OncoFreeze and the FlowMotion options. CardioFreeze reduces blur that cardiac images are subject to, due to motion from both the beating heart and breathing.  Key Benefits: Minimizes both cardiac and respiratory motion, utilizing 100% of the information in each cardiac gate Avoids poor image quality due to cardiac and respiratory motion Improves signal to noise ratio Does not require an external respiratory device Offers the potential for research on vulnerable plaque CardioFreeze is an extension of the iterative reconstruction algorithm and is not available for Backprojection reconstructions. Note: CardioFreeze was already a supported option for some of our Biograph customers.   Due to improvements implemented in the Backprojection Reconstruction algorithm within VG80A, the ECF values may change by +/- 1% as well as the PET Backprojection reconstruction times. Therefore, we recommend that you perform the scanner cross calibration procedure after the VG80 upgrade. The cross-calibration procedure calibrates the PET scanner to the dose calibrator and accounts for the mu-value of a liquid or third-party solid Germanium-68 Quality phantom. For complete instructions on the cross-calibration procedure, please see your Biograph Operator’s Manual. Supports an automatic restart after the system has performed a Cleanup & Shutdown Enabled by activating "Restart after shutdown" option in the bottom left of the user interface screen In previous versions, after PET QC had completed, the PHS would always go to the home position in the front of the gantry. In order to accommodate customers who prefer to remove the phantom from the rear side of the gantry, it is now possible to have the PHS move all the way through the gantry after PET QC. This feature could help reduce the technologist's radiation exposure from the PET phantom. FAST PET Planning utilizes ALPHA (Anatomic Landmarking and Parsing of Human Anatomy) to facilitate immediate, organ-based setting of the PET scan and recon ranges aiming for a faster and more standardized workflow at the scanner compared to manual planning. Optimum range for scan settings, avoiding cut-offs or over radiation Faster and more standardized workflow for PET/CT compared to manual planning Fast and reproducible results from any operator compared to when planned manually Note: FAST PET Planning is only supported if you have the FlowMotion option. FAST PET Planning Workflow FAST PET Planning Workflow Simulation   FAST PET Workflow AI is an optional feature that includes 2 parts: Auto PACS Ready Ranges Auto Data Export   Click the popups below to learn more about the 2 parts of FAST PET Workflow. Auto PACS Ready Ranges Learn more about Auto PACS Ready Ranges. Slide NumberText BlocksCalloutsAudio ScriptImage File1Auto PACS Ready Ranges: Upon completion of the PET recon, when Auto Display is selected along with Auto Range Creation, the data will auto load to TrueD, and automatically create the output series based on the settings within: Options → Config → TrueD → Output Series ConfigThe First of the two parts of the PET FAST Workflow feature, is Auto PACS Ready Ranges. Upon Completion of the PET Recon, when the auto display check box is selected, along with the Auto Range Creation check box, the data will auto load to True-D, and automatically create the output series based on settings within Options (pause) Config (pause) TrueD (pause) Output Series Config.2TrueD Configuration: To set the output series configuration, select: Options → Configuration → TrueD → Documentation tab Here you can: Adjust the image order Add a Series Description Automatically Create MIP Images Name MIP Images Setting a slice distance between images to a value larger than the slice thickness of the dataset used to create ranges may lead to gaps in the generated data.  It is recommended to set the slice distance between images to a value equal to or less than the slice thickness of the dataset used to generate ranges. Note: Please ensure that the default TrueD layout selected supports the output series configurationCalloutsImage OrderSeries DescriptionCreate MIP Ranges Check BoxName MIP SeriesTo configure the output series, navigate to options (pause) configuration (pause) TrueD (pause) and choose the documentation tab. Here you can adjust the image order - this automatically removes blank images and saves only skin to skin reformats. You can also add a series description, automatically create MIP ranges and name the MIP ranges. Setting a slice thickness between images to a value larger than the slice thickness of the data set used to create ranges may lead to gaps in the generated data.  It is recommended to set the slice distance between the images to a value equal to or less than the slice thickness of the data set used to generate ranges. Note, please ensure that the default True-D layout selected supports the output series configuration. Auto Data Export Learn more about Auto Data Export. Slide NumberText BlocksCalloutsAudio ScriptImage File1Auto Data Export will automatically export data to a predefined location without user interaction. To configure, select: Options → Configuration → PET Post Processing → Export Series Type The second part of the PET fast workflow is Auto data export. This feature will automatically export data to a pre-defined location without user interaction. The data is always exported at the study level upon closing the patient. To configure, select options (pause), configuration (pause), PET Post Processing and choose the export series type tab. 2Auto Data Export features: Can be configured to transfer the data to two different locations Can be configured to do anonymous or non-anonymous export Idle time before start of Auto Data Export post patient close/recon complete Arbitrary count of studies, before the Auto Data Export begins Callouts2 Data Transfer LocationsAnonymous ExportIdle TimeStudy CountAuto Data Export can be configured to transfer the data to two different locations. It can also be configured to do an anonymous or non-anonymous export. The Idle time before start of Auto Data Export post patient close/recon complete can be entered, as well as an arbitrary count of studies before the Auto Data Export begins. With FlowMotion Multiparametric PET Suite AI introduces an end-to-end clinical solution to provide multiparametric PET images outside of the research setting.  Key Benefits: Fully automated solution, and integrated into PET/CT workflow, allowing users to obtain whole-body images of metabolic glucose rate (Ki) and distribution volume (DV), in addition to SUV images Flexible acquisition protocols enable use in clinical research settings Reduces the variability of quantitative measurements due to differences in uptake time, patient body size and blood glucose levels, leading to better characterization of tracer uptake compared to SUV alone Provides additional information to evaluate therapy effectiveness based on metabolic glucose rates compared to SUV alone Note: FlowMotion Multiparametric PET Suite AI was already a supported option for some of our Biograph customers.