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Biograph VG80A FAST Phase

VG80A upgrade training document that explains the functionality of FAST Phase.

SIEMENS Healthineers PT 1. CT ANGIO & SPECT Benedict /Cardiac % TrunD Circulation Biograph™ VG80A Software Update SEMIRS FAST Phase Replacing FAST Cardio Wizard Job Aid BACILAO-19 CRANCALD BY M 573512 SIEMENS Template Effective Date: 05/27/2019 | HOOD05162003010284 Job Aid Effective Date: 12-OCT-2020 | HOOD05162003127628 Unrestricted © Siemens Healthineers, 2020 FAST Phase Job Aid SIEMENS Healthineers FAST Cardio Wizard Removal The FAST Cardio Wizard feature will be removed with the introduction of VG80 and replaced with FAST Phase. Patient Applications Edit Insert View Setup Image Options System Help X Examination 1 nportant notes 2345 ........ Viewing Especially important for cardiac scanning: * Patient positioning & instructions * Scan protocol selection * Contrast volume / flow rate / timing 3D Simulation DS_CoroCTA_AdaptSeq_IR_CustomizecCardiac 17.09.14-11:23:16-STC Total mAs: 0 Topogram mA 35- _ DS_CorAdSeq RT] kV 120 -1 Scan time 5.3 s Slice 0.6 mm Topogram length 512mm Tube position O Top . Bottom . Lateral Comments Table: Position Height Load 605.0 160.0 Craniocaudal Recon Routine Scan Auto Tasking Trigger PNP Device Mounted - Drive(F:): Total Space(1911 MB) 14-Sep-2017 11:25:05 2 Effective Date: 12-OCT-2020 | HOOD05162003127628 Unrestricted © Siemens Healthineers, 2020 FAST Phase Job Aid SIEMENS Healthineers General Overview The complexity of cardiac scanning can be considered high if compared to other scan types due to challenges arising from high and/or variable heart rates, for example. With FAST Phase, which is fully integrated in the Cardiac workflow, the most appropriate scan and reconstruction parameters are selected based on an automatic analysis of the patient’s heartbeat prior to scanning. This allows standardized and easily reproducible cardiac scans. 3 Effective Date: 12-OCT-2020 | HOOD05162003127628 Unrestricted © Siemens Healthineers, 2020 FAST Phase Job Aid SIEMENS Healthineers General Overview For FAST Phase, the heart beat is characterized by: HeartView x General Preview Series Multiphase Auto Trigger 1. Heart rate - Low, moderate, high 2. Heart rate variability - Regular, unstable, arrhythmic Thresholds Scan perform with contrast For each of the 9 resulting heart rate categories, a set of Heart Rate Start Ph. End Ph. Unit Best Phase Unit optimized scan and reconstruction parameters is predefined. Low-Regular 70 70 % BestDiast % Low-Unstable 65 75 % BestDiast % These parameters are stored in a special look up table for both Low-Arrhythmic 60 80 % BestDiast % contrast and non-contrast examinations. Moderate-Regular 60 80 % BestDiast % Moderate-Unstable 60 80 % BestDiast Moderate-Arrhythmic 200 350-m BestSyst ms High-Regular 30 40 % BestSyst % High-Unstable 200- 350 m BestSyst ms High-Arrhythmic 200- 350- mS BestSyst ms OK Apply Default Settings Cancel Help 4 Effective Date: 12-OCT-2020 | HOOD05162003127628 Unrestricted © Siemens Healthineers, 2020 FAST Phase Job Aid SIEMENS Healthineers General Overview: Set-Up To adjust the default parameters, the look up table can be accessed one of two ways: 1. Before the cardiac scan: 2. During the cardiac scan: Options → Configuration → HeartView → Auto Trigger Tab Click on the icon in the Trigger Card. R Somaris/7 - Configuration Panel Elle Heart Rate (bpm) Min: 60 Max: 60 Avg: 60 Var: 0.0 DICO 60 60 60 60 60 60 Patient Patient Patient Transfer Conversion Auto Delete Browser Registration Search CT-Log Expert-i ImageText Scan Protocol E-Logbook Examination Bolus Editor Assistant Configuration Tracking ? " HeartView x Respiratory HeartView Intervention Gating General Preview Series Multiphase Auto Trigger Scan auto BestPhase auto Thresholds Scan perform with contrast Range 70 = 70= Phase Start 70 Filming Filming Report Dy Pulsing 70 to Unit % Layout Layout Editor Configuration Heart Rate Start Ph. End Ph. Unit Best Phase Unit Low-Regular 70- 70 % BestDiast % Low-Unstable 65 75 % BestDiast % Unit % cm Ca Low-Arrhythmic 60 VF 80-: % Volume CT CaScoring VPCT Neuro BestDiast % Recon quick 66 ms HeartView Moderate-Regular 60 80-1% BestDiast % DS_CoroCTA_AdaptS Moderate-Unstable 60 80 % BestDiast % Moderate-Arrhythmic 200 * 350 :51 ms BestSyst ms Routine Scan Recon Auto Tasking Trigger Topogram High-Regular 30 40- % BestSyst % 200 . DS_CorAdSeq R High-Unstable 350- ms BestSyst ms F High-Arrhythmic 200- 350- ms BestSyst ms OK Apply Default Settings Cancel Help 5 Effective Date: 12-OCT-2020 | HOOD05162003127628 Unrestricted © Siemens Healthineers, 2020 FAST Phase Job Aid SIEMENS Healthineers General Overview There are two separate look up tables available for scans: HeartView x 1. With contrast: This is used for exams with contrast media such as General Preview Series Multiphase Auto Trigger coronary CTA 2. Without contrast: This is used for exam without contrast media such Thresholds Scan perform with contrast as calcium scoring Heart Rate Start Ph. End Ph. Unit Best Phase Unit To switch between the two look up tables, select the necessary option Low-Regular 70 70 % BestDiast % from the Scan perform dropdown list located in the upper right corner (see 65 75 % BestDiast % image). Low-Unstable Low-Arrhythmic 60 80 % BestDiast % It is possible to adjust the values by entering values to the fields Moderate-Regular 60 80 % BestDiast % accordingly. Moderate-Unstable 60 80 % BestDiast If necessary, it is possible to restore factory settings by use of the Default Moderate-Arrhythmic 200 350 m BestSyst ms Settings button located at the bottom of the window (see image). High-Regular 30 40 % BestSyst % During cardiac exams the table is chosen as follows: High-Unstable 200- 350 m BestSyst ms If a CM-scan, such as test bolus or bolus tracking, has been inserted High-Arrhythmic 200- 350-: ms BestSyst ms • prior to the actual cardiac scan the “with contrast” table is chosen If no test bolus or bolus tracking scan is included the “without OK Apply Default Settings Cancel Help • contrast” table will be selected 6 Effective Date: 12-OCT-2020 | HOOD05162003127628 Unrestricted © Siemens Healthineers, 2020 FAST Phase Job Aid SIEMENS Healthineers General Overview If necessary, thresholds for heart rate and heart rate variability ... HeartView X can be adjusted. General Preview Series Multiphase Auto Trigger Threshold configuration can be accessed via the Thresholds Thresholds Auto Trigger Thresholds X button on the Auto trigger card (see image). He Heart Rate Low-1 High In the Auto Trigger Thresholds window the lower and upper Low-L Low Moderate Low-Arr 67 bpm 85pm thresholds can be entered in the corresponding fields. Moderate-I Moderate-L Moderate-Arr Heart Rate Variability High-I High-L Regular Unstable Arrhythmic High-Arr 4bpm K- OK App OK Cancel 7 Effective Date: 12-OCT-2020 | HOOD05162003127628 Unrestricted © Siemens Healthineers, 2020 FAST Phase Job Aid SIEMENS Healthineers Configuration at the Scan Level To use FAST Phase for scanning: Select Scan Entry → Trigger Card 1. Sequence Mode: IGT 0.0 • Scan: “auto” 512 0/0 Tr20.fOn.UOPO .. 1j.a. Sn 358 → Applies look up table to Trigger & Pulsing setting DS_CoroCTA_AdaptSeq (Adult) Test 17.07.24-13:15:51-STC Total mAs: 252 Topogram Heart Rate (bpm) Min: 60 Max: 60 Avg: 60 Var: 0.0 • BestPhase: “auto” DS_CorAdSeq 60 60 60 60 60 60 → Applies look up table to the reconstruction 2. Spiral Mode: Pulsing: “auto” VI • → Applies look up table to Pulsing setting Scan auto BestPhase auto Range 70 to 70 Phase Start auto • BestPhase: “auto” Pulsing 70= BestSyst to 70 Unit BestDiast Unit o manual → Applies look up table to the reconstruction Recon quick 66 ms Load Hold Recon Recon Routine Scar Recon Auto Tasking Trigger NOTE: Using FAST Phase (auto) disables manual input options. FAST Phase can be applied independently to acquisition and reconstruction (BestPhase), or to both. 8 Effective Date: 12-OCT-2020 | HOOD05162003127628 Unrestricted © Siemens Healthineers, 2020 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 2020 Siemens Healthineers Headquarters Siemens Healthcare GmbH Henkestr. 127 91052 Erlangen, Germany Telephone: +49 9131 84-0 siemens.com/healthineers 9 Effective Date: 12-OCT-2020 | HOOD05162003127628 Unrestricted © Siemens Healthineers, 2020

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