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Corridor 4DM Quick Start Guide Video

This video is to assist the new user of Corridor 4DM in how to launch the application and use the software for cardiac interpretation and review.

This video presents getting started with 4D MA nuclear cardiac quantification, review and reporting application. For more in depth guidance, access our prospects, enter for reference guides, short videos and more. Here we give a brief demonstration of four DMS clinical workflow for cardiac, SPECT and reporting, as well as an overview of four DMS. Other features. To begin, first launch a patient data set into 40 M by right clicking on the study name and select open with a dropdown appears. Select 40M to launch that data set into 40 M. Patient review takes place within the displays on the main canvas. Use the buttons in the workflow panel, top down for standard clinical review the panel to the immediate right contains data set information relevant to the workflow screen displayed available tools in the toolbar. Assist with processing and interpretation as needed for global controls of 4D M, such as save and quit, use the control panel. For DM, automatically displays the appropriate workflow depending on the study type of the patient loaded. SPECT studies from Siemens. Ivo and in TiVo to slice cameras, automatically launched the SPECT workflow in 40 M to begin your SPECT assessment. First, evaluate the quality of the raw data for all datasets by viewing that Elmo viewports for extra cardiac activity, breast attenuation and patient motion. Additionally, ensure all sinograms an Lina grams are smooth with no breaks or misalignments which indicate patient motion in either the X or Y direction. Once all raw datasets have been evaluated for adequate image quality, select the next screen for image processing. For DM automatically quantify's left ventricular ejection fraction. Transient ischemic dilation, commonly referred to as TD and many other values as part of this process for DM, estimates the orientation contours and basil limits based on the data set acquisition. To review these estimates for optimal placement, three initial steps are taken. First verify orientation by confirming the HLA apex of all datasets is pointing towards 12:00 o'clock. And the VIA Apex is pointing towards three o'clock. Second, ensure the contours are correctly outlining the endo and epicardial surface is of the left ventricle. Should either the orientation or contours need adjustments. Enter manual mode. 3rd Verify the Basel limits are correctly placed at the base of the left ventricle, as these impact the functional estimates such as left ventricular ejection fraction and TID. If any adjustments are made, click save and begin your interpretation on the next screen. Here you are visually evaluating the tracer uptake by the heart walls at both stress and rest. Begin by visually comparing the row of stress slices to the row of rest slices. The difference in intensity at stress. An rest results from a difference in the amount of uptake, which indicates a defect should any corresponding rest to stress slices not be aligned, simply click and drag the slice in the desired direction. Note the TID value displayed in the data set information panel. The ID quantification assesses the blood supply, reaching the innermost layer of the left ventricle. When lower blood flow exists at stress compared to rest, the TID value becomes elevated. Proceed to the images plus quant screen to compare your visual interpretation of perfusion with polar Maps and segmental score quantifications. Visually compared the rows of stress slices to the corresponding stress polar Maps and the rest slices to the corresponding rest polar Maps to correlate consistent tracer uptake, low intensity and black areas indicate below normal perfusion. Polar Maps depict perfusion in the main vascular territories of the left ventricle of your patients. Data set compared to normal patient datasets. The first row of polar Maps is called perfusion blackout Maps in the order of stress, rest and reverse ability on the reverse ability map. A white crosshatch pattern represents a greater than 10% difference in uptake between stress an rest indicating the potential for reverse ability. The polar Maps in the bottom row are called segmental perfusion score Maps. These divide the left ventricle into 17 segments and compare each to a normal patient database on a zero to four scale with 0 being normal tracer uptake. Assess diagnostic risk using the regional scores and prognostic risk using the global scores. If you do not agree with the scores in comparison to the slices or blackout Maps, you can adjust any segment left Click to increase right Click to decrease. Once perfusion interpretation is complete, move on to the function plus quantification screen to evaluate the functional strength of the left ventricle. Begin your review by visually assessing the gated slices. Sidney through the cardiac cycle observed the intensity change from frame to frame to evaluate wall motion and wall thickening. Correlate your assessment with the gated wall motion Maps. Motion of the heart measured in millimeters, is plotted on the first map and scores on a scale of 0 to 4 from normal to aneurysmal on the second. The wall thickening polar Maps displayed the count increase during systole compared to diastole. Measured in percent, these scores are based on a scale of zero to three from normal to severe. These scores will auto transfer to the patient report, correlate your findings with the volume curve to assess the squeezing strength of the left ventricle and primary functional values. The deeper the curve, the higher the ejection fraction the EF and vice versa. This important value indicates the percentage of blood pumped out of the left ventricle with each contraction. Once functional review is complete. View the MPI summary screen. All primary information is displayed here. To review for consistency as well as to affirm your assessment of your patients cardiac health. Compare and review perfusion and function objects and make any segmental score changes as desired. Knowing that these will automatically transfer to the patient's report. Additionally, evaluate the 3D renderings which displayed the blackout polar Maps as a 3D object to visually correlate wall motion, wall thickening and perfusion. Look to the data set information panel for key quantifications, including the FT ID and some scores to review and finalize the report. Click the reporting button in the control panel. Your patience report displays with available patient information and for DM quantifications, automatically populating. Note that the fields throughout the reporting module in red indicate that the report anticipates an entry to view 2 pages of data boxes at the same time. Turn off the report preview function by clicking on the preview button located in the upper right corner. Enter the patient height and weight to automatically calculate PSA an BMI. Refering and interpreting physicians must be identified using the drop down menu to add a physician who was not pre configured during setup. Click other and entered the physician's name. To complete patient information, click medical history. Enter study indications by clicking the white data box for each category. Primary categories must be filled secondary or optional to help provide a comprehensive assessment, click within each box. For options. Enter information using voice recognition software, free text or by selecting within the dropdowns. If the patient has a prior study, toggle exist to display additional data boxes regarding that study. Once all patient information is complete, click stress test. To begin entering, study specific information. Select the correct stress test type and relevant data boxes will appear. Enter stress test details and the adequacy of stress using the white data boxes. These will automatically update the stress test protocol and findings when Autotext is turned on to edit either protocol or findings, simply click the box and type. For EKG specific findings, click EKG. The resting EKG status selected activates relevant data boxes. Select normal to automatically populate normal values manually. Adjust these as needed when abnormal is selected for the stress EKG status, the data boxes appear red. Click in each box to activate a predefined list of options or entered values by free text or voice recognition software. When auto text is turned on, stress EKG findings will automatically update based on the values entered. Once complete, enter image ING information on the next screen. Begin by entering the radiotracer injection time for stress and then rest. Notice how the imaging protocol data automatically updates and the acquisition parameters automatically populate. Edit Any fields requiring modification to review and modify position interpretations. Click to the next screen. Left ventricular perfusion and function. Quantifications from 4D M automatically populates core Maps and other areas in the report from these values. Impression sentence is our automatically generated review all values and impression sentences for agreement with your assessment across all screens as needed for SPECT studies. Fill ablex RV Maps or present for physicians who wish to enter their assessment and include with the patients report. Depending upon physician preference, auto text can be turned off to support the full dictation of your interpretations into the dialog boxes. Once you are satisfied with your assessment, click preview to read through the report. Enter overall study quality. Clicking in the required fields of the miscellaneous screen. The overall screen facilitates the review and editing of the various interpretations. Click the finalized icon in the upper right toolbar, which will allow you to save in a desired format and location the finalized button electronically signs the report and requires the unique password of the interpreting physician. This password can be set up in the administration module. To access this module, click the icon in the lower left corner. Three items in admin are required to be set up prior to completing a report. Your hospitals name and logo. The interpreting physicians name, Signature, an password, and the path for storing the final report. Refer to the reporting users guide which is accessed by clicking on the Help icon in the upper right toolbar. For more detailed assistance in setting up these and other items in four DM administration. In addition to cardiac SPECT review and reporting for DM provides workflows and report templates for all other core molecular imaging protocol visit in Via's Prospects Center for Instructional Guides on these features. Gated blood Pool provides an analysis of the amount of blood pooling in the heart chambers at different times of an average cardiac cycle. This protocol is used to determine how blood is settling, which can indicate if the heart is working optimally or is under strain. Including hybrid CT with SPECT studies adds anatomical review for improved patient assessment in TiVo 6 and 16. Slice scanners obtain such patient studies using four DM hybrid Siti obtained calcium scores. Align separate nuclear and see T studies view any CT only scan or simply attenuation, correct SPECT or PET studies. Review pet studies from Siemens bio. Graph line of scanners using four DM including rubidium ammonia and FTG acquisition protocols. Pet Review and Reporting offers the same, comprehensive and specific tools available for SPECT imaging. Additionally, the CFR option for PET enables the measurement of absolute flow and reserve a newer imaging technique where four DM has been a leader, further improving the tools available to cardiologists for improved patient care. On site training from a 40M product specialist is provided for all customers purchasing for DM who are located in the USA and Canada. Experience has shown that site specific configuration and training optimizes the use of for DM and the related patient care. For all other countries, such configuration and training is conducted via Webex. Thank you for your interest in 4D M. Please contact four DM at in viasolutions.com for any requests. We look forward to working with you.

History Chest Pain Syrnptorns Chest Pain Symptoms Chest Pain Symnptomns Symptorns Func Quant Stress/EKG Thin wp Thin CT PET.CfR Gaps ID GSR GSA ! Medical History (GStr-Rst) (GStr.Rst) NWPT NW/PT Unkrxn•n v/ Quant Values v' Quant Values Post Stress 40M GBPS, 001, 004-018,GBPS'LAO (MUGA2) Black 100 52 yo I Imaging Info SPECT 80 yo 80 yo Female 57 yo Female 52 yo 52 70 yo 62 yo Male , 52 yrs, Male 70 yo Male 62 yo 52 yrs, Male yo Female Wall 40M PET. 001, 004-014. 40M PET. 001, 004-014,RB82 (PET Abnormal) 40M spa-CT, 001, 004-001, 10 GSR 40M 001, 004-001110 GS.'R (Ischemic2) 40M PET CFR, 004-016, Rd82•CFR 40M PET CFR, 007, 004-016, 40M spa-CT, 001, GS.'R 40M 001, GS.'R 40M spa-CT, 001, 004-001, 10 GS.'R 40M 001, 004-001, 10 GS.'R 40M PET (HFPO Prep) 40M 001, 004-001, 10 GS.'R (Ischemic2) 40M SPECT, 001, 004-001, 10 GSR PET 001, c04-014,RB82 (PET Abnormal) PET CFR, 004-016, RB82*CFR PET 001, (PET Abnormal) PET 001, 004-014,RB82 (PET Abnormal) PET, 001, 004-014,RB82 (PET Abnormal) 001, c04-01&GBps.'LA0 (MUGA2) 001, c04-0W&GBps.'LA0 (MUGA2) 001, GS.'R 001, GS.'R (Ischemic2) 40M 001, GS.'R (Ischemic2) 001, 004.m1,10 GS.'R 001, 00401.10 GS.'R 001, GSIR•casc (Casc) 00401 10 GS.'R GS.'R Medk•atnns - Native I Alaska Native Native Alaska Native yo SPECT. 001. 004-001, ID GS/R 40M SPECT, 001; 004-001 GSR , 52 yrs, Male 40M SPECT, 001; 004-001,1D GSR , 40M SPECT, 001; 004-001 GSR 40M SPECT, 001; 004-001,1D GSR , 52 yrs, Male ! Stress Test , 52 yrs, Male 52 yo Male 52 yrs, Male 40M 001, 00401, ID GS,'R QA Interpretationg Interpretations 52 yo Male Stress TC 03/13/1954 QRS Asian lic2) , 52 yrs, Male IngntÉnt Perfusion-Blackout IngntÉnt Ingntent 52 yo Male 40M SPECT, 001, 004-001,1ID 40M SPECT, 001, ID GS/R (Ischemic2) GStr 10 GStr GStr 6 GStr 4 GStr 9 GStr I GStr Frame 8 G Str Frame 4 G Str Frame 35 G Str 2 G Str Frame 8 G Str Frame 9 GStr 14 G Str 3 40M SPECT, 001, 004-001, ID GS/R (Ischemic2) 40M SPECT, 001; 004-001,1D GS/R (Ischemic2) , 52 yrs, Male 40M SPECT, 001; 004-001,1D GS/R (Ischemic2) Pabient Info Patient Info , 52 yrs, Male Time Time Activ Curves ESV: ES SA (Apex•Base) SA (Apex—ease) Amorrnal QA S in ogram Lin LV Perfusion Gstress TC•Gated (Primary Gstress TC-Gated Gstress TC•Gated (Primary 11 16 Ung Native Hawaiian I Othff Islmder Native Hawaiian I Other 124 Wall Motion 4DM SPECT, 001, 004-001,1D GS/R (Ischemic2) ImagÉ1g Protocol Imagmg Protocol Protocol Gated Stress Tc-99m Sestamiöi / Static Rest Tc-99m Tetrotosmin -99m Tetrotosmin Gstress TC•Gated (Primary 11 Gstress TC.Gated Gstress TC.Gated [FdP1 TC.Gated TC.Gated [FdP1 [Fan TC T ransvetse 004-001, ID GS/R (Ischemic2) Patient Browser SPECT, 001, 004-001,1D GS/R (Ischemic2) T ransverse 076 57 07 n Sep 4DM SPECT, 001, ID GS/R (Ischemic2) 4DM SPECT, 001, 004001, ID GS/R (Ischemic2) 40M SPECT, 001, 004001, ID GS/R (Ischemic2) 4DM SPECT 001 004-001,1D GS/R (Ischemic2) ung lu see see opuons,lype text 0-9 sep Medkatbns - Q WNaves ! EKG v/ Quant Values GStr 10 GStr Frame: 15 GStr 11 QA normal (GStr.Rst) (GStr.Rst) Stress Test (GStr.Rst) Overall ! Overall Overall NW/PT ! NWPT LV perfusion Repat•. Preliminary EKG Rep«t•. Preliminary Function perfusion Arnbulatcxy Ambulatcxy preliminary Quant Values v' Quant Values 'O New Physician 15 16 163 19 16 Fr. 52 Arrtry•thrrias QRS MorwhokUy' QRS MormokUy QRS MormhokUy' MPR Gstress TC IFBPI Thin MIP Tomo QA GStr Frame: 13 GStr Framne: 4 GStr Frame: 2 Edit MPR Adequæy or Strßs TC-Gated Tc.ßated Sstress Gstress 0T Stress Stress LAO-Gated Gstress TC.Gated [FdP1 Gstress TC-Gated ED Frame RV Perfusion x zoo Rest EKG Demcwaphics Derncwaphics Wall Motion Wall Motion Scores 15 5 Slices 16 supine. , 52 yrs, Male EOV; Eov: ESV: 31 repolarizatlcn repolarizatcn 4DM SPECT, 001, 004-001,1D GS/R (Ischemic2) ER ED Demographics QA None Time TOO'S atrial fibrilation bw-voltage QRS 4 - Paüent Info Imaging Info Patient Info Pabent Info Paüient Info Pabient Info -99m paUent Demographics Patient Demographics paUent ! LV Perfusion R LV Perfusion Read (4) Read SS 23 none LV Permsion L R.V Perfusion RV Pertusu:m Surmwy Penusvcn Perrusvcn Summa8 n the RN Risk L RV Perfusion perfusion 16 Fr, Test Test Test Stress LV Functm StrBS LV Strss LV Functm NWPT Imaging Protocol Data NWPT Imagmg Protcxol Data Regmal Score ne baseline resting E KG was normal Rest status Rtrest EKG status stress EKG status Rest stalus Rest EKG status GStr Frarne: 5 EKG status LV Auto-Text Motm 15:36:19 GStr Pert Pert u pert u Clear ESV: EOV; Eov: sss: ESV: 31 ESV: as SSS: 16 ESV. 31 COV; 16 RBC vitro vitro Patmt Overall RV Perfusion (GStr-Rst) EKG EKG Excellent processing G Str Excellent Gstress TC.Gated Sstress Ung, Supine, FBP 16 supine, FBP Doel Doe v/ Medical History Tomo QA Clear EOV: 99 4DM SPECT, 001, 004-001, ID GS/R (Ischemic2) M SPECT, 001, 004-001,1D GS/R (Ischemic2) Frame: Ung Gstress TC•Gated (Primary 11 Gstress TC-Gated Gstress TC [FBPI Frame: Ung Frame: 16 Frarne: Ung Gstress TC-Gated Extent ! Demographics Demographics C xercSe Gstress TC-Gated [Primary 11 Normal normal multifocal atrial tachycardia AC Mass; C O; ESV: Rate: — 16 Supme Ung, Supme, FBP pavn paUent -gess to Stress a response Stress ST was Si depression -gess Stress a response Stress ST was Si depression Stress Stress a vesponse Stess ST response was Stress Stress nac a vesponse Stess ST response was ST *pression nac a ST response nas ST *pression * pression -gress RV FINDING s R V INTERPRE • Acc Mass; CO; Acc Bets; Esc; 143 CO; S 37.0 37.0 (100%) 37.0 000%) CO: CO; 60 CO; COV; CO; 6.0min CO 60 C 0 60 CO; 6.0 min EOV; C O; 60 CO: 60 CO; 6.0Bnin (100%) Tc.99m Sestamibi fi Patient Info 09-Mar.2007 15:36:19 Rate Rest EKG . NM/PT QA 15:36:19 Filter: None Ungated I-mg QTc interval Auto. ! RV Perfusion ! LV Perfusion 16 Fr, supine, FBP in the lateral. and leads in the lateral. and Stress imaging was not Rest imaging was not perlormed. Stress imaging was pefformed; 381 mCi ot Tc-99m Sestamibi were injected intravenously aner the termination of regadenoson Normal '"mal i the and the and stress Patmt Rej Rej 0.0 ugva: 55 ml. 55 ml. Tc .99m Reason tor Reason Terminatim Processing Ml Processing for Terrrmation Timing !' Medical History ! Medical History !/ Medical History Mah Medical History v' Medical History v/ Medical History LV "ass: suess trmagng was no: pelormea Rest maging was not petlormea Stress Test Summnary Not I-uspanic EDV: 99 ml (52 Filter: None Un ated Un ated Filter: None Un ated Perfusion-Blackout by by Name. Date. Ikscriptx»n sss: sss: 16 sSs; atrial flutter o' r urr Aw•ssnent o' Fury. o' r urr. Patient Info Imaging Info Paüient Info Stress/EKG Stress Test First Nane John CarrW Event History RV Perfusion Surnrynary 16 Fr, supine, FBP 16 Fr, Supine, FBP 16 Fr, Supine -ne Oasel•ne resting EKG Bas RV v/ Quant Values Stress Test Surnrnary Stress Test Findings 52 12 Free Text Mass: 148 g, CO: Pod Activiy Wall Thkkening Test Type R-narmacologic *narmacologlc R LV Function Stress RV Function ! RV Function Regional Wall Motm Wall Motm Noncrmal 58 ml, TID: 1.29 ( ) Rest EKG 15 Stress Bas judgeC Stress a pressure Stress ST response was 1 o: AC • ESV: 31 ) sinus bradycardia 7.1 Resting EKG is not abe to be for SMS GBPS stress.'EKG stress/EKG CT A mid the and ! LV Function ! RV Function 1 mCi c' Tc-99m Tetrorosmin Stress maging was 38.1 mCi o' Tc-99m Sestan-iOi were injected intravenously aner me 10.2 mCi c' Tc-99m Tetrorosmin Stress maging was 38.1 mCi o' Tc-99m Sestan-iOi were injected intravenously aner tne ss,R GSR stress Unknown Not Imaging Info sss: '6 Sinogram SA (Apex—Base) lefht axis deviation Tc-99m Sestamibi Gstress TC-Gated [Primary 11 Gstress TC•Gated (Primary 11 internttent atrial pacing Wall Wall Wall Normal SSS: 16 SDS: 16 ot Stress Stress ot S Cardiac Event History or inrusm The near was n supine mroxrnatety 37 minutes or regaæmsm inrusm The near was n supine 37 minutes Stress Test Demographics - Test 57 NatWe / Ala"a Native Nathe v/ V' v' Stress Test u' Stress lest ! Stress Test Gstress T Stress TC red«ed Series Seriess Sstress Results 16 Stress was Judged to be suo-maxlma[ Stress a normal blood pressure response. Stress ST response was 1 amr Stress was Judged to be suo-maxlma[ Stress had a normal blood pressure response Stress ST response was 1 Smr * pression perfusion depression sGREST TC [FBPI Iunjection 15:36:19 In to V" TO In to TO Reversibility CT Rej Beats: 17 zcnes Sany Quary Stu'y Qualfy 7.1 (35 PM) (35 Gloöal:1Jnltor1T Quant Mass: 148 g, CO: 6.0 Mass: 148 g, CO: 6.0 Mass: CO: ESV: 31 ml(17 mum:) Anterior Images Quant Quant Gated Blood Pool EDV: 99 ml (52 EDV: 92 ml (48 EDV: 99 ml (52 rnvm•) EDV: 99 ml (52 mm) Camera: Syrnbia T2 min:sec Cl RVH ! LV Function SPECT Severes reouceC unknown stress r«overy Text ! Stress Test Stress Agent 09-Mar-2007 Rest EKG Findings Stress Test Findings intermttent ventricular pacing Rate RVH Rest EKG Findings PET-CFR 09-Mar-2DD7 Images Wall Thickening TID (mildly positive) in the inferior and lateral leads during stress and recovery PerfusmBlackout Stress Sstress Stress ST ST to ST ST ST ST ST v' EKG ! EKG Mass: 148 g, CO: EKG 1.29 inviasolutions.com/ProspectCenter 55 ml, • Quant Processing UgV01: 55 ml, mID: - 16 Fr, Supine 16 r, Supine , Supine Normal None V 1 of Irrreased Quant V' EKG v/ Medical History Uninterpretatk Medical History -study ESV: 31 ml (17 ESV: 31 ml (17 mVm2) a Heads: 2 in is LCX Stu* Func Qumt LV Summary Summary MP Summary LV Sumrnury RV FiMings Sumrnary LV Sumrnary interrreted stress EKG status HR (bpm): stress EKG status I-mg QTc sss: 16 Mass: 148 g, CO: 6.0 of Fumr Assessrrpnt Resting EKG is not abk to nterpreted for s TREss PROTOCOL: 169.00 168.00 Chest Pain Reason tor Terrrülatjm Reason tor Ter Regacenoscn Imaging Info v' Quant Values v/ Quant Values 55 ml, - 258 Tc-99m Sestamibi Gstress T Gstress TC IFBPI m Sestamibi 119 sGREST TC [FBPI Arnbulataxy Reversbibty CT Findings Ung, Supine, FBP + Quant Zip LV PERFUSION autornaucally consuucx•c your Inputs In section 21 cot 100 100 50 SPECT-CT min:sec [ nin:sec Stress Test Protocol Wall Thickeninq Wall Thickening Auto-Text min:sec MC str Wall Motion Scores Wall Thk:keninq Scores Global 92.4 tnleqxeting FTrysEian: tnleqxeting FTrysKian: Fune Func 4DM SPECT, 002 GStr GStr Sinogram EF % ED Frame Notm Base sGREST TC [Primary 11 Septal Imaging Info UgVol: 55 ml, UgVol: 55 EKG is to be mterpreted tor EKG is to be mterpreted ! NWPT NWPT NM/PT Camera: Symnbia T2 era: Synlbia T2 left ansterior fascicular block was Stress LV was Stress LV was Stress LV Wall Stress LV Wall 12 16 10 ischemia Test sent sent to; Observation ER MC Rst Mak• Mak Following pharmacologic stre Mass: 148 g, CO: 6.0 Vmin Mass: 148 g, CO: 6.0 Mass: 143 g, CO: 5.6 09-Mar.2007 14:04:53 09-Mar-2007 14:04:53 Mass: 14 0:6.0 Mass: CO; Septal Beats: 37.0 (100 ectopic atrial rhythm Images + Quant Func • Quant C 4DM CtBt Crctmfereme in Lin RV myocardial was normal Irnages + Qu Irnages + Quant + Qu t Qu t Additional Tc-99m Sestamibi Show Flow Event H i Story Pre-test Pain Show Wall Thickening StiKfy QuaRy Artifacts Oate Base Stress EKG Find%ngs Wall Thickeninq Scores Auto-Text Summary STRESS TEST Adequacy of stress: ST S Adequacy of stress: AV Stress Test r ne patent was Infused Intravenous'y regaaenoson at 0.08 mg/ml tor a total duration o' 10 seconds. A regaaenoson dose ot r ne patient was Infused Intravenous'y regaaenoson at 0.08 tor a total duration 10 seconds. A regaaenoson dose ot Gstress TC-Gated [FBPI Gstress TC-Gated [Primary I1 Gstress TC [FBPI Gstress for a total duration of 10 seconds. A total regadenoson dose of ft 008 mg/ml tor a total duration of 10 seconds. A total regadenoson dose of v/ Quant Values Camera Heads: 2 wall Intermeted Difascicular Nock Difascicular projection Perfusion-Blackout Flow ( Flow ED ES ESV: ED ES ES VLA ED VLA ! NM/PT ! NWPT Ung, Supine 16 Fr, Supine UgV01: 5 UgV01: 55 ml, TID: UgV01•. 55 ml, TID: - Rej Beats: 0.0 Unkrxn•n Qualiy Artifæts 4DM Reporting User's Guide Algorithm (MC str): INVIA Rb.82 ROI Algorithm (MC str): Rb.82 ROI Algorithm (MC Str): EDV (ml) INVIA Rb.82 ROI 99 ER O mg was injected Intravenously. mg was injected Intravenously. sSs; 16 Rest up Total SSS; EF Qualitative 16 Func + Quant otrer Ap high lateral - PDF Function HR 92.4 bpm): 92.4 (bpm): 92.4 Interpretations Interpretation s UgVol•. 58 ml, TID•. 1.29 UgV01: 58 ml, TID: 1.29 Str GStr ED Frame CT ! LV Perfusion perfusion STRESS DYNAMIC TOF STRESS TOF ! Miscellaneous STRESS STATIC AC with TOF STREST STATIC.AC with TOF Invatenl Incatenl Wall IS ES Acquisitnn Date RV Perfusion Impression Stress EKG Status Stress EKG Findings Interpretations sss: 16 Tc-99m Tetrofosmin Lin ogram Sin ogram Count Histogram R-R: 35%@659 Sstress Gstress Gstress T Stress Gstress primary IJ nonS*-ciOc IVCD 4DM SPECT, 001 SPECT, 001 Algorithm (MC INVIA Algorithm (MC Rst): INVIA Lottie Algorithm (MC Rstr): INVIA Rb.82 ROI Lontie Algorithm (MC INVIA RtY82 Images ED Frame Frame EF Image EDV (ml) ESV (ml) 30 21 EDV (ml) EDv (ml) 31 Hybrid-CT Normal AV stress EKG status aoncnna[ Tneres REST Rb STATIC AC aoncrma[ s STATIC FOG AC RV normal tn«emng vs normal ! EKG CT Reeved Acc Beats: 37.0 (100%) Acc Beats: 370 (100%) v/ Quant Values None u' Quant Values Quant Values v' Quant Values normal Total hMizoMaI Ambulatay hnages • Quant Images + Quant PET was abnormal. Stress LV regonal wall thickening was abnormal, crest or or Inputs m Inc + Quant lateral In 'm •313/1954, M •3'13,'1954, M Func + Quant Stress Test Inferior V2-GSRD,TC/NCtM V2.GSRDFTC/NCYM SSS:16 SDS: 16 SDS VPCs V2-GSRDÆC/NC/M was a for a for 99 69 QFZS 69 RV Fimdngs Sumrnary ! Overall Overall Tc Sestamibi Login Information Stress/EKG LV PerlusKn LV Perlus«n LV PerlusKon Ctrst s in and mid s in the and s in and ER and RV Survnary Interprelauon automallcally [rom your Inpuls In section Reports. RTF LV LV Ste" LV LV LV LV LV Ste" LV LV LV Global Global Results Rej Beats: 0.0 C)pen Open "th Stress EKG FirK%ngs Stress EKG Fir-Klngs • Favorites SIEMENS RV Perfusion v/ LV Perfusion ! IV Perfusio ! I.V Perfusion ! IV Perfusion ! perfusio perfusion RV LV perfusion Clear Tc-99m Sestamü)i r,crmal snus Prmoked ar •Wress Prowked t" or diqress Provoked t" exertm or •Wress or «ress ar •Wress gl 91 Summuy camera; none 16 so 50 59 o so so wnn regaaenoson at 008 mgm 'or a total duration or 10 seconds A total regacenoson dose regaaenoson at 008 mgm 'or a total duratnn or 10 seconds A total regacenoson dose regaoenoson at 008 mgm 'or a total duratnn or 10 seconds A total rega

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